[Hiring] Credentialing Specialist @Smile Brands

Role Description

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.

Requirements

• Compensation: $20 - $25/hr

Benefits

• Paid time off (“PTO”)
• Health, dental, and vision insurance
• Health savings account
• Telemedicine
• Flexible spending accounts
• Life insurance
• Disability insurance
• Employee discount programs
• Pet insurance
• 401k plan