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Credentialing Specialist

OnSpot Dermatology

Job Description

Job Description

We are seeking a Credentialing Specialist to join our growing administrative team. This individual will play a vital role in supporting provider onboarding and compliance, ensuring that all practitioners are properly credentialed and contracted with insurance payers.

Responsibilities:

  • Manage and maintain provider credentialing and recredentialing with commercial, Medicare, and Medicaid payers

  • Oversee contracting for new providers and ensure timely addition and removal of providers from payer rosters

  • Update and maintain provider information in CAQH, NPPES, and payer portals

  • Collaborate closely with the billing department to resolve credentialing-related issues impacting claims

  • Track and monitor credentialing status, expirations, and renewals to ensure compliance

  • Assist with provider enrollment and payer contract negotiations as needed

Qualifications:

  • Minimum 2 years of experience in medical credentialing (dermatology or multi-provider group experience preferred)

  • Strong understanding of insurance contracting, CAQH, Medicare, and Medicaid enrollment

  • Excellent organizational skills and attention to detail

  • Proficient with payer portals and credentialing software

  • Strong communication and problem-solving skills

Why Join OnSpot Dermatology:

  • Be part of an innovative, patient-centered mobile healthcare organization

  • Support a mission-driven team improving access to dermatologic care across Florida

  • Competitive compensation and benefits package

Vacancy posted a month ago
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