Pacific Dental Services

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Credentialing Supervisor

at Pacific Dental Services

Posted: 2/8/2019
Job Reference #: 8165
Keywords: operations

Job Description

  • Job LocationsUS-TX-Irving
    Requisition ID
    2019-8165
    Category
    Revenue Operations
    Location : External Name
    Dallas Support Center
  • Description

    Now is the time to join Dallas Support Center. You will have opportunities to learn new skills from our team of experienced professionals. If you're ready to take your career to the next level and gain valuable experience, apply today!

    Overview

    The Supervisor, Credentialing oversees day to day operations of a team consisting of all elements of the Credentialing process. The Supervisor, Credentialing assists in ensuring the coordination of initial and ongoing compliance and ensures that development and execution of credentialing and other provider onboarding functions are in accordance with applicable department policies and procedures.

    Responsibilities

    1. Supervise Credentialing Team on day to day activities.
    2. Ensure PDS is in compliance with maintaining all doctor’s credentials and licensees.
    3. Execute ownership changes (completing contracts, submitting to carriers until process are completed).
    4. Confirm owner/billing provider information with Legal Department for Denovos and ownership changes.
    5. Audit provider status report, provider credentialing files and pending log.
    6. Read and analyze various reports that contain provider status information.
    7. Provide credentialing administrators with assistance in credentialing delays.
    8. Provide effective leadership, coaching and mentoring to team members.
    9. Lead and develop performance of a team of associates.
    10. Handle escalated issues.
    11. Lead/coordinate smaller projects and special assignments by planning and identifying opportunities for process improvement/efficiency.
    12. Perform audit procedures, including reviewing transactions, documents, records, reports, policies and procedures for accuracy and effectiveness.
    13. Develop recommendations for corrective action/improvement.
    14. Track and trend performance of employees.
    15. Provider oversight relative to credentialing/re-credentialing for internal / external processes.
    16. Other duties as assigned by management

    Qualifications

    REQUIRED:

    • Bachelor’s Degree or one-year certificate from an accredited college or technical school; or equivalent combination of education and experience, and 3-5 Years of related state business credentialing experience. In lieu of education, 6+ years of experience is required.
    • Experience in assessing the workflow, leading a team, mentoring, coaching, and training subordinates.

    PREFERRED:

    • Experience in a multi-regional healthcare, retail, or dental company.

    Pacific Dental Services is an equal opportunity employer and does not discriminate against any employee or applicant for employment based on race, color, religion, national origin, age, gender, sex, ancestry, citizenship status, mental or physical disability, genetic information, sexual orientation, veteran status, or military status.

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    Application Instructions

    Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!