Credentialing Associate

  • location: Neptune, NJ
  • type: Contract
  • salary: $15 - $18 per hour
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job description

One of our top clients, located in Monmouth County, NJ and one of the state's largest 3rd party medical billing firms is in need of a Credentialing Associate to assist their ever growing team. This employee will be responsible for credentialing/enrolling new and established health care providers and maintenance of required information. This position will be staffed on a temp to hire basis and the rate of pay will be based on prior experience within the medical billing industry.

Interested applicants should have the exhibit the following:

Duties And Responsibilities

  • Meets with providers to explain process and sign applications
  • Collects, updates, maintains necessary provider information and documentation and verifies the information where possible.
  • Establishes and maintains data entry in CAQH.
  • Prepares credentialing applications for all initial applications and re-credentialing in a timely and complete manner.
  • Verifies provider and group information with insurance companies (addresses, contracted plans, provider ID numbers, etc.).
  • Coordinates information for enrollment and termination of all providers.
  • Handles enrollment with Medicare, Medicaid, commercial insurances.
  • Contributes to the departmental process and procedures with a collaborative approach.
  • Performs other duties as requested.


  • High School graduate or equivalent
  • Minimum two years of provider enrollment experience
  • Knowledge of Microsoft Word, Outlook, Excel, CAQH
  • Billing knowledge and experience preferred

Please submit your resume for consideration!

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