Credentialing Specialist Lead

Thedermspecs; New York (NY); On-site; USD 41,328 - 44,083; Full time

Job summary

A leading dermatology practice in New York City is seeking a Credentialing Specialist Lead to oversee the credentialing and re-credentialing processes for healthcare providers. The role involves managing provider enrollments with Medicaid, Medicare, and commercial payers, ensuring compliance with regulatory requirements, and mentoring team members. Candidates should have over 3 years of experience in healthcare credentialing, with strong organizational and communication skills. This position offers competitive pay between $30 - $32 per hour.

Qualifications

• 3+ years of healthcare credentialing experience, preferably in dermatology or multispecialty.
• Strong knowledge of CAQH, NPPES, Medicaid, Medicare, and commercial payer portals.
• Exceptional attention to detail and organizational skills.

Responsibilities

• Manage the full credentialing lifecycle for physicians, NPs, and PAs.
• Review and verify provider documents such as medical licenses and CVs.
• Prepare, track, and submit enrollment applications accurately.

Skills

Healthcare credentialing experience

Attention to detail

Communication skills

Proficiency in Excel

Tools

eClinicalWorks

Job description

New York City's Largest Dermatology Practice

The Credentialing Specialist Lead serves as the senior subject matter expert within our credentialing team, overseeing the end-to-end credentialing and re-credentialing process for all providers across The Dermatology Specialists. This position ensures compliance with payer and regulatory requirements while supporting process improvement and mentoring other team members.

Why Join Us

At The Dermatology Specialists, we believe in collaboration, accountability, and professional growth. You’ll join a supportive leadership team committed to helping you expand your expertise and play a vital role in ensuring providers are credentialed and ready to serve patients efficiently.

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.

The pay range for this role is:

30 - 32 USD per hour (HEADQUARTERS (HQ))