THE Dermatology Specialists
Credentialing Specialist Lead
Long Island City, NY
Sponsorship not specifiedDetected 26 days ago
ExcelProcess ImprovementLeadershipCommunicationCollaborationMentoring
About the role
- 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
Responsibilities
- Manage the full credentialing lifecycle for physicians, NPs, and PAs - including Medicaid, Medicare, and commercial payer enrollments (Empire BCBS, Fidelis, Aetna, etc.).
- Partner with internal billing and operations teams to ensure credentialing aligns with billing readiness.
- Maintain credentialing logs, dashboards, and internal trackers for reporting purposes.
Nice to have
- This position ensures compliance with payer and regulatory requirements while supporting process improvement and mentoring other team members.
- 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.
- 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.
- Assist in training and supporting new credentialing specialists, ensuring quality and consistency across workflows.
- dermatology or multispecialty experience preferred.
- Strong knowledge of CAQH, NPPES, Medicaid, Medicare, and commercial payer portals.
Benefits
- Review and verify provider documents such as medical licenses, DEA, board certifications, malpractice coverage, and CVs.
- Qualifications 3+ years of healthcare credentialing experience; dermatology or multispecialty experience preferred.
Company info
- At The Dermatology Specialists, we believe in collaboration, accountability, and professional growth.
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