- 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
- Mount Sinai Health System (New York, NY)
- …quality of care and research. We have over 38,000 employees working together to provide billions of dollars in high-quality care each year for millions of patients. ... to keep entire communities healthy and out of the hospital . Mount Sinai Health Partners (MSHP) is the team...to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's… more
- 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
- Genesis Healthcare (Parsippany, 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
- Mount Sinai Health System (New York, NY)
- …experience and/or pharmacy insurance experience required. + Five years pharmacy reimbursement analysis and collection experience with Medicare, Medicaid , ... **Job Description** Provide analysis and demonstrate understanding of pharmacy revenue...for accuracy; provides necessary follow-up. * Communicates and resolves reimbursement issues to coordinate payer/ provider relations between… more
- Mount Sinai Health System (New York, NY)
- …quality of care and research. We have over 38,000 employees working together to provide billions of dollars in high-quality care each year for millions of patients. ... to keep entire communities healthy and out of the hospital . Mount Sinai Health Partners (MSHP) is the team...to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's… more
- Atlantic Health System (Morristown, NJ)
- …recognition achievable from the American Nurses Credentialing Center for facilities that provide acute care services. Our nonprofit hospital was also designated ... Atlantic Health System/Goryeb Children's Hospital is Seeking a Program Director for our...plans + 403b retirement plan with company match + Reimbursement for Relocation + Comprehensive Malpractice Policy + Non-Profit… more
- Weill Cornell Medical College (New York, NY)
- …CPT, ICD-9, and ICD-10 coding. + Working knowledge of third party payor reimbursement - Medicare, Medicaid , Managed Care and commercial insurance. **Licenses and ... practices serve communities throughout New York City, and our faculty provide comprehensive care at NewYork-Presbyterian Hospital /Weill Cornell Medical Center,… 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
- BrightSpring Health Services (Totowa, NJ)
- Our Company Amerita Overview Amerita, Inc. is a leading provider in home Infusion therapy. We are looking for a Lead Intake Coordinator to join our Intake team as we ... of infusible drugs coming to market, and an industry shift from hospital delivery settings to lower-cost, high-quality alternative providers such as Amerita. As… more
- Atlantic Health System (Morristown, NJ)
- …recognition achievable from the American Nurses Credentialing Center for facilities that provide acute care services. Our nonprofit hospital was also designated ... who is looking to transition to a Nationally Recognized Hospital ? If so, Atlantic Health System is seeking a...care facility and be a team player who will provide exceptional care to our patients. Full Time Team… more
- Atlantic Health System (Morristown, NJ)
- …recognition achievable from the American Nurses Credentialing Center for facilities that provide acute care services. Our nonprofit hospital was also designated ... of board-certified cancer specialists. The APC is expected to provide hematology & medical oncology specialty patient care in...sick days, and paid holidays + CME allowance and reimbursement for CDS/DEA, licensing, and boards + Tuition … more
- Atlantic Health System (Morristown, NJ)
- …recognition achievable from the American Nurses Credentialing Center for facilities that provide acute care services. Our nonprofit hospital was also designated ... are looking for a dedicated and reliable PA/APN to provide inpatient coverage during evenings and weekends for our...sick days, and paid holidays + CME allowance and reimbursement for CDS/DEA, licensing, and boards + Tuition … more
- Weill Cornell Medical College (New York, NY)
- …and Medicaid Services (CMS), and other third party payers reimbursement and coding regulations. Submits recommended coding changes for approval by physicians. ... practices serve communities throughout New York City, and our faculty provide comprehensive care at NewYork-Presbyterian Hospital /Weill Cornell Medical Center,… more
- Atlantic Health System (Morristown, NJ)
- …recognition achievable from the American Nurses Credentialing Center for facilities that provide acute care services. Our nonprofit hospital was also designated ... + Generous PTO, annual sick days, and paid holidays + CME allowance and reimbursement for CDS/DEA, licensing, and boards + Tuition reimbursement for advanced… more
- Atlantic Health System (Morristown, NJ)
- …recognition achievable from the American Nurses Credentialing Center for facilities that provide acute care services. Our nonprofit hospital was also designated ... who is looking to transition to a Nationally Recognized Hospital ? If so, Atlantic Health System is seeking a...care facility and be a team player who will provide exceptional care to our patients. Full Time Team… more
- Mount Sinai Health System (New York, NY)
- …Appeals Analyst position requires an in-depth knowledge of healthcare pricing/ reimbursement processes and procedures including institutional, as well as professional ... documenting, and reporting underpayment trends, payer updates, payer regulations, and provide feedback on workflow procedures pertaining to our negotiated contracts.… more
- Atlantic Health System (Florham Park, NJ)
- …recognition achievable from the American Nurses Credentialing Center for facilities that provide acute care services. Our nonprofit hospital was also designated ... including 6 Child and Adolescent Psychiatrists. The candidate will oversee and provide patient care for children and adolescents with psychiatric needs referred from… more
- Atlantic Health System (Morristown, NJ)
- …appropriateness and accurate code assignments in accordance with Center of Medicare and Medicaid (CMS) guidelines and provide ongoing feedback and analysis of ... 10. Prepares written reports of the audit findings by provider /practice 11. Follows up with providers as needed until...12. Assists with claim denial reports to ensure optimal reimbursement 13. Serves as a resource to the office… more