Remote - Credentialing Specialist

Dermatology Partners is a dermatology group with locations in Pennsylvania, Delaware, and Maryland. Our core values—Grow Together, Seize Opportunity from Struggle, Outcome Over Ego, Commitment to Serve, and Do The Right Thing—are the foundation for everything we do as an organization.

About the role

This is a remote role with on-site training and required in-person attendance monthly or quarterly, depending on business needs. The Credentialing Specialist ensures healthcare providers are properly credentialed and in compliance with all regulatory and organizational standards. This role involves verifying credentials, licensures, certifications, and backgrounds of medical professionals to maintain compliance with industry standards and legal regulations.

Responsibilities

• Credential newly hired clinicians with applicable insurance payers for timely billing.
• Collect, submit, and track all necessary documentation.
• Process re-credentialing for existing clinicians as required by individual payers.
• Maintain a current, accurate database of all clinicians’ credentialing/licensure status, needs, expirations, and issues, and share with internal staff as applicable.
• Communicate and coordinate with all levels of internal staff and external stakeholders to ensure timely and consistent qualification is met and 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.
• Perform other duties as deemed necessary.

Benefits

• No nights or weekends
• Growth opportunities
• Medical, dental, and vision insurance
• PTO and paid holidays
• 401(k) with 4% employer match—fully vested from day one
• Company-paid life insurance
• Options for additional life insurance, short- and long-term disability, critical illness, and accident insurance
• Employee discount
• Referral bonus
• Employee Appreciation Day: Dorney Park in the fall
• Employee Assistance Program (EAP)