Credentialing Specialist
Job
Robert Half
Plainview, NY (In Person)
Full-Time
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Job Description
Description We are looking for a detail-oriented Credentialing Specialist to support provider enrollment and credential maintenance for medical practitioners. This is a remote Credentialing Specialist contract position focused on ensuring practitioners meet organizational, payer, and regulatory standards through accurate documentation and timely follow-up. The ideal Credentialing Specialist candidate will bring healthcare credentialing experience, strong organizational skills, and the ability to manage multiple priorities in a web-based environment. Here's how you'll contribute each day:
- Manage practitioner onboarding and ongoing credential reviews, including new submissions, renewals, and periodic reappointments.
- Examine licenses, certifications, education records, training details, and employment history to confirm accuracy and completeness.
- Maintain up-to-date provider files within a secure online credentialing platform and ensure documentation is properly recorded.
- Partner with physicians, providers, and practice leadership to collect missing materials and address inconsistencies in submitted information.
- Track application progress and follow through on outstanding items to keep credentialing activities aligned with required timelines.
- Apply current healthcare regulations and accreditation expectations when evaluating provider records and processing documentation.
- Prepare routine updates and status summaries for leadership and compliance stakeholders.
- Serve as a knowledgeable resource for credentialing-related questions across multiple practice locations. Requirements Other requirements for the Credentialing Specialist position include and are not limited to:
- Prior experience in medical credentialing, provider enrollment, healthcare administration, or a closely related field.
- Working knowledge of provider credentialing and re-credentialing procedures within a healthcare setting.
- Strong attention to detail with the ability to manage records accurately and efficiently.
- Clear written and verbal communication skills for interacting with providers and administrative teams.
- Comfort using web-based systems, databases, and credentialing software to manage documentation.
- Ability to organize competing priorities and meet deadlines in a fast-paced environment.
- Understanding of healthcare compliance standards, licensing requirements, and regulatory guidelines is preferred.
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