Delegated Credentialing Specialist - Midwest Remote
Job Details
- Req ID:
- 98317
- Supported Practice:
- Heartland Dental
- Category:
- Payor Relations
- Location:
- 1200 Network Centre Drive, Effingham, IL 62401
Position Summary:
Delegated Credentialing Specialist, Dental Insurance Administration
As a Credentialing Coordinator at Heartland Dental, you must be capable of handling a substantial amount of work in a fast-paced environment. Must apply a high degree of accuracy and exhibit excellent organizational skills. We are looking for a flexible team player who is professional and service-oriented at all times.
The Credentialing Coordinator will play a critical role supporting the Dental Insurance Administration team processes and projects. The credentialing coordinator is responsible for organizing, maintaining, and verifying all aspects of the credentialing process for our supported doctors.
With more than 1,000 dental offices supported across 38 states, over 10,000 team members and over 1,600 supported doctors in our support, Heartland Dental has a proven track record of growth and success. We’re looking for professional individuals who are open, positive and mentally flexible to join our network of support.
To give you an idea of the team structure, you will work on a team with 1 other Delegated Specialist, reporting to a DIA Supervisor.
Compensation Range: $18/hr.-$20/hr - based on expereince.
Below is an overview of the duties and responsibilities you would take on in this role:
- Support all new doctors to Heartland by completing all verifications and paperwork.
- Complete a delegated credentialing file for each provider.
- Maintain spreadsheets for the delegated insurance companies.
- Prepare documents for our delegated committee for review.
- Complete audits for our delegated companies
- Maintain doctor’s re-credentialing for delegated companies.
- Communicate with insurance administrators to maintain up to date files on supported dentists
- Ensure accuracy of files by tracking the expiration of licenses and certifications
- Maintain up-to-date knowledge and understanding different insurance plans and Medicaid
- Support special projects for the Dental Insurance Administration team, reports, and other such projects to support the work of the Dental Insurance Administration Department
Minimum Requirements:
- Basic knowledge of insurance plans and Medicaid is recommended.
- Maintain accuracy and attention to detail in a fast-paced environment
- Intermediate experience with Microsoft Excel, Outlook, and Word
- Strong verbal communication skills and the ability to remain professional and courteous over the phone and through email with customers at all times
- Ability to prioritize, problem solve and multitask
- High level of maturity, personal initiative, and sound judgment.
- Maintain and Open, Positive and Flexible, “CAN DO” attitude.
We put our people first at Heartland Dental, and that shows in our generous benefits package.
Company retains the sole discretion to change the duties of the position at any time.
We provide all employees and applicants for employment the protections of federal, state, and local laws affording equal opportunity in employment.
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Benefits
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Paid Vacation & Holidays
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Access to Daily Pay
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Sponsored Continuing Education Opportunities
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Bonus Program
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Retirement and College Savings Plans
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Referral Bonus
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Health, Vision, Dental, & Life Benefits
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Fitness and Mental Wellness Programs
Personal Stories
“I joined Heartland Dental in 2018 with 13 years of dental experience in search of career and leadership growth, and I’ve gotten that in abundance. The support is never-ending. If you have a vision or a dream, Heartland supports it wholeheartedly. I am blessed to be a part of such an amazing Supported Practice!”
- 2023 Joined the Communications Team
- 2021 Promoted to Regional Manager of Operations supporting Columbia and Aiken, SC and Evan, GA
- 2020 Expanded PMO role to support a second office
- 2018 Promoted to become the office’s Practice Manager of Operations (PMO)
- 2018 Joined Heartland Dental as a Business Assistant
“I joined Heartland Dental in search of a new opportunity and have found so much more than I could have ever imagined. Heartland has provided me invaluable education opportunities that have allowed me to achieve things I never thought possible and do things I never would have imagined.”
- 2023 Promoted to Regional Manager of Operations supporting Charlotte, North Carolina
- 2020 Transitioned to a PMO role supporting newly affiliated practices and new, or De Novo, offices in Charleston, SC
- 2017 Promoted to Practice Manager of Operations (PMO) supporting offices in Melbourne, FL
- 2015 Joined Heartland Dental as an Office Manager
“Beyond supporting me professionally, Heartland allows me to make a difference in my community. Being able to volunteer in Free Dentistry Days has been a huge motivator for me. I am proud to make a difference by helping empower providers to give back.”
- 2023 Founding member of Alliance, Heartland Dental’s gender and sexuality employee-led community
- 2022 Transitioned to Digital Marketing
- 2022 Promoted to Field Marketing Strategist
- 2018 Transitioned to the Regional Marketing Strategist
- 2017 Promoted to Practice Manager of Operations
- 2016 Promoted to Office Manager
- 2014 Joined Heartland Dental as a Business Assistant
“I joined Heartland Dental in search of a new career opportunity. Thanks to the great leaders and developmental courses Heartland offers, I have grown both personally and professionally. I never imagined I would become part of a new and growing department!”
- 2022 Promoted to Payor Relations Supervisor
- 2018 Joined a new, growing department as Payor Relations Lead
- 2016 Promoted to Fee Schedule Manager
- 2014 Promoted to Fee Schedule Supervisor
- 2011 Moved to Dental Insurance Administration department as a Fee Schedule Coordinator
- 2008 Transitioned to a role as a Dental Assistant
- 2007 Joined Heartland Dental as a Business Assistant
Heartland Dental
Heartland Dental provides exceptional service to more than 2,800+ supported doctors, across 39 states and over 1,700+ offices. Cementing itself as the largest, and still one of the fastest growing, Dental Support Organizations in the United States.
Each Heartland Dental supported office is unique to the community and the patients they serve. Supported doctors are the leaders of their practice and set forth their own clinical care philosophies. But all our partners are united by a common goal: delivering the highest quality dental care and experience.
At Heartland Dental, we’re committed to living our core values which promote diversity and inclusion. We provide all employees and applicants for employment the protections of federal, state, and local laws affording equal opportunity in employment.