Credentialing Administrator

Job Summary

A company is looking for a Credentialing Administrator to manage provider credentialing and payer enrollment for a multi-state Dental Service Organization.

Key Responsibilities

• Manage provider data, credentialing applications, and ensure compliance with HIPAA and internal standards
• Lead Change of Ownership (CHOW) transitions and advise on payer participation strategies
• Serve as the primary liaison with payer representatives and resolve issues related to credentialing and contracts

Required Qualifications

• 3-5+ years of healthcare credentialing experience, preferably in dental
• Experience in multi-provider, multi-location, and multi-state environments
• Hands-on experience with CAQH ProView and various payer portals
• Proficiency with Microsoft 365 applications
• Strong organizational and documentation skills