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Supervisor-Dental Provider Credentialing
Location
United States
Posted
88 days ago
Salary
0
No structured requirement data.
Job Description
Supervisor-Dental Provider Credentialing
External
This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description The Supervisor, Dental Provider Data Maintenance & Credentialing supervises the daily tasks of the Provider Data Maintenance & Credentialing Specialist I. This role works with outside vendors including but not limited to CVO, Dental Directors, Print and Mail Services. - Monitors workflow within the team and with outside vendors such as the CVO and identifies opportunities for process improvements. - Coaches and provides assistance and feedback to staff as needed. - Researches, plans, and prepares departmental reports to ensure accuracy and efficiency of the team's data entry and adherence to NCQA protocols for credentialing and re-credentialing. - Works directly with internal and external auditors and follows up on any recommended actions. - Works directly with Dental Director and Credentialing Committee attendees to ensure all files are reviewed, signed off on and any follow-up action completed. - Facilitates all mailings associated with re-credentialing to ensure that NCQA guidelines relative to timeliness are being met. - May perform other duties, including the daily functions of the credentialing team as assigned. - Monitors and recommends adjustments to workflow processes and staff assignments. - Prepares performance reviews, and administrative action documentation, and reviews with staff as necessary. - Coordinates audit reviews as necessary and follows up on any action items. - Manages reports to monitor efficiency and quality review. - Prepares the monthly agenda for Credentialing Committee meeting. - Makes all preparations for the Credentialing Committee Meeting and attends and creates meeting minutes. - Drafts letters for all tabled cases and prepares check requests for the attendees' stipends. Qualifications - Knowledge of general credentialing processes. - Knowledge of CVOs and NCQA Credentialing Guidelines. - Advanced MS Office skills, particularly Excel. - Excellent verbal and written communication skills including the ability to compose professional correspondence. - Demonstrated leadership skills and the ability to assist and guide others. - Ability to supervise staff using appropriate tools and techniques. - Ability to maintain attention to detail and a low error rate. - Ability to prioritize tasks and work within time constraints. Requirements - Bachelor’s Degree or related experience. - 3 to 5 years’ provider data maintenance & credentialing experience. - Credentialing Delegation Oversight experience. - Minimum 1 year of management experience. - Or, equivalent military experience. Preferred Education and Experience - 3 years as a Credentialing Specialist II. - Certified Provider Credentialing Specialist (CPCS®). Benefits - A culture that values employees and celebrates, empowers, and inspires a diverse workforce. - Outstanding and affordable benefits package. - PTO provided at date of hire. - 11 paid holidays. - 401(k) with up to 6% match; fully vested from day 1. - Remote opportunities with company-provided equipment. - Team-oriented, collaborative group of peers. - Career advancement opportunities. - Tuition Reimbursement. - Employee Assistance Program. - Inclusion Council and Employee Resource Groups. - Recharge Days and Volunteer Time Off.
Job Requirements
- Knowledge of general credentialing processes.
- Knowledge of CVOs and NCQA Credentialing Guidelines.
- Advanced MS Office skills, particularly Excel.
- Excellent verbal and written communication skills including the ability to compose professional correspondence.
- Demonstrated leadership skills and the ability to assist and guide others.
- Ability to supervise staff using appropriate tools and techniques.
- Ability to maintain attention to detail and a low error rate.
- Ability to prioritize tasks and work within time constraints.
- Bachelor’s Degree or related experience.
- 3 to 5 years’ provider data maintenance & credentialing experience.
- Credentialing Delegation Oversight experience.
- Minimum 1 year of management experience.
- Or, equivalent military experience.
- Preferred Education and Experience
- 3 years as a Credentialing Specialist II.
- Certified Provider Credentialing Specialist (CPCS®).
Benefits
- A culture that values employees and celebrates, empowers, and inspires a diverse workforce.
- Outstanding and affordable benefits package.
- PTO provided at date of hire.
- 11 paid holidays.
- 401(k) with up to 6% match; fully vested from day 1.
- Remote opportunities with company-provided equipment.
- Team-oriented, collaborative group of peers.
- Career advancement opportunities.
- Tuition Reimbursement.
- Employee Assistance Program.
- Inclusion Council and Employee Resource Groups.
- Recharge Days and Volunteer Time Off.
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