3 results for Credentialing Specialist in New York, NY

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

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