- Highmark Health (Trenton, NJ)
- …:** **JOB SUMMARY** This is a Call Center Environment This job is responsible for enrollment and billing activities for the membership, enrollment & ... include verifying enrollment status, making changes to records, addressing enrollment questions or concerns, resolving membership and billing issues, and… more
- Intermountain Health (Trenton, NJ)
- …and existing members in the sale of Individual Plans and Products. Works with Enrollment and Billing Departments throughout the sales and renewal process to ... ensure accuracy and completeness. The following states are currently paused for sourcing new candidates or for new relocation requests from current caregivers: **California, Connecticut, Hawaii, Illinois, New York, Rhode Island, Vermont, Washington** Job… more
- Guardian Life (Holmdel, NJ)
- …and claims. This includes but is not limited to: + Overseeing the Field Representative billing process and collaborating with internal stakeholders and the ... billing administrator to resolve billing disputes. + Acting as the tier 3 escalation contact to resolve plans/member escalations by leveraging the case management… more
- Cardinal Health (Trenton, NJ)
- …needs and handles accordingly + Creates and completes accurate applications for enrollment with a sense of urgency + Scrutinizes forms and supporting documentation ... patient and/or program + Resolve patient's questions and any representative for the patient's concerns regarding status of their...preferred + 1-2 years of Pharmacy and/or Medical Claims billing and Coding work experience + 1-2 years experience… more
- St. George Tanaq Corporation (Trenton, NJ)
- …present documentation or evidence to demonstrate why an appeal or rebuttal for an enrollment denial, revocation, or suspension should be allowed. The DDR I will also ... and ensures that all issues raised by the beneficiary, representative , supplier, and provider have been addressed + Provides...including Excel and Word. + Experience in Appeals and billing , preferred + Coding certificate preferred + Ability to… more