Credentialing Manager
Current
Miami/Fort Lauderdale Area
- As the Credentialing Manager at Dental Care Alliance, I complete the initial credentialing and re-credentialing for our dental providers. I have completed credentialing/ re-credentialing applications for more than 500.
- Trained a team of Credentialing Specialists to use Intellisoft Software to process and submit applications as well as keep track of provider credentials
- Maintain compliance for our providers with regulatory and accrediting bodies by reviewing their NPDB reports and requesting updated credentials before expiration dates
- Research escalated claims issues when denied or paid out of network due to credentialing discrepancy
- Complete initial and re appointment applications for hospital privileges
- Collect accurate practitioner information and maintaining Intellisoft updated