Authorization Integrity Specialist - FT - Day - Revenue Integrity & Denials Mgmt Lawrenceville NJ Capital HealthAuthorization Integrity Specialist - FT - Day - Revenue Integrity & Denials Mgmt Lawrenceville NJLawrenceville, NJ$35.69–$46.63 / hourWorks high-risk scheduled and procedural accounts (for example OR, Cath Lab, IR, advanced imaging, and other prior-auth-dependent services) and coordinates timely corrections with Central Scheduling, clinical departments, physician offices, and revenue cycle teams. Supports retro-authorization and post-service correction workflows where permitted; routes non-correctable cases to the appropriate Denials team pathway after pre-bill controls are exhausted.
Claim Benefit Specialist CVS Health CorpClaim Benefit SpecialistNJ$17–$31.30 / hourThe candidate will serve as a medical/hospital claim processor for rework projects, compliance, and complex issues for a specific provider/network or large-scale rework projects generated as a result of plan sponsor issues, release fallout and/or legal/regulatory/compliance concerns. CVS Health is currently looking for a highly motivated candidate who can effectively and accurately review and rework sensitive, complex medical and hospital claims for our rework project department.
Assistant Office Manager Salerno Duane GroupAssistant Office ManagerDenville, New JerseyIdentifies internal control issues by reviewing existing policies, verifying changes in authorized personnel, and communicating issues to the Assistant Controller. High School Diploma or General Education Diploma; and six months related experience and/or training; or equivalent combination of education and experience.
Medical Front Desk Receptionist Inland Physicians Medical GroupMedical Front Desk ReceptionistMontclair, New JerseyOur medical group also includes hospitalist service that continue to deliver the highest quality care at San Antonio Regional Hospital, Pomona Valley Hospital Medical Center, Montclair Hospital, Chino Valley Medical Center, and Kindred hospitals by working closely with other specialists. IPMG has more than 30 years of establishment and experience in treating various illnesses including but not limited to COPD, asthma, pneumonia, lung cancer, chronic cough, pulmonary fibrosis and pulmonary hypertension.
Medical Accounts Receivable Specialist The Doctor Is In / CHCMedical Accounts Receivable SpecialistFlemington, NJ$21–$23 / hourPart timeThe AR Specialist is primarily responsible for working Accounts Receivable reports for assigned insurance payers, including all follow-up required in the process. The AR Specialist monitors the status of outstanding claims and files appeals as necessary, and may be responsible for claim creation.
Accounts Receivable Specialist Woods ServicesAccounts Receivable SpecialistLanghorne, Pennsylvania$21–$23 / hourWoods Services is a Pennsylvania and New Jersey-based non-profit population health network and advocacy organization that along with its six affiliate organizations provides life-long innovative, comprehensive and integrated health, education, housing, workforce, behavioral health and case management services to more than 22,000 children and adults in the intellectual and developmental disability, child welfare, behavioral and brain trauma public health sectors who have complex and intensive medical and behavioral healthcare needs. Communicates professionally with various payers, communicates all billing issues regarding contract short-payment overpayment trends to direct Supervisor or Upper Management.
Bilingual Front Desk Receptionist Medical office CarePoint Health SystemBilingual Front Desk Receptionist Medical officeNorth Arlington, NJOur HospitalsExplore our hospitals and discover care that's high-tech, high-touch, and close to home: Secaucus University Hospital, Flagship campus featuring the Robotic Surgery Institute and modernized emergency care. of each patient, pre-authorizations, no auto RX refills without Doctor's permission, problem log, return phone calls, patient paperwork to be completed within 72 hours, patients are seen in order of scheduled appointment.
Med Assistant I - FT - Day - Primary Care Hamilton NJ Capital HealthMed Assistant I - FT - Day - Primary Care Hamilton NJNJ$18.57–$23.23 / hourOccasional physical demands include: Sitting, Walking, Climbing (e.g., stairs or ladders), Push/Pull, Twisting, Bending, Reaching forward, Reaching overhead, Squat/kneel/crawl, Wrist position deviation, Keyboard use/repetitive motion, Taste or Smell. Directs patients to examination rooms; assists in preparing patients for examination; assists patients in undressing, dressing and getting on and off of the examination table.
Med Assistant I - FT - Day - Mercer Bucks Cardiology PA Capital HealthMed Assistant I - FT - Day - Mercer Bucks Cardiology PAPA$19.32–$24.13 / hourOccasional physical demands include: Sitting, Walking, Climbing (e.g., stairs or ladders), Push/Pull, Twisting, Bending, Reaching forward, Reaching overhead, Squat/kneel/crawl, Wrist position deviation, Keyboard use/repetitive motion, Taste or Smell. Directs patients to examination rooms; assists in preparing patients for examination; assists patients in undressing, dressing and getting on and off of the examination table.
Medical Assistant Consensus HealthMedical AssistantWest Orange, New JerseyPerforms a variety of front desk activities (answering phones/greeting patients) that support the Center and professional staff and performs a variety of essential services (checking-in, checking-out, etc.) as directed or requested by Practice Manager. The employee is regularly required to stand, walk and use hands and arms to operate general office equipment (PC, telephone, file cabinets, copier, postage meter, fax machine and printer).
Medical Receptionist Consensus HealthMedical ReceptionistDenville, New JerseyPerforms a variety of front desk activities (answering phones/greeting patients) that support the Center and professional staff and performs a variety of essential services (checking-in, checking-out, etc.) as directed or requested by Practice Manager. The employee is regularly required to stand, walk and use hands and arms to operate general office equipment (PC, telephone, file cabinets, copier, postage meter, fax machine and printer).
Claims Specialist- Liab Crawford & CoClaims Specialist- LiabBerkeley Heights, NJTo determine the actual offer, Crawford considers a wide range of factors including the candidate's previous experience and education, market rates, minimum pay requirements for the applicable jurisdiction, business segment, supply/demand, and scheduled hours. Verifies policy coverage for submitted claims and notifies the insured of any issues; determines and establishes reserve requirements, adjusting reserves within designed authority, as necessary, during the processing of the claim.
Personnel / Service Coordinator First Day HomecarePersonnel / Service CoordinatorEdison, New Jersey$16–$20 / hourA person with ongoing medical needs deserves experienced , quality support from expert home healthcare staff, and their families and caregivers need trusted aid from people who understand how to best deliver superior care both in their home and out in the world. Company Purpose/Mission First Day Homecare® strives to improve the lives of its clients by providing comprehensive care, oversight, and collaboration to children and adults who are either aging in place, medically complex, or living with chronic conditions.
Adjunct Faculty - Allied Health Medical Department Berkeley CollegeAdjunct Faculty - Allied Health Medical DepartmentWoodland Park, NJBerkeley College is currently seeking highly qualified and motivated part-time instructors to teach in the Allied Health - Medical department and to support our vision of becoming the college of choice for students pursuing a career-focused education in a challenging and changing world. Possession of a valid National Healthcareer Association certification relevant to the class you are applying for (CET, CPT, CCMA, CBCS) is required; Certified Medical Assistant, or Registered Medical Assistant credential preferred.
Medical Claims Processor GlobalchannelmanagementMedical Claims ProcessorParamus, New JerseyPartner with the clearing house to distribute patient billing statements and monitor the patient portal to post payments in the EHR system. Medical Claims Processor duties: Review medical claims and transmit to the insurance carrier using the practice electronic health records (EHR) system and clearing house.
NewPhysician Office Manager III - FT - Day - CH Cardiology Specialist Newtown PA Capital HealthPhysician Office Manager III - FT - Day - CH Cardiology Specialist Newtown PAPA$69,950.40–$91,395.20 / yearKnowledge of insurance (ICD-9/10 coding, CMS regulations, state/federal regulations, CLIA, DOH, OSHA regulations) preferred; Solid knowledge of and experience in billing and health insurance guidelines and practices, including commercial, CMS and managed care payers. 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.
Paralegal Gottlieb and GreenspanParalegalFair Lawn, NJ$50,000–$65,000 / yearWe are Gottlieb & Greenspan — a growing boutique law firm in Bergen County with a collaborative team and a workplace grounded in our core values: we are ethical, respectful of all people, accountable, positive and fun, driven, and committed to excellence . You'll receive comprehensive training in all aspects of the arbitration process and play a key role in supporting our legal efforts to ensure fair reimbursement for healthcare providers.
Director Procurement Analytics And Reporting (Hybrid- Newark NJ) BroadridgeDirector Procurement Analytics And Reporting (Hybrid- Newark NJ)Newark, NJ$140,000–$165,000 / yearWe believe that associates do their best when they feel safe, understood, and valued, and we work diligently and collaboratively to ensure Broadridge is a company-and ultimately a community-that recognizes and celebrates everyone's unique perspective. Strategic thinking and strong analytical, reporting and communication skills are necessary to develop, manage and deliver a reporting and analytics function that both informs executive management and drives strategic decisions for the company.
Senior Data Engineer EkimetricsSenior Data EngineerNew York, NY$125,000–$140,000 / yearAs a Senior Data Engineer, you will lead and contribute to high-impact projects with top-tier international clients across industries, designing, implementing, and optimizing ETL solutions that support Marketing Mix Modeling and Optimization and broader Marketing Effectiveness initiatives. You'll work closely with data engineers, data scientists, and tech leads across 1-2 concurrent projects, build robust, scalable data architectures that enable marketing analytics and support data driven decision making.
Staff Product Manager - Data Products and Agent Interface Catamorphic CoStaff Product Manager - Data Products and Agent InterfaceNY$214,800–$295,350 / yearResponsibilities: Define and lead the product vision, strategy, and roadmap for LaunchDarkly''s end-to-end data products, spanning SDK event ingestion, our data platform, and customer-facing data products, ensuring alignment with company goals and customer requirements. About the Job: LaunchDarkly is seeking a creative and experienced Product Manager to lead our end-to-end data products, from SDK data ingest through our data platform to the customer-facing observability, metrics, and experimentation experiences built on top of it.