Remote Credentialing Specialist - Growth & Compliance

Dermatology Partners; Birdsboro (Berks County); On-site; USD 42,000 - 60,000; Full time

Benefits offered by this job

No Nights

Growth Opportunity

Insurance

PTO & Holidays

401(k) Matching

Life Insurance

Disability Insurance

Critical Illness Insurance

Employee Discount

Referral Bonus

EAP

Job summary

Dermatology Partners is seeking a Credentialing Specialist for a remote role with monthly in-person expectations for training. You will verify credentials, licensures, and background checks to ensure regulatory compliance across our PA/DE/MD operations.

Responsibilities include credentialing new clinicians, managing documentation, and coordinating with payers and internal teams to maintain up-to-date records and timely enrollments.

Qualifications

• Experience with medical credentialing processes.
• Familiar with licensure verification and regulatory standards.
• Strong attention to detail and data integrity.

Responsibilities

• Credential newly hired clinicians with applicable insurance payers for timely billing.
• Collect, Submit, & Track all necessary documentation.
• Process re-credentialing for existing clinicians as required by payers.
• Maintain a current, accurate database of all clinicians’ credentialing / licensure status, needs, expirations, issues, etc.
• Communicate & Coordinate with all levels of internal staff & external stakeholders to ensure timely & consistent qualification is met & maintained.
• Monitor expiring credentials to ensure ongoing compliance with regulatory guidelines.
• Investigate and resolve any issues that arise during the approval process.
• Under the direction of leadership, assist with site level enrollments or changes to contract.
• Other duties as deemed necessary.

Skills

Credentialing

Job description

Dermatology Partners is seeking a Credentialing Specialist for a remote role with monthly in-person expectations for training. You will verify credentials, licensures, and background checks to ensure regulatory compliance across our PA/DE/MD operations.

Responsibilities include credentialing new clinicians, managing documentation, and coordinating with payers and internal teams to maintain up-to-date records and timely enrollments.