Credentialing Specialist

Sage Dental

Delegated Credentialing Specialist organizing, maintaining, and verifying the credentialing process at Sage Dental Management. Working with General and Specialty Dentists to ensure compliance with legal and regulatory policies.

Posted 7/14/2026full-timeRemote • 🇺🇸 United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in Healthcare Credentialing processes, including adherence to NCQA guidelines and effective communication with providers. Proficient in managing licensure files, conducting audits, and utilizing credentialing portals.

Highest-signal resume keywords

Healthcare Credentialing ExperienceNCQA Guidelines AdherenceLicensure Verification ProficiencyMicrosoft Office ProficiencyExcellent Communication Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Healthcare CredentialingLicensure VerificationAudit ProcessesDelegated VerificationCredentialing Committee KnowledgeAttestation Question UnderstandingManual Education VerificationBoard Certification VerificationRe-Credentialing ProcessingDetail-Oriented Documentation

Soft Skills

Effective CommunicationOrganizational SkillsMulti-Tasking AbilityAttention to DetailAbility to Work Independently

Tools & Technologies

Credentialing PortalsMicrosoft WordMicrosoft ExcelMicrosoft OutlookAdobe

Industry Keywords

NCQAHealthcareCredentialingProvider LicensureDental Credentialing

About the role

Key responsibilities & impact

Adhere to NCQA guidelines.
Audit Provider Licensure Files to NCQA guidelines.
Pull Monthly Delegated Verification Files in accordance with NCQA.
Knowledge of Delegated Verification Websites (ie. National Provider Data Base, etc.).
Understanding of Initial and Re-Credential Delegated files / processing.
Prepare and Present provider files for internal and external auditing.
Upload and update the system and / or software with new documents.
Request & Obtain any Licensure renewals.
Must be able to utilize the licensure portals.
Experience in Clearinghouse / Manual Education Verifications.
Experience in Manual Hospital Privileges Verifications.
Experience in Board Certification Verifications through the appropriate portals.
Strong understanding of the differences between similar credentials (ie. Malpractice, Diplomas, etc.).
Knowledge of what a Credentialing Committee consists of.
Coordinate, monitor, maintain and process all internal re-credentialing to NCQA guidelines.
Heavy Understanding of Attestation questions, actions, exclusions and explanations.
Ability to speak effectively with providers, educators and internal departments.
Assist offices and internal departments with credentialing issues.
Ability to multi-task in a fast-paced environment.
Work other projects as assigned.

Requirements

What you’ll need

High School Diploma required.
Minimum 2-3 years’ experience in Healthcare Credentialing, Dental preferred.
Excellent verbal and written communication skills.
Well organized and detail-oriented with the ability to multi-task.
Proficiency with Microsoft Office products, including Word, Excel, Outlook, and Adobe required.
Must be able to function with minimal supervision and be able to prioritize all work tasks.
Designated workspace with high-speed internet and access to hot spot if needed.

Benefits

Comp & perks

Be part of a purpose-driven organization transforming dental care.
Collaborate with a passionate, innovative team.
Access to cutting-edge technology and professional development resources.
Competitive compensation and benefits.