- BAYADA Home Health Care (Pennsauken, NJ)
- …Perform an initial screening/verification of benefits according to Medicare, Medicaid , and third-party payor guidelines, coordinate equipment with contracted ... gathered accurately into HCHB. + Contact the insurance company for eligibility and authorization. Obtain sufficient client and insurance information to confirm… more
- Actalent (Leonia, NJ)
- …Skills & Qualifications + Prior insurance verification experience (Medicare, Medicaid , private insurance) + Bachelor's degree preferred; open to associate's ... degree + Strong multitasking skills + Experience with Medicare and Medicaid Work Environment The work environment is fast-paced, patient-focused, with high… more
- CVS Health (Trenton, NJ)
- …can have a life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With ... care allowed under the member's benefit plan and as available through Medicaid benefits and/or other community resources. + Develops relationships with hospital… more
- Cognizant (Trenton, NJ)
- …features. . Drive improvements in digital quoting, application intake, eligibility verification, and member onboarding for individual, group, and ... government-sponsored health plans (Medicare, Medicaid , ACA), ensuring compliance with CMS, ACA, and other...processes for individual, group, and government-sponsored health plans (Medicare, Medicaid , ACA). . Strong understanding of CMS, ACA, and… more
- CVS Health (Trenton, NJ)
- …practice experience. Two (2) + years of experience in managed care (Medicare and/or Medicaid ) MD or DO; Board certification in an ABMS or AOA recognized specialty is ... we have an Integrated plan. Experience with managed care (Medicare and Medicaid ) utilization review preferred. **Education** MD (Doctor of Medicine) or DO (Doctor… more
- Atlantic Health System (Morristown, NJ)
- …+ Assists patients in accessing public benefits and resources such as Medicaid , SNAP, SSI/SSD, and transitional housing programs. + Develops individualized discharge ... twelve consecutive times, and the Centers for Medicare and Medicaid Services awarded us again with its highest five-start...as this summary of benefits. Final compensation and benefit eligibility may vary by role and employment status and… more
- Atlantic Health System (Morristown, NJ)
- …- its highest - twelve consecutive times, and the Centers for Medicare and Medicaid Services awarded us again with its highest five-start rating in 2020. Morristown ... twelve consecutive times, and the Centers for Medicare and Medicaid Services awarded us again with its highest five-start...as this summary of benefits. Final compensation and benefit eligibility may vary by role and employment status and… more
- Ascendis Pharma (Princeton, NJ)
- …Oversee the administration of rebate programs, including government rebates (eg, Medicaid , Medicare), managed care rebates, and commercial rebates. Ensure accurate ... contracting strategies across various payer segments (eg, commercial, Medicare, Medicaid ). + Excellent negotiation, communication, and interpersonal skills, with the… more
- Aveanna Healthcare (Rutherford, NJ)
- …Fund + Newly hired Variable Hour and Part Time employees are measured for eligibility into our ACA Benefits plans over their first twelve months of employment (also ... for your choice of major medical plans, dental and vision coverage. *Benefit eligibility can vary and is dependent upon employment status and employment location We… more
- Bristol Myers Squibb (Princeton, NJ)
- …N US Revenue Management modules (eg, Chargebacks, Managed Care, Government Pricing, Medicaid , Commercial Rebates) and their integration with ERP (SAP, Oracle), CRM, ... employee (FTE) basis. Additional incentive cash and stock opportunities (based on eligibility ) may be available. The starting pay rate takes into account… more