- US Tech Solutions (Princeton, NJ)
- **Duration: 06 Months** **Job Description:** + The Operations Analyst supports Retail Billing Operations by ensuring accurate, timely customer transactions, ... account maintenance, and monthly billing . The ideal candidate brings strong analytical skills, process discipline, and working familiarity with data tools to help… more
- Hunterdon Health Care System (Flemington, NJ)
- …of medical necessity software, insuring compliance relating to Medicare billing requirements, conducting internal audits relating to medical necessity, analyzing ... use of Medicare website tools, educates providers and staff on applicable billing coding and regulations and updates, Provides corrective measure plan and… more
- Highmark Health (Trenton, NJ)
- …rolling out, and supporting the Epic Resolute Hospital Billing application. Responsibilities include business/systems analysis, requirements definition and ... documentation, system design, and problem resolution. The analyst communicates with system end-users to understand issues and implement solutions. **ESSENTIAL… more
- CVS Health (Trenton, NJ)
- …organization. We are seeking a highly motivated and detail-oriented Vendor Resource Analyst - Forecasting, Budgeting to manage our contingent worker program in ... operations, financial accuracy, and fostering strong vendor relationships. As Vendor Resource Analyst , you will be responsible for the day-to-day operations of our… more
- Virtua Health (Mount Laurel, NJ)
- …strongly preferred:*EPIC*Hospital charge description master experience*Charge audits*Coding & billing guidelines Monday-Friday 8:30am-5pm Please note: The first 90 ... effect of proposed charge master and fee schedule changes. Perform internal billing audits to ensure correcting coding/ billing regulatory compliance and charge… more
- CVS Health (Trenton, NJ)
- …with internal stakeholders to drive priority projects to completion. The analyst will also support financial operations through invoice tracking and coding ... validation, contributing to accurate and timely billing processes. This role requires a detail-oriented, proactive professional with excellent communication skills,… more
- Highmark Health (Trenton, NJ)
- …Degree **EXPERIENCE** **Required** + 3 - 5 years of experience in a Business Analyst or Business Process Analyst role or experience in a related operational ... area (eg claims, billing , customer service, etc.) **Preferred** + 1 - 3 years in the Health Insurance Industry **LICENSES OR CERTIFICATIONS** **Required** + None… more
- Eliassen Group (Trenton, NJ)
- **Sr Guidewire Business Analyst ** **Anywhere** **Type:** Contract **Category:** Business Analysis **Industry:** Insurance **Workplace Type:** Remote **Reference ... **Shortcut:** http://careers.eliassen.com/fMinuT + Description + Recommended Jobs **Description:** Business Analyst will support Guidewire integrations,conducting requirements gathering sessions, writing… more
- TEKsystems (Ewing, NJ)
- Job Description The HELOC Analyst is responsible for ensuring HELOC specific and inter-departmental processes and controls are functioning efficiently and ... the following: * Requirements under the Truth and Lending Act (TILA) specifically, billing errors and resolution and the treatment of credit balances. Pay and… more
- Evolent (Trenton, NJ)
- …Stay for the culture. **What You'll Be Doing:** Job Description The Analyst , Performance Analytics - **RBM Cardiac** product focus, utilizes and develops analytic ... of healthcare claims; specifically, differences between institutional vs professional billing and various sites of care/service + Familiarity with value-based… more
- Cardinal Health (Trenton, NJ)
- …500. We currently have a career opening for a Reimbursement Solutions Analyst . **What Clinical Operations contributes to Cardinal Health** Clinical Operations is ... charities + Manage the drug recovery application process + Assign appropriate billing level to each item processed in accordance with Reimbursement Solution… more
- Evolent (Trenton, NJ)
- …**What You'll Be Doing:** **Who You'll Be Working With:** The Senior Analyst Performance Suite Analytics utilizes and develops project management tools to solve ... knowledge of healthcare claims; specifically, differences between institutional vs professional billing and various sites of care/service + Ability to work… more
- Hunterdon Health Care System (Flemington, NJ)
- Position Summary The Laboratory Information System Analyst performs tasks related to the Laboratory Information system. Supports the development, implementation, and ... as system upgrades are installed. Position also involves working on billing and report generation issues for various supervisors Primary Position Responsibilities… more
- Cardinal Health (Trenton, NJ)
- …This includes pricing administration, rebates, cash application, chargebacks, billing , accounts payable and employee travel & expense. **_Responsibilities_** ... + Assembles and sends monthly chargeback reporting to vendors in order to reconcile any discrepancies and secure contractual rebates from manufacturers. + Works directly with vendors to ensure Cardinal system is reflecting most up to date and current contracts… more
- Evolent (Trenton, NJ)
- …knowledge of healthcare claims; specifically, differences between institutional vs professional billing and various sites of care/service is preferred + Familiarity ... with value-based care and utilization management is preferred + Understanding of data systems and the critical thinking skills to solve new problems and adapt to changes in data architecture is preferred **Technical Requirements:** We require that all… more
- Highmark Health (Trenton, NJ)
- …years in a relevant operational area (eg customer service, claims, enrollment and billing , etc.) to include 1 - 3 years of technical application experience ... **Preferred** + 1 - 3 years in the Health Insurance Industry + 1 - 3 years in the Healthcare Industry + 1 - 3 years in Lean/Six Sigma **LICENSES AND CERTIFICATIONS** **Require** + None **Preferred** + (Lean) Six Sigma + Project Management Professional (PMP)… more
- Virtua Health (Marlton, NJ)
- …services and procedures in accordance guidelines. Position Responsibilities:* Abstract billing for outpatient evaluation and management codes, minor surgical ... to include; assignment of CPT-4, ICD-10-CM codes and modifiers.* Research simple coding/ billing issues for the physicians to identify and recommend the most… more
- Ryder System (Trenton, NJ)
- …explanations of variances vs. forecast / budget / prior year and ensure billing opportunities are captured + Training: Manage and develop finance support staff ... budget tracking for new business startups + People management: supervise an analyst , develop technical and process skills, as well as leadership competencies to… more
- Intermountain Health (Trenton, NJ)
- **Job Description:** The HIM Coding Audit Training Analyst Coordinator provides advanced training to hospital coding staff, compliance, CDI, physicians, and clinical ... level ability to understand and compliantly apply complex coding and billing requirements. + Demonstrates strong knowledge and understanding of medical terminology,… more
- Highmark Health (Trenton, NJ)
- …Application Portfolio (eg, Concordia Claims Processing & RENO, Portal applications, UCD billing , etc.) experience may be substituted for the Bachelor's degree (in ... DB2, Cogno, PEGA, Enterprise Architect(SCEA), Project Management, Certified Quality Analyst (CQA), Scrum Master Certification, Lean/Six Sigma Certification **SKILLS**… more