Credentialing Coordinator

About The Role

The Credentialing Coordinator supports the Credentialing Department by processing provider credentialing and recredentialing applications in accordance with National Committee for Quality Assurance (NCQA) guidelines and Liberty Dental Plan policies and procedures. This role works closely with providers, external credentialing partners, and internal departments to ensure timely, accurate, and compliant credentialing activities. Success in this role requires strong attention to detail, excellent organizational skills, and the ability to manage multiple priorities while maintaining production and quality standards.

Responsibilities

• Review, collect, and process initial credentialing and recredentialing applications.
• Ensure applications are complete, accurate, and compliant with NCQA, URAC, state, federal, and company requirements.
• Serve as a primary point of contact for providers, vendors, and internal departments regarding credentialing inquiries.
• Communicate effectively with providers via phone, email, and fax regarding credentialing questions and documentation needs.
• Coordinate with Credentialing Verification Organizations (CVOs) and CAQH as directed.
• Maintain accurate provider information and credentialing records within credentialing databases.
• Monitor credentialing reports, provider status updates, and expiration dates.
• Meet established production, quality, and turnaround time expectations.
• Research and resolve credentialing-related issues while ensuring a high level of customer service.
• Perform additional duties as assigned.

Requirements

• High School Diploma or GED.
• Minimum of 2 years of professional experience in a dental, healthcare, managed care, customer service, or related environment.
• Strong data entry, organizational, and time-management skills.
• Excellent verbal and written communication skills.
• Intermediate proficiency with Microsoft Office, including Word, Excel, and Outlook.
• Ability to manage multiple priorities and meet deadlines in a production-focused environment.
• Ability to research issues, identify solutions, and follow through to resolution.
• Ability to work collaboratively as part of a team.

Qualifications

Credentialing Experience Is Strongly Preferred, Including:

• Health plan credentialing
• Dental office credentialing
• Processing credentialing and recredentialing applications

Additional Preferences Include:

• Experience with NCQA, URAC, state, and federal credentialing regulations and guidelines.
• Previous network management experience in a dental environment.

Why Join Liberty Dental Plan?

At Liberty Dental Plan, you'll be part of a team committed to supporting quality healthcare through accurate and compliant provider credentialing processes. You'll work with dedicated professionals, build valuable industry expertise, and contribute to an organization focused on service, collaboration, and operational excellence.

Work Environment

• Office-based, sedentary work environment.
• Frequent computer use, data entry, and close attention to detail.
• Regular interaction with providers, vendors, and internal stakeholders.

This is a fully remote position, but candidates must reside in Oklahoma or Florida.

Benefits

We Offer a First-class Benefits Package That Includes:

• Comprehensive medical coverage through Anthem, with affordable premiums and multiple plan options - including an HDHP with HSA eligibility.
• 100% employer-paid dental insurance and low-cost vision coverage for employees and dependents.
• 401(k) retirement plan with immediate vesting, employer match, Roth option, and access to professional financial advice.
• Short-term disability and a variety of voluntary benefits, including accident, critical illness, and hospital indemnity insurance.
• Generous paid time off, including vacation and sick leave with rollover options, plus 10 paid company holidays and a wellness day.
• Additional benefits including company-paid life insurance, tuition reimbursement, an employee perks program, and flexible work options for eligible positions.

Pay

In the spirit of pay transparency, the base salary range for this position is $21.00 - $25.00 per hour, not including fringe benefits or potential bonuses. At Liberty, your final base salary will be determined by factors such as geographic location, skills, education, and experience. We are committed to pay equity and also consider the internal equity of our current team members when making final compensation decisions.