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Credentialing Specialist

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Robert Half

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Location:
United States , Somerville

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Category:
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Contract Type:
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Salary:

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Job Description:

We are looking for a detail-oriented Credentialing Specialist to join our team. In this long-term contract position, you will play a vital role in ensuring healthcare practitioners meet all credentialing and privileging requirements according to state, federal, and accreditation guidelines. This is an excellent opportunity to showcase your organizational skills and contribute to maintaining compliance and efficiency within the credentialing process.

Job Responsibility:

  • Conduct thorough primary source verification to confirm education, licenses, and training credentials of healthcare practitioners
  • Review and audit applications for accuracy and completeness, ensuring all required information is provided
  • Manage and maintain credentialing records, privileging documentation, and enrollment files with precision
  • Oversee provider enrollment processes for Medicaid, CAQH, and other healthcare systems, ensuring compliance with established procedures
  • Upload and link critical documents in credentialing systems while maintaining accurate data entry
  • Regularly update and audit on-call schedules to ensure accuracy and reliability
  • Collaborate with physicians, advanced practice providers, hospital staff, and external organizations to address credentialing matters
  • Ensure databases are consistently updated and maintained for seamless access and reporting
  • Handle confidential information with discretion and professionalism, addressing urgent matters promptly

Requirements:

  • Must have credentialing and provider enrollment experience
  • At least 1 year of experience in credentialing or provider enrollment
  • Strong knowledge of credentialing processes and procedures
  • Exceptional organizational skills with keen attention to detail
  • Ability to manage multiple tasks effectively and work independently
  • Proficient in handling confidential and sensitive matters with sound judgment
  • Familiarity with provider credentialing systems and processes
  • Excellent communication skills for interacting with internal and external stakeholders
  • Knowledge of re-credentialing applications and physician credentialing processes
What we offer:
  • medical, vision, dental, and life and disability insurance
  • eligible to enroll in our company 401(k) plan

Additional Information:

Job Posted:
March 05, 2026

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