Bill Processor New Jersey ManufacturersBill ProcessorTrenton, New JerseyWith a nationally ranked reputation for outstanding customer service and a history that spans more than a century, NJM is a leading provider of worker's compensation, automobile, and homeowners insurance in New Jersey. Our MCS (Medical Claims Services) Medical Bill Processing Department has an opening for a Bill Processor and is seeking a candidate who has excellent communication skills as well as strong organizational and time management skills.
Revenue Integrity Analyst Hunterdon HealthRevenue Integrity AnalystFlemington, NJPositionSummary The Revenue Integrity Analyst (RIA), reporting directly to the Chief Revenue Officer will serve as a critical leader of the revenue cycle operation team and be responsible for performing in-depth analysis of patient clinical and billing data to identify contractual, documentation, and denial prevention opportunities with the focus on creating process improvement initiatives. 2. Performs ad hoc consultative research and coordination on current issues of Revenue Cycle regulatory risk including medical necessity denials; identifies a framework of continuous improvement to accomplish programmatic goals; facilitates meetings both internal and external; works collaboratively with system compliance leadership to coordinate and manage RAC and payer audit appeals.
Physician Assistant or Nurse Practitioner URGENT CARE CLINIC PLLCPhysician Assistant or Nurse PractitionerSOUTHAMPTON, PAFull timeThe Physician Assistant or Nurse Practitioner will be responsible for providing medical care to patients, conducting physical exams, diagnosing illnesses, prescribing medications, and developing treatment plans, as well as performing treatment procedures. Join our team and make a difference in the lives of our patients by delivering exceptional healthcare services!
Front Desk Coordinator - Full Time RestorixHealthFront Desk Coordinator - Full TimeRahway, NJResponsible for scheduling patients, precertification, insurance verification, charge entry and daily reconciliations, this position will wear many hats. When you join our team, you have the opportunity to develop your career based on your strengths and potential, including the possibility to move functionally, geographically, laterally and vertically.
Supervisor, Education/Audit, Physician Billing Hackensack University Medical CenterSupervisor, Education/Audit, Physician BillingEdison, NJRemoteUnder the general direction of the Physician Billing (PB) Director of Coding and Manager of Education and Audit, the Supervisor, Education/Audit, Physician Billing will supervise the Coding Education and Audit team and conducts audits for medical provider documentation while adhering to Centers for Medicare and Medicaid Services (CMS) and Office of Inspector General (OIG) guidelines for Hackensack Meridian Health (HMH). At Hackensack Meridian Health we help our patients live better, healthier lives - and we help one another to succeed.
Front Desk Coordinator - Full Time Project RestorixFront Desk Coordinator - Full TimeRahway, NJQualifications: High school diploma or equivalentExperience in front desk role in a hospital outpatient or medical practice setting preferredIntermediate Microsoft Office skills (Word, Excel, Outlook)Exceptional customer service skills, able to promote a positive environment. When you join our team, you have the opportunity to develop your career based on your strengths and potential, including the possibility to move functionally, geographically, laterally and vertically.
Senior Revenue Cycle Billing Specialist - FT - Day - Hospital Billing Lawrenceville NJ Capital HealthSenior Revenue Cycle Billing Specialist - FT - Day - Hospital Billing Lawrenceville NJNJ$20.10–$26.13 / hourResponsible for all aspects of claim submission for services rendered at Capital Health through the Revenue Cycle life cycle to all payers, including but not limited to pre and post claim review, claim (277) rejections, denial review, and claim resubmission. Reviews hospital billing reports for corrections needed in order to have the accounts final bill - these include but are not limited to: Late Charge report, 72-hour report, etc. to ensure claims are billed timely and accurately (hospital only).
Employee Benefits Customer Service Representative Foundation Risk Partners CorpEmployee Benefits Customer Service RepresentativeCamden, NJJob Summary: The Employee Benefits Customer Service Representative handles claims resolution, benefits inquiries, coverage eligibility concerns, and other related issues for our clients'' administrators and employees. Essential Functions: Address client employee insurance concerns, answer benefit-related questions, and assist with claims resolution, patient advocacy, and pre-certifications.
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.
Convergehealth - Forward Deployed Engineer, Data Studio Revenue Cycle - Innovation_Delivery_Transformation DeloitteConvergehealth - Forward Deployed Engineer, Data Studio Revenue Cycle - Innovation_Delivery_TransformationPhiladelphia, PA$105,400–$207,800 / yearWorking knowledge of the retrieval and knowledge layer behind agentic systems - RAG pipelines, embeddings and vector stores, and increasingly knowledge graphs - including how to ground use cases in large volumes of unstructured healthcare data (e.g., clinical notes, payer policies, contracts) alongside structured sources. Partner with Health Care consulting teams and Converge for Healthcare's account and product teams during the sales cycle - running technical discovery, demonstrations, and use-case fit assessments - such as denial prevention, prior authorization automation, or AR follow-up - that qualify client needs and shape a credible path to production value.
Employee Benefits Customer Service Representative Foundation Risk PartnersEmployee Benefits Customer Service RepresentativeCamden, NJJob Summary: The Employee Benefits Customer Service Representative handles claims resolution, benefits inquiries, coverage eligibility concerns, and other related issues for our clients' administrators and employees. Essential Functions: Address client employee insurance concerns, answer benefit-related questions, and assist with claims resolution, patient advocacy, and pre-certifications.
NewInpatient Hospital Auditor II Horizon Healthcare ServicesInpatient Hospital Auditor IIHopewell, New Jersey79,100 - $105,945 This compensation range is specific to the job level and takes into account the wide range of factors that are considered in making compensation decisions, including but not limited to: education, experience, licensure, certifications, geographic location, and internal equity. 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.
Retinal Camera Operator - Eye Exam Specialist GuidehealthRetinal Camera Operator - Eye Exam SpecialistPhiladelphia, PARemoteWorking in a field-based role, traveling to provider practices and patient homes for scheduled eye exam appointments, while engaging virtually with team members, internal partners, customers, providers, payers, and care teams on non-appointment days. Success in this role requires comfort operating specialized retinal imaging equipment (full training and camera provided), strong attention to detail, and a willingness to travel daily to provider practices for scheduled eye exam appointments.
Retinal Camera Operator - Eye Exam Specialist (Ophthalmology) GuidehealthRetinal Camera Operator - Eye Exam Specialist (Ophthalmology)Philadelphia, PARemoteWorking in a field-based role, traveling to provider practices and patient homes for scheduled eye exam appointments, while engaging virtually with team members, internal partners, customers, providers, payers, and care teams on non-appointment days. Success in this role requires comfort operating specialized retinal imaging equipment (full training and camera provided), strong attention to detail, and a willingness to travel daily to provider practices for scheduled eye exam appointments.
ConvergeHEALTH - Forward Deployed Engineer, Data Studio Revenue Cycle - Innovation_Delivery_Transformation Deloitte Touche Tohmatsu LtdConvergeHEALTH - Forward Deployed Engineer, Data Studio Revenue Cycle - Innovation_Delivery_TransformationPhiladelphia, PA$105,400–$207,800 / yearWorking knowledge of the retrieval and knowledge layer behind agentic systems - RAG pipelines, embeddings and vector stores, and increasingly knowledge graphs - including how to ground use cases in large volumes of unstructured healthcare data (e.g., clinical notes, payer policies, contracts) alongside structured sources. Partner with Health Care consulting teams and Converge for Healthcare's account and product teams during the sales cycle - running technical discovery, demonstrations, and use-case fit assessments - such as denial prevention, prior authorization automation, or AR follow-up - that qualify client needs and shape a credible path to production value.
Medical Director, Orthopedic Spine Surgery - Remote UnitedHealth Group Inc.Medical Director, Orthopedic Spine Surgery - RemotePhiladelphia, PARemote$248,500–$373,000 / yearCurrent board certification through the American Board of Medical Specialties (ABMS) or the American Osteopathic Association (AOA) in Orthopedic Surgery, with fellowship training and substantial clinical experience in Spine Surgery. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
Medical Director, Orthopedic Surgery - Remote UnitedHealth Group IncMedical Director, Orthopedic Surgery - RemotePhiladelphia, PARemote$248,500–$373,000 / yearWe are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes.
Medical Director, Vascular Surgery - Remote UnitedHealth Group IncMedical Director, Vascular Surgery - RemotePhiladelphia, PARemote$248,500–$373,000 / yearWe are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes.
NewSenior IT Project Manager Revenue Cycle Partners Consulting, Inc.Senior IT Project Manager Revenue CyclePhiladelphia, PARemoteKey Accountabilities: Creates, coordinates, and manages advanced level projects, including organization-wide system implementations or upgrades. The ideal candidate will have both operational knowledge with IT implementation and project management experience, with a background in patient access, patient accounting, scheduling, and/or medical records.
Clinic Assistant - PRN Rogers Memorial HospitalClinic Assistant - PRNPhiladelphia, PAThe Clinic Assistant performs receptionist and billing responsibilities related to clinic operations; coordinates patient information, maintains confidentiality of patient files, and coordinates billing functions with central offices. Contribute to refining systems for direct feedback to unit staff, communication book, interdisciplinary report, memos, and memo boards.