Credentialing Specialist

Description We are looking for a dedicated Credentialing Specialist to join our team in Oconomowoc, Wisconsin. This role focuses on ensuring accurate provider enrollment and credentialing processes, maintaining compliance with regulatory standards, and supporting effective collaboration across departments. As a Contract to permanent position, this opportunity provides the chance to contribute to a dynamic healthcare environment while advancing skills and growth. Responsibilities: u2022 Manage provider enrollment applications and maintain accurate practitioner and facility information across multiple systems. u2022 Ensure compliance with privacy practices, medical staff standards, and state and federal regulations during credentialing processes. u2022 Collaborate with colleagues to verify network affiliations and contracted payer details. u2022 Update and recommend changes to policies and procedures related to enrollment and credentialing. u2022 Conduct outreach to onboarding medical staff, detailing enrollment requirements and providing guidance on processes. u2022 Populate, verify, and maintain credentialing software with accurate provider status and demographic information. u2022 Oversee enrollment and revalidation processes for practitioners with government payers using electronic application methods. u2022 Monitor and share updates on provider affiliations, applications, and revalidation statuses. u2022 Communicate accurate facility and provider location information to ensure compliance and alignment with contracted networks. u2022 Maintain confidentiality and protect sensitive information throughout all credentialing activities. Requirements u2022 A minimum of 5 years of experience in credentialing or a related field. u2022 Proficiency in credentialing processes, including provider and physician credentialing. u2022 Familiarity with re-credentialing applications and behavioral health credentialing. u2022 Strong knowledge of Microsoft Office applications to manage and organize data effectively. u2022 Excellent attention to detail and ability to maintain accuracy in high-volume tasks. u2022 Demonstrated ability to comply with privacy, legal, and regulatory standards. u2022 Exceptional communication skills for collaborating with colleagues and addressing inquiries. u2022 Capability to manage enrollment activities across government payers and contracted health plans. TalentMatchu00ae Robert Half is the worldu2019s 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. u00a9 2025 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking u201cApply Now,u201d youu2019re agreeing to Robert Halfu2019s Terms of Use ( and Privacy Notice (.

Created: 2026-03-04