Job Description

Description We are looking for a dedicated Credentialing Specialist to join our team in Palm Springs, California. In this Contract-to-Employment position, you will play a key role in ensuring healthcare providers are enrolled efficiently with contracted payers, adhering to industry regulations and organizational standards. This role is ideal for someone who thrives in a fast-paced, compliance-driven environment and has strong attention to detail. Responsibilities: - Assist healthcare providers in accurately completing payer enrollment and re-enrollment applications, ensuring compliance with all guidelines and regulations. - Review and organize provider applications and supporting documents for submission to contracted payers. - Conduct thorough follow-ups with payers to expedite approval processes, aiming to optimize billing opportunities and minimize claim adjustments. - Maintain detailed and up-to-date records of enrollment statuses, effective dates, and related documentation in the provider enrollment database. - Create and manage a comprehensive health plan contract information sheet to track enrollment statuses and re-enrollment timelines. - Identify and report emerging issues related to credentialing, providing recommendations to leadership for resolution. - Collaborate with the Revenue Cycle Team to address credentialing challenges and maintain a shared status database. - Assist providers with hospital privilege requirements, if applicable. - Communicate effectively with internal teams and external stakeholders to ensure smooth credentialing processes. - Meet or exceed performance standards and deadlines for payer enrollment while adhering to departmental policies and procedures. Requirements - Proven experience with credentialing processes and payer enrollment procedures. - Familiarity with EHR systems and the ability to navigate them effectively. - Strong knowledge of compliance standards and government regulations related to credentialing. - Demonstrated ability to conduct audits and ensure accuracy in documentation. - Exceptional organizational skills with the ability to manage multiple tasks and deadlines. - Strong problem-solving skills with the capacity to identify issues and propose solutions. - Effective communication skills for collaborating with various stakeholders. - Ability to work independently while adhering to strict guidelines and requirements. 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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