Credentialing Specialist Job at Robert Half, Phoenix, AZ

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  • Robert Half
  • Phoenix, AZ

Job Description

Description We are looking for a skilled Credentialing Specialist to join our team in Phoenix, Arizona. This is a long-term contract position within the healthcare industry, offering an opportunity to work in a dynamic and impactful environment. The ideal candidate will have a strong background in credentialing processes and compliance, with experience using industry-standard tools and systems. Responsibilities: - Manage hospital credentialing and re-credentialing processes for healthcare providers, ensuring compliance with regulatory standards. - Maintain and update credentialing databases, including CAQH profiles and other relevant systems. - Conduct thorough audits to verify provider information and ensure accuracy in documentation. - Collaborate with internal teams to address compliance issues and resolve credentialing discrepancies. - Utilize EHR systems to track and maintain credentialing records efficiently. - Prepare and submit required documentation for provider enrollment with insurance carriers. - Ensure adherence to ICD-10 codes and other healthcare regulations during the credentialing process. - Use tools like Adobe Acrobat and CRM systems to streamline credentialing workflows. - Design and review credentialing-related reports to support operational decision-making. - Stay informed about industry trends and changes in compliance requirements. Requirements - Proven experience in credentialing within the healthcare sector, with a strong understanding of compliance standards. - Proficiency in using credentialing systems such as CAQH and EHR platforms. - Familiarity with Adobe Acrobat and CRM tools for document management and tracking. - Knowledge of ICD-10 coding and its application in credentialing processes. - Strong auditing skills to ensure accuracy and compliance with regulatory guidelines. - Ability to manage multiple tasks and meet deadlines in a fast-paced environment. - Excellent communication and problem-solving skills to collaborate effectively with teams. - Understanding of healthcare industry standards and policies 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. 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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