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2 results for Credentialing Specialist in Queens, NY

Credentialing Specialist

Somerset, NJ
onsite
Temporary / Contract
21 - 23 USD / Hourly
We are looking for a Credentialing Specialist to support a health pharm/biotech organization in Somerset, New Jersey. This Long-term Contract position is ideal for someone who is highly organized, service-minded, and comfortable handling detailed administrative work with accuracy. The role focuses on maintaining credentialing records, coordinating documentation, and providing responsive support to internal and external stakeholders. Responsibilities: • Manage credentialing files by collecting, reviewing, and updating required documentation to keep records complete and current. • Enter and maintain provider or role-related information in internal systems with a strong focus on accuracy and timeliness. • Communicate with stakeholders by email and other channels to resolve missing information and support credentialing activities. • Track application status, follow up on outstanding items, and help ensure deadlines are met throughout the credentialing process. • Use Microsoft Outlook to coordinate correspondence, schedule follow-ups, and organize credentialing-related communications. • Provide customer-focused assistance when responding to questions about documentation, status updates, and process requirements. • Review submitted materials for completeness and escalate discrepancies or issues that require additional attention.
2026-08-18T00:00:00Z

Payer Enrollment Specialist

Oceanport, NJ
onsite
Permanent / Full Time
65000 - 75000 USD / Yearly
Our client in the Shrewsbury area is hiring for a Credentialing & Enrollment Specialist for their healthcare organization! This role is permanent and in office, Monday-Friday with standard hours of 9-5pm. This role is paying within the salary range of $65-75k base and offers medical benefits, vision and dental as well as 401k. This role would be responsible for managing payer enrollment, credentialing, and provider onboarding activities in a high-volume healthcare environment. Key Responsibilities<ul><li>Manage payer enrollment and credentialing processes for healthcare providers across both delegated and non-delegated environments.</li><li>Coordinate provider onboarding, credentialing, and payer enrollment from initial submission through completion.</li><li>Maintain accurate and timely payer enrollment information, tracking statuses, deadlines, renewals, and outstanding requirements.</li><li>Manage enrollment activities within a non-delegated environment, ensuring all payer requirements and deadlines are met.</li><li>Support and maintain delegated credentialing processes and ensure providers remain compliant with applicable requirements.</li><li>Review and assess provider credentials, licenses, certifications, and other documentation for completeness and compliance.</li><li>Manage enrollment and credentialing activities for a large provider population, including employee, source/WK1, and agency providers.</li><li>Work within a high-volume, highly regulated, and heavily audited healthcare environment, maintaining exceptional attention to detail and accuracy.</li><li>Utilize Excel to track, organize, and manage large amounts of provider and enrollment data.</li><li>Partner with internal teams, healthcare providers, and payers to resolve enrollment and credentialing issues.</li><li>Maintain organized documentation and records to support audits, compliance requirements, and ongoing provider participation.</li></ul>
2026-08-26T00:00:00Z