- Evolent (Trenton, NJ)
- …current exclusion or sanction by any state or federal health care program, including Medicare or Medicaid, and is not identified as an "excluded person" by the ... Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by Medicare . + No history of a major disciplinary or legal action by a state… more
- Healthfirst (NJ)
- …advocate and liaison with various governmental and private agencies such as Medicaid, Medicare , and Social Security to maximize network of support and secure needed ... and their families as needed. + Keeps up to date on federal ( Medicare ) and state (Medicaid) regulations. + Interacts with community mental health providers,… more
- The Cigna Group (Franklin Lakes, NJ)
- …Management Advisor is responsible for supporting the Medicaid Encounter and Medicare prescription drug event (PDE) operational processes to ensure successful and ... analysis and remediation, in accordance with State guidance/regulations and Center for Medicare and Medicaid Services (CMS) and provide subject matter expertise to… more
- Evolent (Trenton, NJ)
- …current exclusion or sanction by any state or federal health care program, including Medicare or Medicaid, and is not identified as an "excluded person" by the ... Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by Medicare . . No history of disciplinary or legal action by a state medical… more
- Evolent (Trenton, NJ)
- …current exclusion or sanction by any state or federal health care program, including Medicare or Medicaid, and is not identified as an "excluded person" by the ... Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by Medicare . + No history of a major disciplinary or legal action by a state… more
- CVS Health (NJ)
- …you are a critical liaison between our patients, healthcare professionals and insurance carriers. You will utilize your skills and healthcare industry expertise to ... efficiently solve insurance -related issues to process patient prescription orders for on-time...government and commercial insurances (ie, PPO, HMO, EPO, POS, Medicare , Medicaid, HRA's) and coordination of healthcare benefits, including… more
- Advanced Orthopedics and Sports Medicine Institute (Freehold, NJ)
- …payments and litigated claims to ensure timely and efficient resolutionBenefits * Medical insurance * Prescription drug coverage * Voluntary Dental insurance * ... aspect of the back office including, posting, Accounts Receivable (AR) ( Insurance & Patient collection), denial appeals, charge modifications, adjustments, … more
- Specialty Rx, Inc. (Ridgefield Park, NJ)
- …by the Billing Supervisor. + Research and establish patient eligibility coverage with insurance providers (state and private) + Determine and process insurance ... daily report. + Maintain and update patient billing and insurance information in the system. + Submit prior authorizations... updates. + Interact with client facilities staff, PDP ( Medicare ), CMS, NJM, and NYM when necessary. + Follow… more
- Cardinal Health (Trenton, NJ)
- …relationships of trust with customers and internal business partners. The Insurance Follow-up Collector generates revenue by monitoring and pursuing payment on ... and monthly productivity goals to maximize cash flow. Responsibilities + Reverification of insurance benefits if missed by front office + Able to research denied CPT… more
- Legacy Treatment Services (Marlton, NJ)
- …with coverage by more than one insurer, prepare and submit secondary insurance claims and manage coordination of benefits. Answer consumer billing questions and ... work directly with subscriber to obtain valid insurance information such as insurance benefit card,...certificate. A minimum of three years' experience in Medicaid, Medicare , 3rdParty and Self Pay accounts collections / reimbursement.… more