Credentialing Specialist at Orthodontic Experts Management LLC

Des Plaines, Illinois, United States -

Full Time

Start Date

Immediate

Expiry Date

26 May, 26

Salary

22.0

Posted On

25 Feb, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Credentialing, Enrollment, Maintenance, Compliance, HIPAA, Application Submission, Tracking, Verification, Data Entry, Record Keeping, Microsoft Office, Google Workspace, EMR Systems, CRM Systems, Communication, Organization

Industry

Hospitals and Health Care

Description

Description About us: At Orthodontic Experts, we are passionate about delivering exceptional patient care and advancing the standard of orthodontic excellence. With 32 locations across the greater Chicagoland area, Wisconsin, Indiana, and Indianapolis, and more on the way, we are a rapidly growing organization committed to transforming smiles and changing lives. We are seeking dedicated team members who share our commitment to high-quality care and who embody our Core Values: Accountability Continuous Improvement Inclusion Integrity Respect Teamwork Transparency If you’re looking to grow your career with a purpose-driven, patient-centered organization, please apply with us. Job Description: The Credentialing Specialist will provide credentialing services to support the enrollment, maintenance, and compliance of provider credentials with various insurance payers, state licensing boards, and regulatory entities. All services shall be completed in accordance with company procedures and applicable industry and HIPAA-compliant standards. Duties include but are not limited to: Completing and submitting credentialing and re-credentialing applications to insurance payers and networks Tracking and following up on application statuses with payers and other agencies Verifying provider licensure, certifications, education, and professional history Maintaining accurate and up-to-date provider records in internal systems Managing provider rosters and payer portals Communicating with internal management/providers and third-party payers to ensure credentialing deadlines are met Responding to credentialing-related requests or issues from management or external parties Documenting credentialing activities and communications thoroughly and accurately Assisting in preparing reports, rosters, or audits related to credentialing and compliance Escalating delays, denials, or compliance risks as needed Requirements High school diploma or equivalent 1–3 years of administrative, clerical, dental, or healthcare office experience Strong attention to detail, documentation accuracy, and data entry Proficiency in Microsoft Office/Google Workspace; familiarity with EMR/CRM systems Excellent professional written and verbal communication Organized, punctual, dependable, and process-oriented Benefits (for our full-time employees): Paid Training Paid Time Off Holiday Pay Medical, Dental, Vision, and Life Insurance Accident Insurance Short-Term Disability Long-Term Disability Employee Assistance Program Health Savings Account Dependent Care Account 401(k) and matching Pet Insurance Tuition Assistance Program Identity Theft Protection MetLife MetLaw Legal Insurance Transit Reimbursement - Commuter Account Free and discounted Orthodontic Treatments

Responsibilities

The Credentialing Specialist will manage the enrollment, maintenance, and compliance of provider credentials with insurance payers, licensing boards, and regulatory entities, ensuring adherence to company procedures and HIPAA standards. Duties involve completing and submitting applications, tracking statuses, verifying provider information, maintaining accurate records, and communicating with internal and external parties regarding credentialing deadlines and issues.