Credentialing Specialist

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