- Rowan University (Stratford, NJ)
- …is located in the NJ FamilyCare, DMAHS Offices, Hamilton Township, NJ 08619 SUMMARY: The Medicaid Eligibility Policy Subject Matter Expert will work ... within the Office of Eligibility Policy and Operations (OEP) leadership at...Knowledge of Medicaid systems that include Integrated Eligibility System (IES), Medicaid Eligibility … more
- Atlantic Health System (Morristown, NJ)
- …the management of the due diligence process. -Serve as a key subject matter resource on healthcare laws and regulations, including, without limitation, monitoring ... fraud and abuse issues, HIPAA compliance, EMTALA, Medicare and Medicaid compliance, licensure issues, pay-to-play issues, corporate governance and regulatory… more
- Cardinal Health (Trenton, NJ)
- …and properly resolves by follow-up & disposition. + Verifies patient eligibility with secondary insurance company when necessary. + Bills supplemental insurances ... including all Medicaid states on paper and online. + Mails all paper claims. + Acts as a subject matter expert in claims processing. + Manages billing queue as… more
- Elevance Health (NJ)
- …recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific ... modalities to patients who receive home and community-based services through state Medicaid programs, dual eligible members and other membership as assigned by our… more
- Elevance Health (NJ)
- …recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific ... modalities to patients who receive home and community-based services through state Medicaid programs, dual eligible members and other membership as assigned by our… more
- Cardinal Health (Trenton, NJ)
- …as appropriate. + Assists supervisors in ensuring staff adherence to company policy and procedures. + Assists supervisors in related personnel documentation as ... required, necessary, or appropriate. + Acts as a subject matter expert in claims processing. + Processes claims:...to ensure timely and accurate reimbursement. + Verifies patient eligibility with secondary insurance company when necessary. + Bills… more
- Evolent (Trenton, NJ)
- …center setting is a plus. * Knowledge of managed care, Commercial, Marketplace, Medicaid and/or Medicare programs; knowledge of medical policy benefits and ... Answer and manage inbound inquiries regarding health plan benefits and claims, eligibility , medical and other healthcare procedures, billing and payments and other… more
- Aveanna Healthcare (Hightstown, NJ)
- …Day/Night/Weekends available) + Paid Training & Continuous Professional Development *benefit eligibility is dependent on employment status **Terms and Conditions may ... in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring,… more
- Aveanna Healthcare (Woodbine, NJ)
- …available) + Paid Training & Continuous Professional Development *benefit eligibility is dependent on employment status Equal Employment Opportunity and ... in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring,… more