Skip to main content
Tallo logoTallo logo

Find Jobs

Find Jobs Near You – Available Work in Your Location

Skip to job details

Back to Results

Apply for this opportunity

To apply for this job, you'll continue to an external website or email application.

Robert Half

Credentialing Specialist

Review key factors to help you decide if the role fits your goals.
Pay Growth
?
out of 5
Not enough data
Not enough info to score pay or growth
Job Security
?
out of 5
Not enough data
Calculating job security score...
Total Score
59
out of 100
Average of individual scores

Were these scores useful?

Job Description

Description We are seeking Credentialing Specialists to support a temporary assignment addressing a current backlog in health plan credentialing. This role focuses on primary source verification and credentialing of practitioner and hospital provider records across multiple health plans. This is a remote position requiring strong time management, accountability, and the ability to work independently in a secure, distraction-free home environment due to the sensitive nature of the information handled. Key Responsibilities

+ Process credentialing applications for practitioners and NPs (approximate benchmark of 4 applications per hour).

+ Perform primary source verification of practitioner licensure, certifications, and credentials, confirming they are current, accurate, and match submitted documentation.

+ Identify discrepancies in provider information and conduct follow-up to resolve them.

+ Handle Protected Health Information (PHI) in accordance with privacy and security standards.

+ Navigate and work across approximately 5 different systems, including CredentialStream, to complete verifications.

+ Maintain accurate, up-to-date provider records within the credentialing database.

+ Perform administrative and verification duties as part of the end-to-end credentialing process.

+ Maintain accuracy, organization, and attention to detail throughout the credentialing workflow. Requirements Key Responsibilities

+ Process credentialing applications for practitioners and NPs (approximate benchmark of 4 applications per hour).

+ Verify that practitioners are correctly licensed and review required verifications.

+ Confirm all credentials match and that practitioners are not excluded from participation.

+ Handle Protected Health Information (PHI) in accordance with privacy and security standards.

+ Navigate and work across approximately 5 different systems, including CredentialStream, to complete verifications.

+ Perform administrative and verification duties as part of the credentialing process.

+ Maintain accuracy, organization, and attention to detail throughout the credentialing workflow. Qualifications

+ Minimum 3+ years of relevant experience required.

+ Experience with health plan credentialing strongly preferred.

+ Experience with CredentialStream or similar credentialing platforms preferred.

+ Certification in credentialing is not required.

+ Must be highly skilled in Excel, Microsoft Teams, and SharePoint.

+ Strong organizational skills and critical thinking ability.

+ Must be a quick learner, comfortable pivoting across multiple systems and platforms.

+ Must have a secure, distraction-free home workspace free of foot traffic, suitable for handling sensitive information.

+ Reliable, accountable, and able to manage time effectively in a remote setting. 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 "," you're agreeing to Robert Half's Terms of Use (https://www.roberthalf.com/us/en/terms) and Privacy Notice (https://www.roberthalf.com/us/en/privacy) .

Benefits

  • 401(k) Plans
  • Health Insurance
  • Dental Insurance
  • Vision Insurance