Credentialing Coordinator IIRobert Half

Description

We are looking for a Credentialing Coordinator II to support credentialing operations. This position focuses on maintaining accurate provider data, coordinating documentation workflows, and helping ensure compliance with established credentialing standards. The ideal candidate brings strong organizational skills, clear communication, and the ability to manage high-volume administrative tasks with accuracy and consistency.

Responsibilities:

Maintain and update credentialing records in internal systems, ensuring provider information is complete, current, and accurately documented.

Review submitted materials for completeness, follow up on missing items, and coordinate timely collection of required documentation.

Perform quality checks and audits on files to confirm alignment with credentialing policies, regulatory guidelines, and internal standards.

Support training efforts by sharing process guidance, answering workflow-related questions, and helping promote consistency across credentialing activities.

Track incoming documents, receipts, and submissions while organizing digital content within designated content management systems.

Communicate with internal teams and external contacts to resolve discrepancies, clarify requirements, and keep credentialing tasks moving forward.

Assist with hiring and onboarding-related credentialing steps when provider or staff documentation must be verified before activation.

Use internet-based resources and credentialing tools to research, validate, and confirm provider and organizational information as needed.

Requirements Experience working with credentialing processes, provider file review, or a related administrative function.

Strong data entry skills with a high level of accuracy and attention to detail in fast-paced environments.

Familiarity with auditing practices, quality assurance methods, and documentation review procedures.

Clear verbal and written communication skills with the ability to manage follow-up professionally and efficiently.

Working knowledge of NCQA standards or similar credentialing and compliance frameworks is preferred.

Comfort using internet research tools, content management systems, and standard office applications.

Ability to prioritize multiple submittals, prompts, and deadlines while maintaining organized records.

Training experience or the ability to support process education is a plus. TalentMatch

Robert Half is the worlds 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 (https://www.roberthalf.com/us/en/mobile-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, youre agreeing to Robert Halfs Terms of Use (https://www.roberthalf.com/us/en/terms) and Privacy Notice (https://www.roberthalf.com/us/en/privacy) .