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Credentialing Specialist

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Robert Half

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Location:
United States , Plainview

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Category:
IT - Administration

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Contract Type:
Not provided

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Salary:

Not provided
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Job Description:

We are looking for a Credentialing Specialist to support provider enrollment and credentialing activities for healthcare practitioners. This Credentialing Specialist contract position is remote and will focus on validating qualifications with careful attention to detail, maintaining complete provider files, and helping ensure practitioners meet applicable regulatory and organizational standards. The ideal Credentialing Specialist candidate brings strong attention to detail, sound judgment, and the ability to manage multiple credentialing timelines in a fast-paced healthcare environment.

Job Responsibility:

  • Manage credentialing activities from initial intake through renewals and periodic reappointments for healthcare providers across multiple practices
  • Examine licenses, certifications, education records, training details, and employment history to confirm accuracy and completeness
  • Maintain organized and up-to-date provider information within a secure web-based credentialing platform
  • Partner with physicians, providers, and practice contacts to collect missing documents and resolve inconsistencies in submitted materials
  • Track application progress and follow up proactively to support timely completion and adherence to required deadlines
  • Apply current regulatory and accreditation guidelines to daily credentialing work and escalate issues when compliance concerns arise
  • Prepare recurring updates and summary reports for leadership and compliance stakeholders regarding credentialing status and outstanding items
  • Serve as a knowledgeable resource for credentialing-related questions across affiliated practices and internal teams

Requirements:

  • Prior experience in medical credentialing, provider enrollment, healthcare administration, or a closely related field
  • Working knowledge of physician or provider credentialing, including initial credentialing and re-credentialing processes
  • Strong organizational skills with a high level of accuracy when reviewing sensitive records and documentation
  • Ability to communicate clearly with providers, administrators, and cross-functional stakeholders
  • Comfortable using web-based systems, databases, and credentialing applications in a structured setting
  • Capacity to manage multiple assignments, monitor deadlines, and adjust priorities as needed
  • Familiarity with healthcare compliance standards, licensing requirements, and credentialing regulations is preferred
What we offer:
  • medical
  • vision
  • dental
  • life and disability insurance
  • 401(k) plan

Additional Information:

Job Posted:
May 11, 2026

Work Type:
Remote work
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