Provider Enrollment Credentialing Specialist

1 month ago


Grafton, Wisconsin, United States DentaQuest Full time
Job Summary

We are seeking a highly organized and detail-oriented Provider Enrollment Credentialing Specialist to join our team at DentaQuest. As a key member of our oral health team, you will be responsible for ensuring the accurate and timely enrollment of healthcare providers into our network.

Key Responsibilities
  • Enter and maintain provider applications, contracts, and updates into our system.
  • Verify provider licensure, liability insurance, and other credentialing requirements.
  • Research and correct data to prevent duplicate providers, locations, payees, and participations.
  • Review and follow up on missing information to maintain accurate credentialing records.
  • Track contract applications and ensure timely approvals or denials.
  • Meet required turnaround times and accuracy rates for provider enrollment and credentialing.
Requirements
  • High school diploma or equivalent; associate's degree preferred.
  • 1-2 years of experience in a business environment.
  • Previous experience working with files or data collection and coordination preferred.
  • Proficient in Excel and general computer software (Word, Outlook).
  • Ability to learn new software programs quickly.
  • Excellent customer service and communication skills.
  • Ability to work well individually and as a team member.
  • Strong attention to detail and business acumen.
About DentaQuest

DentaQuest is a leading oral health company dedicated to improving oral health in the communities we serve. We offer a stimulating work environment, competitive salaries, and a great benefits package. If you're looking for a challenging role where you can develop your skills, we encourage you to apply.



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