What are the responsibilities and job description for the Credentialing Specialist position at OnSpot Dermatology?
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