Job description
Overview:
The Delegated credentialing specialist is responsible for following the delegated process for each new dental provider as well as recredentialing when appropriate.
On site training M-F 8a.m.-5p.m 8-12 weeks. Once trained you can work remotely.
DCA Support Center (Sarasota)
Responsibilities:
Dental Care Alliance, one of the Top 50 growth companies on Florida's Gulf Coast, is currently hiring a Delegrated Credentialing Specialist at its Lakewood Ranch, Florida 34240 location. DCA now operates over 400 dental offices across 22 states.
The Delegated credentialing specialist is responsible for following the delegated process for each new dental provider as well as recredentialing when appropriate.
The process requires through background investigation, research and primary sources verification of all components of the application file. Ensure that the provider files are current and noted in detail in the record system.
On site training M-F 8a.m.-5p.m 8-12 weeks. Once trained you can work remotely.
DCA Support Center (Sarasota)
6240 Lake Osprey Drive
Sarasota (Support Center), Florida 34240
United States
Responsibilities:
Responsibilities:
- Prepares credentialing files for completion and presentation to the Dental Care Alliance Delegated Credentialing Committee which meets once a month.
- Achieves productivity standards and accuracy via delegated audits which are conducted by our plan partners.
- Identifies issues that require additional investigation and evaluation, validates discrepancies and ensures appropriate follow-up.
- Assists with insurance plan delegated audits.
- Utilizes the National Practitioner Data Base (NPDB), S.A.M.’s, O.I.G. as well as other relevant regulatory bodies as needed. Reports any issues past or present.
Qualifications:
High School Diploma or equivalent- 1-2 years of medical or dental credentialing experience.
- Ability to work remote
- Basic computer skills including Microsoft word, excel and adobe.
At DCA we don’t just accept differences — we celebrate them and recognize the value this brings to our patients and employees. DCA is proud to be an equal opportunity workplace. Equal opportunity and consideration are afforded to all qualified applicants and employees. We won't unlawfully discriminate on the basis of gender identity or expression, race, ethnicity, religion, national origin, age, sex, marital status, physical or mental disability, Veteran status, sexual orientation, and any other category protected by law.
The DCA team is best characterized by the relationships we have with our patients and each other. We embrace collaboration which is necessary to innovate in today’s changing world of dentistry . Our culture encourages participation, diversity of thought, innovation, and strong execution.
Go further with an Ally
Go further with an Ally
jackharris.com is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, jackharris.com provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, jackharris.com is the ideal place to find your next job.