Precertification Specialist Emerson Personnel GroupPrecertification SpecialistPhiladelphia, PAThe specialist works closely with Billing Director, providers, patients, insurance companies, and pharmacy teams to facilitate access to high-cost biologic treatments. The Precertification Specialist is responsible for managing and processing prior authorization requests for biologic medications, ensuring timely and accurate approvals in compliance with payer guidelines and clinical protocols.
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.
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.
Coding Auditor (ICD-10) Integrated Resources, IncCoding Auditor (ICD-10)Newark, New JerseyFull timeKnowledge: • Requires knowledge of medical terminology, detailed knowledge of anatomy & physiology, disease pathogenesis and treatment including procedural drug therapies, ancillary and diagnostic services. Must demonstrate the ability to manage multiple priorities [or tasks], deliver timely and accurate work products with a customer service focus, and respond with a sense of urgency as required.
USA - Logistics Specialist LancesoftUSA - Logistics SpecialistHoboken, NJ$1Start: ['Cass, Transportation Management Systems (OTM, SAP TM, or similar), Transportation & Logistics Operations, Carrier Invoicing, Root Cause Analysis, Data Analysis & Problem Solving.'] This role involves working closely with carriers, external service providers, and various internal teams to resolve discrepancies and maintain accurate records.
Utilization Review Coordinator – Behavioral Health Avenues RecoveryUtilization Review Coordinator – Behavioral HealthToms River, NJFull timePosition OverviewLocation: Corporate office - New JerseySchedule: Full-timeThe Utilization Review Specialist ensures timely authorization of client services, supports appropriate level-of-care determinations, and partners closely with clinical and billing teams to maintain accurate documentation and continuity of care across facilities. Avenues Recovery Center is Now Hiring: Utilization Review Specialists Avenues Recovery Center is a nationwide network of drug and alcohol rehabilitation centers with eighteen locations across seven states.
Customs Compliance Specialist Sunrise Systems IncCustoms Compliance SpecialistNewark, NJ$28–$32 / hourThe ideal candidate possesses strong organizational and analytical skills, accuracy in recording information, a keen attention to detail, and the ability to proactively monitor Customs compliance-related challenges as they arise, ensuring seamless operations across the supply chain. Comprehensive Recordkeeping US Imports & Exports: Download, rename, and save all shipping and entry documents —such as entries, entry summaries, invoices, bills of lading, and proofs of delivery (PODs)—for all US import and export activities.
Medical Records Specialist GEE Group, IncMedical Records SpecialistPrinceton, NJ$20–$21 / hourThe Medical Records Specialist is responsible for maintaining accurate, complete, and confidential patient health records in accordance with organizational policies, HIPAA requirements, and applicable healthcare regulations. Previous experience in medical records, healthcare administration, patient registration, billing, or a related healthcare support role preferred.
Certified Professional Coder Integrated Resources, IncCertified Professional CoderHopewell, NJ$35–$38 / hourThe role involves designing audit protocols, handling special projects, and performing/finalizing per diem audits, bill verification, DRG validation (utilization review audits), and credit balance reviews. This position is responsible for leading on-site and desk audits of hospital billing and coding practices, including forms development, audit profiling, and tracking institutional audit trends.
Front Office Specialist - Medication Management - Millburn, NJ OASIS MENTAL HEALTH CENTERS MEDICAL LLCFront Office Specialist - Medication Management - Millburn, NJMillburn, NJ$22–$24 / hourThe role includes basic front office responsibilities, occasionally submitting prior authorizations, managing provider follow-up scheduling, and cross-training for the opportunity to support our Transcranial Magnetic Stimulation (TMS) and Spravato clinic upstairs with on-the-job certification to directly administer depression treatment to patients with major depressive disorder. Collect, upload, and maintain new patient intake forms during first in-office visits, including registration documents, applicable consents/waivers, ID, insurance cards, and any required clinical forms — and transmit documents securely through the electronic health records (EHR) portal.
Appeal Analyst RN I Integrated Resources, IncAppeal Analyst RN IHopewell, NJ$40–$42 / hourStrong knowledge of medical terminology, anatomy and physiology, disease processes, treatment protocols, procedural drug therapies, ancillary services, and diagnostic procedures. Additionally, the role provides guidance and education to stakeholders regarding ICD-10-CM coding, DRG assignment, payment methodologies, and audit processes.
Program Specialist 3 22nd Century Technologies, Inc.Program Specialist 3Home-Headquarter, PAThis position is responsible for collecting and analyzing information to evaluate program administration and to determine compliance with federal, state, and departmental regulations and objectives; researching, analyzing, and reviewing data to develop and recommend policies and procedures; developing reports on program effectiveness; resolving beneficiary complaints and conducting outreach; assisting in program planning, reporting, and compliance efforts; and recruiting, training, and managing volunteers within their assigned region. This contracted position is responsible for delivering Senior Medicare Patrol (SMP) Services providing group education and one-on-one assistance to Medicare beneficiaries, their families, and caregivers about how to prevent, detect, and report Medicare fraud, errors, and abuse.
HIM Inpatient Coding Specialist III Penn MedicineHIM Inpatient Coding Specialist IIIPhiladelphia, PAPenn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Refers charts that require clarification of vague or unclear documentation for accurate coding and DRG assignment to a Coding Quality Specialist to query the physician for the needed documentation.
HIM Inpatient Coding Specialist I Penn MedicineHIM Inpatient Coding Specialist IPhiladelphia, PAPromptly and accurately assigns Coding Hold reasons to all records that cannot be completed immediately due to: Missing Operative Notes, Missing Pathology Report, Physician Query Needed, Death Review, Discharge Disposition, Missing Other Reports (Card Cath, EPS, etc). Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine.
Front Desk Receptionist US Foot and Ankle Specialists CareersFront Desk ReceptionistSea Girt, New JerseyThis role is responsible for a wide range of tasks, including patient service, appointment scheduling, data entry, electronic health record (EHR) management, and patient education. Facilitate patient flow by notifying providers of arrivals, monitoring delays, and communicating updates to patients and staff.
Housing Occupancy Management Coordinator Princeton UniversityHousing Occupancy Management CoordinatorPrinceton, New Jersey$69,000–$79,000 / yearFull timeThis includes assisting with relocation planning and administration for students during annual transitions from academic year to bridge housing, bridge housing to summer housing, summer housing to Early Arrivals and Early Arrivals to academic year and assistance with the planning and administration of winter break housing. In addition to HRES, the division includes Campus Dining; Campus Support Services; Conference and Event Services; Print, Mail & Trademark Licensing Services; the Service Point; Transportation and Parking Services; and University Services Administration.
Director, Maternal Health Career Pathway & BRICK Doula Network BRICK NetworksDirector, Maternal Health Career Pathway & BRICK Doula NetworkNewark, New Jersey$100,000–$129,000 / yearWe are hiring a Director to build a career pathway that recruits community members, trains and credentials them as Community Doulas, and supports them on a maternal health career ladder — serving the families in BRICK Healthy Beginnings. $100,000 - $129,000 a year Health, Dental, Vision, Retirement match, Paid time off, Professional development We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information.
Medical Equipment Customer Service Representative Rotech Healthcare Inc.Medical Equipment Customer Service RepresentativeBENSALEM, PennsylvaniaWith hundreds of locations across 45 states, our team delivers high-quality products, exceptional service, and compassionate support that helps patients live more comfortably, independently, and actively. As a national leader in ventilators, oxygen therapy, sleep apnea treatment, wound care, diabetic solutions, and other home medical equipment, we empower patients to manage their health from the comfort of home.
Allergy Administrative Assistant/Authorization Specialist - Cherry Hill ENT and Allergy AssociatesAllergy Administrative Assistant/Authorization Specialist - Cherry HillCherry Hill, New JerseyENT and Allergy Associates, LLP New York & New Jersey's premier ENT and Allergy medical practice, is seeking a self-motivated, people-friendly full-time Allergy Administrative Assistant/Authorization Specialist for our Cherry Hill office. Each ENTA clinical office is comprised of world-class physicians who are specialists and sub-specialists in their respective fields, delivering the highest level of expertise and care to patients of all ages.
Revenue Cycle Systems Specialist BancroftRevenue Cycle Systems SpecialistCherry Hill, New Jersey$62,500–$71,000 / yearFull timeleadership in the core values of the organization; clear, effective communication skill a mature approach to problem-solving for all types of issues; skills in using computers and computer application; negotiating skills, detail orientation. should possess a blend of technical skills, healthcare knowledge (billing, coding - CPT/HCPCS, insurance), and skills to identify trends that optimize processes,and ensure financial accuracy.