BizTek People, Inc. | APA International Placement Consultants
Location
Evansville, Indiana
This role involves managing provider data, coordinating initial and re-credentialing processes for network dentists, and ensuring compliance with credentialing standards and regulatory requirements. Key tasks include verifying credentials through primary sources, maintaining accurate provider records, and updating commercial and Medicare provider directories monthly.
Candidates must possess a minimum of three years of experience in provider credentialing, along with proficiency in credentialing platforms such as CAQH or NPDB. A High School Diploma or GED is required, alongside strong Excel and general technical skills relevant to the insurance industry.
We are seeking an experienced Credentialing Specialist to support our client in Evansville, IN or Toledo,OH! Job Title: Credentialing Specialist (Dental Network) – Contract Job Type: 13-Week Contract | Onsite Schedule: Day Shift – 5x8s 8:00 AM – 4:30 PM No on-call or weekends
This role manages provider data, verifies documentation, and ensures compliance with credentialing standards and regulatory requirements. The position also supports provider directory maintenance and network reporting.
Coordinate initial credentialing and re-credentialing for network dentists Verify credentials through primary sources including CAQH and NPDB Maintain accurate provider records including licensure, DEA, malpractice coverage, and claims history Track credentialing documentation and maintain audit trails Prepare credentialing documentation for leadership approval Manage provider contracts and fee schedules Maintain and update Commercial and Medicare provider directories Upload updated directories to health plans monthly Run provider adequacy and accessibility reports Process provider updates and notify providers upon completion Support accounting with TIN verification as needed Assist with provider termination notifications to members Serve as a point of contact for provider offices and leased network partners
Must have at least 1+ years of credentialing experience (medical or provider experience accepted) Must be tech savvy with credentialing software and Excel Must have HS Diploma or GED Prior insurance industry knowledge and familiarity with terminology is preferred
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