Smile Brands logo
Smile Brands

Smile Brands works with general and multispecialty dental groups in the United States to provide support services, and through its work, it supports over 7,500

Credentialing Specialist

Location

United States

Posted

46 days ago

Salary

$20 - $25 / hour

Seniority

Mid Level

No structured requirement data.

Job Description

Credentialing Specialist

Smile Brands

Overview At Smile Brands, we’re more than a dental support organization — we’re a community focused on delivering Smiles for Everyone®. With a network of 600+ practices across 30 states, we empower our teams to thrive, grow, and make a real impact. If you're looking for a place where your work truly matters, you’ve found it. We are seeking a Credentialing Specialist to join our Payer Solutions Group. In this role, you’ll play a vital part in supporting our dental operations by managing provider credentialing, plan enrollment, and contract tracking to ensure compliance and seamless onboarding. An ideal candidate is detail-oriented, highly organized, and thrives in a fast-paced environment while juggling multiple priorities. Schedule (days/hours) Monday - Friday 8am - 5pm Responsibilities - Manage and track provider credentialing, re-credentialing and dental plan enrollment processes. - Maintain accurate records in credentialing databases and update provider/facility information. - Support the delegated credentialing process and roster submission to payers. - Communicate regularly with dental plans, internal teams, and dental offices to resolve issues and ensure timely approvals. - Monitor license and credential expirations, ensuring timely renewals and no service gaps. - Prepare, review, and process applications, contracts, W-9s, and related documentation. - Coordinate provider terminations and changes, including plan notifications and updates. - Support audits, reporting, and re-credentialing cycles. - Proactively identify and escalate issues or process gaps. Qualifications - 2+ years of experience in dental, medical, or insurance credentialing/contracting. - Strong attention to detail and accuracy in high-volume data entry. - Clear written and verbal communication skills. - Ability to manage multiple tasks and meet deadlines in a fast-paced environment. - Proficient in Microsoft Excel, Word, Outlook, and general internet research. Compensation $20 - $25/hr About Us Benefits are determined by employment status/hours worked and include paid time off (“PTO”), health, dental, vision, health savings account, telemedicine, flexible spending accounts, life insurance, disability insurance, employee discount programs, pet insurance, and a 401k plan. Smile Brands supports over 650 affiliated dental practices across 28 states all focused on a single mission of delivering Smiles For Everyone!® Smiles for patients, providers, employees, and community partners. Everyone. Our growing portfolio of affiliated dental brands and practice models range from large regional brands to uniquely branded local practices. This role is associated with the affiliated dental office listed at the top of the job posting on our career site. Smile Brands Inc. and all Affiliates are Equal Opportunity Employers. We celebrate diversity and are committed to providing an inclusive workplace for all employees. We are proud to be an equal opportunity employer. We prohibit discrimination and harassment of any kind based on race, color, creed, gender (including gender identity and gender expression), religion, marital status, registered domestic partner status, age, national origin, ancestry, physical or mental disability, sex (including pregnancy, childbirth, breastfeeding or related medical condition), protected hair style and texture (The CROWN Act), genetic information, sexual orientation, military and veteran status, or any other consideration made unlawful by federal, state, or local laws. If you would like to request an accommodation due to a disability, please contact us at careers@smilebrands.com

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Selective Insurance Company of America logo

Agency Management Specialist - Remote in the state of Tennessee

Selective Insurance Company of America

Selective is a midsized U.S. domestic property and casualty insurance company with a history of strong, consistent financial performance for nearly 100 years. Selective's unique position as both a leading insurance group and an employer of choice is recognized in a wide variety of awards and honors, including listing in Forbes Best Midsize Employers in 2025 and certification as a Great Place to Work® in 2025 for the sixth consecutive year. Employees are empowered and encouraged to Be Uniquely You by being their true, unique selves and contributing their diverse talents, experiences, and perspectives to our shared success.

Full TimeRemoteTeam 1,001-5,000

About Us At Selective, we don't just insure uniquely, we employ uniqueness. Selective is a midsized U.S. domestic property and casualty insurance company with a history of strong, consistent financial performance for nearly 100 years. Selective's unique position as both a leading insurance group and an employer of choice is recognized in a wide variety of awards and honors, including listing in Forbes Best Midsize Employers in 2025 and certification as a Great Place to Work® in 2025 for the sixth consecutive year. Employees are empowered and encouraged to Be Uniquely You by being their true, unique selves and contributing their diverse talents, experiences, and perspectives to our shared success. Together, we are a high-performing team working to serve our customers responsibly by helping to mitigate loss, keep them safe, and restore their lives and businesses after an insured loss occurs. Overview Serves as a liaison between the company and agents and acts as a relationship manager for our agents, regional underwriting team and corporate departments. Assess the strengths and weaknesses of agents and assists them in achieving a mutual goal of profitable growth in both volume and policy count. Ensures that agents are familiar with and use Selective’s initiatives, products, policies, procedures and services. All job duties and responsibilities must be carried out in compliance with applicable legal and regulatory requirements. Responsibilities - Develop an agency force that pre-qualifies accounts, in-house rates using CLAS, processing small business using One & Done and/or the Service Center, and recognizes the value of the AMS position to help them write new profitable business and achieve agency goals. - Makes consistent underwriting decisions, adheres to company pricing philosophies and promotes ease of doing business with Selective. - Monitors agency results and follows up with agent both as to growth/profitability/share of wallet and compliance with company’s initiatives, procedures and policies. - Develop professional working relationship with agent, regional underwriting and claim teams and corporate departments. Assists in directing BSU technical specialists for regional ITS training of agency personnel. - Keeps two-way communication between agent and company continuously open and viable and encourages agent usage of all Selective systems, including CLAS, PLUS and e-Select. - Performs inspections as determined by Loss Control Guide. Makes risk improvement or correction of deficiency recommendations and promptly follows up on same, documenting the file accordingly. - Stays alert for and advise company of any industry information, new ideas, products, or changes in other carrier philosophies that could positively or adversely affect Selective. - Audit agents One & Done book of business and provide quality assurance feedback to agent and underwriting team. - Meet regularly and frequently with CMS, Loss Control Rep, Bond Rep, Personal Lines Rep (if applicable) to discuss agency opportunities for greater growth and profit. - Must be able to drive an automobile to travel within territory. Car travel represents approximately 40-50% of employee’s time. Qualifications Knowledge and Requirements - Must be results oriented with a proven track record in establishing, prioritizing and achieving business goals. - Demonstrated superior communication, negotiation & presentation skills. - Must be a high achiever with superior organizational skills who is self-motivated, pro-active, flexible, and able to work independently, from a remote location. - Must be able to maximize technology to ensure high productivity (Must be proficient with Microsoft Word, Excel, PowerPoint and all internal business related software). - Must have valid state-issued driver’s license in good standing and be able to drive an automobile. Education and Experience - College degree preferred with 5+ years underwriting, marketing or field underwriting experience. - The following experience is preferred: - 3 years Agency Management, rating Total Rewards Selective Insurance offers a total rewards package that includes a competitive base salary, incentive plan eligibility at all levels, and a wide array of benefits designed to help you and your family stay healthy, achieve your financial goals, and balance the demands of your work and personal life. These benefits include comprehensive health care plans, retirement savings plan with company match, discounted Employee Stock Purchase Program, tuition assistance and reimbursement programs, and 20 days of paid time off. Additional details about our total rewards package can be found by visiting our benefits page. The actual base salary is based on geographic location, and the range is representative of salaries for this role throughout Selective's footprint. Additional considerations include relevant education, qualifications, experience, skills, performance, and business needs. Pay Range USD $92,000.00 - USD $119,000.00 /Yr. Additional Information Selective is an Equal Employment Opportunity employer. That means we respect and value every individual’s unique opinions, beliefs, abilities, and perspectives. We are committed to promoting a welcoming culture that celebrates diverse talent, individual identity, different points of view and experiences – and empowers employees to contribute new ideas that support our continued and growing success. Building a highly engaged team is one of our core strategic imperatives, which we believe is enhanced by diversity, equity, and inclusion. We expect and encourage all employees and all of our business partners to embrace, practice, and monitor the attitudes, values, and goals of acceptance; address biases; and foster diversity of viewpoints and opinions. For Massachusetts Applicants It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

United States
Full TimeRemoteTeam 10,001

Position Overview: Reporting to the Client Operations Manager, the Revenue Cycle Specialist - Collector must have a strong knowledge of medical collections, accounts receivables, insurance billing and verification, denial processing, appeal submission and EOB review. This position is responsible to resolve outstanding surgical claims resulting in maximum reimbursement. Responsibilities: - Timely follow-up and resolution on all outstanding A/R including unpaid/underpaid/denied claims for all payers including self-pay to obtain maximum reimbursement. - Manage daily work queue to prioritize high dollar claim balances. - Review & work incoming insurance and patient correspondence including refund requests. - Send appeals when appropriate or provide the requested medical documentation. - Ability to review medical documentation to justify medical necessity. - Review patient balances to ensure accuracy and follow up with patients to obtain payments. - Take incoming patient phone calls to resolve inquiries, billing issues, or outstanding balances. - Review insurance payments and determine accuracy of reimbursement based on contracts, fee schedules or summary plan documents. - Leverage knowledge of Medicare, state Medicaid, and local coverage determinations (LCD’s) for claim resolution. - Negotiate payment amounts for procedures with Third Party Administrators for out of network providers. - Recommend an adjustment when applicable or recommend a refund for overpayments to insurance carriers or patients, providing the appropriate documentation.

France

COMPANY OVERVIEW Founded in 2013 by Pierre Dubuc and Mathieu Nebra, OpenClassrooms is a mission-driven, B Corp–certified online school dedicated to making education and in-demand careers accessible to everyone. The school offers a wide range of free, open-access courses, as well as accredited programs in fields such as tech, data, education, marketing, HR, renewable energy, and healthcare and social services. All courses are designed and produced in-house, following a hands-on learning model that combines real-world projects with guidance from professional mentors. In 2025, OpenClassrooms received accreditation from the WASC Senior College and University Commission (WSCUC), enabling learners to earn fully accredited associate’s, bachelor’s, or master’s degrees. Learners can choose to combine their studies with employer-sponsored apprenticeships, earning a debt-free degree while gaining paid, real-world experience, or focus solely on online learning to build skills and earn an accredited diploma or certification. Over 43,000 learners reported in 2025 that OpenClassrooms helped them advance their careers—demonstrating the impact of practical, skills-based learning as a driver of meaningful employment. Our goal: to become a leader in solutions for apprenticeships and professional retraining. OpenClassrooms. Education that works. ROLE SUMMARY The Contracting Specialist manages the end-to-end administrative process required to activate new enrollees in OpenClassrooms programs, notably Registered Apprenticeship and Education-as-a-Benefit channels in the U.S. This role ensures all student, employer, sponsor, and funding documentation is complete, accurate, compliant, and entered into the appropriate systems so students can start on time and downstream billing and program operations can proceed smoothly. This is a detail-intensive specialist role focused on student activation, documentation quality, contractualization workflow, funding paperwork, and operational coordination. The role partners closely with Sales, Admissions, Program Management, Finance, and external stakeholders including employers, sponsors, and workforce partners. YOUR MISSIONS : Student Activation and Contractualization - Manage all administrative steps required to activate new students in Apprenticeship and Education-as-a-Benefit programs. - Prepare, collect, review, and track student, employer, sponsor, and funding documentation required for enrollment and program start. - Ensure apprenticeship agreements, employer acceptance forms, student participation documents, and related onboarding paperwork are complete, accurate, and executed on time. - Coordinate the full contractualization workflow from student acceptance through readiness to launch. - Confirm student files are complete and activation requirements are met before start. Apprenticeship and Funding Documentation - Process documentation required for Registered Apprenticeship participation across federal, state, sponsor, and employer requirements. - Maintain records in Salesforce, RAPIDS, DAS, and other applicable internal or external systems. - Support preparation and submission of WIOA and other workforce funding applications or related documentation as needed. - Apply employer-, state-, and funding-specific rules to documentation workflows across multiple jurisdictions. - Identify missing, inconsistent, or non-compliant information and drive timely resolution. 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Quality, Compliance, and Continuous Improvement - Maintain compliant records to ensure the accounts receivable team can bill quickly and efficiently. - Ensure fast, accurate, and high-quality processing of requests in line with service expectations, procedures, and deadlines. - Maintain complete and audit-ready documentation and records. - Track caseload, status, completion progress, and operational KPIs related to student activation and contractualization. - Contribute to SOPs, templates, playbooks, and process improvements that increase speed, accuracy, and scalability. - Stay current on program rules, funding requirements, apprenticeship documentation standards, and internal process changes. REPORTING LINE This role reports to the Director of Training and Enrollment, Elizabeth Perkins. YOUR FUTURE TEAM : You will partner closely with U.S.-based teams across Sales, Program Management, Finance, Accreditation, and external funding stakeholders. 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You are comfortable navigating multiple systems, interpreting requirements, and driving processes forward from start to finish. You are organized, service-oriented, and action-focused, with the ability to manage deadlines, resolve issues quickly, and ensure student activation and contractualization steps are completed efficiently and correctly. 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MISSION ALIGNMENT - Deep alignment with OpenClassrooms’ mission of accessible, outcomes-driven education and social mobility. - Strong sense of purpose and accountability in helping students and employers connect through impactful apprenticeships and reskilling programs. - Excited to represent a values-driven brand in both public and private sector spaces. At OpenClassrooms, we prioritize learning potential over a perfect alignment with every job criterion. We highly value qualities such as eagerness to learn, commitment, and the potential for growth. If you are motivated and confident in your ability to excel in the role, we enthusiastically encourage you to submit your application. HIRING PROCESS - HR Prequalification (30 mins): video interview with our Talent Acquisition - Case study to assess analytical and strategic skills - Manager Interview with the Manager, Career Matching to reviesw the case study and discuss your background - Interviews with team members and stakeholders (Sales, Career Services, Program Manager, etc…) - Final Interview with the Senior Director, U.S. Sales & Operations - Reference checks before the final offer ADDITIONAL INFORMATION - Contract type: Full-time - Annual gross compensation: $55,000 to $62,000 - Location: United States (remote). - Work schedule: full-time, US time zone - Team structure: The Sales and Marketing US team is based in the United States - OpenClassrooms is a remote-first organization, with offices across the EU, the UK, the US, and headquartered in Paris, France. The role is based in the US. You will be willing to participate in occasional meetings in European time zones to collaborate with key stakeholders. OUR PERKS : - OpenClassrooms operates as a "remote-first" company, making remote work the standard. You can work remotely from any of the following states: Alabama, Arizona, California, Colorado, District of Columbia, Florida, Indiana, Maryland, Massachusetts, Nebraska, New Jersey, New York, North Carolina, Ohio, Texas, Utah, Virginia, Washington and Wisconsin. - Our work environment and culture are rooted in the company's four core values:we care, we dare, we persist, we tell it as it is. - 401(k) with a 5% match - Health Insurance with United Health Care (100% covered for you and 75% covered for your family) - Dental & Vision Insurance with Guardian (100% covered for you and 75% covered for your family) - Company-provided MacBook. - Access to OpenClassrooms' training catalog. - 25 days of Paid Time Off per year - 5 "Caretaker Days" per year are provided, allowing you to take care of your loved ones. - Complimentary access to the moka.care app (mental health solution) Join our Team ! Intrigued? Let's get to know each other! Apply today — we're looking forward to receiving your application! Feel free to check out our online course How do we work at OpenClassrooms to better understand our mission, culture, and team composition. 👉 OpenClassrooms' mission is to make education accessible, emphasizing diversity as a catalyst against barriers to education and professional integration. As an employer, we highly value diversity, fostering an inclusive culture. We encourage everyone to apply, regardless of gender, age, orientation, origin, or disability. If you have a disability and we can do something to facilitate your interview process, please let us know. 👉 Working at OpenClassrooms means joining a dynamic and stimulating team, tackling new challenges, meeting remarkable individuals every week, and contributing to innovation and education in France and worldwide!

United States
$55K - $62K / year
First Division Consulting logo

Senior Occupational Safety and Health (OSH) Specialist

First Division Consulting

First Division Consulting (FirstDiv) provides program management, acquisition, logistics, field service representative, explosive ordnance disposal, and personnel support services to Department of Defense and Federal Government Agencies. We are a Small Business Administration certified Service-Disabled Veteran-Owned Small Business and a Small Disadvantaged Business. If you are looking for a company who has an overall rating on Glassdoor of 4.8 and who puts their people first, then continue to read below and join the FirstDiv team!

**This position is contingent upon contract award** Come Join Our Team! First Division Consulting (FirstDiv) provides program management, acquisition, logistics, field service representative, explosive ordnance disposal, and personnel support services to Department of Defense and Federal Government Agencies. We are a Small Business Administration certified Service-Disabled Veteran-Owned Small Business and a Small Disadvantaged Business. If you are looking for a company who has an overall rating on Glassdoor of 4.8 and who puts their people first, then continue to read below and join the FirstDiv team! First Division Consulting is seeking a professional to support the safety and health management needs of a large federal agency.  This position can work remotely in one of the following locations: Kentucky, Maryland, New Jersey, Ohio, and Virginia.  This position will require up to 25% travel. Position responsibilities include: - Providing safety and health assistance to management, supervisors, employees, and collateral duty safety representatives. - Conducting incident reports and entering reports and findings into safety management systems. - Performing safety audits, inspections, and evaluations to identify potential hazards and implement corrective actions in accordance with regulatory requirements. - Providing specialty safety services and assessments addressing requirements that include ergonomics and industrial hygiene. - Developing and delivering customer training one-on-one, in groups, in classrooms, and via web-delivered media. - Providing outreach to agency employees, promoting safety awareness throughout the organization. - Investigating complaints and reports of unsafe or unhealthful working conditions; provide recommendations for abatement action; and verify completion of abatement action. - Maintaining recordkeeping for injury/illness cases in accordance with OSHA requirements.

New York