7 results for Credentialing Specialist in Princeton, NJ

Credentialing Specialist

Somerville, NJ
onsite
Temporary
25 - 30 USD / Hourly
We are looking for a detail-oriented Credentialing Specialist to join our team. In this long-term contract position, you will play a vital role in ensuring healthcare practitioners meet all credentialing and privileging requirements according to state, federal, and accreditation guidelines. This is an excellent opportunity to showcase your organizational skills and contribute to maintaining compliance and efficiency within the credentialing process. Responsibilities:<ul><li>Conduct thorough primary source verification to confirm education, licenses, and training credentials of healthcare practitioners.</li><li>Review and audit applications for accuracy and completeness, ensuring all required information is provided.</li><li>Manage and maintain credentialing records, privileging documentation, and enrollment files with precision.</li><li>Oversee provider enrollment processes for Medicaid, CAQH, and other healthcare systems, ensuring compliance with established procedures.</li><li>Upload and link critical documents in credentialing systems while maintaining accurate data entry.</li><li>Regularly update and audit on-call schedules to ensure accuracy and reliability.</li><li>Collaborate with physicians, advanced practice providers, hospital staff, and external organizations to address credentialing matters.</li><li>Ensure databases are consistently updated and maintained for seamless access and reporting.</li><li>Handle confidential information with discretion and professionalism, addressing urgent matters promptly.</li></ul>
2026-03-26T00:00:00Z

Credentialing Specialist

Philadelphia, PA
remote
Temporary
21 - 22 USD / Hourly
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. Here’s how you’ll contribute each day: • Manage the credentialing and re-credentialing processes for healthcare providers, ensuring compliance with all regulations.• Verify and validate the qualifications, certifications, and licenses of physicians and other providers.• Maintain accurate and up-to-date records in the credentialing database.• Collaborate with internal teams and external organizations to resolve any credentialing-related issues.• Prepare and review applications for credentialing and re-credentialing.• Ensure timely submission of documentation to meet deadlines and regulatory requirements.• Monitor changes in credentialing standards and implement updates as needed.• Provide support during audits and inspections related to credentialing.• Communicate effectively with providers to address inquiries and clarify credentialing requirements.• Ensure adherence to organizational policies and procedures throughout the credentialing process.
2026-03-27T00:00:00Z

Medical Billing Specialist

Basking Ridge, NJ
onsite
Contract / Temporary to Hire
25.3365 - 29.337 USD / Hourly
Our client is seeking an experienced Medical Billing Specialist to join their healthcare team in Basking Ridge, New Jersey. In this role, you will handle Medicare billing processes for skilled nursing facilities, ensuring compliance and accuracy in claims and collections. This is a Contract to permanent position offering an opportunity to contribute to the financial operations of senior living communities. Medicaid Medical Biller Responsibilities:• Manage end-to-end accounts receivable processes and collections for skilled nursing facilities.• Submit, monitor, and resolve Medicare Part A claims, including corrections, status checks, and eligibility verifications.• Handle billing for Medicare Part B, hospice care, and outpatient services with attention to payer status.• Investigate and follow up on unpaid, underpaid, or rejected claims, including appeals and reconsiderations.• Maintain accurate coding and documentation to ensure compliance with Medicare regulations.• Collaborate with clinical, business office, and revenue cycle teams across multiple facilities to optimize billing operations.• Monitor accounts receivable aging and escalate high-risk accounts when necessary.• Utilize systems such as PointClickCare, Inovalon, and MatrixCare to manage billing activities.• Ensure timely and accurate submissions by verifying all claim data for completeness.• Coordinate with nursing leadership and business offices to address discrepancies and improve processes.
2026-03-25T00:00:00Z

Medical Billing Specialist

Philadelphia, PA
onsite
Contract / Temporary to Hire
21 - 23 USD / Hourly
Robet Half is looking for a skilled Medical Billing Specialist to join to join a team based in Philadelphia, Pennsylvania. This contract Medical Billing Specialist position as potential for long-term employment and is ideal for professionals who excel in managing medical billing processes and ensuring the accuracy of patient and insurance data. The successful Medical Billing Specialist candidate will play a critical role in maintaining efficient billing workflows and supporting compliance with healthcare regulations. If you are looking for an opportunity to get your career moving in the right direction and put your talents to the test then click the apply button today. If you have any questions, please contact Robert Half at 215-568-4580 and mention JO#03720-0013410775. As a Medical Billing Specialist Your Responsibilities will include but are not limited to:• Accurately input patient demographic, insurance, and billing information into electronic medical record and billing systems. • Review and validate documentation such as Explanation of Benefits (EOBs), charge tickets, and encounter forms for completeness and correctness. • Apply knowledge of medical codes to ensure accurate data entry and validation. • Investigate and resolve discrepancies in patient accounts, insurance details, or claims. • Prepare billing data for claim submission while adhering to established guidelines. • Maintain compliance with healthcare privacy policies and organizational standards. • Collaborate with billing teams, clinical staff, and front office personnel to address documentation issues. • Support the optimization of billing workflows to enhance operational efficiency. • Assist in audits, reporting, and specialized data cleanup projects as needed.
2026-03-30T00:00:00Z

Credit & Collections Specialist

Conshohocken, PA
onsite
Permanent
55000 - 65000 USD / Yearly
Robert Half has partnered with a thriving manufacturing company on their search for an experienced Credit & Collections Specialist. The responsibilities for this role will consist of: evaluating credit applications, monitoring customer credit limits, collecting outstanding payments, resolving billing issues, assisting with charge backs, updating credit profiles, collaborating with sales and management on credit decisions and terms, analyze customer accounts, recommending accounts for third-party collections, arranging debt payoffs, and ensuring compliance with policies and applicable credit/collections laws and regulations. Ultimately, this Credit & Collections Specialist will process payments and refunds, update account records, and provide assistance where collection efforts are needed. Primary Duties· Create and maintain credit history records· Set up new client accounts· Document daily collection activity· Complete collection effort calls· Reviewing and approving credit holds· Generate legal collections documents· Spreadsheet Maintenance· Perform payment reconciliations· Assist customer service department· Develop and schedule payment plans
2026-03-26T00:00:00Z

Medical Biller/Collections Specialist

Mount Laurel, NJ
onsite
Temporary
24 - 27.5 USD / Hourly
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. Responsibilities:• Accurately process medical billing for Medicare and Medicaid claims, ensuring compliance with regulatory standards.• Handle accounts receivable tasks, including tracking and resolving outstanding balances.• Investigate and manage medical denials, implementing solutions to ensure proper claim resolution.• Prepare and submit medical appeals to recover denied or underpaid claims.• Conduct hospital billing operations, maintaining accuracy and consistency in documentation.• Communicate with insurance providers to address claim discrepancies and secure timely reimbursements.• Maintain detailed records of billing and collection activities for auditing purposes.• Collaborate with healthcare providers and administrative teams to streamline billing processes.• Identify opportunities to improve efficiency within the billing and collections workflow.• Provide regular updates on accounts and collections to management.
2026-03-20T00:00:00Z

Benefits Specialist

New York, NY
onsite
Temporary
36.1 - 38 USD / Hourly
We are looking for a dedicated Benefits Specialist to join our team on a long-term contract basis. This role is based in New York, New York, and offers an exciting opportunity to manage and enhance employee benefits programs while collaborating with vendors and internal teams. The ideal candidate will have a strong background in benefits administration, excellent communication skills, and the ability to handle complex cases and high-volume tasks efficiently. Responsibilities:• Handle daily benefits administration tasks, including managing a high-volume ticket queue and addressing employee inquiries through platforms such as Workday, Zoom, and Slack.• Research and resolve complex benefits and leave-related issues, escalating to vendors or carriers as necessary.• Validate and maintain accuracy in Workday file feed integrations and manually upload files when automated processes fail.• Administer 401(k) and retirement plans, including correcting report errors, troubleshooting account setups, and managing loan files.• Collaborate with vendors and brokers to ensure timely resolution of employee escalations and process vendor payments efficiently.• Conduct monthly premium reconciliations, verify reimbursement eligibility, and ensure accuracy across payroll and benefits reporting systems.• Create and distribute employee communications, such as newsletters and onboarding presentations, to enhance engagement and education.• Coordinate and support financial wellness initiatives, vendor engagement events, and employee education programs.• Partner with leadership to support special projects, including pilot programs, insurance RFPs, and office setup initiative
2026-03-25T00:00:00Z