Provider Enrollment Specialist

1 week ago


Grafton, Wisconsin, United States DentaQuest Full time
Job Overview

We are seeking a skilled Provider Enrollment Credentialing Specialist to join our team at DentaQuest, a leading oral health company. In this role, you will be responsible for managing provider enrollment and credentialing processes, ensuring timely and accurate data entry, and maintaining up-to-date records. As a key member of our team, you will play a crucial role in supporting the delivery of high-quality benefit programs to our customers.

Responsibilities:
  • Enter and maintain provider applications, contracts, and updates into our system.
  • Verify licensure, liability insurance, BNDD, CDS, and DEA certificates for providers.
  • Review and enter provider information into our credentialing database.
  • Perform ongoing research to correct duplicate provider data.
  • Assure all files have a Welcome, Denial, or Term Letter as appropriate.

Requirements:

This role requires a high school diploma or equivalent, with 1-2 years of experience in a business environment. Proficiency in Excel and general computer software is necessary, along with excellent communication and customer service skills. Ability to prioritize tasks and work well under pressure is essential.

Estimated Salary: $45,000 - $60,000 per year. We offer a competitive benefits package, including medical, dental, and vision coverage, as well as a 401(k) plan and paid time off. If you are a detail-oriented professional with strong analytical skills and a passion for delivering exceptional results, we encourage you to apply for this exciting opportunity.

About Us:
DentaQuest is an equal opportunity employer committed to diversity and inclusion. We believe that your work history is the best measure of the value you will bring to our company. We do not base any employment decision on a person's race, religion, color, national origin, gender, sexual preference, marital status, age, veteran status, or disability unrelated to the ability to do the job.

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