- CVS Health (Montclair, NJ)
- …* Conducts assessments that consider information from various sources, such as claims , to address all conditions including co-morbid and multiple diagnoses that ... to clinical resources and other interdisciplinary team members. * Collaborates with supervisor and other key stakeholders in the member's healthcare in overcoming… more
- CVS Health (Wall, NJ)
- …+ Conducts assessments that consider information from various sources, such as claims , to address all conditions including co-morbid and multiple diagnoses that ... to clinical resources and other interdisciplinary team members. + Collaborates with supervisor and other key stakeholders in the member's healthcare in overcoming… more
- Point32Health (NJ)
- …**Job Summary** Under the general direction of the Member Appeals and Grievance Supervisor the Appeals and Grievance Analyst is responsible per State and Federal ... regulatory requirements + Manage the collection of documents and records (medical, claims , administrative) needed to fully research the appeal or complaint request… more
- Specialty Rx, Inc. (Ridgefield Park, NJ)
- …a fast-paced environment is a must. + Experience in New York Pharmacy billing claims . ( Preferred ) + Frameworks/ECM knowledge is a plus. + Must be ... Billing Representative Responsibilities: + Perform duties assigned by the Billing Supervisor . + Research and establish patient eligibility coverage with insurance… more
- CVS Health (Haddonfield, NJ)
- …+ Conducts assessments that consider information from various sources, such as claims , to address all conditions including co-morbid and multiple diagnoses that ... to clinical resources and other interdisciplinary team members. + Collaborates with supervisor and other key stakeholders in the member's healthcare in overcoming… more
- CVS Health (Trenton, NJ)
- …+ Investigate and resolve any billing discrepancies and assist the Billing Manager/ Supervisor in analyzing monthly billing variances + Load new rates and specific ... efficient revenue reporting and vendor payments + Process administrative claims to collect payment for monthly administrative invoices **Required Qualifications**… more
- Hackensack Meridian Health (Neptune City, NJ)
- …Enter the required information into appropriate system accurately and assure clean claims for timely reimbursement. + Answer incoming telephone calls. Monitor all ... a timely manner. + Obtain and communicate all insurance needs assigned by supervisor to the appropriate operation. May also communicate with billing agencies for all… more
- Walgreens (Ewing, NJ)
- …to further promote productivity. + Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment rejections. Follows-up with ... management. Reviews KPI's with Pharmacy Manager, Store Manager, and Healthcare Supervisor . + Develops and maintains good relationships with local medical community… more
- Walgreens (Madison, NJ)
- …Quality Improvement Program. + Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment rejections. Follows-up with ... one's own performance, solicits for constructive feedback, and leverages Healthcare Supervisor as mentor and coach. **Communication** + Communicates with pharmacy… more