• Medicaid Provider Hospital

    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 ... Qualifications** + Experience with Ohio Medicaid hospital reimbursement methodologies + Experience researching and resolving provider reimbursement more
    Humana (04/30/25)
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  • Provider Contracting Executive

    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
    Humana (05/07/25)
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  • Patient Accounts (Customer Services) - Hybrid…

    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
    RWJBarnabas Health (03/21/25)
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  • Consultant, Ethics & Compliance (Audit)

    Cardinal Health (Trenton, NJ)
    …audit methodology, principles and techniques; CMS manuals; professional and/or hospital services reimbursement and repayment; confidentiality standards. + ... organizational integrity of billing for professional (physician) services and/or hospital (technical) services, including: detection and correction of documentation,… more
    Cardinal Health (04/25/25)
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  • Case Manager Registered Nurse (Field - Must reside…

    CVS Health (Somerset, 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
    CVS Health (04/19/25)
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  • Inpatient DRG Quality Auditor

    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
    Humana (05/03/25)
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  • Business Office Manager

    Genesis Healthcare (Huntingdon Valley, PA)
    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
    Genesis Healthcare (04/01/25)
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