Credentialing Specialist

DescriptionCredentialing Specialist

About Eastern Dental:

For 50+ years, Eastern Dental has been the go-to for families across every generation. Our team of dentists and specialists bring serious skill and genuine care to every patient, from toddlers to grandparents. If you're someone who actually cares about making people smile (literally), let's talk!

The Role:

We need someone who thrives on details and deadlines to handle all things credentialing for our dental providers. You'll be the person making sure our dentists and specialists can actually get paid by insurance companies

What You'll Do:

Manage initial credentialing and re-credentialing for all dental providers with insurance companies
Handle provider enrollment with Medicaid, Medicare, and commercial insurance plans
Keep our provider databases and records accurate and up-to-date
Track credentialing timelines and renewal dates so nothing falls through the cracks
Submit applications, follow up relentlessly, and troubleshoot any issues that come up
Work with insurance companies to resolve credentialing problems and expedite approvals
Coordinate with providers to gather required documentation (licenses, certifications, malpractice insurance, etc.)
Maintain organized files and documentation for audits and compliance

What You Need:

2-3 years of credentialing experience preferably in dental or healthcare
Solid understanding of insurance credentialing processes and requirements
Experience with provider enrollment for government and commercial payers
Strong organizational skills—you're managing multiple providers and deadlines simultaneously
Ability to follow up persistently with insurance companies
Proficiency with credentialing databases and Microsoft Office

Eastern Dental is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.