NewClaim Benefit Specialist CVS Health CorpClaim Benefit SpecialistNJ$17–$28.46 / hourAnalyzes claims data and generate reports to identify trends, patterns, or areas for improvement to help inform process enhancements, policy changes, or training needs within the claims processing department. Performs claim documentation review, verifies policy coverage, assesses claim validity, communicates with healthcare providers and policyholders, and ensures accurate and timely claims processing.
Medicaid Billing Administrator - Intern (Unpaid) Neuropath Healthcare SolutionsMedicaid Billing Administrator - Intern (Unpaid)Union, New JerseyThe Medicaid Billing Administrator Internship at Neuropath Behavioral Healthcare is designed to provide students and recent graduates with practical training and exposure to healthcare billing processes. Interns will gain hands-on experience in Medicaid claims processing, billing compliance, and healthcare administration while working under the direct supervision of experienced billing professionals.
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.
Billing Coordinator / Coder Ambulatory - Physician Practice Hackensack University Medical CenterBilling Coordinator / Coder Ambulatory - Physician PracticeEdison, NJThis position is responsible for accurately abstracting data following the Official International Classification of Diseases (ICD)-10-Clinical Modification (CM), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) Guidelines for Coding and Centers for Medicare and Medicaid Services (CMS) directives across the Hackensack Meridian Health (HMH) network. The Billing Coordinator / Coder is responsible for coordinating the day-to-day billing operations of the department and the hospital outpatient billing service utilizing a centralized medical information system.
Billing Coordinator / Coder Ambulatory - Ears, Nose, and Throat - Physician Practice Hackensack University Medical CenterBilling Coordinator / Coder Ambulatory - Ears, Nose, and Throat - Physician PracticeHackensack, NJThis position is responsible for accurately abstracting data following the Official International Classification of Diseases (ICD)-10-Clinical Modification (CM), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) Guidelines for Coding and Centers for Medicare and Medicaid Services (CMS) directives across the Hackensack Meridian Health (HMH) network. The Billing Coordinator / Coder is responsible for coordinating the day-to-day billing operations of the department and the hospital outpatient billing service utilizing a centralized medical information system.
Optometry Medical Biller Sew Eyes IncOptometry Medical BillerWayne, NJFull timeThe ideal candidate has excellent attention to detail, strong customer service skills, and is comfortable spending much of the day on the phone. As a Medical Biller, you will be working processing all forms needed for insurance billing purposes, and collecting necessary documentation.
Medical Office Manager, Queens The Dermatology SpecialistsMedical Office Manager, QueensRidgewood, New Jersey2 years’ + experience in Hospitality or Medical management as a minimum; Experience in managing a team; Ability to give direction with confidence; Hard-working and willing to be part of a team; Desire to grow with the practice; This position requires a hands-on manager with exceptional communication skills, a thorough knowledge of office operations, human resource management, business development and financial oversight.
CPC Investigator Blue Cross and Blue Shield AssociationCPC InvestigatorNewark, NJ$70,500–$94,395 / yearThe Certified Professional Coder (CPC) is responsible for performing reviews, audits and coding oversight of medical records to ensure the appropriate CPT codes, diagnosis codes and modifiers according to Generally Accepted Medical Coding Guidelines, CPT-4; HCPCS; ICD-10 Guidelines; and, CMS Correct Coding. The incumbent will also be responsible for handling low level investigative activities (external) related to claims, enrollment, accounting, receive and review suspected fraud and to complete cases with all information and analysis for resolution, as the manager and prior approved guidelines may direct.
NewCPC Investigator Horizon Healthcare ServicesCPC InvestigatorNewark, New JerseyThe Certified Professional Coder (CPC) is responsible for performing reviews, audits and coding oversight of medical records to ensure the appropriate CPT codes, diagnosis codes and modifiers according to Generally Accepted Medical Coding Guidelines, CPT-4; HCPCS; ICD-10 Guidelines; and, CMS Correct Coding. $70,500 - $94,395 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.
NewField Reimbursement Manager, Greensboro NC - Dermatology Johnson & JohnsonField Reimbursement Manager, Greensboro NC - DermatologyTitusville, NJRequired Skills: Preferred Skills: Account Management, Coaching, Competitive Landscape Analysis, Compliance Management, Consulting, Cross-Functional Collaboration, Escalation Management, Fact-Based Decision Making, Finance and Accounting Platforms, Financial Reports, Market Access Reimbursement, Market Opportunity Assessment, Performance Measurement, Pricing Strategies, Process Improvements, Strategic Thinking, Technical Credibility. The Field Reimbursement Manager (FRM) is responsible for serving as the primary field-based lead for education, assistance, and issue resolution with healthcare providers (HCPs), and their office staff, with respect to patient access to J&J Immunology therapies.
NewField Reimbursement Manager, Charlotte NC - Dermatology Johnson & JohnsonField Reimbursement Manager, Charlotte NC - DermatologyTitusville, NJRequired Skills: Preferred Skills: Account Management, Coaching, Competitive Landscape Analysis, Compliance Management, Consulting, Cross-Functional Collaboration, Escalation Management, Fact-Based Decision Making, Finance and Accounting Platforms, Financial Reports, Market Access Reimbursement, Market Opportunity Assessment, Performance Measurement, Pricing Strategies, Process Improvements, Strategic Thinking, Technical Credibility. The Field Reimbursement Manager (FRM) is responsible for serving as the primary field-based lead for education, assistance, and issue resolution with healthcare providers (HCPs), and their office staff, with respect to patient access to J&J Immunology therapies.
Inpatient Program Strategy & Execution Manager Cohere Health Technologies LLCInpatient Program Strategy & Execution ManagerNYRemote$110,000–$127,000 / yearBy unifying pre-service authorization data with post-service claims validation, we''re creating a transparent healthcare ecosystem that reduces waste, improves payer-provider collaboration and patient outcomes, and ensures providers are paid promptly and accurately. With an enterprise approach that streamlines payer-provider decision-making across the care continuum-including policy, prior authorization, payment accuracy, and more-the company improves collaboration and reduces burden, resulting in up to 8x ROI and 94% provider satisfaction.
Sr. Platform Engineer Colgate-Palmolive CoSr. Platform EngineerPiscataway, NJ$110,000–$155,000 / yearEstablished in 1806 as a small soap and candle business in New York City, Colgate-Palmolive is now a truly global company with products sold in over 200 countries and territories under such internationally recognized brand names as Colgate, Palmolive, Softsoap, Irish Spring, Protex, Sorriso, Kolynos, elmex, Tom's of Maine, Sanex, Ajax, Axion, Soupline, Haci Sakir, Suavitel, PCA SKIN, EltaMD, Filorga and Hello as well as Hill's Science Diet and Hill's Prescription Diet. Colgate-Palmolive is a leading consumer products company that serves hundreds of millions of consumers worldwide with brands and products across four core businesses - Oral Care, Personal Care, Home Care and Pet Nutrition.
Medical Coding Mgr EisaiMedical Coding MgrNutley, NJ$99,900–$131,100 / yearThe Manager reviews study protocols in order to support the study design, database build and planned analyses utilizing the dictionary coding and contributes to the development and maintenance of coding process documents, e.g. The Medical Coding Manager provides medical coding expertise to clinical teams by coding/recoding of adverse events, concomitant medications and other data points using MedDRA and WHO Drug dictionaries.
Director of Billing and Coding (Full Time ) PRIMARY HEALTH NETWORK, INC.Director of Billing and Coding (Full Time )Mercer County, NJReviews and interprets operational data to assess need for procedural revisions and enhancements; participates in the design and implementation of specific systems to enhance revenue and operating efficiency. We envision a future where healthcare is a transformative, personalized journey that embodies a comprehensive approach marked by unwavering integrity, respect for all individuals, continuous innovation, and a relentless commitment to quality.
Manager, Coding, Health Information Management, Full Time, Day The Valley HospitalManager, Coding, Health Information Management, Full Time, DayRidgewood, New Jersey$108,784–$135,990.40 / yearThis applies to all areas of employment, including recruitment, hiring, training and development, promotion, transfer, termination, layoff, compensation, benefits, social and recreational programs, and all other conditions and privileges of employment. In our commitment to high performance and reliability, we encourage and recognize exceptional individual performance through our industry leading compensation practices including a starting salary and benefits in accordance with your role, experience, education, and licensure.
Inpatient Coding Data Quality Auditor/Educator University Hospital, Newark NJInpatient Coding Data Quality Auditor/EducatorNewark, New Jersey$118,941–$142,009 / yearFull timeAs the principal teaching affiliate of Rutgers New Jersey Medical School and the only state-certified Level 1 Trauma Center in Northern New Jersey, University Hospital is training the next generation of physicians and advancing science to discovery while taking exceptional care of patients, regardless of their financial situation. University Hospital considers multiple factors when determining compensation, including (but not limited to) the scope and responsibilities of the position, the candidate’s relevant work experience, education and training, key skills, internal equity, market data, and organizational needs.
Certified Coding Auditor St. Joseph HealthCertified Coding AuditorPaterson, NJResponsible for audits which are internal record reviews for compliance with coding regulations and guidelines in order to provide rebuttals to CMS or other payer denials and to assist and improve on physician correct coding/documentation education. Provides assistance with the creation of EMR templates in order to to improve capture of correct documentation to support E&M (Evaluation and Management Coding) levels.
STEM & Coding Teaching Opportunities Concorde EducationSTEM & Coding Teaching OpportunitiesNew York, NY$50–$100 / hourPreferred qualifications include: • At least 60 college credits, where required by the applicable assignment or site; • Experience with coding, programming, computer science, or related technology subjects; • Experience teaching, tutoring, coaching, mentoring, or leading activities with school-age students; • Strong communication, organization, and classroom facilitation skills; • Availability to provide services for the accepted assignment schedule and communicate schedule issues as soon as reasonably practicable; and. Payment for completed services is generally made by direct deposit on the fifteenth day of the month following the month in which services were completed, unless otherwise stated in the accepted assignment terms or required by applicable law.
Bilingual Elementary Teacher Gr.4 NJDOE Endorsement Code #1013 or #1001 Required Trenton Public SchoolsBilingual Elementary Teacher Gr.4 NJDOE Endorsement Code #1013 or #1001 RequiredTrenton, NJ$71,525–$117,475 / yearid='p9289_'>Bilingual Elementary Teacher Gr.4 NJDOE Endorsement Code #1001 or #1000 Required JobID: 9289. All certificated positions require a valid certificate issued by the New Jersey Department of Education (NJDOE).