- Hackensack Meridian Health (Tinton Falls, NJ)
- …effectiveness and cost of patient care. Facilitate ongoing patient communications, review gaps in care and relevant outcome measures. HOMECARE SPECIFIC Responsible ... principles and processes. + Good working knowledge of benefit plans: HMO, Medicare , Medicaid, Employee, Commercial, Medicare Advantage, etc. + Experience with… more
- Cardinal Health (Trenton, NJ)
- …about long and short-range changes in the reimbursement environment including Medicare , Medicaid, Managed Care, and Commercial medical and pharmacy plans while ... High School diploma or equivalent preferred + Knowledge of Medicare (A, B, C, D), Medicaid & Commercial payers...other status protected by federal, state or local law._ _To read and review this privacy notice click_ here… more
- Cardinal Health (Trenton, NJ)
- …a call center or customer service environment, preferred + Clear knowledge of Medicare , Medicaid & Commercial payer policies and guidelines for coverage, preferred + ... Knowledge of Diagnostic Medical Expense and Medicare Administrative Contractor practices, preferred + Clear understanding of...other status protected by federal, state or local law._ _To read and review this privacy notice click_ here… more
- Sanofi Group (Bridgewater, NJ)
- …of the US Reimbursement and Public Policy function and is responsible for the review , assessment, and crafting of Sanofi's public response to specific US Health and ... Human Services government program regulations for Medicare Part D. This requires deep analysis of the...of Sanofi portfolio prescriptions in Health and Human Services Medicare Part D program. The role must engage with… more
- Surgery Care Affiliates (Englewood Cliffs, NJ)
- …guidelines in contacting patient's prior to the date of service to review , Physician Ownership, Advance Directives and Patient Rights. Authorization: + Obtain ... payable, notify patient. If patient wants to proceed, obtain signature on Medicare ABN or other non-covered notification form. Financial Orientation: + Calculate… more
- Hackensack Meridian Health (Eatontown, NJ)
- …to billing, posting, collections and account analysis. + Confirm Delivery Tickets and review associated charges for accuracy. + Review payer contracts and ensure ... correction if applicable. Work to resolve billing issues with Medicare , Medicaid and insurance companies. Follow up to ensure...date (expiration) and inputted into the EMR system. + Review open AR in EMR system daily and process… more
- Virtua Health (Marlton, NJ)
- …pain/symptom management. Re-certifying patients, as appropriate, for continuation of the Medicare Hospice Benefit at the appropriate levels of care. Assures overall ... supplies. Participate and provide clinical leadership in the development and review of appropriate clinical protocols and processes that support appropriate patient… more
- Atlantic Health System (Morristown, NJ)
- …as necessary in the medication delivery process to maximize patient outcomes, review patient medical record for correlation between medications and medical problems, ... pharmacokinetic variations in drug absorption, distribution, metabolism, and elimination, review patient drug histories to determine which maintenance drugs should… more
- Fresenius Medical Center (South Plainfield, NJ)
- …the designated clinical application accurately and in a timely manner. + Review treatment sheets for completeness, ensure nursing signatures are documented, and ... appointments + Weigh patient and obtain vital signs + Collect treatment records and review for completion. Notify RN of incomplete / missing records. + Cleaning and… more
- Atlantic Health System (Morristown, NJ)
- …Leadership recommend staffing needs, recruit, interview and onboard clinical staff. + Review , measure and track clinician documentation. + Ensure Counselor on Call ... Executive Director, evaluate requests to provide external EAP services; review and respond to proposals for new business; work...highest - twelve consecutive times, and the Centers for Medicare and Medicaid Services awarded us again with its… more