• Credentialing Specialist

    Robert Half Office Team (Manhattan Beach, CA)


    Description

    We are looking for a detail-oriented Credentialing Specialist to join our team in Manhattan Beach, California. The Credentialing Specialist will play a pivotal part in ensuring providers are properly credentialed with Medicare and commercial insurance plans. This position offers an excellent opportunity to expand your expertise and gain hands-on training in medical billing.

    Responsibilities:

    • Credentialing processes for 12-13 healthcare providers, ensuring compliance with Medicare and commercial insurance requirements.

    • Prepare and submit detailed applications for provider credentialing and re-credentialing.

    • Maintain accurate and up-to-date records of provider credentials and certifications.

    • Collaborate with insurance carriers to resolve credentialing-related issues efficiently.

    • Monitor and track credentialing timelines to ensure timely renewals and updates.

    • Assist in identifying and implementing process improvements for credentialing workflows.

    • Provide support and training in medical billing processes, as required.

    • Act as a liaison between providers and insurance companies to address credentialing inquiries.

    • Ensure adherence to regulatory standards and organizational policies.

    • Generate reports and documentation related to credentialing activities for internal review.

     

    Requirements • Proven experience in credentialing processes, including provider and physician credentialing.

     

    • Familiarity with Medicare and commercial insurance credentialing requirements.

    • Strong organizational skills and attention to detail for managing multiple providers.

    • Ability to effectively communicate with insurance carriers and healthcare professionals.

    • Proficiency in tracking and maintaining credentialing records.

    • Willingness to learn and develop skills in medical billing.

    • Knowledge of re-credentialing applications and procedures.

    • Experience with credentialing software or systems is an advantage. 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.

     

    Robert Half will consider for employment qualified applicants with arrest or conviction records in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act. 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) .