About this role
Now is the time to join PDS Health. You will have opportunities to learn new skills from our team of experienced professionals. If you're ready to take your career to the next level and gain valuable experience, apply today!
As a Credentialing Administrator at PDS Health you will be coordinating credentials for Dentists with various dental insurance carriers. Being a part of the Contracts Department which is responsible for credentialing General Dentists and Specialists to ensure they possess the appropriate professional licenses and credentials to participate in the Dental Plans as required by the Insurance companies.
Responsibilities
Check Deal Log by-weekly for new offices opening dates.
Obtain IRS Confirmation from Development Department.
Confirm with VP of Operations who’s the Owner/Billing Provider.
Verify copies of current credentials on file for Owner/Billing Provider.
Request NPI Type 2 (Billing Entity NPI).
Complete applications and contracts for Billing Provider and submit for signatures.
Review signed contracts for accuracy.
Submit the paperwork within 24 hours to the applicable plans for approval and acceptance into their networks.
Update credentialing process on Pending Log.
Follow up with Dental Plans.
Process billing changes (ownership changes, pc changes, TIN changes).
Credentialing, Owners, associates and specialist as required.
Maintain Insurance Provider Status Report and Provider Files with Current Credentials.
Check, open, and send inbound / outbound mail.
Filing and Scanning.
Communicate issues and suggestions to improve processes.
Ensure compliance with Company policies, as well as State, Federal and other regulatory bodies.
Required
Equivalent to high school diploma or general education degree (GED).
1-2 Years of related State Business Credentialing experience.
Benefits
- Medical, dental, and vision insurance
- Paid time off
- Tuition Reimbursement
- 401K
- Paid time to volunteer in your local community
Compensation Information
$17.00-$22.20 / Hourly
PDS Health is an Equal Opportunity Employer. We celebrate diversity and are united in our mission to create healthier and happier team members.
Other facts
About PDS Health
Founded in 1994, PDS Health is a leading healthcare support organization that partners with dental and medical providers across the U.S., providing comprehensive business services that enable clinicians to focus on high-quality patient care.
Our innovative approach includes an integrated health record system that combines dental and medical data, giving clinicians a complete view of patient health. This platform enhances care coordination, allows for early detection of health issues, and improves patient outcomes, ultimately reducing overall healthcare costs.
We strive to be the provider of choice in every market by equipping clinicians with access to advanced, proven technologies and offering ongoing professional development opportunities. Our commitment to education and training supports clinicians and team members in growing their careers, ensuring they have the skills and knowledge to excel in their fields.
PDS Health has been recognized multiple times on the Inc. 5000 list of America’s fastest-growing private companies and named one of the 50 most community-minded companies in the nation. With over 1,000 practices in 24 states, we are dedicated to creating healthier, happier patients and making a positive impact in the communities we serve.
What you'll do
- The Credentialing Administrator will coordinate credentials for Dentists with various dental insurance carriers and ensure compliance with professional licenses and credentials. Responsibilities include verifying credentials, processing applications, and maintaining provider files.
Ready to join PDS Health?
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