Credentialing Specialist

Description Robert Half is looking for a Credentialing Specialist to join one of our clients in the healthcare and social assistance sector. As a Credentialing Specialist, you will manage key processes related to medical credentialing. You will be in charge of maintaining accurate records, processing applications, and ensuring compliance with healthcare regulations.Responsibilities: Review and process medical credentialing applications with precision and efficiency. Utilize Adobe Acrobat, CRM, and EHR System to handle credentialing processes. Conduct audits to ensure compliance with healthcare regulations and standards. Maintain up-to-date and accurate records of healthcare claims. Utilize Excel Formulas for efficient data management and reporting. Manage customer inquiries and resolve any issues related to credentialing. Create and manage Banner Ads as necessary for promotional activities. Ensure adherence to the standards set by the Council for Affordable Quality Healthcare (CAQH). Monitor customer accounts and take appropriate action when necessary. Handle tasks related to FQHC and Medical CredentialingRequirements Requirements: Proficiency in Adobe Acrobat and Excel Formulas preferred Prior experience in credentialing and familiarity with credentialing processes is essential Familiarity with OCHIN is preferred Ability to handle healthcare claim and medical claims efficiently Strong auditing skills and a thorough understanding of compliance regulations in the healthcare industry Knowledge of the Council for Affordable Quality Healthcare (CAQH) is preferred Exposure to Fqhc and medical credentialing is a plus 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 “Apply Now,” you’re agreeing to Robert Half’s Terms of Use (https://www.roberthalf.com/us/en/terms) .