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>
2026-03-03T00:00:00Z

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.
2026-03-04T00:00:00Z

Medical Billing Specialist

Philadelphia, PA
onsite
Temporary
0 - 0 USD / Yearly
We are seeking a detail-oriented Medical Biller specializing in billing and follow-up for IBC, Keystone, Auto, Workers' Compensation, and Commercial Insurances. This position plays a vital role in the hospital’s revenue cycle by ensuring accurate claim submission and timely reimbursement from various insurance payers. The hours for this position are 8am-4:30pm, on-site in 19154 zip code area. Key Responsibilities: • Prepare, review, and submit medical claims to IBC, Keystone, Auto, Workers' Compensation, and commercial insurance providers, ensuring all claims are accurately completed and compliant with payer requirements. • Perform thorough and timely follow-up on unpaid or denied claims, working directly with insurance representatives to resolve issues and secure reimbursement. • Identify and correct billing errors and discrepancies; resubmit corrected claims promptly. • Maintain up-to-date knowledge of payer contracts, medical coding (ICD-10, CPT), and state/federal billing regulations. • Respond to insurance inquiries, provide requested documentation, and communicate with clinical, registration, and coding teams as needed to ensure successful claim processing. • Track account status and payments, posting remittances and reconciling patient and payer accounts. • Document all actions, communications, and status updates in the billing/account system. • Participate in audits and assist with denial management efforts. Requirements: • 2+ years’ experience in hospital or physician billing, with a focus on multi-payer environments (IBC, Keystone, Auto, Work Comp, Commercial). • Proficiency in electronic medical records (EMR), hospital billing systems, and payer web portals. • Strong understanding of insurance claims processes, medical coding, and relevant regulations. • Excellent written and verbal communication skills; professional, courteous telephone etiquette. • High attention to detail and organizational skills; ability to handle high-volume work and meet deadlines. For immediate consideration please call Christine at the Trevose PA office of Robert Half at 215-244-1870. Or send your updated resume to christine.macmahon@roberthalf com Thank you!
2026-03-05T00:00:00Z

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
2026-02-24T00:00:00Z

Admissions Specialist

New York, NY
onsite
Temporary
31.6635 - 36.663 USD / Hourly
We are looking for a dedicated Admissions Specialist to join our team in New York, New York, on a contract basis. In this role, you will oversee undergraduate admissions operations, leading recruitment efforts and driving enrollment growth. This position requires strong leadership skills, the ability to collaborate cross-departmentally, and a data-driven approach to decision-making. Responsibilities: • Lead and manage the undergraduate admissions team, providing coaching, guidance, and support to ensure recruitment targets are met. • Develop and implement effective recruitment strategies, both short-term and long-term, to attract prospective students. • Oversee admissions-related workflows, databases, and communication processes to maintain data integrity and operational efficiency. • Represent the admissions department at both virtual and in-person recruitment events. • Collaborate with departments such as Marketing, Academic Affairs, and Student Financial Services to align strategies and processes. • Monitor and evaluate key performance indicators to assess admissions staff performance and identify areas for improvement. • Conduct regular team and individual meetings to address challenges, provide mentorship, and encourage attention to detail and growth. • Utilize forecasting models and research tools to analyze enrollment trends and inform recruitment strategies. • Manage technology implementations and updates to enhance admissions operations and streamline workflows. • Partner with faculty and staff to cultivate a campus-wide culture that supports recruitment and student retention efforts.
2026-03-04T00:00:00Z

Medical Biller/Collections Specialist

Mount Laurel, NJ
onsite
Temporary
24 - 27 USD / Hourly
We are looking for an experienced Medical Biller/Collections Specialist to join our team in Mt. Laurel, New Jersey. This long-term contract position offers the opportunity to utilize your medical billing expertise, specifically focusing on Medicaid and Medicare claims. The ideal candidate is detail-oriented, has a strong understanding of medical collections processes, and is eager to contribute to the financial health of the organization. Responsibilities:• Process and submit claims accurately for Medicaid, Medicare, and other insurance providers.• Handle medical collections, ensuring timely follow-up on outstanding accounts.• Investigate and resolve medical billing denials to secure payment.• Prepare and submit appeals for denied claims as needed.• Manage hospital billing procedures with precision and compliance.• Communicate effectively with insurance companies and healthcare providers to resolve discrepancies.• Maintain detailed records of billing activities and collections.• Collaborate with internal teams to ensure proper documentation and coding.• Stay updated on healthcare billing regulations and compliance standards.
2026-02-17T00:00:00Z

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.
2026-02-17T00:00:00Z