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Responsible for managing Med Legal Review (MLR) submissions for a variety of Pharma Brand companies, including submitting in MLR Systems Develop and maintain constant knowledge of pharmaceutical company requirements, including but not limited to system and regulatory guidance and annotation guidelines Partner with team leads to provide consultation to Account Managers on
Posted 15 days ago
Perform routine clerical tasks Scan and or/file all documents, records and correspondence properly Retrieve medical charts Scan and/or file medical records into patient's electronic health record Sort and distribute mail With NaphCare, you'll play a critical role in our continuing mission to be the leading provider of quality healthcare in the correctional industry. If yo
Posted 21 days ago
Zelis Healthcare, LLC
- St. Petersburg, FL / St. Louis, MO / Atlanta, GA / 1 more...
We are seeking energetic and reliable professionals to join the Zelis team as a Provider Services Specialist. This call center position is primarily responsible for answering inbound calls from providers and healthcare facilities. The Provider Services Specialist ensures providers successfully register for services and navigate the portal to view payment details. Our Prov
Posted 22 days ago
Diet Clerk ID 2024 14659 Position Type Per Diem Location CentraState Medical Center Shift Flexibility Required Work Schedule 11 30 7 30 Overview Assures that all patient menus are correct and adjusted according to specific diet orders and that all menus are present and recorded. Provides food counts to Production. Per Diem Wednesday, Friday, and every other weekend 11 30a
Posted 7 days ago
Nurse Manager (RN) + $15K Bonus Job ID 284119 Location US NJ Saddle Brook Experience (Years) 1 Category Clinical Management Street Address 300 Market Street Company Kessler Institute for Rehabilitation Kessler North (Saddlebrook) Position Type Full Time Overview Kessler Institute for Rehabilitation | Select Medical 300 Market Street, Saddle Brook, NJ 07663 Nurse Manager (
Posted 8 days ago
Crum and Forster
- Eatontown, NJ / Newark, NJ
Compliance Analyst Remote Job Locations US NJ EATONTOWN | US NJ Remote Job ID 2024 3667 Category Compliance & Audit Type Regular Division A&H Crum & Forster Company Overview Crum & Forster (C&F) with a proud history dating to 1822, provides specialty and standard commercial lines insurance products through our admitted and surplus lines insurance companies. C&F enjoys a f
Posted 11 days ago
Responsible for performing day to day medical office activities which includes scheduling and registering patients, verifying coverage and ensuring payment for medical services to be provided. Maintains medical records and clinical documentation and participates in activities to ensure timely capture and appropriate documentation of services rendered. Functions as an inte
Posted 12 days ago
Build the future of data. Join the Snowflake team. Our Sales Engineering organization is seeking a Healthcare Director, Sales Engineering to lead a highly skilled pre sales team focusing on our federal practice. In this role you will act as a second line manager, managing a team of SE managers as well as work directly with our sales team to understand the needs of our cus
Posted 22 days ago
Prior to a patient receiving treatment; obtains insurance coverage information and demographics; educates patient on insurance coverage, benefits, co pays, deductibles, and out of pocket expenses. Assess patient's ability to meet expenses and discusses payment arrangements. May educate patients on financial assistance programs as well as identify sources and provide assis
Posted 25 days ago
Update and/or create department training plans, documentation and/or knowledge base Review and understand current contractual processes/policies, both documented and undocumented, including any known gaps and issues. Define, create, and update processes and documentation as required. Research and summarize requirements for key topics as requested by management Distribute
Posted 21 days ago
Ascensus
- Philadelphia, PA / Atlanta, GA / Baxter, MN / 11 more...
FuturePlan is the nation's largest third party administrator (TPA) of retirement plans, partnering with advisors in all 50 states. FuturePlan delivers the best of both worlds high touch personalized service from local TPAs backed by the strength and security of a large national firm, Ascensus. Our roots go back decades, with nearly 30 outstanding legacy firms now joined t
Posted 22 days ago
Rutgers, The State University of New Jersey, is seeking a Program Coordinator for NJMS Division of Infectous Disease. The Program Coordinator (PC) provides HIV Counseling, Testing, and Referral ( CTR ) within University Hospital, Rutgers and the surrounding community. This position is responsible for screening, assessing, testing and educating individuals on HIV transmiss
Posted 2 days ago
This position supports the Clinical Operations functions and acts as a liaison between Members, Physicians, Delegates, Operational Business members and Member Service Coordinators Responsibilities Performs review of service requests for completeness of information, collection and transfer of non clinical data, and acquisition of structured clinical data from physicians/pa
Posted 7 days ago
Reimbursement Specialist Facility Prime Healthcare Management Inc Location US NJ Denville ID 2024 157839 Category Business Professional Position Type Full Time Shift Days Job Type Non Exempt Overview Prime Healthcare is an award winning health system headquartered in Ontario, California. Prime Healthcare operates 45 hospitals and has more than 300 outpatient locations in
Posted 7 days ago
HearingLife
- Franklin Township, NJ
AR Associate Job Locations US Job System ID 2024 20796 # of Openings 1 Overview HearingLifeis a national hearing care company and part of the Demant Group, a global leader in hearing healthcare built on a heritage of care, health, and innovation since 1904.HearingLifeoperates more than 600 hearing care centers across 42 states. We follow a scientific, results oriented app
Posted 20 days ago
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