Credentialing Specialist

We are looking for a meticulous HR Specialist to join our team in Rochester, New York. In this long-term contract role, you will play a key part in ensuring compliance with credentialing processes and maintaining accurate records for healthcare professionals. This position offers a unique opportunity to work within the healthcare industry, where precision and adherence to standards are essential.

Responsibilities:

• Oversee credentialing processes to ensure compliance with healthcare regulations and organizational policies.

• Maintain and update credentialing databases, including CAQH profiles and other platforms.

• Review and verify documentation, licenses, and certifications for accuracy and validity.

• Collaborate with internal teams and external stakeholders to address credentialing-related inquiries.

• Conduct audits to identify discrepancies and implement corrective actions as needed.

• Prepare reports and maintain detailed records to support compliance efforts.

• Utilize tools such as Adobe Acrobat, CRM systems, and EHR platforms for efficient documentation management.

• Ensure adherence to state and federal guidelines in all credentialing activities.

• Monitor deadlines for renewals and proactively follow up with healthcare professionals.

• Stay informed about industry standards and best practices to enhance credentialing processes.

• Proven experience in credentialing within the healthcare industry.
• Proficiency in using Adobe Acrobat, CRM systems, and EHR platforms.
• Familiarity with CAQH and other credentialing databases.
• Strong understanding of compliance requirements and auditing processes.
• Excellent organizational and time management skills.
• Ability to communicate effectively with internal and external stakeholders.
• Detail-oriented with the ability to identify and resolve discrepancies.
• Knowledge of state and federal regulations related to credentialing.
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.

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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.

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