Dental Credentialing Specialist (Part-Time)

DECA Dental Group is a Dallas-based, clinician founded and clinician-led, dental service organization that has been delivering high-quality, affordable dental care to patients since 2008. DECA is actively expanding its footprint coast to coast under the brand Ideal Dental.The company is guided by its vision to be the premier provider of all dental services under one roof while being the first choice for dentists and staff seeking a partner for growth, innovation, and learning. To learn more, please visitdecadental.com and myidealdental.com. 

What do we offer? 

• Medical insurance 
• Discounted dental benefits for the employee, their spouse, and dependent children 
• Vision  
• Long-term disability  
• Short-term disability  
• Life insurance 
• Accident coverage  
• Paid holidays 
• Paid Time Off (PTO) 
• CPR recertification 
• 401K 
• Employee scholarship program 
• Employee discount program through benefits hub

We invest heavily in our team members with COMPETITIVE PAY AND BENEFITS, a culture of promoting from within, and a clearly defined LONG-TERM CAREER PATH. We believe in WORK/LIFE BALANCE and LEAVING THE OFFICE ON TIME. You will join a network of supportive teammates who keep your career goals at the forefront. Ideal Dental is the perfect fit if you enjoy having fun in the office while working hard!  

The Dental Credentialing Specialist is responsible for managing the credentialing and re-credentialing process for dental providers with various insurance companies and ensuring compliance with state, federal, and company regulations. This role ensures accurate and timely submission of credentialing applications, tracks progress, and maintains communication with insurance carriers and providers to facilitate a seamless process.

• Prepare, submit, and track credentialing and re-credentialing applications for dental providers.
• Verify licensures, certifications, education, and professional references.
• Ensure all documentation meets the requirements of insurance carriers and governing bodies.
• Maintain provider files with up-to-date information, including licenses, certifications, and insurance documentation.
• Ensure compliance with federal and state regulations, as well as payer requirements.
• Act as the primary contact for providers and field offices regarding credentialing matters.
• Follow up with insurance carriers and credentialing partners to ensure timely approval of applications.
• Communicate credentialing status to internal stakeholders and provide updates to providers as needed.
• Maintain an organized and accurate database of provider credentialing information.
• Track renewal dates for licenses and certifications and notify providers of upcoming expirations.
• Identify opportunities to streamline the credentialing process for efficiency and accuracy.
• Develop and update credentialing policies and procedures as necessary.

• On-site position.
• High school diploma or equivalent required.
• Associate’s or Bachelor’s degree in healthcare administration, business, or a related field is preferred.
• Previous experience in dental or medical credentialing is required.
• Familiarity with insurance networks, payer requirements, and provider enrollment processes.
• Excellent organizational and time-management skills.
• Strong attention to detail and accuracy.
• Proficient in Microsoft Office Suite (Word, Excel, Outlook) and credentialing software.
• Effective verbal and written communication skills.
• Understanding of dental terminology and procedures is a plus.
• Knowledge of HIPAA compliance and state/federal healthcare regulations.