Credentialing Coordinator
Company: Gentle Dental Careers
Location: Vancouver
Posted on: June 21, 2022
Job Description:
The Credentialing Coordinator is responsible for organizing,
maintaining, and verifying all aspects of the credentialing process
for our dental practitioners in the clinics. In all activities,
they must comply with all legal and regulatory policies and
procedures.The right candidate for this position will have a
positive attitude, excellent clerical skills, be well organized,
work well in a fast paced environment, be flexible, and adapt well
to frequent changes.Essential Duties and Responsibilities:
- Credentialing new doctors with insurance plans, which
includes:
- Submitting appropriate application to each insurance plan,
include all required Dr credentials
- Tracking the insurance applications throughout the
credentialing process, from sending to and from the doctor, to the
insurance companies and follow up until all insurance applications
have been processed and the doctor is accepted by all plans.
- Maintaining an insurance grid for each region, listing the
acceptance dates for every plan for which the provider has been
accepted. Sending updated grids out weekly to the field.
- Maintaining and tracking State Dental License, DEA, CPR and
Malpractice Insurance records for all doctors within the regions
they support. Communicate to Practice Managers, Directors of
Operation, Area Clinical Directors and PC Owners prior to license
documents expiring.
- Managing new doctor paperwork, collecting/processing all
information and keep in an organized file.
- Monitoring the insurance company websites for accurate
doctor/office information listings for all providers with all
insurance plans.
- Re-credentialing existing doctors with the insurance plans as
requested by insurance companies.
- Notifying all insurance companies when HR notifies us that a
provider has left the practice. Remove termed providers from Active
Intranet, Insurance Grids, Doctor Lists, Verifpoint. Scan and move
all necessary documents from the dentist's chart to the Termed
Dentist File in Credentialing folder.
- Respond to insurance company requests for additional dentist
information, W-9 requests, and directory audit requests.Key
Competencies:
- Thorough understanding of dental billing practices and
procedures, including knowledge of state, local and federal
laws
- Strong knowledge of reimbursement rules and methodologies for
billing
- Fluent in Excel, Word, Outlook, typing and number entry
accuracy
- Must have a high level of attention to detail and good
proofreading skills
- Must have excellent tracking and follow up skills
- Able to prioritize and adapt to high pressure situations and
frequent changes Schedule:Full time, Monday-FridayBenefits:
- Paid Time off
- Paid Holidays
- Medical, dental, vision
- 401k with company match
- Referral Bonuses ($2k-5k depending on role)Location:1101 SE
Tech Center DrVancouver, WA
Keywords: Gentle Dental Careers, Vancouver , Credentialing Coordinator, Other , Vancouver, Washington
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