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Credentialing Specialist

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Robert Half

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Location:
United States , West Hollywood

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Category:
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Contract Type:
Not provided

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Salary:

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Job Description:

The Credentialing Specialist is responsible for supporting the credentialing, re‑credentialing, and provider enrollment processes to ensure healthcare professionals meet all regulatory, payer, and organizational requirements. This role plays a key part in maintaining compliance, supporting provider onboarding, and ensuring accurate and up‑to‑date credentialing records. The Credentialing Specialist works closely with internal teams, providers, and external agencies to collect, verify, and track required documentation.

Job Responsibility:

  • Coordinate and manage initial credentialing and re‑credentialing for healthcare providers
  • Collect, review, and maintain provider documentation (licenses, certifications, education, work history, malpractice coverage, etc.)
  • Perform primary source verification in accordance with regulatory and organizational standards
  • Track license, certification, and enrollment expiration dates to ensure ongoing compliance
  • Maintain accurate provider records within credentialing databases and internal systems
  • Communicate with providers and internal stakeholders regarding application status and missing documentation
  • Assist with payer enrollment and revalidation processes, as assigned
  • Support audits and ensure credentialing files are complete and compliant
  • Maintain confidentiality and comply with HIPAA and regulatory requirements
  • Perform additional administrative or credentialing support duties as needed

Requirements:

  • Experience in healthcare administration, credentialing, provider enrollment, or medical staff services preferred
  • Familiarity with provider credentialing, compliance, or payer enrollment processes is a plus
  • Strong attention to detail and ability to manage multiple deadlines and tracking requirements
  • Proficiency with Microsoft Office Suite, especially Excel
  • Experience using credentialing or healthcare systems/databases preferred
  • Strong written and verbal communication skills
  • Ability to handle confidential and sensitive information with discretion
  • Knowledge of HIPAA, regulatory standards, and healthcare documentation practices preferred
  • Certification (e.g., CPCS, CPMSM) is a plus but not required
What we offer:
  • Medical, Dental and Vision Insurance
  • 401K Retirement
  • Sick Time Off
  • Tuition Reimbursement
  • medical, vision, dental, and life and disability insurance
  • company 401(k) plan

Additional Information:

Job Posted:
March 22, 2026

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