Credentialing Associate I

About the role

Description Delta Dental of Arizona (DDAZ), the state's leading dental and vision benefits provider, is seeking a Credentialing Associate to join our Credentialing team. In this role, you'll support the administration of dentist credentialing, recredentialing, and contracting processes while helping ensure compliance with state, federal, Medicare, Medicaid, and Delta Dental of Arizona standards.

Responsibilities

• Update and maintain the applicable provider file database(s) with documentation submitted.
• Prepare all incoming change request documents from the Dentist/Dental office as needed to complete the credentialing and contract process for the PR Associates; this may require a request of missing documents.
• Answer and assist with all incoming calls and voice messages.
• Customer service to all internal and external callers.
• Maintain all inboxes; open and distribute all documents accordingly.
• Achieve and maintain consistency in meeting quality and quantity standards.
• Create and maintain records of all provider information in electronic database files including credentialing documentation, network status, contracts, license and certification expirations, filed fees and contact updates for all networks.
• Identify and make updates and corrections to demographics as they are identified or as received from the provider in a timely manner.
• Respond to dental office inquiries regarding provider contracts, credentialing, and network participation.

Requirements

• High school diploma or equivalent
• 1-3 years of related experience (clinical dental office experience and/or dental insurance/claims experience, and customer service)
• Strong data entry skills
• Superior customer service and communication skills
• Proficiency with Microsoft Office, PDF/Adobe
• Strong attention to detail and organizational skills
• Must be able to work independently
• Consistently meets quality and quantity performance standards
• Obtain appropriate documentation in a timely manner for contract preparation and credentialing
• Submit credentialing instances to appropriate personnel
• Accurately update provider information: BODEX, General Anesthesia, DEA, Malpractice Insurance, Credentialing and Provider profile
• Absolutely must be able to work remotely

Pay

The pay range for this position is $16.90 - $23.02 per hour.

Schedule

This position is fully remote.