Choice Healthcare Services

The Credentialing Specialist will manage all aspects of credentialing doctors and contracting facilities with various insurance payors, including enrolling, revalidating, and processing necessary documentation. This role involves reviewing insurance correspondence, maintaining credentialing spreadsheets, verifying doctor status, and collaborating with management to resolve reported issues and trends.

The specialist ensures the daily billing and adjustments are accurate and timely, which includes processing pre-authorizations and reviewing outstanding claims for both patient and insurance balances. This role also involves sending patient statements and processing appeals or denials with insurance companies.

We are seeking an experienced and strategic Vice President of Revenue Cycle with deep expertise in dental operations to lead and optimize our end-to-end revenue cycle functions. This executive will be responsible for driving financial performance, strengthening reimbursement proc...