- 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
- 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
- CVS Health (Plainfield, 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
- 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
- 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 (Old Bridge, NJ)
- …in surgical scheduling and prior authorization in a medical office or hospital setting + Strong knowledge of medical terminology, CPT/ICD-10 codes, and insurance ... preferred and Microsoft Office Suite + Familiarity with commercial, Medicare, and Medicaid insurance plans + Excellent organizational and time management skills +… more
- Allaire Rehab & Nursing (Edison, NJ)
- …Federal and State regulations and reimbursement (Managed Care, Medicare, and Medicaid ). + Provide assistance with new Stakeholder orientation regarding the ... Spending Account + 401k available + Career advancement opportunities / tuition reimbursement + Complementary uniform + Friendly work environment + Referral bonus +… 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