- 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
- Genesis Healthcare (Phillipsburg, 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
- Cardinal Health (Trenton, NJ)
- …understands the trends that affect current and future healthcare business models and reimbursement to make short and long term strategies. Will serve as an executive ... implements managed care contracting strategy including implementation of value-based reimbursement initiatives. Responsible for maintaining reimbursement strategy… more
- Hunterdon Health Care System (Flemington, NJ)
- …activities of the claims processing and accounts receivables for the Acute Care billings ( hospital ) under the direction of the Director of the SBO. . Maintains an ... efficient billing process for all hospital ancillary areas. Maintains best practices with registration, billing,...seeks opportunities to give directions, answer a question, or provide information or reassurance to customers; Acts as a… more
- RWJBarnabas Health (New Brunswick, NJ)
- …Patient Accounts (Customer Services) - Hybrid -Full Time, Day - Central Hospital Sites, NJ Location: Barnabas Health Corp Department: Patient Financial Services ... on patient accounts, and works with patients or their representatives to provide financial assistance or secure payment. Facilitates processing of Medicaid … 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
- Ascendis Pharma (Princeton, NJ)
- …of payments. . Monitor trends in rebates, disputes, and liabilities; provide regular reporting to management. . Validate rebate calculations, perform variance ... and reporting. + Possesses broad base and in-depth understanding of reimbursement issues, payer segments, use of specialty pharmacies, the J-Code application… more
- CVS Health (North Brunswick, NJ)
- …and hospital admissions through early intervention and education. + Provide enhanced member education on in-home safety measures, including fall prevention and ... coordination, Transition of care, Home Health, Case Management and Medicaid + Must possess reliable transportation and be willing...the time. Mileage is reimbursed per our company expense reimbursement policy + Must reside in Central New Jersey.… more