Provider Onboarding Specialist

This position is responsible for analyzing and reviewing source documentation, setting up and maintaining the integrity of provider contract and credential information in the Provider System of Record. The incumbents in this position also assist in the resolution of system issues related to provider onboarding.

• Maintains the integrity of an electronic database and assists dental provider’s offices with entering provider contracts, business name changes, tax ID changes, termination of dental contracts, change of ownership, sale of practices, adding associates, license changes, dental specialty changes, updated contract information, and provider directory assistance.
• Provides verbal or written notification to providers or Network Development to obtain incomplete information required to process work.
• Researches returned outreach notifications and updates the system with corrected information to maintain directory accuracy.
• Provides direction to internal teams on provider set up, contracting issues, procedures and practices.
• Researches issues related to provider contracting and workflows and provides feedback/recommendations to management for review.
• Maintains accuracy and compliance in each entry to ensure compliance to regulatory bodies and prevent financial penalties.
• 1+ years of experience w/High School
• 2+ years of experience preferred
• Strong organizational/time management skills and multi-tasking abilities
• Analytical and problem-solving skills
• Knowledge of contract/policy processing concepts, policies, guidelines and systems
• Aptitude to learn and develop proficiencies with new concepts, legal requirements, processes and technology
• Effectively able to adapt to change and be comfortable handling risk and uncertainty
• Customer-focused with ability to empathize with customer
• Ability to maintain confidentiality when exposed to sensitive information
• Written, verbal, and interpersonal communication skills

Base Pay Information

The national base pay range at the end is a good-faith estimate of what Delta Dental may pay for new hires. Actual pay may vary based on Delta Dental’s assessment of the candidate’s knowledge, skills, abilities (KSAs), related experience, education, certifications and ability to meet required minimum job qualifications. Other factors impacting pay include prevailing wages in the work location and internal equity. $39,000 - $73,200

Behind the smile! We are dedicated to safeguarding the health and financial stability of our employees and their loved ones. This commitment extends beyond the workplace to foster personal growth and holistic wellbeing. Our life-changing rewards package includes:

• Competitive base and incentive pay 
• 401(k) with robust matching and non-matching contributions
• Rich medical & pharmacy benefits
• 100% employer-paid dental and vision benefits
• Holistic wellbeing program with deep financial incentives
• Generous paid time off plus 12 paid holidays and your birthday off
• Culture of growth and learning: career development; tuition reimbursement; recognition program
• Family support: adoption assistance, fertility treatment, child, elder & pet care assistance
• Social responsibility and volunteer opportunities
• Employee discount program

Fair Chance Ordinances and Criminal Background Considerations  This position requires that the applicant undergo a background check. Qualified applicants with arrest or conviction records will be considered for employment in accordance with any applicable federal, state or local laws, including, but not limited to, the California Fair Chance Act, the Los Angeles County Fair Chance Ordinance, the City of Los Angeles Fair Chance Initiative for Hiring Ordinance, the San Francisco Fair Chance Ordinance, and/or New York Corrections Law Article 23-A.

#LI-Hybrid