Credentialing Specialist

Job Description

Job Description

Position Overview :

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