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DELTA DENTAL: Credentialing Specialist

  • San Francisco, CA, United States

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Job details

Posting language
English
Posted

Original job description

  • Screens provider credentialing and re-credentialing packets for missing information; requests missing information from provider; resolves discrepancies between information supplied and findings of other sources (State Dental or etc.);
  • Creates and updates provider information in the credentialing system to ensure that credentials are completed within a timely manner and at a high level of accuracy.
  • Receives provider inquiries via phone and correspondence. Researches and verifies detailed information on provider participation status. Perform verification of all applicable credentials.
  • Contact providers for missing and expired information.
  • Processing mail; incoming and outgoing.
  • Performs miscellaneous duties as assigned.

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