"Alerted.org

Description

Looking to advance your career in healthcare administration? Robert Half is seeking a detail-oriented Medical Credentialing Specialist to support our clients with their critical credentialing needs. In this role, you will play a vital part in ensuring healthcare providers meet regulatory standards, supporting compliance, and maintaining accurate records in a fast-paced environment. This is an excellent opportunity for skilled professionals who are passionate about contributing to the healthcare industry and thrive in managing complex administrative responsibilities.

Key Responsibilities:

+ Credentialing Management:

+ Collect, review, and verify documentation for licensures, certifications, education, and training for healthcare providers.

+ Submit and manage credentialing applications with insurance providers, state licensing boards, and other regulatory bodies in compliance with industry standards.

+ (Source: SG25 US Healthcare.docx).

+ Records Maintenance:

+ Maintain detailed provider records in an organized and secure manner using credentialing databases and systems.

+ Ensure all re-credentialing deadlines are met and documentation remains current.

+ (Source: SG25 US Healthcare.docx).

+ Compliance & Regulation:

+ Stay updated on federal, state, and local regulatory changes, ensuring all credentialing processes align with accreditation standards such as NCQA and Joint Commission requirements.

+ Assist with audits and accreditation reviews by compiling necessary compliance documentation.

+ (Source: SG25 US Healthcare.docx).

+ Client & Provider Communication:

+ Act as the primary liaison between healthcare professionals, clients, and third-party entities such as insurance providers or regulatory agencies.

+ Provide timely responses to any inquiries or concerns related to credentialing processes.

+ Workflow Optimization:

+ Identify inefficiencies in credentialing workflows, proactively suggesting process improvements to enhance efficiency and accuracy.

Requirements

Skills and Qualifications:

+ Required:

+ Strong attention to detail and ability to manage multiple tasks simultaneously.

+ Exceptional organizational and communication skills.

+ Proficiency in credentialing or database systems and general office software (e.g., Microsoft Office Suite).

+ Preferred:

+ Experience with credentialing in a healthcare setting or medical administration (13-5 years strongly preferred).

+ Familiarity with EMR (Electronic Medical Record) software like Epic or Cerner.

+ Certification in medical credentialing, such as Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Manager (CPMSM).

TalentMatch®

Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.

Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app (https://www.roberthalf.com/us/en/mobile-app) and get 1-tap apply, notifications of AI-matched jobs, and much more.

All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.

• 2025 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking “Apply Now,” you’re agreeing to Robert Half’s Terms of Use (https://www.roberthalf.com/us/en/terms) .