<p>We are looking for a meticulous Credentialing Specialist to join our team located in the Greater Philadelphia Region. In this Credentialing Specialist contract role, you will play a critical part in ensuring that healthcare providers meet all necessary legal and detailed requirements. Your expertise will help maintain compliance and uphold high standards within the credentialing process.</p><p><br></p><p>Here’s how you’ll contribute each day: </p><p>• Manage the credentialing and re-credentialing processes for healthcare providers, ensuring compliance with all regulations.</p><p>• Verify and validate the qualifications, certifications, and licenses of physicians and other providers.</p><p>• Maintain accurate and up-to-date records in the credentialing database.</p><p>• Collaborate with internal teams and external organizations to resolve any credentialing-related issues.</p><p>• Prepare and review applications for credentialing and re-credentialing.</p><p>• Ensure timely submission of documentation to meet deadlines and regulatory requirements.</p><p>• Monitor changes in credentialing standards and implement updates as needed.</p><p>• Provide support during audits and inspections related to credentialing.</p><p>• Communicate effectively with providers to address inquiries and clarify credentialing requirements.</p><p>• Ensure adherence to organizational policies and procedures throughout the credentialing process.</p>
<p>We are looking for an experienced Medical Biller/Collections Specialist to join our team on a long-term contract basis. This position is located in Mt Laurel Township, New Jersey, and offers an opportunity to contribute your expertise in medical billing and collections while ensuring compliance with Medicare and Medicaid regulations. If you have a strong background in billing and appeals, we encourage you to apply.</p><p><br></p><p>Responsibilities:</p><p>• Accurately process medical billing for Medicare and Medicaid claims, ensuring compliance with regulatory standards.</p><p>• Handle accounts receivable tasks, including tracking and resolving outstanding balances.</p><p>• Investigate and manage medical denials, implementing solutions to ensure proper claim resolution.</p><p>• Prepare and submit medical appeals to recover denied or underpaid claims.</p><p>• Conduct hospital billing operations, maintaining accuracy and consistency in documentation.</p><p>• Communicate with insurance providers to address claim discrepancies and secure timely reimbursements.</p><p>• Maintain detailed records of billing and collection activities for auditing purposes.</p><p>• Collaborate with healthcare providers and administrative teams to streamline billing processes.</p><p>• Identify opportunities to improve efficiency within the billing and collections workflow.</p><p>• Provide regular updates on accounts and collections to management.</p>
<p>We are looking for an experienced Medical Biller/Collections Specialist to join our team on a long-term contract basis in Mt. Laurel Township, New Jersey. In this role, you will play a key part in managing billing and accounts receivable tasks for Medicare and Medicaid while ensuring accuracy and compliance with healthcare regulations. This position offers an excellent opportunity to contribute to the financial health of a respected organization.</p><p><br></p><p>Responsibilities:</p><p>• Process and submit claims for Medicare and Medicaid reimbursement, ensuring accuracy and adherence to regulatory requirements.</p><p>• Monitor accounts receivable and follow up on outstanding claims to ensure timely payment.</p><p>• Investigate and resolve medical billing denials and appeal claims when necessary.</p><p>• Collaborate with healthcare providers and insurance companies to address discrepancies or issues in billing.</p><p>• Maintain accurate and up-to-date records of billing activities and payment statuses.</p><p>• Handle hospital billing tasks, including verifying patient information and coding procedures correctly.</p><p>• Provide support for resolving patient billing inquiries and concerns with strong attention to detail.</p><p>• Stay informed about changes in healthcare billing regulations and industry standards.</p><p>• Assist in identifying process improvements to enhance billing efficiency and reduce errors.</p>