- Lincoln Financial (Trenton, NJ)
- …**Requisition #:** 74647 **The Role at a Glance** We are excited to bring on a Claims Customer Care Associate to join our claimant excellence team supporting ... coaching and development to perform in this fast-paced environment. As a Claims Customer Care Associate , you will be responsible for answering claimants… more
- Humana (Trenton, NJ)
- …and judgement to make determinations whether requested services, requested level of care , and/or requested site of service should be authorized. All work occurs ... of decisions to internal associates, and possible participation in care management. May occasionally participate in discussions with external physicians… more
- Atlantic Health System (Branchburg, NJ)
- Medical Office Associate (Front Desk Receptionist) Responsible for providing day-to-day support operations by performing administrative tasks and ensuring ... high-quality customer service to patients. Medical office associate manages both the front and back of the...insurance coverage and assists the billing department with processing claims . + Communicates test results to patients when directed… more
- CVS Health (Trenton, NJ)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... 5:00 PM Eastern Standard Time (EST)_ The Transition of Care Coach is responsible for care coordination...advocate for themselves. The TOC team will review prior claims to address potential impact on current case management… more
- Evolent (Trenton, NJ)
- …a bold mission to change the health of the nation by changing the way health care is delivered. Our pursuit of this mission is the driving force that brings us to ... a mission with a company behind it. **What You'll Be Doing:** ** Associate Director, Performance Analytics - Oncology & Member Product Focus** **Overview:** Evolent… more
- Evolent (Trenton, NJ)
- …people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care ... system and ensure people get the same level of care and compassion we would want for our loved...our specialty programs and administrative platform. Role Overview The Associate Director role on Client Analytics will support both… more
- Travelers Insurance Company (Trenton, NJ)
- **Who Are We?** Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our ... Claim Counsel team conducts thorough investigation, analysis, evaluation, and disposition of claims and claim litigation to achieve superior customer service and to… more
- Penn Medicine (Plainsboro, NJ)
- …is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field ... future each day. Are you living your life's work? Job: Patient Access Associate - Outpatient Hours: Full Time, 8:30am-5pm Location: Employee will float between three… more
- Bristol Myers Squibb (Princeton, NJ)
- … claims reimbursement required, including billing and coding; managed care coverage processes and practices; distribution and dispensing of specialty ... in their personal lives. Read more: careers.bms.com/working-with-us . **SUMMARY:** The Associate Director, PASS Program Strategy and Marketing will play a critical… more
- Walgreens (White House Station, NJ)
- …pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
- J&J Family of Companies (Titusville, NJ)
- …of America **Job Description:** **We are searching for the best talent for Associate Director, AI For Medical Engagement to be in Bedminster, NJ with consideration ... Strategy (CAPS) team at Johnson & Johnson Innovative Medicine is seeking an Associate Director, AI For Medical Engagement to support CAPLYTA and lead end-to-end… more
- Haleon (Warren, NJ)
- …control of. In an environment that we're co-creating. And a culture that's uniquely ours. Care to join us. It isn't a question. As a valued member of the innovation ... passion to give our customers and our consumers more. The Innovation Associate Manager will be responsible for developing new innovation platforms, product ideas… more
- Walmart (Langhorne, PA)
- …Floor in accordance with Company policies and procedures by properly handling claims and returns, zoning the area, arranging and organizing merchandise, and ... digital tools to drive sales, improve the shopping experience, and elevate associate engagement; utilizing hand held technology to make immediate business decisions… more
- Walmart (Langhorne, PA)
- …thinking You will make an impact by: * Ensuring high-quality products are taken care of and available for our members * Ensuring shelves are clean, maintaining ... area in accordance with Company policies and procedures by properly handling claims and returns; zoning the area; receiving and stocking merchandise; setting up,… more
- Intermountain Health (Trenton, NJ)
- **Job Description:** Provides extraordinary care to our customers through friendly, courteous, and professional service through a broad understanding of account ... + Perform other duties as assigned **Skills** + Insurance Claims + Medical Billing + Explanation of Benefits (EOB)...hourly rate dependent upon experience. $18.81 - $27.45 We care about your well-being - mind, body, and spirit… more
- Serenity Hospice Care (Hamilton Township, NJ)
- …sensitive nature of palliative care . Key Responsibilities: + Process and submit medical claims for palliative care services in a timely and accurate manner + ... and compassionate Billing Coordinator to join our growing Palliative Care team. This in-office position plays a critical role...Review claims for completeness, accuracy, and compliance with insurance guidelines… more
- Hunterdon Health Care System (Flemington, NJ)
- …include following up with payers to ensure timely resolution of all outstanding claims via phone, emails, fax, or payer portals. Responsible for identifying and ... errors, initiating required follow- up actions, and submitting or resubmitting claims to third-party insurance carriers and governmental payers in accordance with… more
- Humana (Trenton, NJ)
- …community and help us put health first** Design and maintain Medicaid claims analytics dataset using Databricks. Conduct in-depth analysis of healthcare claims ... Identify cost drivers, utilization patterns, and anomalies in Medicaid medical claims data. Maintain dashboards to communicate key trends to stakeholders. The… more
- Humana (Trenton, NJ)
- …looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and ... provider contract payments in our payer systems, and by ensuring correct claims payment and appropriate diagnosis related group (DRG) assignments. Analyzes, enters… more
- CVS Health (Trenton, NJ)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... as well as navigating them through the health system, providing support on claims issues, and answering coverage-level questions. **We have two of these roles to… more