Tooth be told, you will love working with us!

**Position location: Southern California.**

**Must be able to come to the Irvine, CA office annually/quarterly for meetings and trainings.**

Job Summary:

Position is responsible for the daily processing of Credentialing and Re-Credentialing provider applications according to the National Committee for Quality Assurance (NCQA) guidelines using both internal and outsourced CVO systems and attaining credentialing documentation from provider offices.

Essential Duties:

• Review and process provider credentialing applications according to NCQA regulations, LIBERTY Policy and Procedures and all state and federal regulations
• Ensure timely processing of credentialing requests
• Work with outsourced CVO and staff to accomplish credentialing status
• Review and update CVO Outstanding and Expirable's credentialing reports
• Data entry, scanning, emailing, faxing, phone calls, printing, mailing, etc.
• Assist with preparation of Credentialing Audits
• Manage and create Credentialing Committee reports as needed using PowerPoint
• Prepare Credentialing Committee meeting minutes
• Assist with updates to credentialing log
• Provide Credentialing Committee meeting support in notifying Committee members of scheduling and assisting any members who call in
• Must be able to run Credentialing reports as needed using Excel
• Ability to work in an Access Database
• Serve as main contact for all Dental Service Organizations (DSOs) assigned to Credentialing, receive and print submitted credentialing applications, communicate and acquire missing documents, respond to emails for follow-up questions and forward materials to Provider Relations for review and/or activation.

Education and/or Experience:

• 1+ year of Credentialing experience preferred
• Experience with NCQA regulations and guidelines preferred
• Experience in an Administrative/Coordinator role in a dental office or for a dental or health insurance plan

Specific Skills/Knowledge:

• Basic to Intermediate skills in MS Excel, Word, and PowerPoint; MS Access preferred
• Minimum typing speed of 50 wpm
• Applicant must pass assessment test for consideration
• Excellent verbal and written communication skills
• Must be very detail-oriented
• Must be able to multi-task and take direction well

COMPENSATION:

In the spirit of pay transparency, we are excited to share the base hourly pay rate for this position is $20.00 - $25.00 exclusive of fringe benefits or potential bonuses. If you are hired at LIBERTY, your final base salary compensation will be determined based on factors such as geographic location, skills, education, and/or experience. In addition to those factors – we believe in the importance of pay equity and consider internal equity of our current team members as a part of any, final offer. Please keep in mind that the range mentioned above is the full base salary range for the role. Hiring at the maximum of the range would not be typical in order to allow for future & continued salary growth. We also offer a generous compensation and benefits package.

WHAT LIBERTY OFFERS:

Happy, healthy employees enhance our ability to assist our members and contribute more actively to their society. That’s why LIBERTY offers competitive and attractive benefit packages for their employees. We strive to care for employees in positive ways that promotes wellness and productive employees.

Our first-class benefit package supports our employees and their dependents with:

• Competitive pay structure and saving options that help you reach your financial goals!
• Excellent 401k plan that matches 100% up to 3%. 50% match at 4% and 5%; immediate vesting during Safe Harbor period and professional financial advice through Financial Engines!
• Medical Insurance at no charge for employee only coverage. LIBERTY subsidizes 50% of eligible dependent coverage! Company offers PPO and HMO (where available) options.
• 100% paid dental coverage for your ENTIRE eligible Family members!
• 100% paid vision coverage for employee only coverage, low premium for dependents!
• Company paid basic life and AD&D coverage; options to elect additional supplemental coverage.
• Long Term Disability coverage
• Generous wellness program
• Employee Assistance Program
• 10 days paid vacation, 10 paid holidays including 2 days each for Thanksgiving, Christmas and New Years and a floating holiday granted for your birthday!
• 6 paid sick days annually with the ability to roll time over!
• Tuition Reimbursement
• And so much more...

Sponsorship and Relocation Specifications:

LIBERTY Dental Plan is an Equal Opportunity Employer / VETS / Disabled.

No relocation assistance or sponsorship available at this time.