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Credentialing Specialist Lead at The Dermatology Specialists
New York, New York, United States -
Full Time

Start Date

Immediate

Expiry Date

19 Jan, 26

Salary

0.0

Posted On

21 Oct, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Credentialing, Healthcare, Attention To Detail, Organization, Communication, Interpersonal Skills, Excel, Credentialing Systems, CAQH, NPPES, Medicaid, Medicare, Commercial Payer Portals, Training, Support

Industry

Hospitals and Health Care

Description
Key Responsibilities Manage the full credentialing lifecycle for physicians, NPs, and PAs — including Medicaid, Medicare, and commercial payer enrollments (Empire BCBS, Fidelis, Aetna, etc.). Review and verify provider documents such as medical licenses, DEA, board certifications, malpractice coverage, and CVs. Prepare, track, and submit enrollment applications accurately and within payer timelines. Monitor revalidation and re-credentialing schedules to ensure ongoing compliance. Serve as the primary point of contact for escalated payer or provider inquiries. Partner with internal billing and operations teams to ensure credentialing aligns with billing readiness. Maintain credentialing logs, dashboards, and internal trackers for reporting purposes. Assist in training and supporting new credentialing specialists, ensuring quality and consistency across workflows. Qualifications 3+ years of healthcare credentialing experience; dermatology or multispecialty experience preferred. Strong knowledge of CAQH, NPPES, Medicaid, Medicare, and commercial payer portals. Exceptional attention to detail, organization, and follow-through. Excellent communication and interpersonal skills. Proficiency in Excel and credentialing systems; experience with eClinicalWorks a plus.
Responsibilities
Manage the full credentialing lifecycle for healthcare providers, ensuring compliance with payer requirements. Serve as the primary contact for escalated inquiries and maintain accurate credentialing records.