- Humana (Trenton, NJ)
- …our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business ... the Pricer Business and System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support… more
- Humana (Trenton, NJ)
- …The Provider Contracting Executive initiates, negotiates, and executes physician, hospital , and/or other provider contracts and agreements for an ... organization that provides health insurance. The Provider Contracting Executive works on problems of diverse scope and complexity ranging from moderate to… more
- RWJBarnabas Health (Somerville, NJ)
- …- Hybrid -Full Time, Day - Central Hospital Sites, NJReq #:0000174921 Category:Billing/Collections/Registration Status:Full-Time Shift:Day Facility:RWJBarnabas ... System Business Office, 379 Campus Drive, Somerville, NJ 08873 ** Central Hospital Sites Include: RWJUH at Somerset- Somerville, NJ; RWJUH at New Brunswick-… more
- Genesis Healthcare (Manahawkin, NJ)
- …standards of care. *Manage the overall process and tracking of all Medicare/ Medicaid case-mix documents to assure appropriate reimbursement for services provided ... through the delivery of high-quality care and exceptional service. As a leading provider in the long-term care industry, we believe in fostering a collaborative,… more
- Atlantic Health System (Morristown, NJ)
- …recognition achievable from the American Nurses Credentialing Center for facilities that provide acute care services. Our nonprofit hospital was also designated ... Atlantic Health System/Goryeb Children's Hospital is Seeking a Program Director for our...plans + 403b retirement plan with company match + Reimbursement for Relocation + Comprehensive Malpractice Policy + Non-Profit… more
- CVS Health (Linden, NJ)
- …The care manager will be responsible for; care planning, direct provider collaboration, and effective utilization of available resources in a cost-effective ... **Union** County + 3+ years clinical practice experience, eg, hospital setting, alternative care setting such as home health...NJ area. Mileage is reimbursed per our company expense reimbursement policy + Successful completion of the NJ Choice… more
- BrightSpring Health Services (Totowa, NJ)
- Our Company Amerita Overview Amerita, Inc. is a leading provider in home Infusion therapy. We are looking for a Lead Intake Coordinator to join our Intake team as we ... of infusible drugs coming to market, and an industry shift from hospital delivery settings to lower-cost, high-quality alternative providers such as Amerita. As… more
- Atlantic Health System (Morristown, NJ)
- …recognition achievable from the American Nurses Credentialing Center for facilities that provide acute care services. Our nonprofit hospital was also designated ... who is looking to transition to a Nationally Recognized Hospital ? If so, Atlantic Health System is seeking a...care facility and be a team player who will provide exceptional care to our patients. Full Time Team… more
- Atlantic Health System (Morristown, NJ)
- …recognition achievable from the American Nurses Credentialing Center for facilities that provide acute care services. Our nonprofit hospital was also designated ... of board-certified cancer specialists. The APC is expected to provide hematology & medical oncology specialty patient care in...sick days, and paid holidays + CME allowance and reimbursement for CDS/DEA, licensing, and boards + Tuition … more
- Atlantic Health System (Morristown, NJ)
- …recognition achievable from the American Nurses Credentialing Center for facilities that provide acute care services. Our nonprofit hospital was also designated ... are looking for a dedicated and reliable PA/APN to provide inpatient coverage during evenings and weekends for our...sick days, and paid holidays + CME allowance and reimbursement for CDS/DEA, licensing, and boards + Tuition … more
- Atlantic Health System (Morristown, NJ)
- …recognition achievable from the American Nurses Credentialing Center for facilities that provide acute care services. Our nonprofit hospital was also designated ... + Generous PTO, annual sick days, and paid holidays + CME allowance and reimbursement for CDS/DEA, licensing, and boards + Tuition reimbursement for advanced… more
- Atlantic Health System (Morristown, NJ)
- …recognition achievable from the American Nurses Credentialing Center for facilities that provide acute care services. Our nonprofit hospital was also designated ... who is looking to transition to a Nationally Recognized Hospital ? If so, Atlantic Health System is seeking a...care facility and be a team player who will provide exceptional care to our patients. Full Time Team… more
- Atlantic Health System (Florham Park, NJ)
- …recognition achievable from the American Nurses Credentialing Center for facilities that provide acute care services. Our nonprofit hospital was also designated ... including 6 Child and Adolescent Psychiatrists. The candidate will oversee and provide patient care for children and adolescents with psychiatric needs referred from… more
- Atlantic Health System (Morristown, NJ)
- …appropriateness and accurate code assignments in accordance with Center of Medicare and Medicaid (CMS) guidelines and provide ongoing feedback and analysis of ... 10. Prepares written reports of the audit findings by provider /practice 11. Follows up with providers as needed until...12. Assists with claim denial reports to ensure optimal reimbursement 13. Serves as a resource to the office… more
- Hackensack Meridian Health (Hackensack, NJ)
- …and trends data to identify areas for denial prevention. + Develop and provide physician education and feedback on hospital utilization. + Ensure compliance ... appropriate length of stay, readmission prevention, and patient satisfaction. Provide Care Coordination by demonstrating throughput efficiency while assuring care… more
- CVS Health (Hoboken, NJ)
- …The care manager will be responsible for, care planning, direct provider collaboration, and effective utilization of available resources in a cost-effective ... **Hudson** County + 3+ years clinical practice experience, eg, hospital setting, alternative care setting such as home health...New Jersey. Mileage is reimbursed per our company expense reimbursement policy + Successful completion of the NJ Choice… more
- CVS Health (Manville, NJ)
- …The care manager will be responsible for; care planning, direct provider collaboration, and effective utilization of available resources in a cost-effective ... County and surrounding counties. Mileage is reimbursed per our company expense reimbursement policy + 3+ years clinical practice experience, eg, hospital … more
- Humana (Trenton, NJ)
- …to quality review the inpatient hospital claims for proper reimbursement , handle provider disputes in a result-oriented and metrics-driven environment. ... Fortune 100 Company values associate engagement & your well-being. We also provide excellent professional development & continued education. **Use your skills to… more
- RWJBarnabas Health (Elizabeth, NJ)
- …patient services environment billing/collections-must have a working knowledge of more than one provider such as Medicare, Medicaid , HMOs and others + Experience ... STREET, 235 Williamson Street, Elizabeth, NJ 07202 Job Overview: A hospital patient registrar collects patient information and performs several functions, from… more
- Genesis Healthcare (Eatontown, NJ)
- Overview **ABOUT GENESIS** As the nation's leading provider of healthcare services from short-term to long-term and a wide variety of living options and professional ... you comfortable working cross-functionally with departments like **Admissions, Clinical Reimbursement , and Social Services** to maintain accurate and compliant… more