Jobs in Wayne nj

Last updated: 15 days ago

Medicaid/Medicare Billing Specialist

Hudson Regional HospitalClifton, NJ, US

Full-time

Responsible for accurately and efficiently processing insurance claims, primarily Medicaid, Medicare and Medicare and Medicaid HMO’s.Monitor the progress of insurance claims from submission to paym... Show more

Direct Support Professional (DSP)

Beyond Home Health CareOakland, NJ

Full-time +1

Empowering Individuals in New Jersey.As a leading provider under New Jersey’s Division of Developmental Disabilities (DDD), Beyond Home Health Care is dedicated to enhancing the quality of li... Show more

Remote Online Product Support - No Experience

GLOCPACaldwell, New Jersey

$15.00 hourly

Remote

Part-time +1

Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies.We guarantee 15-25 hours per week with an hourly pay of bet... Show more

Work from Home – No Experience - £18/hr-£32/hr - Part-time

OCPABloomingdale, New Jersey, US

$15.00 hourly

Remote

Part-time +1

Product Testers are wanted to work from home in the UK to fulfill upcoming contracts with local and international companies.We guarantee 15-25 hours per week with an hourly pay of between £18/hr.Th... Show more

Work from Home - Part Time - Data Entry - $45 per hour

GL Inc.Upper Montclair, New Jersey

$45.00 hourly

Remote

Part-time +1

Bankruptcy Associate

MCMANIMON SCOTLAND & BAUMANN LLCRoseland, New Jersey, United States, 07068

Full-time

Quick Apply

McManimon, Scotland & Baumann, LLC is seeking a highly talented and motivated Associate Attorney with 3+ years of experience to join its Bankruptcy & Restructuring and Litigation Services practices... Show more

Enhancement Crew Leader

BrightView LandscapesBoonton, NJ, US

$22.00 hourly

Full-time

The Best Teams are Created and Maintained Here.The Crew Leader Enhancement oversees landscape enhancement and maintenance of a crew of 2 or more team members, providing hands-on leadership in lands... Show more

Medical Billing and Coding - Entry Level Training Program

Dreambound Inc.Ridgewood, New Jersey, US

Full-time

Note : This is an educational program, not a job.Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market.Looking to ... Show more

Work-From-Home Product Advisor - $45 per hour

Great LionLincoln Park, New Jersey

$45.00 hourly

Remote

Part-time +1

Online Product Support- Work From Home - No Experience

GL1Brookdale, New Jersey

$15.00 hourly

Remote

Part-time +1

Product Tester (Work From Home) – Keep Free Products + Weekly Pay

OCPAWayne, New Jersey, us

$15.00 hourly

Remote

Part-time +1

Housekeeper Wanted - Seeking Reliable Housekeeper In Little Falls Township, Nj $25.00 Hourly Rate!

Housekeeper.comLittle Falls Township, New Jersey, USA

$25.00 hourly

Full-time

Looking for reliable housekeeper to clean house with laundry for family of 6 including a baby.Tasks include dishes, emptying dishwasher, kitchen cleaning, floor cleaning, laundry with putting away ... Show more

Remote Contract Specialist

Micro1Haledon, New Jersey, US

$80.00 hourly

Remote

Full-time

AI data lab for training frontier models and evaluating AI agents.Experts contribute their diverse subject matter knowledge across domains such as finance, healthcare, STEM engineering, and more.AI... Show more

Business Development Representative

ServproPompton Lakes, NJ, United States

Full-time

Franchise Sales Representative.Promote and sell Franchise services in assigned territory, which results in meeting or exceeding assigned sales goals.Grow and develop customer base by utilizing a sy... Show more

HVAC - Sales Representative (Comfort Advisor)

1-800-Plumber + Air of Bergen CountyFair Lawn, NJ, US

$40,000.00 yearly

Full-time

Plumber +Air is looking for an outstanding HVAC Sales Representative that will bring their sales knowledge and combine it with 1-800-Plumber +Air values of honesty and integrity to create an except... Show more

Work from Home Product Tester

OCPAPaterson, New Jersey, US

$15.00 hourly

Remote

Part-time +1

Travel Medical Assistant (MA) - $1,020 per week in Paramus, NJ

AlliedTravelCareersPaterson, New Jersey, US

$1,020.00 weekly

Full-time +1

AlliedTravelCareers is working with Lancesoft Inc.Medical Assistant in Paramus, New Jersey, 07652!.We are currently seeking qualified candidates for Medical Assistant.Shift 5x8 Days, 08:00:00-16:00... Show more

Remote Position – No Experience - £18/hr-£32/hr - Part-time

OCPAFair Lawn, New Jersey, US

$15.00 hourly

Remote

Part-time +1

Work From Home Appointment Setter - 60k/Year

Spade Recruiting USAWayne, New Jersey

Remote

Full-time

We’re looking for enthusiastic, self-driven, individuals to assist existing and prospective clients within our organization.This position will work with multiple clients throughout the day pr... Show more

Medicaid/Medicare Billing Specialist

Hudson Regional HospitalClifton, NJ, US

30+ days ago

Job type

Full-time

Job description

Position Summary

Responsible for accurately and efficiently processing insurance claims, primarily Medicaid, Medicare and Medicare and Medicaid HMO’s.

Job Duties

Monitor the progress of insurance claims from submission to payment.
Identify and resolve claim denials, rejections, and delays.
Follow up with insurance carriers to expedite claim payments.
Review daily electronic billing reports, paper claim submissions, and third-party confirmation reports for errors.
Make necessary corrections in the billing system to ensure accurate claims.
Process Medicare RTP claims and denial reports on a daily basis.
Ensure timely and accurate submission of Medicare credit balance quarterly reports.
Research outstanding accounts and take appropriate action to secure prompt payment.
Analyze system-generated reports to identify accounts requiring research.
Document all resolution activities in the appropriate system and log.
Alert supervisors or managers of non-payment trends.
Research partial payments to determine if the appropriate contractual allowance was calculated.
Initiate corrective action for miscalculated allowances, including collaboration with clinical departments.
Document results and alert supervisors or managers of trends.
Complete productivity reports and submit to supervisors within the established timeframe.
Support the department's customer service and performance improvement goals.
Collaborate with other staff to enhance patient care and service.
Maintain strict confidentiality of patient information.
Performs all other duties as assigned.

Qualifications and Skills

Excellent customer service skills and problem solving skills.
Strong analytical and organizational skills.
Ability to interact with varying cultures and a diverse population.
Proficient in billing systems and software.

Education, Experience and Certification/Licensure Requirements

H.S. Graduate
1-3 years’ experience in hospital or healthcare billing
Working knowledge of Medicare, Medicaid and HMO billing regulations.