- Elevance Health (Jersey City, NJ)
- …The **LTSS Service Coordinator-RN** is responsible for overall management of member's case within the scope of licensure; provides supervision and direction to ... non-RN clinicians participating in the member's case in accordance with applicable state law and contract;...+ May also assist in problem solving with providers, claims or service issues. + Directs and/or supervises the… more
- Penn Medicine (Plainsboro, NJ)
- …ABN is reviewed with patients, and signed document is scanned into Media Manager . + Processes correspondence from insurance carriers, case management and other ... the needs of departmental operations effectively as an individual and Team Member + Prints claims - when necessary, logs into Claim Agent and reprints claims for… more
- CDM Smith (Jersey City, NJ)
- …expertise may be needed throughout the program delivery process. * Supports the claims process by reviewing and validating damage details, scopes of work, and costs ... in regular FEMA meetings by providing updates on work status and may evaluate claims and make recommendations to FEMA as to whether the claim is eligible. Assists… more
- ABM Industries (Newark, NJ)
- …and coordinates bus evacuation activities as appropriate * Immediately reports any incidents or claims to Operations Manager or Shift Lead * Refuel and maintain ... color, religion, sex, sexual orientation, gender identity, national origin, disability , or status as a protected veteran or any...you with assistance and make a determination on your request for reasonable accommodation on a case -by- case … more
- Sanofi Group (Morristown, NJ)
- …for non-conversion and discontinuation to help inform PSS strategy across FRMs, Case Managers and Specialty Pharmacies + Act as TA dedicated Advanced Analytics ... IQVIA NPA & NSP) + Longitudinal HCP & patient-level claims (eg, IQVIA, Symphony, Komodo, etc.) + Specialty pharmacy...platform reporting tools (eg, CM360 / SA360, Meta Business Manager , etc.) + Site analytics platforms (eg, Google Analytics… 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 ... for the organization product lines. Network with insurance payor case managers to assure ease of referrals for home...and when team members need assistance as assigned by manager . + Adheres to HMH's Organizational competencies and standards… more
- Hackensack Meridian Health (Eatontown, NJ)
- …lines. Demonstrate use of customer service skills to network with insurance payor case managers to assure ease of referrals for services when requested. Obtain ... and compare to previous reports for accuracy. Assure that claims on Hold Report are corrected timely with total...daily and in a timely manner. + Assist Accounts Manager as necessary. Show a willingness to help others… more
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