Credentialing Manager - Ultimate Staffing : Job Details

Ultimate Staffing is proud to support a leading dermatology group in Wellington, FL, in their search for a Credentialing Specialist/Manager. This vital role ensures that all healthcare providers are properly credentialed and compliant with regulatory and internal standards. The ideal candidate will be detail-oriented, organized, and experienced in managing credentialing processes within a healthcare setting.

Credentialing Specialist/Manager Location: Wellington, FL

Credentialing Specialist/Manager Key Responsibilities:

• Oversee all aspects of provider credentialing and re-credentialing to ensure compliance with federal, state, and internal regulations.
• Complete and submit credentialing applications and supporting documentation accurately and on time.
• Investigate and resolve discrepancies in provider documentation and credentialing data.
• Process privilege requests and maintain accurate records of provider privileges.
• Serve as the primary point of contact for credentialing inquiries from internal teams and external healthcare organizations.
• Monitor and manage initial credentialing, reappointments, and expirables to ensure timely renewals and compliance.
• Review and analyze provider applications for eligibility and completeness.
• Prepare credentialing files for review and approval by the Credentialing Manager.
• Maintain organized records and documentation of all credentialing activities.
• Prioritize daily workflow, manage assignments, and ensure deadlines are met.
• Assist with contract acquisition and follow-up as needed.
• Escalate issues appropriately and communicate clearly with team members to resolve credentialing challenges.
• Perform other related duties as assigned to support the credentialing department.

Credentialing Specialist/Manager Qualifications:

• Proven experience in healthcare credentialing, preferably in a dermatology or multi-specialty group setting.
• Strong understanding of credentialing regulations and standards.
• Excellent organizational and communication skills.
• Ability to manage multiple priorities and meet deadlines.
• Proficiency in credentialing software and Microsoft Office Suite.

Desired Skills and ExperienceProven experience in healthcare credentialing, preferably in a dermatology or multi-specialty group setting.Strong understanding of credentialing regulations and standards.Excellent organizational and communication skills.Ability to manage multiple priorities and meet deadlines.Proficiency in credentialing software and Microsoft Office Suite.

All qualified applicants will receive consideration for employment without regard to race, color, national origin, age, ancestry, religion, sex, sexual orientation, gender identity, gender expression, marital status, disability, medical condition, genetic information, pregnancy, or military or veteran status. We consider all qualified applicants, including those with criminal histories, in a manner consistent with state and local laws, including the California Fair Chance Act, City of Los Angeles' Fair Chance Initiative for Hiring Ordinance, and Los Angeles County Fair Chance Ordinance. For unincorporated Los Angeles county, to the extent our customers require a background check for certain positions, the Company faces a significant risk to its business operations and business reputation unless a review of criminal history is conducted for those specific job positions.