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Credentialing Specialist

Job

Robert Half

Plainview, NY (In Person)

Full-Time

Posted 3 weeks ago (Updated 3 weeks ago) • Actively hiring

Expires 5/28/2026

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Job 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.

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