Results for Credentialing Specialist Jobs in Metuchen, NJ

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Medical Billing Specialist

Philadelphia, PA
onsite
Temporary / Contract
0 - 0 USD / Yearly
We are looking for a Medical Billing Specialist to support revenue cycle operations for a healthcare setting in Philadelphia, Pennsylvania. This Contract position focuses on accurate claim handling, payer follow-up, and timely reimbursement across multiple insurance types, including Keystone, auto, workers’ compensation, and commercial plans. The ideal candidate brings strong billing knowledge, sharp attention to detail, and the ability to manage claim activity efficiently in a fast-paced environment. Responsibilities: • Process and submit medical claims for multiple payer categories, ensuring each submission is complete, accurate, and aligned with insurance guidelines. • Investigate unpaid, delayed, or denied claims and work with payer representatives to drive resolution and secure payment. • Review billing records for errors or inconsistencies, make necessary corrections, and promptly refile claims when needed. • Monitor payer-specific rules, reimbursement terms, coding standards, and applicable billing regulations to maintain compliance. • Coordinate with internal teams such as coding, registration, and clinical staff to gather information needed for clean claim processing. • Respond to insurance requests and provide supporting documentation to address claim questions or outstanding issues. • Record account activity, update claim status notes, post remittance details, and reconcile payer and patient balances. • Contribute to denial review efforts and support audit-related activities by maintaining thorough and accurate billing documentation.
2026-09-25T00:00:00Z

Quality Assurance Specialist

Secaucus, NJ
onsite
Temporary / Contract
22.1635 - 25.663 USD / Hourly
We are looking for a Quality Assurance Specialist to join a global apparel and fashion organization in Secaucus, New Jersey. This Long-term Contract opportunity combines quality assurance coordination with administrative support, offering a key role in keeping product submissions, documentation, and reporting organized and on schedule. The position partners closely with quality leadership, suppliers, and factory teams to help maintain visibility into samples, deadlines, and quality-related records. Responsibilities: • Provide day-to-day support to quality leadership by managing administrative tasks, organizing priorities, and helping the team stay aligned on deliverables. • Monitor sample activity from submission through follow-up, ensuring items are logged accurately and tracked against required timelines. • Maintain organized quality documentation and update records so information is current, accessible, and audit-ready. • Prepare and distribute Excel-based reports that highlight status updates, open items, and progress against deadlines. • Communicate with suppliers and factory partners to gather missing information, confirm expectations, and resolve outstanding submissions. • Follow up consistently on pending approvals, late deliverables, and incomplete documentation to keep projects moving forward. • Assist with coordination across the QA function to support product quality processes and reporting needs. • Help manage scheduling, reporting, and other operational tasks that contribute to an efficient quality assurance workflow.
2026-10-20T00:00:00Z

Quality Assurance Specialist

Lyndhurst, NJ
onsite
Temporary / Contract
17.4135 - 20.163 USD / Hourly
We are looking for a detail-oriented Quality Assurance Specialist to support product quality activities near Lyndhurst, New Jersey. This Long-term Contract position offers the opportunity to contribute to inspection, documentation, inventory accuracy, and testing efforts while working closely with the quality team. The role is well suited for someone who is organized, hands-on, and comfortable assisting with both administrative and operational quality tasks. Responsibilities:• Support inventory movements and help maintain accurate stock records through routine cycle count activities.• Partner with quality team members during early-stage production approvals by preparing records and reviewing merchandise details.• Help evaluate incoming components and finished products using established quality review procedures and internal analysis methods.• Assist with scanning diamonds in production items in accordance with defined quality and tracking processes.• Prepare merchandise for handling and distribution by tagging and bagging items when needed.• Create, organize, and update quality documentation to ensure records remain complete and accessible.• Participate in product testing activities as assigned to help confirm compliance with quality standards.• Provide day-to-day support across the team and contribute wherever additional assistance is required.
2026-10-20T00:00:00Z

3 results for Credentialing Specialist in Metuchen, NJ