- Humana (Trenton, NJ)
- …clinical experience + Knowledge of the managed care industry including Medicare , Medicaid and/or Commercial products + Must be passionate about contributing ... + Medical utilization management experience + Working with health insurance organizations, hospitals and other healthcare providers, patient interaction, etc.… more
- CenterWell (Trenton, NJ)
- …+ Experience working in coding languages such as SAS and SQL + Prior Medicare Advantage or health insurance background + Additional skills developing reports and ... **Additional Information** + This role provides a unique opportunity to get hands on Medicare Advantage experience in a rapidly growing area outside of bid season +… more
- AccentCare, Inc. (Edison, NJ)
- …of permit to practice in state(s) of agency operation if required + Medicare /Medicaid/ Insurance specialty preferred + Unless otherwise dictated by the state, at ... savings accounts + Wellness offerings such as an employee assistance program, pet insurance and access to Calm, a meditation, sleep and relaxation app + Programs… more
- Option Care Health (Trenton, NJ)
- …Understanding of billing and reimbursement procedures for medical offices and hospitals (Commercial Insurance , Medicare Part B & D, Fee for Service Medicaid, ... market data. Pay Range is $167,399.14-$278,983.55 **Benefits:** -Medical, Dental, & Vision Insurance -Paid Time off -Bonding Time Off -401K Retirement Savings Plan… more
- Serenity Hospice Care (Hamilton Township, NJ)
- …The ideal candidate has strong knowledge of medical billing (especially Medicare /Medicaid and private insurance ), excellent communication skills, and a ... hospice or palliative care billing strongly preferred) + Solid understanding of Medicare , Medicaid, and commercial insurance billing procedures + Proficiency… more
- Zelis (NJ)
- …financial negotiation with providers + Experience and working knowledge of Health Insurance , Medicare guidelines and various healthcare programs + Strong ... match, flexible paid time off, holidays, parental leaves, life and disability insurance , and health benefits including medical, dental, vision, and prescription drug… more
- Insight Global (Somerset, NJ)
- …data. The candidate should also understand and or have experience managing patients with Medicare and Medicaid insurance . They must be detail oriented and have ... great communication skills both written and verbal. We are a company committed to creating inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity employer that believes everyone matters.… more
- Humana (Trenton, NJ)
- …benefits providers in the US. At the core of this evolution is Humana's Insurance Segment, which provides Medicare Advantage, Medicaid, and other health plans to ... millions. By integrating insurance with care delivery through CenterWell, Humana is improving...a pivotal role in defining the future of Humana's Medicare and Medicaid businesses, which generate the majority of… more
- Hackensack Meridian Health (Eatontown, NJ)
- …utilizing on-line or by phone when required. Has current knowledge of Medicare reimbursement criteria and insurance contracts for Hackensack Meridian Health ... all functions of order taking, computer entry of orders, medical documentation, insurance verification, authorization, and billing as well as office support services… more
- Hackensack Meridian Health (Neptune City, NJ)
- …off to F2F team with appropriate information. + Knowledgeable in current Medicare reimbursement criteria and insurance contracts for the organization product ... lines. Network with insurance payor case managers to assure ease of referrals...Obtain all necessary documents on a consistent basis. Assure insurance verification and authorization is appropriate to assure clean… more