9 results for Credentialing jobs

Credentialing Specialist

Somerville, NJ
onsite
Temporary
25 - 30 USD / Hourly
We are looking for a detail-oriented Credentialing Specialist to join our team. In this long-term contract position, you will play a vital role in ensuring healthcare practitioners meet all credentialing and privileging requirements according to state, federal, and accreditation guidelines. This is an excellent opportunity to showcase your organizational skills and contribute to maintaining compliance and efficiency within the credentialing process. Responsibilities:<ul><li>Conduct thorough primary source verification to confirm education, licenses, and training credentials of healthcare practitioners.</li><li>Review and audit applications for accuracy and completeness, ensuring all required information is provided.</li><li>Manage and maintain credentialing records, privileging documentation, and enrollment files with precision.</li><li>Oversee provider enrollment processes for Medicaid, CAQH, and other healthcare systems, ensuring compliance with established procedures.</li><li>Upload and link critical documents in credentialing systems while maintaining accurate data entry.</li><li>Regularly update and audit on-call schedules to ensure accuracy and reliability.</li><li>Collaborate with physicians, advanced practice providers, hospital staff, and external organizations to address credentialing matters.</li><li>Ensure databases are consistently updated and maintained for seamless access and reporting.</li><li>Handle confidential information with discretion and professionalism, addressing urgent matters promptly.</li></ul>
2026-03-13T00:00:00Z

Credentialing Manager

Brookfield, WI
onsite
Permanent
70000 - 85000 USD / Yearly
Robert Half is partnering with a Wisconsin headquartered healthcare organization in the recruiting for a Credentialing Manager to lead their credentialing operations within their facilities and external provider enrollment and credentialing. This role is responsible for overseeing the full credentialing process for medical staff, ensuring compliance with regulatory and accreditation requirements, and optimizing workflow for timely and accurate provider enrollment. The ideal candidate will bring years of progressive credentialing experience in healthcare, strong leadership skills, and deep knowledge of industry regulations and standards. This is a permanent placement opportunity offering competitive salary, benefits, generous paid time off, and flexible schedule with fully remote option. Responsibilities:<ul><li>Lead the credentialing team to process provider applications, verifications, and re-credentialing activities in accordance with regulatory, payer, and facility requirements </li><li>Develop, implement, and maintain policies, procedures, and workflow improvements to ensure efficient, compliant credentialing operations </li><li>Oversee initial and ongoing verification of practitioner credentials (education, licensure, certifications, work history, malpractice history, etc.) </li><li>Stay current with state, federal, and accrediting body requirements (e.g., NCQA, Joint Commission) and serve as internal subject matter expert for compliance </li><li>Manage relationships and communications with providers, insurance payers, and internal stakeholders to resolve credentialing issues and expedite enrollment</li><li>Prepare for and participate in audits, surveys, and quality assurance reviews; ensure proper documentation and recordkeeping </li><li>Provide regular reporting and analytics to senior leadership regarding credentialing metrics, provider enrollment status, and workflow efficiency </li><li>Hire, train, and mentor credentialing staff; foster a culture of accountability and continuous improvement </li></ul>
2026-03-05T00:00:00Z

Credentialing Coordinator

Fort Wayne, IN
onsite
Contract / Temporary to Hire
19.95 - 23.1 USD / Hourly
We are looking for a motivated Credentialing Coordinator to oversee the credentialing process for healthcare providers, ensuring timely and accurate submission of applications and documentation. This role is crucial for maintaining compliance with industry standards and supporting physicians in delivering quality patient care. As a Contract to permanent position, this opportunity offers a pathway to long-term career growth. Responsibilities: • Manage the end-to-end credentialing process for physicians, including application preparation, documentation collection, and submission to relevant entities. • Ensure the accuracy and completion of all credentialing documents, verifying certifications, licenses, and compliance with regulatory standards. • Monitor healthcare regulations and accreditation requirements to maintain compliance throughout the credentialing process. • Resolve issues or discrepancies that arise during the credentialing process, collaborating with healthcare providers and agencies to find solutions. • Keep detailed and organized records of credentialing statuses, deadlines, and associated documentation. • Communicate effectively with physicians, insurance companies, and healthcare facilities to facilitate a smooth credentialing experience. • Assist with recredentialing applications and updates to ensure providers maintain their active status. • Utilize credentialing databases and software tools to track progress and generate reports. • Support delegated credentialing processes for organizations that oversee multiple providers. • Provide guidance to physicians on navigating the credentialing requirements of insurance networks and healthcare facilities.
2026-02-17T00:00:00Z

Credentialing Assistant

Minneapolis, MN
onsite
Permanent
41600 - 50000 USD / Yearly
We are looking for a highly organized and detail-oriented Credentialing Assistant to join our client's team in Minneapolis, MN. In this role, you will play a vital part in supporting healthcare providers by serving as a liaison between providers and medical staff to manage credentialing processes and ensuring accurate communication, timely renewals, and compliance with industry standards. Ideal candidate brings excellent communication skills, keen attention to detail, the ability to multitask effectively, and a commitment to maintaining accuracy in documentation. Responsibilities:• Accurately compile and maintain credentialing records for healthcare providers, ensuring all documentation is current and compliant.• Monitor expiration dates for certifications, licenses, and other required documents, updating systems promptly to avoid lapses.• Assist providers with enrollment in life support courses and create reminders to ensure timely renewals.• Prepare and submit credentialing applications for hospital and billing purposes, tracking progress and providing follow-ups as needed.• Facilitate onboarding processes for students and residents, including managing observation requests.• Provide support for providers undergoing name changes, ensuring all credentials and documentation are updated accordingly.• Offer backup administrative assistance for educational events and other departmental activities.• Collaborate with the credentialing team to ensure adherence to organizational and regulatory standards.• Maintain accurate digital files and Excel spreadsheets to track credentialing information.• Uphold office safety and compliance by adhering to company guidelines and policies.
2026-03-05T00:00:00Z

Credentials Coordinator

Los Angeles, CA
onsite
Temporary
30.7 - 34.62 USD / Hourly
Our client is looking for a Credentialing Coordinator! The Credentialing Coordinator performs core functions within the credentialing lifecycle, including provider onboarding, credential verification, and maintenance of credentialing records. The Credentialing Coordinator role supports the medical staff services department by ensuring accurate and timely processing of credentialing documentation while maintaining compliance with regulatory standards and organizational policies. Job Requirements: <ul><li>Manage credentialing lifecycle processes including initial appointments, reappointments, privileging, and focused professional practice evaluations (FPPE)/proctoring.</li><li>Collect required documentation and conduct primary source verification to ensure provider credential files are complete and compliant.</li><li>Maintain accurate, organized, and error-free credentialing files, ensuring timely processing and updates.</li><li>Support provider onboarding by coordinating computer access, training, orientation, and ID badging.</li><li>Maintain working knowledge of medical staff bylaws, rules, regulations, and regulatory agency requirements.</li><li>Assist with the maintenance and accuracy of the medical staff credentialing database.</li><li>Ensure strict confidentiality regarding all medical staff and credentialing information.</li><li>Perform additional duties as assigned.</li></ul>
2026-03-11T00:00:00Z

Administrative and Credentialing Assistant

Grand Rapids, MI
onsite
Temporary
21.85 - 25.3 USD / Hourly
We are looking for a detail-oriented Administrative and Credentialing Assistant to join our team in Grand Rapids, Michigan. This long-term contract position requires a proactive individual with attention to detail to handle credentialing processes, manage documentation, and ensure compliance with industry standards. The ideal candidate will thrive in a structured environment and bring strong analytical and communication skills to support organizational goals effectively. Responsibilities: • Review and process payor submissions to ensure accuracy and compliance. • Coordinate the credentialing of physicians by verifying their qualifications and certifications against relevant databases. • Maintain detailed records and documentation for membership and credentialing activities. • Facilitate the signing of necessary documents to support new member onboarding. • Adhere to established processes and draw analytical conclusions based on procedural guidelines. • Conduct recredentialing tasks, ensuring all required certifications and program completions are verified. • Cross-check information using various databanks, including the American Medical Association database. • Collaborate with team members to uphold quality standards in documentation and credentialing processes. • Communicate effectively in written and verbal forms to address credentialing inquiries and resolve issues. • Support physician and provider credentialing with a focus on accuracy and thoroughness.
2026-03-05T00:00:00Z

Patient Registration

Mason, OH
onsite
Contract / Temporary to Hire
17 - 18.5 USD / Hourly
We are looking for an organized and customer-focused individual to join our client's team as a Patient Registration Specialist in Mason, Ohio. This role is critical to ensuring smooth and efficient patient intake processes while providing excellent service to patients and visitors. As this is a Contract to permanent position, it offers the opportunity for long-term growth within the healthcare sector. Responsibilities:• Welcome patients and visitors warmly, ensuring they feel supported throughout their visit.• Accurately maintain and update patient records and files in compliance with healthcare regulations.• Handle payment processing and manage insurance claims efficiently.• Order necessary supplies and monitor inventory levels to ensure uninterrupted operations.• Respond to inbound calls professionally, addressing inquiries or routing them appropriately.• Manage authorizations and billing functions with attention to detail.• Utilize electronic health record (EHR) systems such as Allscripts, Cerner Technologies, Epic, for accurate data entry.• Support clinical trial operations with administrative tasks as needed.• Perform additional administrative duties to support the team and ensure seamless workflow.
2026-03-12T00:00:00Z

Medical Billing

Bethesda, MD
onsite
Temporary
20 - 22 USD / Hourly
A Healthcare organization is seeking a medical billing specialist to work in their Bethesda office. <ul><li>Make outbound collections calls to patients.</li><li>Calls will be made based on the aging report</li><li>The role will be patient focused role. </li></ul>
2026-03-09T00:00:00Z

Background Verification Specialist

San Ramon, CA
remote
Contract / Temporary to Hire
24 - 25 USD / Hourly
Robert Half is seeking an organzied and proactive Verification Specialist to join our team in San Ramon, CA. In this contract-to-permanent position, you will play a vital role in providing comprehensive support for verification processes, collaborating closely with internal teams and external clients. Your expertise will be essential in maintaining high service standards, developing training resources, and troubleshooting system issues. You must be local to California to be considered. Verification Specialist Responsibilities:• Utilize customer service reports to enhance verification processes, including creating new procedures, improving communication, and elevating service levels.• Develop and maintain documentation related to customer service tasks, such as processes and policies.• Design and deliver training for internal teams on compliance, operational, and technical aspects of verification.• Manage and update training materials on internal platforms to ensure accessibility and relevance.• Facilitate training sessions for end users, both individually and through group calls, on systems and procedures.• Respond to verification inquiries, conducting research, tracking actions, and maintaining documentation in case management systems.• Act as the primary troubleshooter, monitoring and resolving system or vendor-related issues promptly and professionally.• Collaborate with verification team members and corporate departments to ensure adherence to best practices and compliance with regulations.• Ensure accurate and timely processing of verifications to meet business objectives and exceed expectations. If you are interested in this Verification Specialist position, please submit your resume ASAP!
2026-03-12T00:00:00Z