Job summary
Job post source
This job is directly from DECA Dental Group
Job overview
The Dental Credentialing Specialist at DECA Dental Group manages the credentialing lifecycle for dental providers, ensuring compliance and smooth enrollment with insurance payers to support provider and location setup.
Responsibilities and impact
The specialist handles credentialing and recredentialing applications, maintains credentialing databases, manages NPI creation for new locations, facilitates EFT enrollment, ensures compliance with regulatory standards, assists with audits, and collaborates cross-departmentally to support provider onboarding and location setup.
Experience and skills
Requires a high school diploma or equivalent, 2+ years of healthcare or dental credentialing experience, familiarity with CAQH, NPPES, and payer portals, knowledge of dental insurance plans, and proficiency in Microsoft Office; experience with EFT enrollment, credentialing software, and dental practice management systems is preferred.
Work environment and culture
The role is based in a standard office environment with potential remote or hybrid work options, involving prolonged computer use and occasional lifting of files or supplies.
Job location and travel
The position is likely based in an office setting with options for remote or hybrid work arrangements.
Company overview
Deca Dental Group is a leading dental service organization that provides comprehensive dental care through a network of affiliated practices. They generate revenue by offering a wide range of dental services, including general, cosmetic, and specialty dentistry. Founded in 2008, Deca Dental has rapidly expanded, emphasizing patient-centric care and advanced technology. Their growth strategy includes acquiring and partnering with existing dental practices to enhance service quality and accessibility.
How to land this job
Position your resume to clearly showcase your experience managing credentialing and recredentialing processes for dental providers, emphasizing familiarity with CAQH, NPPES, and payer portals like PPO, DHMO, Medicaid, and Medicare.
Highlight your organizational skills by detailing your ability to maintain accurate credentialing databases, track application statuses, and manage documentation for NPIs and EFT enrollments.
Apply through multiple channels including DECA Dental Group's official corporate careers page and LinkedIn to maximize your visibility and chances of being noticed.
Connect with current employees in DECA Dental Group’s credentialing or provider relations teams on LinkedIn; use ice breakers such as commenting on recent company news, asking for advice on navigating the credentialing process, or expressing enthusiasm about DECA’s growth and new location setups.
Optimize your resume for ATS by incorporating keywords from the job description such as 'credentialing,' 'NPI management,' 'EFT enrollment,' 'CAQH,' 'payer portals,' and 'dental insurance plans' to ensure your resume passes initial screenings.
Leverage Jennie Johnson's Power Apply feature to automate applying through various platforms, tailor your resume with the right keywords, and identify LinkedIn connections to network with, saving you valuable time and increasing your chances of landing the role.
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