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Credentialing Specialist - Dental RCM Experienced
Smile Loft Dental —Remote
- ₹40,000 - ₹55,000 a month
- Full-time
- Remote
- English
- Microsoft Office
- Bachelor's degree
- Work from home
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2d
Credentialing Manager (ABA Healthcare)
Fiesta Health —Remote
- Monday to Friday
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- English
- Organisational skills
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3d
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Credentialing Manager (ABA Healthcare)
Fiesta Health —Remote
Minimum 3 years of ABA credentialing experience. Minimum 5 years of U.S. healthcare credentialing experience. Investigate payer denials related to credentialing…
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3d

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Credentialing Specialist - Dental RCM Experienced

Smile Loft Dental -
Remote

Quick apply

Job details

Full-time
₹40,000 - ₹55,000 a month
2 days ago

Benefits

Work from home

Qualifications

Practice management software
English
Microsoft Office
Schedule management
Bachelor's degree
Data management
Organisational skills
Communication skills
Time management

Full job description

Location: Work From Home (Remote)
Shift: US Shift
Employment Type: Full-Time

Only apply if you have prior experience in US Dental Credentialing and excellent English communication skills, call / Whatsapp @ 8448838618

Job Summary

We are seeking an experienced Dental Credentialing Specialist to join our team. The ideal candidate will have hands-on experience in US dental provider credentialing and be responsible for managing the end-to-end credentialing and recredentialing process for dentists and dental specialists. The candidate should have a thorough understanding of insurance payer enrollment, provider data management, and credentialing compliance while ensuring timely approvals and accurate provider records.

Key Responsibilities

Manage the complete credentialing and recredentialing process for dentists and dental specialists with commercial insurance payers, Medicaid, and other networks.
Prepare, submit, and track credentialing, recredentialing, and provider enrollment applications.
Coordinate with insurance companies to ensure timely processing of credentialing applications.
Maintain accurate provider information in CAQH, NPI, PECOS (if applicable), and payer portals.
Monitor application status and proactively follow up with insurance companies to resolve delays or missing documentation.
Maintain provider licenses, DEA registrations, malpractice insurance, board certifications, and other required credentials.
Ensure all provider records remain current and compliant with payer and regulatory requirements.
Maintain accurate credentialing documentation and provider files.
Coordinate with internal teams regarding provider onboarding, payer participation, and credentialing timelines.
Resolve credentialing-related issues by communicating with insurance representatives and internal stakeholders.
Maintain confidentiality of provider information while ensuring compliance with HIPAA and company policies.

Required Qualifications

Bachelor's degree preferred.
Minimum 2–4 years of hands-on experience in US Dental Credentialing.
Strong knowledge of dental insurance credentialing and provider enrollment processes.
Experience working with commercial dental insurance payers and government plans.
Hands-on experience with CAQH, NPI Registry, insurance portals, and credentialing databases.
Excellent verbal and written English communication skills.
Strong organizational skills with exceptional attention to detail.
Ability to manage multiple providers and meet deadlines.
Comfortable working independently in a remote environment.
Willingness to work during US business hours.

Preferred Qualifications

Experience with dental practice management software such as Dentrix, Open Dental, Eaglesoft, CareStack, or SoftDent.
Knowledge of fee schedule management.
Experience managing insurance payer portals.
Understanding of provider contracting and credentialing compliance requirements.

Key Skills

Dental Credentialing
Provider Enrollment
Recredentialing
CAQH Management
Insurance Payer Portals
NPI & Provider Data Management
Documentation & Compliance
HIPAA Compliance
Time Management
Attention to Detail
Communication Skills
Microsoft Office & Google Workspace

Key Performance Indicators (KPIs)

Timely completion of credentialing and recredentialing applications.
Provider enrollment turnaround time.
Accuracy of provider records and documentation.
Credentialing approval rate.
Timely renewal of provider credentials and licenses.
Compliance with payer and regulatory requirements.

What We Offer

100% Work From Home
Competitive Salary
Performance-Based Incentives
Growth Opportunities
Supportive and Collaborative Team
Training and Career Development

Pay: ₹40,000.00 - ₹55,000.00 per month

Work Location: Remote

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