Remote Dental Credentialing Specialist Needed for Insurance Company
Posted 2025-08-26
Remote, USA
Part Time
Immediate Start
Remote Temporary (Possibly Temporary to Hire) F/T Dental Credentialing Specialists Needed For Insurance Company $25/hr
Our client, a growing Insurance Company located in Lombard, Illinois, is looking to hire a temporary (until the end of the year), possibly temp-to-hire Remote Credentialing Coordinator. The Credentialing Coordinator ensures the delivery of high-quality care to the client's members by monitoring and maintaining the integrity of dental provider data in compliance with industry standards and regulatory requirements. You will work with the Credentialing and Clinical Review teams to ensure provider audits are completed in an accurate and timely manner.
Job Responsibilities
Collect required data for reviews of required licensures, certifications, background searches, & training records.
Ensure potential New Provider applications meet credentialing standards
Ensure accurate entry and maintenance of data utilizing various resources
Reviews initial & recredentialing applications for completeness, accuracy, and compliance with regulations, guidelines, policies, & NCQA credentialing standards
Identify any discrepancies & convey problems to Credentialing Manager
Enters, updates & maintains data from provider applications into credentialing database
Prepare & follow up on appropriate verifications of individual applications in accordance with credentialing standards, procedural guidelines, & strict timelines
Participate in the development a& implementation of process improvements for the system-wide credentialing process
Comply with HIPAA, Diversity Principles, Corporate Integrity, Compliance Program policies and other applicable corporate and departmental policies
Job Requirements
Bachelor's Degree is preferred
5 years of credentialing, health provider relations, or related experience
Customer service and effective verbal and written communication skills
Information research skills
Knowledge of dental provider credentialing and accreditation principles, policies, processes, procedures, and documentation
Ability to maintain confidentiality and discretion in all communications
Advanced working knowledge of Microsoft Word & Excel, spreadsheeting, and database management
If you or anyone you know is interested, qualified, and currently available for employment please send an updated resume to us for immediate consideration.
Company DescriptionWe are employment specialists who have worked in heath care and managed care industry for over a total of 25 years. We staff temp, temp to hire, and direct hire placements
Apply to This Job
Our client, a growing Insurance Company located in Lombard, Illinois, is looking to hire a temporary (until the end of the year), possibly temp-to-hire Remote Credentialing Coordinator. The Credentialing Coordinator ensures the delivery of high-quality care to the client's members by monitoring and maintaining the integrity of dental provider data in compliance with industry standards and regulatory requirements. You will work with the Credentialing and Clinical Review teams to ensure provider audits are completed in an accurate and timely manner.
Job Responsibilities
Collect required data for reviews of required licensures, certifications, background searches, & training records.
Ensure potential New Provider applications meet credentialing standards
Ensure accurate entry and maintenance of data utilizing various resources
Reviews initial & recredentialing applications for completeness, accuracy, and compliance with regulations, guidelines, policies, & NCQA credentialing standards
Identify any discrepancies & convey problems to Credentialing Manager
Enters, updates & maintains data from provider applications into credentialing database
Prepare & follow up on appropriate verifications of individual applications in accordance with credentialing standards, procedural guidelines, & strict timelines
Participate in the development a& implementation of process improvements for the system-wide credentialing process
Comply with HIPAA, Diversity Principles, Corporate Integrity, Compliance Program policies and other applicable corporate and departmental policies
Job Requirements
Bachelor's Degree is preferred
5 years of credentialing, health provider relations, or related experience
Customer service and effective verbal and written communication skills
Information research skills
Knowledge of dental provider credentialing and accreditation principles, policies, processes, procedures, and documentation
Ability to maintain confidentiality and discretion in all communications
Advanced working knowledge of Microsoft Word & Excel, spreadsheeting, and database management
If you or anyone you know is interested, qualified, and currently available for employment please send an updated resume to us for immediate consideration.
Company DescriptionWe are employment specialists who have worked in heath care and managed care industry for over a total of 25 years. We staff temp, temp to hire, and direct hire placements
Apply to This Job