DELTA DENTAL: Credentialing Specialist (Rehire)

* 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.