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by Chris Durst Jan. 6, 2025
| The opportunity to work as a Remote Provider Enrollment and Credentialing Specialist is currently available with applications open. Since roles fill quickly, it’s wise to apply or share promptly. For any issues during the application process, reach out directly to the company. We wish you every success in securing a work-from-home role! |
Join DentaQuest as a Remote Enrollment and Credentialing Specialist
Embarking on a career as a Remote Provider Enrollment and Credentialing Support Specialist with DentaQuest, part of Sun Life U.S., opens pathways in verifying credentialing criteria for network applicants. This role involves engaging with practitioners to follow up on required information, making it a pivotal position within the company.
We celebrate DentaQuest’s inclusive culture: “Do you resonate with this role even if all criteria aren’t met? All skilled candidates are valuable to us, and we embrace diversity. If this environment appeals to you, we are eager to connect.”
Essential qualifications include a high school diploma or equivalent, strong interpersonal skills, excellent verbal and written communication abilities, proficiency in PC applications (Word, Excel, Outlook, Workflow Software, Time Tracking Systems), and a capacity to learn new software swiftly. Additional experience specifications are detailed below.
The salary varies based on location and fluctuates between $45,600 and $65,900 annually. Starting pay is determined by evaluating skills, qualifications, and experience.
DentaQuest offers a robust benefits package, enriching your employment experience.
Key Responsibilities of the Role
Embrace a role as vibrant as your background, with opportunities to excel among field experts ready to share their knowledge. This position empowers you to create positive impacts on clients’ lives daily. Find fulfillment and purpose working in a team that values your contributions.
DentaQuest delivers dental and vision benefits to over 33 million Americans, emphasizing preventative care to enhance oral health nationwide. The organization caters to a diverse clientele—from Medicaid and Medicare Advantage participants to businesses of all sizes.
Job Description Details: Task and Duties
- Validate credentials such as licensure, NPI, CDS, DEA, and board certification.
- Examine National Practitioners Data Bank for any adverse information.
- Scrutinize federal and state OIG and SAM reports for Medicaid/Medicare exclusions.
- Handle provider complaints and utilization management meticulously.
- Assist with scheduling site visits and other duties.
- Update and maintain the credentialing database ensuring accuracy and integrity.
Qualifications for Success
- A high school diploma or equivalent is mandatory.
- At least one year of relevant experience is advantageous.
- Strong communication skills and the ability to learn swiftly are critical.
- Proficiency in navigating web resources for credentialing purposes is required.
Feel free to apply even if you don’t meet all the criteria—diverse perspectives are valued, and your unique skills might contribute significantly to our team.
Comprehensive Compensation & Benefits
- Comprehensive wellness and benefit programs supporting mental, physical, and financial well-being.
- Retirement plans and stock options helping to ensure future financial security.
- An inclusive, collaborative, and adaptable work environment that recognizes all applicants equally.
CLICK HERE for further details and to apply for the Remote Provider Enrollment and Credentialing Specialist role. For additional job opportunities like this, explore our Newest Jobs & Gigs page. Be the first to know by joining our free Telegram channel. Good luck in realizing your work-from-home aspirations!
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