• Sr. Claims Specialist Professional…

    Sedgwick (Trenton, NJ)
    …to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Sr. Claims Specialist Professional Liability, Public Entity **PRIMARY PURPOSE** **:** To analyze ... and processes public entity claims by investigating and gathering information to determine the exposure on the claim; manages...+ Ensures claim files are properly documented and claims coding is correct. + Refers cases as appropriate to… more
    Sedgwick (09/05/24)
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  • Provider Network Specialist I

    Centene Corporation (Trenton, NJ)
    …one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national ... Purpose:** Perform duties to act as a liaison between providers, the health plan and Corporate. Perform training, orientation and coaching for performance… more
    Centene Corporation (08/29/24)
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  • Senior Specialist , Software Engineering…

    Merck (West Point, PA)
    …requirements and deliver AI-driven solutions. **Requirements:** + 5 years hands-on coding and software design experience building robust and scalable software using ... images. **Education:** + Bachelor's in Engineering, Science, Mathematics or Information /Computer related field. **NOTICE FOR INTERNAL APPLICANTS** In accordance with… more
    Merck (09/07/24)
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  • Medical Billing/AR Specialist - Remote

    Sutherland Global Services (Trenton, NJ)
    …Providing ongoing appropriate collection activity on appeals + Requesting additional information from Patients, Medical Records, and others as needed + Communicating ... with insurance plans and researching health plans for benefits and types of coverage +...of coverage + Reviewing contracts and identifying billing or coding issues and requesting re-bills, secondary billing, or corrected… more
    Sutherland Global Services (07/16/24)
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  • Coder - Outpatient

    Highmark Health (Trenton, NJ)
    …(RHIT) + Registered Health Information Associate (RHIA) + Certified Coding Specialist Physician (CCS-P) + Certified Coding Associate (CCA) + ... (CPC) + Certified Outpatient Coder (COC) Preferred + Associate's Degree in Health Information Management or related field **_Disclaimer:_** _The job description… more
    Highmark Health (08/14/24)
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  • BSWHP Risk Adjustment Auditor I

    Baylor Scott & White Health (Trenton, NJ)
    …with standards of ethical coding as set forth by the American Health Information Management Association (AHIMA) and the American Academy of Professional ... and respects patient confidentiality for accessing and disclosure of health information **KEY SUCCESS FACTORS** + Knowledge...have one of the following: + CCS - Certified Coding Specialist + CCS-P - Certified … more
    Baylor Scott & White Health (09/14/24)
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  • Senior Product Owner, SFMC

    Humana (Trenton, NJ)
    **Become a part of our caring community and help us put health first** Humana's Corporate Marketing organization is looking for a Senior Product Owner that is ... Salesforce Marketing Cloud Email Specialist certified to join the Marketing Regulatory and Operational...requirements into architecture for key solutions, from design to coding , providing consultation around channels and audience targeting +… more
    Humana (09/10/24)
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