Credentialing Specialist

Summit, New Jersey

A-Line Staffing Solutions LLC
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A-Line Staffing is now hiring a Credentialing Specialist in Summit, NJ.

The Credentialing Specialist will be working for a Fortune 500 Company and has career growth potential. See additional details below.


Credentialing Specialist Highlights

  • The pay for this position is $35.00 per hour.
  • Schedule: Monday-Friday, 8:00 AM - 4:00 PM (7.5-hour shift)
  • Onsite position
  • This position is a full-time contract opportunity.

Responsibilities

  • Enforce regulatory compliance and quality assurance for all credentialing processes.
  • Prepare and maintain reports of credentialing activities including accreditation, membership, and privileges.
  • Process applications for initial applicants and reappointments (125-200 per quarter).
  • Collect and verify credentialing data such as education, training, experience, and licensure.
  • Maintain and update accurate provider information in the Echo credentialing database.
  • Prepare materials for Credentials Committee, MEC, and Board of Trustees meetings.
  • Ensure all credentialing complies with federal, state, and bylaws of each facility.
  • Schedule and occasionally attend medical staff meetings; record and manage meeting minutes.
  • Process and collect dues for site-based medical staff.
  • Track license and certification expirations and advise providers on renewal timelines.
  • Maintain confidentiality of all provider information.
  • Perform other administrative tasks as assigned.

Requirements

  • High School Diploma or equivalent required.
  • Prior knowledge and experience with the medical staff credentialing process required.
  • Excellent verbal and written communication skills.
  • Strong research, analytical, and data management abilities.
  • Ability to work independently and manage multiple priorities simultaneously.
  • Strong organizational skills and attention to detail.
  • Proficiency with computer systems and Microsoft Office; experience with Echo database preferred.
  • Must not be focused on insurance credentialing-this role is strictly medical staff credentialing.

Benefits Available

  • Benefits are available to full-time employees after 90 days of employment.
  • A 401(k) with a company match is available for full-time employees with 1 year of service on our eligibility dates.

If you are interested in this Credentialing Specialist position, APPLY, or contact

153670


  • Processing insurance claims, expediting billing and payments for insurance claims
  • Denied claims with insurance carriers
  • Assemble appropriate information regarding claims
  • Resolve claims issues to ensure prompt and accurate claims adjudication
  • Adjusting health claims in accordance with claims policies and procedures
  • Examining and resolving medical claims
  • Perform complex healthcare payer claims processing
  • Approved payments in the claims system
  • Process standard claims or adjustments
  • Negotiate claims resolution within granted authority
  • Monitor training and ensure accurate claims processing
  • Resolve any open issues with claims
  • Settle cargo claims from shippers
  • Protect operations by keeping claims information
  • Maintain paper claims and on-line claim data
  • Negotiate settlements on some claims
  • Assist customers throughout the claims process and settle undisputed non-injury claims
  • Assist claims department as needed withinventory and complex claim issues
  • Ensure any changes required to claims
  • Submit claims on a daily basis
Date Posted: 07 June 2025
Job Expired - Click here to search for similar jobs