Hybrid Dermatology Credentialing Specialist (Remote)

Tareen Dermatology PA; Roseville (MN); Hybrid; USD 29,000 - 41,000; Full time

Benefits offered by this job

Pay range: $21.00 - $30.00 per hour

Paid Time Off

401 (k)

401 (k) matching

Health Insurance

Dental Insurance

Vision Insurance

Life Insurance

Employee assistance program

Disability Insurance

Paid Holidays

Job summary

Tareen Dermatology is seeking a Medical Credentialing Specialist to manage credentialing and re-credentialing of practitioners, location payer credentialing, and licensure tracking. The role is primarily remote with occasional on-site meetings in the Twin Cities Metro.

You will work in a HIPAA/OSHA compliant environment, requiring strong attention to detail and the ability to coordinate with payers and staff.

Qualifications

• High school diploma or equivalent required.
• 1-2 years of experience in credentialing role within a healthcare setting required.
• Previous dermatology experience preferred.

Responsibilities

• Credentialing/re-credentialing of current and future practitioners.
• Credentialing/re-credentialing for dispensary services.
• Submit necessary documents to insurance payers in a timely manner to ensure efficient processing.
• Submit change request forms to payers for payer established new hires allowing for enough time to credential prior to start date.
• Location credentialing for new clinics.
• Create and keep up to date credentialing progress logs for new hires pending credentialing.
• Maintain updated credentialing contact list per insurance plan.
• Update practitioner NPI information on NPPES as needed.
• Obtain updated medical licenses, DEA certificates, and board certifications from practitioners.
• Verify updated medical licenses, DEA certificates, and board certifications.
• Update insurance payers with current malpractice and license documents prior to document expropriation.
• Term former practitioners from networks as appropriate.
• Update and distribute insurance lists as changes occur.
• Troubleshoot credentialing insurance issues with billing/insurance staff and supervisor as needed.
• Updates job knowledge by participating in educational opportunities.
• Follow HIPAA and OSHA policies.
• Other duties as assigned.

Skills

Credentialing

Healthcare

Detail oriented

Organization

Communication

Teamwork

Payer knowledge

NPPES / NPIs

Education

High school diploma

Tools

Practice Management systems

EHR systems

Job description

Tareen Dermatology is seeking a Medical Credentialing Specialist to manage credentialing and re-credentialing of practitioners, location payer credentialing, and licensure tracking. The role is primarily remote with occasional on-site meetings in the Twin Cities Metro.

You will work in a HIPAA/OSHA compliant environment, requiring strong attention to detail and the ability to coordinate with payers and staff.