Provider Enrollment Coordinator - REMOTE

Integrated Dermatology•Boca Raton, FL

2d•Remote

About The Position

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.

Requirements

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

Responsibilities

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