- Vatica Health (NJ)
- …growth and advancement- we love our employees and want to develop within Good Health + Comprehensive Medical, Dental, and Vision insurance plans + Tax-free ... C-suite, office staff and providers in primary care practices, large health systems and physician organizations is required. Through cross-functional collaboration,… more
- Humana (Trenton, NJ)
- **Become a part of our caring community and help us put health first** The Lead Actuary, Risk and Compliance is responsible for the overall management and oversight ... and researching laws and regulations applicable to actuarial science and insurance operations. Advises executives to develop functional strategies (often segment… more
- Hunterdon Health Care System (Flemington, NJ)
- …experience preferred. Recent acute care nursing experience preferred. Knowledge about Medicare / Insurance regulations. The ideal candidate must possess effective ... The Home Health Department affiliated with Hunterdon Medical Center in...benefits. We pay Inpatient Nursing Rates for our Home Health Nurses. We have a Wellness Rewards program, Retirement… more
- Hackensack Meridian Health (Neptune City, NJ)
- …problems and initiate correction if applicable. Work to resolve billing issues with Medicare , Medicaid and insurance companies. Follow up to ensure corrections ... heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives...claims for billing. + Process all reauthorization requests to insurance payer with required medical necessity documentation two weeks… more
- Humana (Trenton, NJ)
- **Become a part of our caring community and help us put health first** The Encounter Data Management Lead supports the Encounter Data Management team within the ... ensuring the accurate and timely submission of encounter data to Medicaid, Medicare , and DSNP states, while maintaining adherence to all regulatory requirements. The… more
- Humana (Trenton, NJ)
- **Become a part of our caring community and help us put health first** We're seeking a highly analytical and data-driven Financial Analytics Lead to join our team. ... You'll play a key role in shaping financial insights, supporting Medicare -related initiatives, and guiding analytical projects that impact business outcomes. +… more
- Hackensack Meridian Health (Edison, NJ)
- …prior management experience in healthcare accounts receivable to health insurance receivable environment. + Extensive knowledge regarding Medicare and ... change. The Manager of Third Party Follow-Up at the Hackensack Meridian Health (HMH) network directly manages, through proper planning and delegation, the HMO,… more
- BAYADA Home Health Care (Freehold, NJ)
- …a full time position with our new Central NJ Senior Living team - a Medicare Certified home health office. This office provides best-in-class care to adult and ... $10,000 Sign on Bonus! **BAYADA Home Health Care** is seeking a **Registered Nurse, RN**...+ Benefits may include medical, dental, vision, and life insurance ; mileage reimbursement; paid time off; weekly pay and… more
- Intermountain Health (Trenton, NJ)
- …true overpayments from false credits + Advanced knowledge of revenue cycle and health insurance payers + Reading and Understanding Payer Contracts + Advanced ... cycle (Payment Posting, Billing, Follow-Up) required + Knowledge of Medicaid and Medicare billing regulations required + Two (2) years of experience in hospital… more
- Hackensack Meridian Health (Hackensack, NJ)
- …Case Management Specialist** performs selected services and functions related to insurance management with various payors, ortho calls, payer communications and ... hour discharge report and providing patients with the IM Letter from Medicare prior to discharge. **Education, Knowledge, Skills and Abilities Required:** + High… more