Results for Credentialing Specialist Jobs in Somerset, NJ

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Credentialing Specialist

Bridgewater, NJ
remote
Temporary / Contract
30 - 35 USD / Hourly
We are looking for a detail-oriented Credentialing Specialist to support provider credentialing and enrollment activities for a Long-term Contract position based in the Bridgewater, New Jersey area. In this role, you will help ensure practitioners meet regulatory, accreditation, and organizational standards by coordinating verification, documentation, and record maintenance. The ideal candidate is organized, accurate, and comfortable working with sensitive information while partnering with internal teams and external entities. Responsibilities:• Conduct primary source verification for practitioner credentials, including education, licensure, certifications, and training history.• Review submitted applications for accuracy and completeness, and follow up with providers to obtain outstanding documentation.• Maintain current credentialing, privileging, and enrollment files while ensuring records remain organized and audit-ready.• Coordinate provider enrollment activities with payer and regulatory platforms, including government and industry credentialing databases.• Upload, organize, and associate supporting documents within credentialing systems to keep provider profiles current.• Enter and update provider data in internal databases with a strong focus on accuracy, consistency, and timeliness.• Perform routine reviews of on-call schedules and update unresolved assignments on a weekly basis.• Communicate with physicians, advanced practice providers, hospital personnel, and external organizations to resolve credentialing and enrollment matters.
2026-10-12T00:00:00Z

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

Benefits Specialist

Bensalem, PA
onsite
Temporary / Contract
22.1635 - 30 USD / Hourly
We are seeking a detail-oriented Benefits Specialist for a contract opportunity to provide administrative support to the Benefits/HR team. This position will assist with day-to-day benefits administration, employee inquiries, reporting, audits, and general departmental support. The ideal candidate is organized, comfortable working with confidential employee information, and has strong Excel and customer service skills. Key Responsibilities<ul><li>Provide day-to-day administrative support for the Benefits/HR department</li><li>Open, sort, review, and distribute incoming mail and benefit-related correspondence</li><li>Complete and respond to employment verification requests</li><li>Process and assist with unemployment claims and related documentation</li><li>Prepare bi-weekly and monthly Excel reports, ensuring data is accurate and complete</li><li>Assist with open enrollment, including answering employee questions regarding enrollment, deadlines, and general benefit inquiries</li><li>Respond to employee phone calls and emails and route more complex benefit questions as needed</li><li>Audit employee bonus information and bonus payouts for accuracy</li><li>Perform benefit billing audits, identifying discrepancies and assisting with corrections</li><li>Review employee and benefits data to ensure information is accurate across systems and reports</li><li>Maintain organized electronic and paper records while handling confidential information appropriately</li><li>Assist the Benefits team with additional administrative projects as needed</li></ul>
2026-10-14T00:00:00Z

3 results for Credentialing Specialist in Somerset, NJ