Job Details

Company Description

Integrated Dermatology is a leading national dermatology practice that acquires and partners with dermatology practices across the United States. The culture at ID is a reflection of its people. Our environment is filled with hard-working, dynamic individuals who come together to ensure the success of our partner dermatologists.

We have an immediate need for a qualified Credentialing Coordinator. The Credentialing Coordinator is responsible for executing provider credentialing and payer enrollment activities across Medicare, Medicaid, and commercial payers in a non-delegated credentialing environment. This role supports provider onboarding, new locations, acquisitions, recredentialing, terminations, and payer inquiries. Precision, timeliness, and system integrity are mission-critical.

This is a high-volume, detail-oriented role that requires strong payer follow-up skills, disciplined documentation, and the ability to manage multiple workflows simultaneously.

Job Description

Provider & Practice Onboarding

• Execute credentialing and enrollment workflows for:
  • New providers joining existing practices
  • New and relocated practice locations
  • New groups, acquisitions, and TIN transition projects
• Prioritize Medicare enrollment across all applicable workflows
• Create and maintain CPSRs (Credentialing Provider Status Reports) to track payer progress and communicate updates
• Send provider welcome communications within required timeframes, including instructions for CAQH, CMS systems, and document submission
• Coordinate payer and CMS surrogacy requests as required

Data & Systems Management

• Maintain accurate, current provider and practice data in:
  • Credentialing Database / Practice Master Sheet
  • CAQH Provider Profiles
  • CMS Systems (PECOS & NPPES)
  • Secure document repositories (OneDrive / SharePoint)
• Create, update, and manage payer-specific and administrative tasks in Wrike
• Ensure all credentialing files are complete, organized, and audit-ready

Recredentialing & Ongoing Monitoring

• Complete Medicare revalidations, Medicaid recredentialing, and commercial recredentialing per payer schedules
• Monitor payer portals and respond to interim or ad-hoc recredentialing requests
• Proactively establish future assignments based on next revalidation cycles

Provider Updates & Terminations

• Process provider and location terminations within payer-required timeframes
• Coordinate with Operations and Revenue Cycle Management to minimize claims disruption
• Manage provider demographic updates (e.g., name changes) and ensure consistency across all systems and payers

Inquiries & Cross-Functional Support

• Resolve practice and internal inquiries submitted via Wrike with clear, timely communication
• Support Revenue Cycle Management with credentialing-related billing inquiries
• Address credentialing-related RCM holds and escalate unresolved issues appropriately

Qualifications

• 1-3 years of provider credentialing and payer enrollment experience (Medicare required; Medicaid and commercial preferred)
• Hands-on experience with CAQH, PECOS, NPPES, and payer portals
• Strong organizational skills with proven ability to manage high-volume, multi-state workloads
• Excellent written communication, payer follow-up, and documentation skills
• Proficiency with Microsoft Excel, Outlook, Word, and workflow tools
• Ability to work independently while contributing effectively within a team environment

Additional Information

Job Type:

• Full-time, #LI-REMOTE

Experience:

• Credentialing physician practices: 1-3 years (Preferred)
• Microsoft Excel: 3 years (Preferred)
• CAQH: 3 years (Preferred)

Education:

• High School Diploma or equivalent (Preferred)

All your information will be kept confidential according to EEO guidelines.

Integrated Dermatology and it's entities provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.