We are looking for a Credentialing Specialist to support provider enrollment and payer relations for dental practices in Great Neck, New York. This Long-term Contract position focuses on keeping dental providers properly credentialed, enrolled, and in good standing with commercial plans and government payers. The person in this role will work closely with insurance representatives and internal teams to help maintain accurate records, prevent participation gaps, and address issues that affect reimbursement.Responsibilities:• Manage credentialing and recredentialing activities for dentists, specialists, and hygienists with commercial insurers, Medicaid, and other payer organizations.• Complete and submit enrollment applications with all required documentation, then monitor progress through approval.• Maintain provider records such as licenses, liability coverage, and other credentialing documents needed for network participation.• Communicate with insurance carriers and payer contacts to obtain updates, resolve pending items, and support timely enrollment decisions.• Review notices from payers, including contract updates, participation changes, and revalidation requests, and take appropriate follow-up action.• Partner with billing, front office, and practice leadership teams to investigate claim denials and reimbursement concerns tied to credentialing status.• Track expiration dates, renewal timelines, and payer-specific deadlines to reduce the risk of lapses in active participation.• Keep credentialing files, status logs, and reporting data organized, current, and audit-ready.• Assist with compliance reviews and documentation audits related to provider enrollment and payer participation.
...learn more about our amenities, check out our Instagram page. Job Type: Part-time Expected hours: No less than 15 per week Shifts: Morning shift Day shift Evening shift Work Location: In person Training for this role will begin late...
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...freight Benefits and Advantages ~ Consistent freight backed up by an $1,100 weekly pay commitment ~ Health Insurance, plus Dental, Vision, and Life insurance ~401(k) with company match ~ Fuel and safety bonuses ~ Network of devoted support and service...
...help foster a welcoming environment while managing appointment scheduling, insurance... ...ensuring confidentiality and security of health information Provide exemplary customer service by... ...proficiency for documentation review and data entry Ability to handle multiple tasks...
...Essential Duties and Responsibilities Fill out and process credentialing, contract, revalidation, and other payer documents for in-networking, renegotiations and routine upkeep. Assist with processing Letters of Intent (LOIs), applications, contracts, and credentialing...