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Robert Half Credentialing Specialist in Burlingame, California

Description

Our client, an established healthcare organization, is seeking to hire a contract Credentialing Specialist! This contract role is about 4-5 months in length. The role will be onsite in Burlingame, CA. Apply today for immediate consideration!

Main Responsibilities:

  • This position is responsible for completion of credentialing functions.

  • Ensures program integrity and compliance with standards, federal/state requirements, and Health Plan Credentialing Requirements.

  • Assists Supervisor in maintaining relationships with Health Plan auditors; communicates and works with Physician leaders on credentialing issues; works with other departments in multiple areas that relate to credentialing issues.

  • Audits Credentialing Verification Organization's released files to ensure it obtains primary source verification of required physician information.

  • Maintains database of current and accurate information concerning licensure, board certification, professional liability coverage and claims for all Physicians, Contracted Providers and Allied Health Professionals.

  • Manages the provider add process, recruitment and transition, including the successful appointment to the Provider Network in accordance with the Credentials Policies & Procedures and regulatory agency requirements.

    Requirements

  • 3+ years experience working in an acute setting.

  • Preferred CPCS certification.

  • Bachelors Degree preferred but not required

  • Knowledge of applicable regulations, guidelines, policies & procedures and contractual provider agreements

  • Customer Service focused

  • Excellent communication skills

  • Strong critical thinking skills

  • Software competency in MS Office suite

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 puts you in the best position to succeed by advocating on your behalf and promoting you to employers. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity – even on the go. Download the Robert Half app and get 1-tap apply, instant notifications for AI-matched jobs, and more.

Questions? Call your local office at 1.888.490.4154. 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. Visit https://roberthalf.gobenefits.net/ for more information.

2021 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking “Apply Now,” you’re agreeing to Robert Half’s Terms of Use (www.roberthalf.com/terms-of-use).

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