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.
Patient Account Representative - Remote Med-Metrix, LLCPatient Account Representative - RemoteRed Bank, NJRemotePhysical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear. Ability to use various workflow system and client host system such as STAR, SMS, EAGLE and EPIC, as well as other tools available to them to collect payments and resolve accounts.
Patient Account Representative Med-Metrix, LLCPatient Account RepresentativeRed Bank, NJPhysical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear. Ability to use various workflow system and client host system such as STAR, SMS, EAGLE and EPIC, as well as other tools available to them to collect payments and resolve accounts.
Sr. Call Center Service Assoc Horizon Healthcare ServicesSr. Call Center Service AssocHopewell, New Jersey52,787 - $70,172 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. Receive escalated customer inquiries and provide second level resolution by initiating or continuing investigation process, utilizing available resources and accurately documenting customer inquiry and actions taken in accordance with departmental quality guidelines.
NewCall Center Service Associate Horizon Healthcare ServicesCall Center Service AssociateHopewell, New Jersey47,961 - $63,820 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. For over 90 years , we have been New Jersey’s health solutions leader driving innovations that improve health care quality, affordability, and member experience.
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.
Sr. Call Center Service Assoc Blue Cross and Blue Shield AssociationSr. Call Center Service AssocHopewell, NJ$52,787–$70,172 / yearThis 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. Responsibilities: Receive escalated customer inquiries and provide second level resolution by initiating or continuing investigation process, utilizing available resources and accurately documenting customer inquiry and actions taken in accordance with departmental quality guidelines.
Call Center Service Associate Blue Cross and Blue Shield AssociationCall Center Service AssociateHopewell, NJ$47,961–$63,820 / yearThis 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. For over 90 years, we have been New Jersey's health solutions leader driving innovations that improve health care quality, affordability, and member experience.
Documentation Review Nurse Hunterdon HealthDocumentation Review NurseFlemington, NJQualifications Minimum Education: Required: Registered Nurse (RN) with an active and unencumbered license Preferred: Bachelor of Science in Nursing (BSN) preferred Minimum Years of Experience (Amount, Type and Variation): Required: Minimum of three (3) years clinical nursing experience Preferred: Previous nursing experience in an emergency department License, Registry or Certification: Required: RN certification Preferred: Knowledge, Skills and/or Abilities: Required: Strong understanding of ICD-10, CPT and HCPCS coding principles Knowledge of Medicare reimbursement and coding structures/systems Preferred: Experience in clinical documentation improvement (CDI), coding or utilization review is highly desirable/preferred Excellent analytical, organizational and communication skills Proficient in electronic health records (EHRs) and clinical documentation systems High level creativity, judgment and initiative, tempered with flexibility to deal with rapidly changing healthcare environment and expanding technology Ability to maintain concentration with attention to detail even in areas containing multiple levels of distraction Self-motivated, well organized and possess confidence and ability to wor work independently and deal with ambiguity and ask critical questions to problem solve issues as required. Primary Position Responsibilities Clinical Documentation Review: Assess emergency department documentation using Emergency Department E/M and Critical Care Facility Charge Assessment tool to ensure the patient documentation accurately reflects the patients clinical presentation, diagnoses, and captures all treatment and services provided.
Data Entry Associate (Remote) Workoo TechnologiesData Entry Associate (Remote)Philadelphia, PennsylvaniaRemoteOversee the day-to-day operations of one or more designated teams or areas according to established policies & procedures including daily staff assignments & work schedules. Under general supervision and in accordance to established policies and procedures, the Data Entry Associate reviews and codes medical documents and/or charge tickets as assigned.
Billing Representative Penn MedicineBilling RepresentativeDoylestown, PA4. Enter insurance data, prepare and submit claims to all insurance companies and patients, receive remittance lists from insurance companies, identify payments and denials, apply payments to patient records for all sources, and investigate and follow up on denied claims. Develop an understanding of Medicare, Medicaid, intermediary and 3rd party pay rules and regulations as applied to Provider services to facilitate account resolution Receives, identifies and applies payments from all sources to patient accounts.
Senior Analyst, Payment Integrity Disputes Oscar HealthSenior Analyst, Payment Integrity DisputesPhiladelphia, PARemote$64,832–$85,092 / yearYou will leverage a deep understanding of Oscar's claim infrastructure, workflows, workflow tooling, platform logic, data models, etc., to work cross-functionally and understand and translate friction from stakeholders into actionable opportunities for improvement. Work Location: This is a remote position, open to candidates who reside in: Atlanta, Georgia; Chicago, Illinois; Dallas, Texas; Louisville, Kentucky; Minneapolis, Minnesota; Philadelphia, Pennsylvania; Salt Lake City, Utah.
Orthotist EnovisOrthotistCamden, New JerseyIncludes American Board forCertification (ABC) Certified Orthotist (CO), Certified Prosthetist Orthotist (CPO), Board of Certification (BOC) Certified Orthotist (BOCO), National Board Certification for Occupational Therapy (NBCOT) Registered Occupational Therapist (OTR), or Federation of State Boards of Physical Therapy (FSBPT) Licensed Physical Therapist. ABOUT ENOVIS Enovis Corporation (NYSE: ENOV) is an innovation-driven medical technology growth company dedicated to developing clinically differentiated solutions that generate measurably better patient outcomes and transform workflows.
Orthotist Enovis CorpOrthotistCamden, NJIncludes American Board for Certification (ABC) Certified Orthotist (CO), Certified Prosthetist Orthotist (CPO), Board of Certification (BOC) Certified Orthotist (BOCO), National Board Certification for Occupational Therapy (NBCOT) Registered Occupational Therapist (OTR), or Federation of State Boards of Physical Therapy (FSBPT) Licensed Physical Therapist. This is an incredible opportunity to work in a fast-moving, patient-focused setting amongst extraordinarily talented professionals dedicated to making life-changing innovation possible in orthopedics and beyond with brands such as DonJoy, Aircast, ProCare and Exos.
SIU Investigator Centene Corporation GroupSIU InvestigatorPA$56,200–$101,000 / yearCollaborates with internal business partners, compliance, legal, provider and payment integrity teams, and external agencies to coordinate investigative activities, support corrective actions, recoveries, and case resolution efforts. 2+ years Fraud, waste, and abuse investigations, healthcare investigations, claims audits, payment integrity, healthcare compliance, law enforcement investigations, or a related investigative field required.
Special Investigation Unit Investigator Centene Corporation GroupSpecial Investigation Unit InvestigatorNJ$56,200–$101,000 / yearEducation/Experience: Bachelor's Degree Business, Criminal Justice, Healthcare Administration, Public Health, or a related field; or equivalent experience (or) An Associates or Bachelor's degree in criminal justice or a related field; (or) employment as an investigator in the MMCO's SIU on or before the effective date of this SubPart required. Minimum of five (5) years in healthcare field working in fraud, waste and abuse investigations and audits, (or) five years of insurance claims investigation experience or professional investigation experience with law enforcement agencies, (or) seven years of professional investigation experience involving economic or insurance related matters.
Part Time Physician Assistant (PA-C) in Dermatology Private Practice Philadelphia Center for DermatologyPart Time Physician Assistant (PA-C) in Dermatology Private PracticeJenkintown, PAPart timeWe are an established, physician‑owned dermatology clinic seeking a part‑time Physician Assistant who is clinically strong, personable, and eager to grow with our team. Order and interpret laboratory tests, imaging, and pathology reports ; communicate results promptly to patients.
Insurance Specialist Cooper University Health CareInsurance SpecialistCAMDEN, NJOur extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols. An Insurance Specialist will be conducting interviews with patients and families to ensure insurance coverage, which includes obtaining benefit information and pre-certification.
Financial Screening Navigator Cooper University Health CareFinancial Screening NavigatorCamden, NJFinancially screens uninsured and underinsured patients prior to inpatient and outpatient services, including office visits, testing, diagnostic studies, surgeries and procedures. Assesses patient financial status and explores all third party liability options (e.g., Charity Care, Disability, Medicaid, SEED Program, Victims of Crime, grants) to assist patients.
Care Enrichment Coach Ocean Health Initiatives IncCare Enrichment CoachLakewood, NJProficient in Phreesia EMR: Assist with sending telehealth links to patients when requested, notify patients of provider schedule changes via automated alerts, and handle appointment cancellation requests efficiently. Upload previous patient medical records from prior and specialty providers, provide copies of medical records to patients upon request, and share records with other providers and hospitals as necessary for continuity of care, in compliance with organizational policies.