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:
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Manage and maintain provider credentialing and recredentialing with commercial, Medicare, and Medicaid payers
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Oversee contracting for new providers and ensure timely addition and removal of providers from payer rosters
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Update and maintain provider information in CAQH, NPPES, and payer portals
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Collaborate closely with the billing department to resolve credentialing-related issues impacting claims
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Track and monitor credentialing status, expirations, and renewals to ensure compliance
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Assist with provider enrollment and payer contract negotiations as needed
Qualifications:
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Minimum 2 years of experience in medical credentialing (dermatology or multi-provider group experience preferred)
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Strong understanding of insurance contracting, CAQH, Medicare, and Medicaid enrollment
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Excellent organizational skills and attention to detail
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Proficient with payer portals and credentialing software
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Strong communication and problem-solving skills
Why Join OnSpot Dermatology:
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Be part of an innovative, patient-centered mobile healthcare organization
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Support a mission-driven team improving access to dermatologic care across Florida
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Competitive compensation and benefits package