Customer Support

• Review Initial/Re-Apply Credentialing, Re-credentialing, privileging and onboarding for incoming providers
• Verify licensure, NPI, insurance, CDS, DEA certificate, education, hospital privileges, board certification
• Review contract and application for completeness
• Review National Practitioners Data Bank and federal/state OIG and SAM reports for exclusions
• Review state Medicare OPT Out report
• Monitor and report provider complaints and utilization management reports
• Assist with scheduling site reviews
• Enroll provider into payment system – Windward and enter provider info into Cactus
• Maintain integrity of provider information in Windward and Cactus and ensure files ready for committee
• Meet required turnaround time and accuracy rate
• Assist with department process improvements and NCQA certification activities
• Represent DentaQuest professionally and maintain confidentiality of credentialing information
• Other duties as assigned

Provider Enrollment and Credentialing Support Specialist

Field Training and Product Support Specialist

Customer Care Representative – Licensed Candidates Only

Customer Service Technical Lead

Inside Sales Support Representative

Customer Service Representative I