- Robert Half Finance & Accounting (Eatontown, NJ)
- …Required: * Minimum of 10 years of experience interpreting Medicare and Medicaid payment regulations, ensuring optimization of revenue and completing Medicare ... programs and will be asked to assist with regulatory research . + Maintains working knowledge of various Medicaid...is essential. * The ability to interpret Medicare and Medicaid payment regulations and develop and implement… more
- RWJBarnabas Health (Oceanport, NJ)
- …required. + Minimum of 10 years of experience interpreting Medicare and Medicaid payment regulations, ensuring optimization of revenue and completing Medicare ... research . The Director will also work closely with finance department personnel at system facilities and will oversee...is essential. + The ability to interpret Medicare and Medicaid payment regulations and develop and implement… more
- Humana (Trenton, NJ)
- …ensure successful submission and reconciliation of encounter submissions to Medicaid /Medicare. Ensures encounter submissions meet or exceed all compliance standards ... and develops tools to enhance the encounter acceptance rate by Medicaid /Medicare. Looks for long term improvements of encounter submission processes. Understands… more
- Humana (Trenton, NJ)
- …ensure successful submission and reconciliation of encounter submissions to Medicaid /Medicare. Ensures encounter submissions meet or exceed all compliance standards ... and develops tools to enhance the encounter acceptance rate by Medicaid /Medicare. Looking for long-term improvements of encounter submission processes. Begins to… more
- Care Plus NJ (Paramus, NJ)
- …of each plan. Job Summary: As an Accounts Receivable Representative in our Finance Department, you will be responsible for meeting monthly collection goals by ... patient accounts and reimbursement. The role requires strong knowledge of NJ Medicaid and Medicare billing, collaboration with clinical and executive teams, and… more
- RWJBarnabas Health (West Orange, NJ)
- …issues relating to payor relationships, third-party administrators, Medicare Advantage, and Medicaid Managed Care. This position requires at least 8 years of ... with a proactive and collaborative work style + Experience with value-based payment models and risk arrangements, + Familiarity with contract lifecycle management… more
- Humana (Trenton, NJ)
- …This is a cross-functional role bridging technical safety research , systems engineering, governance, and product implementation. **Key responsibilities** ... responsible scaling and deployment + Contribute to and publish novel research on alignment of LLM-based agents, multi-agent cooperation/conflict, or value learning… more