Credentialing Specialist Lead
Dormont Manufacturing Co
New York City’s Largest Dermatology Practice The Credentialing Specialist Lead serves as the senior subject matter expert within our credentialing team, overseeing the end-to-end credentialing and re-credentialing process for all providers across The Dermatology Specialists. This position ensures compliance with payer and regulatory requirements while supporting process improvement and mentoring other team members. Why Join Us At The Dermatology Specialists, we believe in collaboration, accountability, and professional growth. You’ll join a supportive leadership team committed to helping you expand your expertise and play a vital role in ensuring providers are credentialed and ready to serve patients efficiently. Key Responsibilities Manage the full credentialing lifecycle for physicians, NPs, and PAs — including Medicaid, Medicare, and commercial payer enrollments (Empire BCBS, Fidelis, Aetna, etc.). Review and verify provider documents such as medical licenses, DEA, board certifications, malpractice coverage, and CVs. Prepare, track, and submit enrollment applications accurately and within payer timelines. Monitor revalidation and re-credentialing schedules to ensure ongoing compliance. Serve as the primary point of contact for escalated payer or provider inquiries. Partner with internal billing and operations teams to ensure credentialing aligns with billing readiness. Maintain credentialing logs, dashboards, and internal trackers for reporting purposes. Assist in training and supporting new credentialing specialists, ensuring quality and consistency across workflows. Qualifications 3+ years of healthcare credentialing experience; dermatology or multispecialty experience preferred. Strong knowledge of CAQH, NPPES, Medicaid, Medicare, and commercial payer portals. Exceptional attention to detail, organization, and follow-through. Excellent communication and interpersonal skills. Proficiency in Excel and credentialing systems; experience with eClinicalWorks a plus. #J-18808-Ljbffr Dormont Manufacturing Co
- ...Credentialing Specialist Lead The Credentialing Specialist Lead serves as the senior subject matter expert within our credentialing team, overseeing the end-to-end credentialing and re-credentialing process for all providers across The Dermatology Specialists. This...Suggested
- Lead Credentialing Specialist (Travel to other sites expected) Purpose: Participates in complex departmental activities to ensure quality in conducting, maintaining, and communicating the medical and allied health professional staff credentialing, privileging, and primary...SuggestedFull time
$65k - $72k
...Credentialing & Medicaid Specialist – Specialty Pharmacy $65,000–$72,000 (flexible based on experience) Fully Remote (Working EST hours) Summary Our client, a growing specialty pharmacy organization with bi‑coastal operations and nationwide licensure, is seeking...SuggestedContract workRemote workFlexible hours$22 - $25 per hour
...Job Summary Job Summary: The Credentialing Specialist is responsible to coordinate and assist with the day-to-day administrative functions of the Department. The selected candidate will have excellent written communication skills, be able to multitask and manage time...Suggested- ...Omaze is seeking a Licensing & Credentialing Associate to manage provider onboarding and ensure compliance across a multi-state network of clinicians. This role requires 2-4 years of experience in healthcare licensing and credentialing, strong attention to detail, and...SuggestedWork at office
- ...SEVARO is seeking a Privileging Specialist to manage provider records and communications within the Medical Staff Services Department. This role involves maintaining accurate and timely documentation, supporting the team in obtaining necessary verifications, and ensuring...Work at officeRemote work
- ...Position Summary The Credentialing Specialist is responsible for supporting the process functions related to the credentialing and re‑credentialing of health plan providers (including facilities) to ensure they meet the necessary requirements and credentialing standards...Work at office
$60k
...Title: Credentialing Specialist - Part Time Location: Varick St (Manhattan)/ Hybrid (3 days/week) Salary: $60,000 Position Overview Responsible for compiling, entering, processing and maintaining the accuracy and integrity of the enrollment, credentialing and re-credentialing...Part timeWork at office3 days per week- ...Better Health Careers with Rendr! Who We Are Rendr is the leading primary care focused, multi-specialty medical group dedicated... ...Care Account Annual Performance Bonus Job Position Credentialing Specialist Essential Functions Complete primary source verification for...Flexible hours
- ...Description Evaluate, analyze, and coordinate all aspects of the credentialing and re-credentialing processes for practitioners practicing within the CAIPA Network. Provides integral support to healthcare operations by enabling timely onboarding of healthcare providers...Local areaRemote work
$56k - $63k
...Overview BerryDunn is seeking a Credentialing Specialist to join our Healthcare Compliance and Credentialing Practice Area. Under the supervision of the Credentialing leadership team, the Credentialing Specialist will be responsible for all aspects of credentialing/re...Work at officeRemote work- ...A healthcare technology company is seeking a Payer Credentialing Specialist to support its Operations team. This fully remote role involves managing credentialing processes for healthcare providers and ensuring compliance with standards. The ideal candidate will have...Remote work
- ...Open to all facilities (manhattan, bronx, brooklyn, queens) EXCEPT Central Office Shift Time: 9:00 AM-5:00 PM Duties: The Credentialing Specialist is responsible for facilitating all aspects of provider credentialing, including initial appointment, reappointment, credential...Work at officeShift work
- ...Credentialing Specialist- Government Contracts Company: Prairie Band Health Services Position Title: Credentialing Specialist- Government Contracts Job Classification: Full Time, Exempt Work Schedule: M - F, 8a – 5p Reporting Relationship: General Manager, PBHS Location...Full timeContract workFor contractorsWork at officeRemote work
- ...and expanding access to evidence-based obesity care nationwide. To achieve our ambitious goals, we're looking for a Payer Credentialing Specialist to join our Operations team. This role will support all things credentialing at knownwell, and play a critical role in building...Local areaRemote workWork from home
- ...Duties/Responsibilities Credential providers, facilities, and vendors in accordance with regulations and Healthfirst policy. Prepare presentations for the quarterly credentialing and delegate vendor oversight committee meetings. Facilitate pre-delegation and delegation...Work at officeLocal area
- ...A leading credentialing service provider is seeking a remote Credential Specialist to handle day-to-day provider credentialing, licensing, and payor enrollment. Key responsibilities include processing applications, conducting research on licensure requirements, and communicating...Remote work
- ...operations professional, there’s a career here for you. Join us in making a real difference in the health of our community. Credentialing Specialist Job Summary The Credentialing Specialist coordinates and assists with day‑to‑day administrative functions of the...
- ...Overview Planned Systems International (PSI) is seeking a highly skilled and detail-oriented Senior Credentialing Specialist to support a mission-critical credentialing and privileging program. This role is responsible for ensuring healthcare providers meet security,...Full timeTemporary workLocal areaImmediate startFlexible hours
$20 per hour
...BroadPath is seeking a Credentialing Specialist to support our health plan operations by ensuring timely, accurate credentialing of providers. This role is key to maintaining compliance with internal standards and external regulations while supporting a high-quality provider...Hourly payWeekly payWork at officeWork from homeMonday to Friday- ...Analysis therapy to individuals with Autism Spectrum Disorder. Our credentialing team ensures that every provider we employ meets the highest... ...compliance. Position Overview We are seeking a Credentialing Specialist to support provider enrollment, credentialing, renewals, and...
$50k - $60k
...Job Title Remote Credentialing Specialist Location Remote Salary Range $50,000 - $60,000 per year Must Haves 2+ years of provider credentialing experience Experience working at or with a CVO (Credentialing Verification Organization), understanding the end-to-end credentialing...Full timeRemote work$50k - $70k
...A behavioral health company for seniors is searching for a Provider Enrollment & Credentialing Specialist responsible for ensuring all clinicians are fully vetted and able to deliver care. The role requires experience in provider credentialing, knowledge of Medicare guidelines...Remote work$100k
...The Provider Credentialing Specialist is responsible for managing the credentialing, recredentialing, and payer enrollment processes for healthcare providers. This role ensures compliance with regulatory, accreditation, and insurance requirements by maintaining accurate...Work at office$30 - $40 per hour
...Licensing and Credentialing Specialist Location: Brooklyn, NY Travel Required: None Employment Type: Full-time, Non-Exempt About MedElite: Since 2011, MedElite has been dedicated to improving the standard of care in skilled nursing and long-term care facilities...Full timeTemporary workWork experience placementWork at officeFlexible hours- ...Credentialing Specialist The Credentialing Specialist is responsible for facilitating all aspects of provider credentialing, including initial appointment, reappointment, credential audits, as well as clinical privileging for Medical Staff, Allied Health Professionals...
$70k - $100k
...Credentialing Specialist | Brooklyn, NY • $70,000-$100,000 About the Role A leading medical center in Brooklyn is looking for a detail-oriented Credentialing Specialist to own the credentialing process from start to finish. In this role, you'll ensure that all providers...- ...The Provider Credentialing Specialist owns and is fully accountable for the end-to-end credentialing and payer enrollment process for all providers at Ezra Medical Center. You will ensure timely onboarding and uninterrupted reimbursement by proactively managing applications...
$60k - $65k
...A healthcare institution in New York is looking for a credentialing coordinator. This full-time position involves coordinating practitioner credentialing processes for multiple campuses and supporting medical staff teams. Candidates should have 2-5 years of hospital credentialing...Full timeWork at office- ...art procedures and nationally recognized specialists, all within a connected, local network... ...Manager of the area, responsible for credentialing and recredentialing practitioners as well... ...for Medicare and Medicaid. Leads, coordinates, and monitors the review and...Local areaFlexible hours
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