Team Lead Credentialing

Join Our Team at Skin and Cancer Institute!

Are you passionate about dermatology and skin health Do you thrive in a dynamic patient-focused environment Skin and Cancer Institute is looking for dedicated professionals to join our team!

Why Join Us

At Skin and Cancer Institute we are committed to excellence in dermatology skin cancer treatment and cosmetic procedures. We offer a supportive and collaborative work culture where your skills and dedication make a real impact.

Job Title: Team Lead Credentialing

Reports to: Director of Provider Operations

Status: Full-time

SUMMARY OF POSITION

The Credentialing Team Lead is responsible for overseeing the daily operations of the credentialing team to ensure timely accurate and compliant processing of initial applications reappointments and ongoing credentialing activities. This role also includes hands-on credentialing responsibilities and serves as a key liaison between internal departments providers and external entities. The Credentialing Team Lead plays a critical role in maintaining provider eligibility organizational compliance and supporting the onboarding process.

ESSENTIAL DUTIES:

Key Responsibilities:

Team Leadership & Oversight:

• Provide day-to-day supervision and support to credentialing specialists or coordinators.
• Assign and monitor workloads to ensure balanced task distribution and on-time credentialing completion.
• Train new team members and support ongoing professional development.
• Serve as the first point of contact for team questions escalations or problem resolution.

Credentialing Operations:

• Review complete and submit credentialing and recredentialing applications for healthcare providers across all applicable facilities or payers.
• Verify provider credentials including licensure education training certifications work history malpractice coverage and professional references.
• Monitor and ensure compliance with regulatory accreditation and payer requirements (e.g. NCQA URAC CMS The Joint Commission).
• Maintain accurate and up-to-date provider records in credentialing databases and tracking systems.

Quality Assurance and Compliance:

• Conduct internal audits and file reviews to ensure accuracy completeness and compliance with organizational policies and industry standards.
• Ensure timely and accurate completion of credentialing tasks to support payer enrollment hospital privileges and organizational needs.
• Stay informed on changes to state federal and accreditation credentialing requirements and communicate updates to the team.

Collaboration and Communication:

• Act as a liaison between the credentialing team provider enrollment human resources medical staff services and provider offices.
• Communicate clearly with providers to gather required documents clarify application details and resolve credentialing issues.
• Support onboarding and privileging processes in coordination with medical staff offices as applicable.

Data Management and Reporting:

• Ensure data accuracy in credentialing systems (e.g. CAQH Verity Cactus Medversant or internal databases).
• Track and report team performance metrics and credentialing turnaround times.
• Assist in the preparation of reports and dashboards for leadership as needed.

What Were Looking for:

Education:

• Associate or Bachelors degree in healthcare administration or a related field preferred.

Experience:

• Minimum 35 years of in credentialing or medical staff services required
• Prior experience in a leadership or supervisory role preferred.

Certifications:

• CPCS or CPMSM certification through NAMSS preferred

Skills:

• In-depth knowledge of credentialing standards and processes.
• Strong organizational and analytical skills with attention to detail.
• Excellent verbal and written communication abilities.
• Proficiency with credentialing software and Microsoft Office Suite. Ability to manage multiple tasks deadlines and team performance under pressure

What We Offer:

• Competitive salary and benefits
• Health dental vision and ancillary insurance options
• 401K retirement savings
• Paid time off
• Professional development opportunities
• Supportive and fair work environment

Apply Today!Be a part of a dynamic team thats transforming skin health. Submit your resume and cover letter to We cant wait to meet you!

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