{"id":3878434,"url":"https://alion.io/job/dean-dorton-credentialing-services-specialist","title":"Credentialing Services Specialist","company":{"id":2120518,"name":"Dean Dorton","domain":"deandorton.com","url":"https://alion.io/company/deandorton","size_band":"11-50","is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"Workable","truth_index":null},"role":"Finance","role_family":"Finance","seniority":null,"employment_type":"full_time","work_mode":"on_site","remote_scope":null,"remote_scope_basis":null,"remote_working_hours":null,"hiring_geo_confidence":"structured","locations":["Louisville, United States","Raleigh, United States","Cincinnati, United States","Indianapolis, United States","Lexington, United States"],"countries":["US"],"hiring_countries":[],"hiring_countries_total":0,"salary":null,"salary_estimate":null,"experience_years_min":null,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[{"name":"HIPAA","optional":false},{"name":"Microsoft Office","optional":false},{"name":"Outlook","optional":false}],"status":"live","first_seen_at":"2026-11-06T17:27:05Z","employer_posted_date":"2026-11-06","last_verified_at":"2026-11-10T15:46:19Z","board_verified":true,"closed_at":null,"days_open":4,"trust":{"level":"ok","repost_count":null,"flags":[],"days_open":4},"description":"About Dean Dorton\nDean Dorton is a leading professional services firm spanning certified public accounting, business advisory, and technology solutions. We are your partners in redefining success through innovation and data-driven strategies. Our experts provide an integrated suite of audit, tax, business management, consulting and technology solutions to companies both domestic and international. We help our clients strategize, adapt, and change in every stage of business, from startup and growth to succession planning and everything in between.\nOur core values guide how we work, lead, and support one another every day. They are:\nIntegrity - We do the right thing, integrity guides our decisions.\nRelationships - We value people, relationships drive our impact.\nCollaboration - We win as one team, collaboration fuels our success.\nGrowth - We stay curious, growth is our mindset.\nAbout the Team\nDean Dorton’s Healthcare Consulting team partners with healthcare organizations of all sizes - from independent physician practices to multi-hospital systems - to improve financial performance, strengthen operations, and enhance patient outcomes. Our team provides comprehensive services spanning revenue cycle management, billing and credentialing, strategic planning, compliance, and performance improvement. By combining deep industry expertise with practical, data-driven solutions, we help clients navigate regulatory complexities, streamline processes, and achieve long-term financial and operational success.\nAbout the Role\nThe Credentialing Services Specialist plays a vital role in ensuring that healthcare providers are accurately credentialed and enrolled with payers, enabling efficient reimbursements and uninterrupted patient care. This position manages all aspects of the credentialing process, including applications, licensure tracking, and ongoing compliance across multiple states and payer types. The ideal candidate is detail-oriented, highly organized, and committed to accuracy and confidentiality. This role is well-suited for someone who thrives in a fast-paced environment and takes pride in supporting clients through precise, compliant, and timely credentialing services.\nEssential Duties & Responsibilities\nThe essential duties and responsibilities of the Credentialing Specialist role are outlined below in correlation with Dean Dorton’s performance management impact areas.\nTechnical\nDefinition: your specialized knowledge & expertise associated with the work you perform for/with clients (note: clients may be internal to Dean Dorton).\nManage provider credentialing and enrollment processes with Medicare, Medicaid, and commercial payers.\nInitiate payer contracts for new physician practices and monitor revalidations and renewals.\nMaintain accurate provider records, including licensure, certifications, malpractice insurance, and DEA registration.\nComplete applications and updates in Intellisoft, CAQH, and payer-specific portals.\nTrack and resolve credentialing-related issues to ensure uninterrupted claim processing and payment.\nResearch and stay current on credentialing requirements and payer policy changes, sharing updates with clients and team members.\nEnsure compliance with all federal, state, and payer-specific credentialing regulations.\nBehavioral\nDefinition: the behaviors associated with performing your job (interpersonal skills).\nCommunicate proactively and professionally with clients, providers, and payer representatives.\nManage multiple credentialing projects simultaneously while meeting deadlines and maintaining quality.\nDemonstrate discretion, professionalism, and adherence to HIPAA and confidentiality standards.\nExhibit strong organizational and problem-solving skills in managing high volumes of detailed information.\nCollaborate effectively with internal team members to improve workflows and client satisfaction.\nTake initiative to identify process efficiencies and contribute to team success.\nNon-Charge\nDefinition: the contribution you make to Dean Dorton outside of client work.\nParticipate in internal training and development programs to maintain current knowledge of credentialing regulations and payer trends.\nContribute to continuous improvement initiatives within the Healthcare Consulting team.\nSupport internal knowledge-sharing by documenting best practices and credentialing updates.\nAssist in mentoring or cross-training new team members.\nRepresent the firm’s values of integrity, collaboration, and client service in all professional interactions.\nRequirements\nExperience & Qualifications\nMinimum of 2 years of experience in provider credentialing, preferably across multiple payers and specialties.\nExperience with Intellisoft and CAQH databases preferred.\nFamiliarity with EFT setup, payer enrollment, and credentialing requirements across multiple states.\nStrong attention to detail, organization, and record-keeping skills.\nAbility to manage multiple priorities with accuracy under tight deadlines.\nCommitment to confidentiality and compliance with HIPAA regulations.\nStrong communication and customer service skills.\nSoftware & Tools\nIntellisoft and CAQH databases\nMicrosoft Office Suite (Excel, Word, Outlook, Teams)\nPayer credentialing and electronic payment systems (EFT platforms)\nHealthcare payer portals and credentialing platforms\nBenefits\nThe Fun Stuff\nWork isn’t all work! We want to make your experience at Dean Dorton a great one. From your health and happiness to your long-term satisfaction, we focus on YOU! A few highlights are listed below:\nFlexible work schedules and environment\nPaid Time Off (PTO)\nPaid family leave, medical leave, and maternity/paternity leave programs\nRetirement benefits, including a best-in-class employer match and automatic profit sharing.\nTelemedicine, mental health resources and wellness program reimbursement\nThis job description is intended to describe the general nature and level of work being performed by team members assigned to this position. It is not intended to be an exhaustive list of all responsibilities, duties, and skills required. Additionally, responsibilities and duties may vary depending on business needs and individual circumstances.\nDean Dorton is an equal opportunity employer. We’re committed to growing and empowering an inclusive community within Dean Dorton and our industry which is why we hire and cultivate diverse teams of the best and brightest from all backgrounds, experiences and perspectives across the organization. We welcome anyone of any race, religion, color, national origin, political affiliation, pregnancy, ancestry, handicap, medical condition, disability, marital status, age, sexual orientation or gender.\nWe do not accept unsolicited resumes or candidate submissions from staffing agencies, recruiters, or search firms. 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