Job Description

Description We are looking for a detail-oriented Credentialing Specialist to join our team in White Plains, New York. In this Contract to permanent position, you will play a crucial role in managing and maintaining provider credentialing processes to ensure compliance with insurance and hospital requirements. Your organizational skills and expertise will help streamline credentialing operations and maintain accurate records. Responsibilities: - Act as a primary point of contact between the practice, credentialing company, and healthcare providers to gather necessary documentation for insurance credentialing. - Maintain and update provider files, including licenses, certifications, servicing addresses, NPIs, and hospital credentialing or privileges. - Ensure timely submission of applications and required documentation to insurance payers, hospitals, and credentialing companies. - Monitor and manage the renewal of licenses, permits, and malpractice liability certificates to ensure compliance. - Obtain and update hospital affiliation letters, ensuring providers meet all requirements for active and current affiliations. - Organize and maintain detailed records of credentialing and related information in designated systems and databases. - Analyze receivables data such as co-pays, deductibles, contractual adjustments, and underpayments to identify and address discrepancies. - Collaborate with team members to streamline credentialing processes and resolve any issues or delays. - Handle provider signatures and ensure all necessary paperwork is accurately completed and submitted. Requirements - Proven experience in credentialing, preferably in a healthcare setting. - Proficiency in using Microsoft Excel and other relevant software tools. - Strong organizational skills with the ability to manage multiple tasks and deadlines effectively. - Familiarity with insurance credentialing processes, including licensing, NPIs, and hospital privileges. - Detail-oriented approach to maintaining accurate and up-to-date records. - Excellent communication skills to coordinate with various stakeholders. - Ability to analyze data related to receivables and identify discrepancies. - Knowledge of credentialing databases and systems 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 ( 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 ( .

Job Tags

Permanent employment, Contract work, Temporary work,

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