Medical Biller Integrity Placement GroupMedical BillerBayonne, NJ$20–$25 / hourThe ideal candidate will be responsible for accurately processing medical claims, managing insurance billing, and ensuring timely reimbursement while maintaining compliance with healthcare regulations. The practice is committed to providing exceptional patient care while helping patients achieve long-term health and wellness.
Utilization Review Discovery Institute of Addictive Disorders Inc.Utilization ReviewMarlboro Township, NJThe Utilization Review (UR) Specialist is responsible for obtaining and maintaining insurance authorizations for clients receiving substance use disorder treatment services. Minimum of two years of utilization review, case management, medical billing, or behavioral healthcare experience preferred.
Managed Care Contract Specialist - FT - Day - Managed Care Pennington NJ Capital HealthManaged Care Contract Specialist - FT - Day - Managed Care Pennington NJPennington, NJ$21.33–$27.73 / hourOccasional physical demands include: Standing, Walking, Climbing (e.g., stairs or ladders), Carry objects, Push/Pull, Twisting, Bending, Reaching forward, Reaching overhead, Squat/kneel/crawl, Wrist position deviation. When determining base salary and/or rate, several factors may be considered including, but not limited to location, years of relevant experience, education, credentials, negotiated contracts, budget, market data, and internal equity.
Surgical Revenue Integrity Specialist - FT - Day - Revenue Integrity & Denials Mgmt Lawrenceville NJ Capital HealthSurgical Revenue Integrity Specialist - FT - Day - Revenue Integrity & Denials Mgmt Lawrenceville NJNJ$44.37–$57.97 / hourReviews physician operative/procedural reports, implant/device logs, purchasing documentation, and billing detail to identify missing invoices, missing charges, documentation-to-charge mismatches, and related claim-readiness risks. When determining base salary and/or rate, several factors may be considered including, but not limited to location, years of relevant experience, education, credentials, negotiated contracts, budget, market data, and internal equity.
Prior Authorization Specialist GeneDX LLCPrior Authorization SpecialistNJRemote$29.56–$33.80 / hourGeneDx is at the forefront of transforming healthcare through its industry-leading exome and genome testing and interpretation services, fueled by the world's largest, rare disease data sets. We provide competitive compensation and benefits that reflect local market practices and legal requirements in each country where we operate, helping employees thrive both professionally and personally.
Oncology Authorization Specialist St. Joseph's Healthcare SystemOncology Authorization SpecialistPaterson, NJThe combined efforts of the organization's outstanding physicians, superb nurses, and dedicated clinical and professional staff have made us one of the most highly respected healthcare organizations in the state, the largest employer in Passaic County, and one of the nation's "100 Best Places to Work in Health Care". Key responsibilities include verifying insurance coverage, obtaining necessary authorizations, and providing clear cost estimates to patients, thereby promoting transparency and reducing financial uncertainty.
Scheduling Specialist Concierge - Day Shift Trinity HealthScheduling Specialist Concierge - Day ShiftLanghorne, PASt. Mary Medical Center is a beautiful 53-acre state-of-the-art facility comprised of more than 700 physicians, nearly 3,000 colleagues, and 1,100 volunteers committed to providing quality care delivered with compassion and respect. Mary attracts top doctors, introduces cutting-edge technologies and implements advanced procedures to meet the healthcare needs of the people it serves, including the nearly 630,000 residents of Bucks County.
Medical Office Assistant/Medical Biller EXPRESS IT OF TOMS RIVER LLCMedical Office Assistant/Medical BillerHazlet, NJPart timeJoin EXPRESS IT OF TOMS RIVER LLC as a Medical Office Assistant/Medical Biller in Hazlet, NJ, where you will play a crucial role in supporting our healthcare team. Our commitment to providing quality healthcare services is matched by our focus on creating a supportive and rewarding work environment for our employees.
Insurance Relations Specialist Gottlieb and GreenspanInsurance Relations SpecialistFair Lawn, New Jersey$60,000–$65,000 / yearWe are seeking an experienced Insurance Relations Specialist to support our organization’s compliance with the No Surprises Act (NSA), the federal law designed to protect patients from unexpected out‑of‑network medical bills and establish structured insurer/provider payment dispute resolution processes. We are Gottlieb & Greenspan — a growing boutique law firm in Bergen County with a collaborative team and a workplace grounded in our core values: we are ethical, respectful of all people, accountable, positive and fun, driven, and committed to excellence .
DRG Downgrade Denial Specialist - FT - Day - Revenue Integrity & Denials Mgmt Lawrenceville NJ Capital HealthDRG Downgrade Denial Specialist - FT - Day - Revenue Integrity & Denials Mgmt Lawrenceville NJNJ$20.10–$26.13 / hourKnowledge and Skills: Working knowledge of DRG downgrade processes and third-party audit workflows Strong understanding of hospital billing systems and payer claim adjudication processes Ability to perform detailed tracking, documentation, and inventory management across multiple appeal levels Strong organizational skills and attention to detail Ability to perform root-cause analysis and identify recurring downgrade drivers Strong written communication skills for documentation and internal coordination. Ensures DRG downgrade cases are properly triaged, routed, documented, tracked, and submitted in accordance with payer and auditor requirements, while partnering with clinical resources to support successful appeal outcomes and denial prevention.
Research Business Specialist Hackensack Meridian HealthResearch Business SpecialistClifton, New JerseyFull timeThe Research Business Specialist provides support to Hackensack Meridian Health, Office of Research Administration, for pre/post award financial management of Clinical Trial research and ongoing support for the management of the Oncore Clinical Trial Management System (CTMS) across the HMH Network. The posted rate of pay in this job posting is a reasonable good faith estimate of the minimum base pay for this role at the time of posting in accordance with the New Jersey Pay Transparency Act and does not reflect the full value of our market-competitive total rewards package.
Scheduling Specialist Concierge - Day Shift Trinity Health CorporationScheduling Specialist Concierge - Day ShiftLanghorne, PASt. Mary Medical Center is a beautiful 53-acre state-of-the-art facility comprised of more than 700 physicians, nearly 3,000 colleagues, and 1,100 volunteers committed to providing quality care delivered with compassion and respect. Mary attracts top doctors, introduces cutting-edge technologies and implements advanced procedures to meet the healthcare needs of the people it serves, including the nearly 630,000 residents of Bucks County.
Medical Biller SportsMed Physical TherapyMedical BillerGlen Rock, NJ$20–$24 / hourEnsure all billing changes, charge offs, escalations, interactions etc. are correctly documented in billing and/or HRM software in a timely manner. Minimum 3 years' experience with medical billing required (1 year with 2-year college degree or greater).
Manager or Senior Manager, R&D Tax Credits (AMCS) KPMG International CooperativeManager or Senior Manager, R&D Tax Credits (AMCS)NJLicensed CPA, JD/LLM or completion of an advanced degree or professional certification/designation including: MBA (Masters of Business Administration), MCM (Masters of Construction Management), PHDE (PhD of Economics), PHE (Doctor of Engineering), ME (Masters of Engineering), MSRE (Masters of Science-Real Estate), AIA (Member, Amer Inst of Architects), Enrolled Agent, LEED (Leadership, Energy & Environmental Design) Certification, PE (Professional Engineer), or SIX SGMA (Six Sigma) Certification, in addition to others on KPMGs approved credential listing; any individual who does not possess at least one of the approved designations/credentials when their employment commences, has one year from their date of hire to obtain at least one of the approved designations/credentials; should you like to see the complete list of currently approved designations/credentials for the hiring practice/service line, your recruiter can provide you with that list. Work with KPMGs extensive network of specialists; enjoy access to our Ignition Centers, where deep industry knowledge merges with cutting-edge technologies to create innovative tax solutions.
Inpatient Clinical Denial Specialist - FT - Day - Revenue Integrity & Denials Mgmt Lawrenceville NJ Capital HealthInpatient Clinical Denial Specialist - FT - Day - Revenue Integrity & Denials Mgmt Lawrenceville NJNJ$20.10–$26.13 / hourOther Credentials: Knowledge and Skills: Working knowledge of inpatient clinical denial categories, including medical necessity, patient status, and readmissions Familiarity with utilization review processes and clinical documentation workflows Ability to perform detailed tracking, documentation, and inventory management across multiple appeal levels Strong organizational skills and attention to detail Ability to identify root causes and recurring denial drivers Strong written communication skills for documentation and internal coordination Proficiency with hospital billing systems, EMR navigation, and payer portals Proficiency with Microsoft Office applications, including Excel. Ensures inpatient clinical denial cases are properly triaged, routed, documented, tracked, and prepared for appeal in accordance with payer requirements, while partnering with clinical and operational resources to support timely resolution and denial prevention.
Outpatient Clinical Denial Specialist - FT - Day - Revenue Integrity & Denials Mgmt Lawrenceville NJ Capital HealthOutpatient Clinical Denial Specialist - FT - Day - Revenue Integrity & Denials Mgmt Lawrenceville NJNJ$20.10–$26.13 / hourOther Credentials: Knowledge and Skills: Working knowledge of outpatient clinical denial categories, including payer medical policy, experimental/investigational, and clinical criteria denials Familiarity with payer authorization processes and outpatient clinical documentation workflows Ability to perform detailed tracking, documentation, and inventory management across multiple appeal levels Strong organizational skills and attention to detail Ability to identify root causes and recurring outpatient denial drivers Strong written communication skills for documentation and internal coordination Proficiency with hospital billing systems, EMR navigation, and payer portals. Ensures outpatient clinical denial cases are properly triaged, routed, documented, tracked, and prepared for appeal in accordance with payer requirements, while partnering with clinical and operational resources to support timely resolution and denial prevention.
Surgical Scheduler - FT - Day - Endocrinology Specialists Pennington NJ Capital HealthSurgical Scheduler - FT - Day - Endocrinology Specialists Pennington NJPennington, NJ$18.57–$23.23 / hourPerforms all medical receptionist duties, including but not limited to, answering phone calls, scheduling appointments, filing information into medical records, checking patients in and out, collecting co-pays and fees from patients and completing computer and paperwork associated with these functions. When determining base salary and/or rate, several factors may be considered including, but not limited to location, years of relevant experience, education, credentials, negotiated contracts, budget, market data, and internal equity.
Surgical Scheduler - FT - Day - Endocrinology Specialists Mountainview NJ Capital HealthSurgical Scheduler - FT - Day - Endocrinology Specialists Mountainview NJMountainview, NJ$18.57–$23.23 / hourPerforms all medical receptionist duties, including but not limited to, answering phone calls, scheduling appointments, filing information into medical records, checking patients in and out, collecting co-pays and fees from patients and completing computer and paperwork associated with these functions. When determining base salary and/or rate, several factors may be considered including, but not limited to location, years of relevant experience, education, credentials, negotiated contracts, budget, market data, and internal equity.
Claim Recovery Specialist Hunterdon HealthClaim Recovery SpecialistFlemington, NJQualifications Minimum Education: Required: High School Diploma or Equivalent Preferred: Minimum Years of Experience (Amount, Type and Variation): Required: Preferred: One year of medical office/hospital registration/patient accounting experience License, Registry or Certification: Required: Preferred: Knowledge, Skills and/or Abilities: Required: Preferred: Hunterdon Health is committed to providing a competitive benefit package to our employees. When determining an applicants hourly rate and/or base salary, several factors may be considered as applicable (e.g., years of relevant experience, education, internal equity, and specialty).
Public Benefit Specialist Ensemble Health PartnersPublic Benefit SpecialistUnion, IndianaEssential Job Functions : Reviewing all referred uninsured/under-insured patients for program eligibility opportunities, initializing and coordinating the application process to facilitate accurate and appropriate submissions. Developing and maintaining proactive working relationship with county/state/federal Medicaid caseworker partners, working collaboratively with other revenue cycle departments and associates.