- Atlantic Health System (Morristown, NJ)
- …care to general pediatric and pediatric oncology patients, including: review and recommend optimal, evidence-based medication therapy; provide pharmacokinetic ... 100 Accountable Care Organizations to Know - Becker's Hospital Review + Best Employers for Workers over 50 -...highest - twelve consecutive times, and the Centers for Medicare and Medicaid Services awarded us again with its… more
- Sedgwick (Newark, NJ)
- …limited to subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets. + Reports claims to the excess carrier; responds to requests ... + Refers cases as appropriate to supervisor and management. + Receive and review relevant pleadings, medical records and other investigative documents. + Review … more
- Advanced Orthopedics and Sports Medicine Institute (Freehold, NJ)
- …Receivable (AR) (Insurance & Patient collection), denial appeals, charge modifications, adjustments, Medicare accounts, etc. Phone must be turn on daily and ready to ... and requirements that dictate release of information Perform 30, 60, 90 days review and document all outstanding accounts relating to assigned payor or group. All… more
- Cardinal Health (Trenton, NJ)
- …**_Responsibilities_** + Handle customer escalated cases through investigation and case review . + Responsible for maintaining an issues log that clearly states ... knowledge in the healthcare management industry including Prior Authorizations, Appeals, Medicare Part D, Medicaid, Managed Care, and Commercial plans is preferred.… more
- Atlantic Health System (Morristown, NJ)
- …patient/family assessment and multidisciplinary collaboration. 2. Ensures daily chart review , utilization reviews, coordination of discharge planning activities and ... 100 Accountable Care Organizations to Know - Becker's Hospital Review + Best Employers for Workers over 50 -...highest - twelve consecutive times, and the Centers for Medicare and Medicaid Services awarded us again with its… more
- Atlantic Health System (Morristown, NJ)
- …APP clinical competency and adherence to policy through practice analysis and case review with physicians. + Conducts regularly scheduled meetings with the NCC APPs. ... 100 Accountable Care Organizations to Know - Becker's Hospital Review + Best Employers for Workers over 50 -...highest - twelve consecutive times, and the Centers for Medicare and Medicaid Services awarded us again with its… more
- Atlantic Health System (Morristown, NJ)
- …assure appropriateness and accurate code assignments in accordance with Center of Medicare and Medicaid (CMS) guidelines and provide ongoing feedback and analysis of ... rejections from recurring. + Meets with the providers to review the audit findings and to recommend ways to...100 Accountable Care Organizations to Know - Becker's Hospital Review + Best Employers for Workers over 50 -… more
- Fresenius Medical Center (Newark, NJ)
- …the designated clinical application in an accurate and timely manner. + Review treatment sheets for completeness, ensure nursing signatures are documented, and ... **LICENSES:** + HighSchooldiplomaorG.E.D. required. + Must meet Center for Medicaid/ Medicare Services (CMS)-approved state and/or national certification requirements within… more
- Atlantic Health System (Morristown, NJ)
- …- Becker's Healthcare + 100 Accountable Care Organizations to Know - Becker's Hospital Review + Best Employers for Workers over 50 - AARP + Gold-Level "Well ... safety grade - its highest - twelve consecutive times, and the Centers for Medicare and Medicaid Services awarded us again with its highest five-start rating in… more
- Atlantic Health System (Morristown, NJ)
- …- Becker's Healthcare + 100 Accountable Care Organizations to Know - Becker's Hospital Review + Best Employers for Workers over 50 - AARP + Gold-Level "Well ... safety grade - its highest - twelve consecutive times, and the Centers for Medicare and Medicaid Services awarded us again with its highest five-start rating in… more