- Atlantic Health System (Morristown, NJ)
- …and data risk classification; (iv) accountable care organization compliance; (v) Medicare C & D/ Medicare Advantage compliance program requirements; (vi) ... compliance program guidance; (iv) CMS Conditions of Participation; (v) Medicare Shared Savings Program Accountable Care Organization Compliance guidance and… more
- Merck (Trenton, NJ)
- …operations, project management, or reimbursement support * Strong knowledge of health insurance structures ( Medicare Part B, Medicaid, commercial) and related ... how the products are covered under the benefit design (Commercial, Medicare , Medicaid) * Answer questions about coverage, including payer-specific access questions… more
- Deloitte (Jersey City, NJ)
- …medical and small group markets + Experience with Medicare products, including Medicare Advantage or Medicare Supplement products for various enrollee ... Required: + 5+ years of health actuary experience and consulting and/or health plan/ insurance company experience + 2+ years of experience with Medicaid managed care… more
- Atlantic Health System (Morristown, NJ)
- …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 ... highest - twelve consecutive times, and the Centers for Medicare and Medicaid Services awarded us again with its...full-time and part-time team members) + Life & AD&D Insurance . + Short-Term and Long-Term Disability (with options to… more
- Atlantic Health System (Morristown, NJ)
- …for DME products in compliance with regulatory requirements. Ensure adherence to Medicare , Medicaid, and private insurance guidelines. Monitor key performance ... operations, optimizing processes, and ensuring compliance with healthcare and insurance regulations related to durable medical equipment. Responsibilities & Duties:… more
- Atlantic Health System (Chester, NJ)
- …+ Assists patients with problem solving issues related to scheduling, registration, insurance , copays, etc. + Provides excellent customer service + Completes all AHS ... and role specific mandatory trainings + Assists with insurance responsibilities as needed (depending on site volumes) +...highest - twelve consecutive times, and the Centers for Medicare and Medicaid Services awarded us again with its… more
- Sedgwick (Trenton, NJ)
- …lines of coverage: Auto Liability, Bodily Injury (BI), Uninsured Motorist (UM), and Liability Insurance Supplement (LIS). No day is ever the same assisting our ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner | Auto BI, UM, LIS |...+ Knowledge of medical terminology for claim evaluation and Medicare compliance + Knowledge of appropriate application for deductibles,… more
- Merck (Trenton, NJ)
- …operations, project management, or reimbursement support * Strong knowledge of health insurance structures ( Medicare Part B, Medicaid, commercial) and related ... laws, visit: EEOC Know Your Rights (https://www.eeoc.gov/sites/default/files/2022-10/22-088\_EEOC\_KnowYourRights\_10\_20.pdf) EEOC GINA Supplement We are proud to be a company that… more
- Atlantic Health System (NJ)
- …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 ... per week or above for full-time and part-time team members) + Life & AD&D Insurance . + Short-Term and Long-Term Disability (with options to supplement ) + 403(b)… more
- Atlantic Health System (Morristown, NJ)
- …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 ... per week or above for full-time and part-time team members) + Life & AD&D Insurance . + Short-Term and Long-Term Disability (with options to supplement ) + 403(b)… more