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4 results for Credentialing Specialist in Woodbridge, NJ

Credentialing Specialist

Great Neck, NY
onsite
Temporary / Contract
30 - 35 USD / Hourly
We are looking for a Credentialing Specialist to support provider enrollment and payer relations for dental practices in Great Neck, New York. This Long-term Contract position focuses on keeping dental providers properly credentialed, enrolled, and in good standing with commercial plans and government payers. The person in this role will work closely with insurance representatives and internal teams to help maintain accurate records, prevent participation gaps, and address issues that affect reimbursement. Responsibilities: • Manage credentialing and recredentialing activities for dentists, specialists, and hygienists with commercial insurers, Medicaid, and other payer organizations. • Complete and submit enrollment applications with all required documentation, then monitor progress through approval. • Maintain provider records such as licenses, liability coverage, and other credentialing documents needed for network participation. • Communicate with insurance carriers and payer contacts to obtain updates, resolve pending items, and support timely enrollment decisions. • Review notices from payers, including contract updates, participation changes, and revalidation requests, and take appropriate follow-up action. • Partner with billing, front office, and practice leadership teams to investigate claim denials and reimbursement concerns tied to credentialing status. • Track expiration dates, renewal timelines, and payer-specific deadlines to reduce the risk of lapses in active participation. • Keep credentialing files, status logs, and reporting data organized, current, and audit-ready. • Assist with compliance reviews and documentation audits related to provider enrollment and payer participation.
2026-09-18T00:00:00Z

Medical Billing Specialist

New York, NY
onsite
Temporary / Contract
27 - 30 USD / Hourly
We are looking for a detail-oriented Medical Billing Specialist to support a busy health center in New York, New York. This Contract position focuses on accurate coding review, claim preparation, and reimbursement support while partnering closely with the existing billing team. The ideal candidate brings strong knowledge of medical billing practices and coding standards and can help resolve coding-related questions in a fast-paced healthcare environment. Responsibilities: • Review patient billing documentation to confirm coding accuracy and support timely claim submission. • Assign and validate ICD-10 and CPT codes to help maximize proper reimbursement and reduce claim errors. • Analyze billing records and identify discrepancies, omissions, or coding issues that may affect payment processing. • Provide day-to-day guidance to billing staff on coding questions and best practices for claim preparation. • Use eClinicalWorks to manage billing information, update records, and monitor claim-related activity. • Collaborate with internal team members to address denied, rejected, or pending claims and support resolution efforts. • Maintain organized and compliant billing workflows in alignment with healthcare regulations and payer requirements.
2026-09-18T00:00:00Z

Admissions Specialist

New York, NY
onsite
Temporary / Contract
22 - 27 USD / Hourly
We are looking for an experienced Admissions Specialist to support a university-based admissions team on a contract basis through October. This position is ideal for someone who can quickly step into a fast-paced higher education environment, guide prospective students through the admissions process, and maintain strong coordination with faculty and administrative partners. The role follows a Monday through Friday schedule with a hybrid arrangement of four days onsite and one remote day that may vary. Responsibilities: • Oversee the intake and tracking of prospective student applications, ensuring materials are complete and following up promptly when additional information is needed. • Coordinate admissions testing by arranging schedules, maintaining accurate records, and documenting outcomes in a timely manner. • Advise admitted and prospective students on enrollment steps, required documentation, and deadlines to support a smooth start to their academic journey. • Work closely with faculty, administrators, and campus departments to address applicant concerns and resolve admissions-related issues effectively. • Contribute to meetings, committees, and cross-functional discussions by sharing updates and helping improve admissions practices and communication. • Evaluate current admissions workflows and identify opportunities to strengthen efficiency, accuracy, and the overall applicant experience. • Assist with candidate review activities, interview coordination, and participation in recruitment events designed to attract prospective students. • Provide operational support for undergraduate recruitment and admissions initiatives, helping maintain continuity during interim coverage. • Maintain a student-facing presence while handling inquiries with care and a high level of customer service.
2026-09-17T00:00:00Z

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>
2026-09-16T00:00:00Z