Credentialing Specialist

Join to apply for the Credentialing Specialist role at D4C DENTAL BRANDS, INC.

• Liaise between the practitioners, health plans, hospitals, patient care facilities and all related entities regarding credentialing, malpractice coverage, and practitioner enrollment.
• Manage credentialing and re-credentialing processes, including completing applications for commercial and Medicaid dental plans; contacting doctors for additional documentation if required; monitoring applications for timely approval and follow‑up as needed.
• Manage CAQH applications, including completion and updates; maintain provider information in online credentialing databases and systems.
• Ensure all necessary updates (e.g., address changes, NPI updates) are completed promptly.
• Maintain current facility addresses and provider information with health plans, agencies and other entities.
• Coordinate, compile, and prepare reports pertaining to doctors as requested; prepare correspondence associated with the credentialing process.
• Maintain knowledge of current health plans and agency requirements for credentialing doctors.
• Track license and certification expirations for all practitioners to ensure timely renewals; follow‑up with practitioners regarding expiring documents.
• Perform other duties as assigned.

• High school diploma; bachelor's degree preferred.
• 2–3 years experience in managed care credentialing and Medicaid enrollment.
• Experience with integrating dental practices and acquisitions.
• NAMMS certifications a plus.

• Paid Time Off
• Paid Holidays
• Medical, dental and vision benefits
• Health Savings Account, flex spending
• 401(k)
• Short‑ and long‑term disability insurance
• Life insurance
• Opportunities for community service

Work that Matters:
At D4C Dental Brands, team members are positioned to make a difference in the lives of patients. As the leading and fastest‑growing support organization for specialty dental practices, we enhance and advance the overall patient experience. Our success comes from our focus on supporting high‑quality patient care and our shared vision of "Raising the Standard in children’s oral health." If you’re ready to make a difference in the lives of children—and to positively impact the healthcare system at large—there’s no better place to do it.

• Entry level

• Full‑time

• Health Care Provider

• Human Resources Services