Credentialing Specialist

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 On.

Spot 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