- Highmark Health (Trenton, NJ)
- …errors and/or performing quality control review and final adjudication of paper/electronic claims . Determines whether to return, deny or pay claims following ... claims and inquiries to determine corrective action including adjusting claims as necessary and takes the corrective action steps using enrollment, benefit… more
- Highmark Health (Trenton, NJ)
- …errors and/or performing quality control review and final adjudication of paper/electronic claims . Determines whether to return, deny or pay claims following ... historical claim processing information. **ESSENTIAL RESPONSIBILITIES:** + Receives and processes claims to include entering/verifying claims data; determines if… more
- Conviva (Trenton, NJ)
- …environment. **Required Qualifications** + Minimum of three years related experience as Claims Processor , Insurance Billing and/or Collections. + Knowledge of ... help us put health first** The Accounts Receivable/Accounts Payable Processor prepares, records, verifies, analyzes and reports accounts payable/receivable… more
- HomeSafe Alliance (Trenton, NJ)
- …Role: This is an SCA position** . **HomeSafe Alliance** is seeking a Claims Administrator/Data Processor with experience in HHG/Military Move. Under limited ... **Title:** Claims Administrator (SCA) HHG/Military Move **_HomeSafe Alliance_** is the...supervision the ** Claims Administrator** will provide… more
- Sedgwick (Trenton, NJ)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Medical Bill Processor **PRIMARY PURPOSE** : To code provider bills; to enter pre-coded ... the system. + Identifies and forwards complex bills to claims examiners. + Codes provider bills in accordance with... examiners. + Codes provider bills in accordance with claims management system notes and state guidelines. + Follows… more
- NJM Insurance (Trenton, NJ)
- …Services Administration) Medical Bill Processing Department has an opening for a Bill Processor and is seeking a candidate who has excellent communication skills as ... criteria are routed immediately for audit purposes. + Communicate with claims personnel relating to complex issues regarding authorizations, pre-certifications and… more
- AristaCare (Manchester, NJ)
- …of the changes + Submit Billing Assistance form to Provider Relations for Medicaid claims + Submit cases to attorney if potential problem. + Work with attorney on ... + Works closely with County Social Security Office supervisor to ensure all claims are processed correctly and rapidly. + Work with pension companies to obtain… more