Credentialing Specialist
OnSpot Dermatology
Job DescriptionJob DescriptionWe 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 providercredentialingand recredentialing withcommercial, Medicare, and Medicaid payersOverseecontracting for new providers and ensure timely addition and removal of providers from payer rostersUpdate and maintain provider information inCAQH, NPPES, and payer portalsCollaborate closely with thebilling department to resolvecredentialing-related issues impacting claimsTrack and monitorcredentialingstatus, expirations, and renewals to ensure complianceAssist withprovider enrollment andpayer contract negotiations as neededQualifications:Minimum 2 years of experience in medicalcredentialing(dermatology or multi-provider group experience preferred)Strong understanding ofinsurance contracting, CAQH, Medicare, and Medicaid enrollmentExcellent organizational skills and attention to detailProficient with payer portals andcredentialingsoftwareStrong communication and problem-solving skillsWhy Join OnSpot Dermatology:Be part of an innovative, patient-centered mobile healthcare organizationSupport a mission-driven team improving access to dermatologic care across FloridaCompetitive compensation and benefits package
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