Credentialing Specialist

Careington is a solutions-oriented company. We have been a trailblazer in the field of discount health care since 1979. Over the years, our mission has remained the same - to create discount health programs that are marketable to the employer, profitable to the provider and economical for the member.

In response to a growing demand for our products and services in recent years, our growth means that we continuously strive to recruit innovators to join our fast-paced, forward-thinking team.

Our Credentialing position will require working in our Frisco Texas office 3 days a week and 2 days at home.

Careington is a place where your personal best is valued, and peak performance is the norm. At Careington, our people form a winning team.

Their creativity, strategic thinking and hard work have a considerable impact on our success, and they are our greatest asset.

We look for employees who will continually explore new opportunities, propose new ideas and identify innovative ways to meet the diverse needs of our clients and customers.

In turn, we offer competitive salaries, comprehensive benefits and a work environment that is second to none.

Duties & Responsibilities :

Use mail, e-mail, fax, and phone to communicate with provider's offices to credential

dentists and other healthcare clients

Follow Careington’s policies and procedures for credentialing dentists and healthcare

clients

Review and analyze applications and accompanying documents, ensuring applicant

eligibility

Conduct thorough investigation, research, and primary source verification of all

components of the dentist file; submit and retrieve National Practitioner Database reports

• Create and maintain files on providers
• Correctly enter contracts and maintain quality of data entered
• Process provider changes and cancels
• Meet monthly minimum production standards
• Assist in scanning and archiving documents
• Assist with credentialing audits and conduct internal file audits
• Look for efficiencies in current processes
• Assist in various credentialing and ND department projects
• Perform other related duties as required and assigned

Knowledge, Skills & Abilities :

• Must be accurate and detail-oriented, with strong organizational skills
• Ability to communicate clearly, both orally and in writing
• Professional phone manner with the ability to build strong provider relationships
• Must possess a positive attitude and want to be part of a team environment
• Self-motivated with the ability to work independently with minimal supervision
• Ability to manage time and duties efficiently
• This position requires regular, predictable attendance and the ability to adhere to all of

Careington’s work rules, policies and procedures.

Education, Experience & Software :

• College degree preferred but not required
• Must have at least 1-2 years of clerical office experience
• Prior credentialing experience is a plus
• Proficient within MS Office Applications - Excel, Word, Outlook,

Equal Opportunity Employer / Protected Veterans / Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant.

However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)