Billing Specialist Southern Jersey Family Medical CentersBilling SpecialistMarlton, NJSummary: The Billing Specialist is responsible for maintaining adequate cash flow to maintain center operations and is expected to interact with staff members in a professional manner in order to meet patient and Center billing needs. Scrubs previous day’s encounters to ensure CPT& ICD code accuracy before submission to third party carriers.
Board-Certified Rheumatologist Dane StreetBoard-Certified RheumatologistHainesport, NJDane Street is a national leader in Independent Medical Examinations (IMEs) and peer review services, trusted by insurance carriers and organizations across the country for objective, high-quality medical evaluations. We are seeking a skilled and board-certified Rheumatologist in Hainesport, NJ to join our team for Independent Medical Examinations (IMEs).
DSNP Supervisor, RN Integrated Resources, IncDSNP Supervisor, RNMount Laurel, New JerseyFull timeJob DescriptionJob Summary: The position is responsible for leading the Dual Special Needs Plan (DSNP) clinical care team in a hands-on manner to provide exceptional service to the customer and contain medical claims cost. Knowledge: Requires knowledge of Utilization Management (UM) and managed care principles as they relate to the CCM process and Elderly Frail /Managed Medicaid Population based CM.
Risk Manager, Insurance Programs Bayada Home Health Care, Inc.Risk Manager, Insurance ProgramsPennsauken, NJ$120,000–$140,000 / yearAnalyze and interpret claim trends, while collaborating with key business partners, to develop and implement risk mitigation strategies, including safety programs and loss prevention measures. Assist in the ongoing assessment/gap analysis of existing loss prevention materials, programs, policies and procedures to identify areas of opportunity to mitigate risks from a safety and insurance perspective.
Manager, Support Services & Vendor Operations Berkshire Hathaway GUARD Insurance CompaniesManager, Support Services & Vendor OperationsPhiladelphia, PA$70,000–$120,000 / yearThe Manager of Support Services & Vendor Operations will be a critical leader within our Service & Delivery organization, accountable for the performance, cost management, and continuous improvement of four interconnected operational teams: Mailroom, Imaging Services, Claims Services, and Accounting Services. Develop and maintain deep institutional knowledge of the automated, semi-automated, and manual routing capabilities in use today (including proprietary and vendor-supported automation capabilities) ensuring routing logic, business rules, and exception handling are fully documented and actively governed.
Accounts Receivable Lead SarnovaAccounts Receivable LeadPhiladelphia, PAThe A/R Management Lead also serves as a subject matter expert, identifying process improvements to increase efficiency within the A/R Management team, and acting as a resource to help team members resolve issues. Since its founding in 1984, Digitech has refined its software platform to create a cloud-based billing and business intelligence solution that monitors and automates the entire EMS revenue lifecycle.
RCM Solutions Consultant Empowered StaffingRCM Solutions ConsultantNJRemoteHelp clients understand and adopt AI-driven workflow automation, demonstrating how technology can improve operational efficiency, reduce manual work, and accelerate cash flow. This individual will lead client onboarding and implementation efforts, provide expert guidance throughout the deployment process, and ensure clients successfully adopt and optimize the solution.
Customer Service Representative - Medicare Pyramid Consulting, IncCustomer Service Representative - MedicarePennsylvania, PARemote$20–$23 / hourThis is a phone-based position which requires excellent verbal communication; use of proper grammar; professional language/word choice vs casual language/slang; ability to clearly communicate complex messages over the phone. By applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners.
Sr. Property Manager - MontCo, Pa - Commercial RE Judge GroupSr. Property Manager - MontCo, Pa - Commercial RELower Merion, PA$100,000–$120,000 / yearDevelop budgets with a strong understanding of long-term facility planning to maintain and control all expenditures in the Operating Budget including all CAM items, owners operating expenditures, recoverable utilities and capital improvements (excluding development expenses). Facility Operation: Manage the repair, maintenance and improvement of the physical asset, including the daily cleanliness and aesthetics of the property to major improvement projects, minimizing the loss of value and effectively increasing asset value where possible.
Sr. Property Manager Judge GroupSr. Property ManagerLower Merion, PADevelop budgets with a strong understanding of long-term facility planning to maintain and control all expenditures in the Operating Budget including all CAM items, owners operating expenditures, recoverable utilities and capital improvements (excluding development expenses). Facility Operation: Manage the repair, maintenance and improvement of the physical asset, including the daily cleanliness and aesthetics of the property to major improvement projects, minimizing the loss of value and effectively increasing asset value where possible.
Coding Auditor University Health Services IncCoding AuditorWAYNE, PAMeets continued education guidelines to maintain current AAPC CPC certification Exercises good judgement in escalating identified coding trends that may negatively impact productivity, quality or revenue to enhance clinical documentation to support codes billed, drive consistency across IPM, mitigate claim denials, expedite reprocessing of claims and maximize opportunities to enhance front end, coding-related claim edits to facilitate first pass resolution. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. states, Washington, D.C., Puerto Rico and the United Kingdom.
Front Desk, Medical Billing/Office Manager Mobility Ideal Health CareFront Desk, Medical Billing/Office ManagerCherry Hill, NJWhile performing this client facing position, working with a diverse population in multicultural settings, there will large amounts of communication (oral and written) including but not limited to clinicians, patients, physicians, physician's office representatives, other staff members (field associates, managers, directors) and/or business representatives. Appointment Scheduling: Schedule and reschedule patient appointments as needed, considering the availability of healthcare providers and the urgency of the patient''s condition.
AVP, Reinsurance Specialist Marsh & McLennan Companies IncAVP, Reinsurance SpecialistPhiladelphia, PAAuthorize Key Performance Indicators (KPIs) and other system tools to manage sometimes complex transactional processes and ensure assigned tasks are managed effectively and in a timely manner, ensuring Client measurement Service Level Agreements (SLAs) are adhered to in order to provide services in an efficient, effective, and regulatory-compliant manner. Interface during team and department meetings and activities to share opinions, ideas, knowledge, and solutions, and provide input for the evolution of the operational model at all levels of the organization in order to promote new process improvement ideas that leverage technology solutions.
Senior Billing Representative Temple UniversitySenior Billing RepresentativePhiladelphia, Pennsylvania$23.74 / hourIncumbent is also responsible for all cashier duties including but not limited to accepting payments, posting payments to accounts, correctly navigating any payment type, and all cash and payment reconciliations for day activity. Our renowned faculty and staff provide students with a wealth of opportunities and resources, including smart classrooms, digital dentistry labs, clinics and a preclinical lab that emphasizes collaboration.
Director, Kroll Settlement Administration Kroll, LLCDirector, Kroll Settlement AdministrationPhiladelphia, PARemote$100,000–$150,000 / yearReview and Identify Potential Issues Prior to Case Assignment: Serve as a liaison between the Business Development Team and the Client Services teams to review the proposal given to and approved by clients in connection with engagements we have been retained on and compare the proposal to the initial documents received to ensure consistency on items such as scope, volumes and rates, and to identify any missing information or documents, and to coordinate with the business development team to address the issues to finality prior to the assignment of the matter to a particular client services team. The review would seek to: Ensure our preapproved templates are being followed and that the document conforms to our templates; Ensure all case statistics and timelines being cited are correct and consistent with statistics noted in attorney provided case-specific documents (typically settlement agreements in class action law suits) as well as our proprietary case management database; Identify any potential issues to be discussed with Senior Management and/or our legal department as appropriate prior to finalization.
Analyst, Kroll Settlement Administration Kroll, LLCAnalyst, Kroll Settlement AdministrationPhiladelphia, PARemote$22–$27 / hourAs a settlement administrator, we are responsible for notifying potential class members, reviewing and processing claim forms filed by individuals and entities, calculating losses, auditing claims to determine the extent of the damages incurred and processing and distributing funds to eligible class members under the court's direction. Kroll Settlement Administration, part of Kroll's Business Services division, is the leader in cutting-edge technology and consulting services for class action, mass tort, regulatory remediation and government claims administration.
Medical Coding Specialist (32473) ExamWorks Group IncMedical Coding Specialist (32473)Mount Laurel, NJExamWorks is a leading provider of innovative healthcare services including independent medical examinations, peer reviews, bill reviews, Medicare compliance, case management, record retrieval, document management and related services. Our clients include property and casualty insurance carriers, law firms, third-party claim administrators and government agencies that use independent services to confirm the veracity of claims by sick or injured individuals under automotive, disability, liability and workers' compensation insurance coverages.
NewMedical Coding Specialist (32635) ExamWorks Group IncMedical Coding Specialist (32635)Mount Laurel, NJExamWorks is a leading provider of innovative healthcare services including independent medical examinations, peer reviews, bill reviews, Medicare compliance, case management, record retrieval, document management and related services. Our clients include property and casualty insurance carriers, law firms, third-party claim administrators and government agencies that use independent services to confirm the veracity of claims by sick or injured individuals under automotive, disability, liability and workers' compensation insurance coverages.
Corporate Insurance & Risk Management Analyst Chubb LtdCorporate Insurance & Risk Management AnalystPhiladelphia, PACritical factors to success include ability to work effectively across all levels both internally and externally, strong organizational, analytical and attention to detail skillsets, and willingness/desire to learn and develop in a dynamic environment. Corporate Insurance and Risk Management Analyst will be primarily responsible for supporting the corporate insurance and risk management function with additional ad hoc support for the other functions within the Global Treasury unit.
Senior Underwriter, Commercial Insurance Specialty Chubb LtdSenior Underwriter, Commercial Insurance SpecialtyPhiladelphia, PA$100,000–$165,000 / yearStrong sales and marketing skills are critical; must be able to demonstrate successful agency and broker management, including building, maintaining and managing producer and customer relationships. The company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally.