Credentialing Advocate

Remote

Job Type

Full Time

About the Role

The Credentialing Support Advocate (CSA) is the member of our Credentialing Team that is responsible for maintaining, updating and supporting our entire team within our Credentialing Support Team at Dentistry Support LLC, TM. The CSA works closely with their Team lead and Director as well as other members of the leadership team. As one of the most critical and essential positions within an organization, the CSA must be a skilled communicator, extremely detailed team member and driven businessperson who can spur Dentistry Support’s Credentialing Team to grow by way of customer service, grace, accuracy in reporting, honesty and camaraderie with the team. This position is especial vital to not only the team but to our clients at Dentistry Support, LLC TM.

Key Concepts

Engagement
Servant Leadership, Credentialing Processes, Positive Team Environment and Collaborative Mindset.

Growth
Expansion of Credentialing and Fee Schedules and Client Growth.

Consistency
A high volume of exceeding credentialing expectations for the company and clients we serve through consistency, accountability and follow through.

Daily Commitments

  1. Responsible to all aspects of Credentialing Support.

  2. Status on current needs for all Credentialing enrolled practices

  3. Submission of all forms required

  4. Fee schedule negotiation

  5. Fee schedule updates

  6. Complete comprehension of plans, umbrellas, specific allowed plans, in and out of network participation rules by plan, FFS offices and establishing protocols for future business needs

  7. Understand and articulate a Credentialing for all dental insurances

  8. Update and Maintain Credentialing Sheets

  9. Dental Software Updates

  10. Daily Recap Updates

  11. Maintain Best Practices

  12. Update and communicate through HIPAA compliant program

  13. Triage Credentialing Requests by priority and with accuracy

  14. Provide weekly updates to Team Lead

  15. Attend or conduct weekly meetings with team

  16. Attend or conduct morning huddle meetings with team

  17. Clock in/out with proper template


More details on daily commitment will be shared upon hire.

Requirements

  • High school Diploma or equivalent.

Minimum of 3 years key knowledge in

  • Dental Office Work Flow

  • Credentialing comprehension of ALL insurance company types

  • Basic Dental Terminology

  • Credentialing Dental Terminology

  • Fee schedule comprehension

  • Umbrella plan comprehension

  • State funded insurances comprehension


More details on requirements not posted here will be shared during the interview process.

Terms

This position requires willingness to be part of our 3-9 month training program depending on experience and progress of the courses. During this time our CSA's will be trained on customer service, personality types, and communication. In addition you will become a subject matter expert in Credentialing for Dental Offices. Our team is dedicated to training up our team in the way they should go. This means a complete reset on customer service and Credentialing knowledge from a dental stand point. Our goal is to fully align our Core Values and Mission statement with you to deliver results to our clients. This position comes with full screen and audio recording of all activities while clocked in for work. This is to protect our clients and patients through HIPAA and PHI compliance. Upon completion of our training program our CSA's will be required to maintain ongoing training to ensure the top level of customer service and knowledge of Credentialing support for our clients.

About the Company

Disclosure

Dentistry Support, LLC TM is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.

This policy applies to all employment practices within our organization, including hiring, recruiting, promotion, termination, layoff, recall, leave of absence, compensation, benefits, training, and apprenticeship. Dentistry Support, LLC makes hiring decisions based solely on qualifications, merit, and business needs at the time.