• Provider Network Specialist I

    Centene Corporation (Trenton, NJ)
    …the appropriate party for resolution + Receive and effectively respond to external provider related issues + Provide education on health plan's innovative ... oversee testing and completion of change requests for the network + Investigate, resolve and communicate provider ...the network + Investigate, resolve and communicate provider claim issues and changes + Educate providers regarding… more
    Centene Corporation (11/19/24)
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  • AVP, Retirement Plan Administration

    St. Luke's University Health Network (Allentown, PA)
    …retirement programs and activities related to the St. Luke's University Health Network retirement policies. Provide overall processes for qualified and ... plan compensation, service hours, contributions, deferrals, etc + Collaborates with Network Retirement Specialist . + Oversight regarding annual funding… more
    St. Luke's University Health Network (11/27/24)
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  • Network Prior Authorization and Referral…

    St. Luke's University Health Network (Allentown, PA)
    …Contacts Insurance Payers to provide Notice of Admission on behalf of PG provider to secure reimbursement for Observation and Inpatient Services. + Refe rs a ll ... reimbursement. The intent of this job description is to provide a summary of the major duties and responsibilities...Advocacy Department. + Identify patients scheduled with Out of Network Health Plans and refer patient to central scheduling… more
    St. Luke's University Health Network (12/18/24)
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  • Clinical Triage Specialist , RN - Women's…

    St. Luke's University Health Network (Allentown, PA)
    …New Jersey, particularly those in close proximity to St. Luke's University Health Network locations. The Clinical Triage Specialist (CTS) (RN) - Access Center ... will compassionately deliver an exceptional patient experience and provide clinical support to CTS-MA team members by serving...Ability to work from home in accordance with the Network Work from Home Policy if needed. Please complete… more
    St. Luke's University Health Network (12/13/24)
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  • Provider Enrollment Specialist

    St. Luke's University Health Network (Allentown, PA)
    …serve, regardless of a patient's ability to pay for health care. The Provider Enrollment Specialist ensures that initial and re-credentialing applications for ... St. Luke's University Health Network (SLUHN) employed providers' are submitted to identified third party and government health insurance carriers. Responsibilities… more
    St. Luke's University Health Network (10/31/24)
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  • Real Estate Specialist I

    Burlington (Burlington, NJ)
    …an off-price retailer, we generate more than $9B in sales through our nationwide network of stores. Our Real Estate Specialist I will beResponsible for assisting ... Puerto Rico and we are hiring a Real Estate Specialist I for our Real Estate Development team to...401(k) plan._** **_We are a rapidly growing brand and provide a variety of training and development opportunities so… more
    Burlington (12/13/24)
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  • Coding Appeals Specialist

    St. Luke's University Health Network (Allentown, PA)
    …Identify and provide feedback, including identification of trends, to the Network Coding and CDMP Managers for education of the medical staff, clinical ... of a patient's ability to pay for health care. The Coding Appeals Specialist retrospectively reviews patient medical records, claims data and coding of all diagnosis… more
    St. Luke's University Health Network (11/09/24)
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  • Certified Recovery Specialist

    St. Luke's University Health Network (Allentown, PA)
    …approach about enhancing life domain needs. The CRS works collaboratively with Network interdisciplinary teams to provide education on stigma, resources, and ... and staff. The CRS functions as a substance use resource and liaison to Network Emergency Departments, medical inpatient units, and all staff to provide more
    St. Luke's University Health Network (10/17/24)
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  • RX Specialist - Star Community Health

    St. Luke's University Health Network (Allentown, PA)
    …regardless of a patient's ability to pay for health care. The Rx Specialist will address patient medication refill requests and all associated authorizations using ... an employee of Star Community Health and not St. Luke's University Health Network . Star Community Health, affiliated with St. Luke's University Health Network ,… more
    St. Luke's University Health Network (11/27/24)
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  • ARC Admissions Specialist

    St. Luke's University Health Network (Bethlehem, PA)
    …assess patient's status + Conduct unit tours for patients and families + Provide hospital staff and provider education at least annually regarding admission ... ability to pay for health care. This ARC Admission Specialist works collaboratively with a team of individuals and...made to the inpatient Acute Rehabilitation Center within the network . JOB DUTIES AND RESPONSIBILITIES: + Process all inquires… more
    St. Luke's University Health Network (10/29/24)
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  • Pharmacist Clinical Specialist -Oncology

    St. Luke's University Health Network (Bethlehem, PA)
    …to pay for health care. The Clinical Pharmacist - Oncology will provide collaborative pharmaceutical care to patients receiving antineoplastic therapy or palliative ... utilization, adverse drug reactions, therapeutic regimens, and patient and provider safety. ESSENTIAL FUNCTIONS: Maintains confidentiality of all materials handled… more
    St. Luke's University Health Network (10/12/24)
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  • Health Advocacy Specialist

    St. Luke's University Health Network (Easton, PA)
    …regardless of a patient's ability to pay for health care. The Health Advocacy Specialist will serve as the program liaison for the patient and the institution. This ... funding assignment, and billing. + Track and monitor all provider ordered testing and submit medical information to payor....Thank you for your interest in St. Luke's!! St. Luke's University Health Network is an Equal Opportunity Employer.… more
    St. Luke's University Health Network (12/08/24)
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  • Nursing Workforce Staffing Specialist

    St. Luke's University Health Network (Allentown, PA)
    …patient's ability to pay for health care. The Nursing Workforce Staffing Specialist coordinates clinical staffing placement maintains work schedules, tracks time and ... attendance to support the St. Luke's Network to achieve optimal staffing. Serves as the point...handle office equipment. Visual and auditory acuity required to provide job functions. EDUCATION: High school graduate or GED… more
    St. Luke's University Health Network (12/28/24)
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  • Exercise Specialist - Per Diem

    St. Luke's University Health Network (Phillipsburg, NJ)
    …regardless of a patient's ability to pay for health care. The Exercise Specialist is responsible for the development and implementation of fitness programming to a ... their progress + Instructs proper technique and execution of exercise equipment + Provide fitness assessment annually or on request of client. Review, evaluate and… more
    St. Luke's University Health Network (12/20/24)
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  • Weekend Clinical Triage Specialist

    St. Luke's University Health Network (Allentown, PA)
    …regardless of a patient's ability to pay for health care. A Clinical Triage Specialist (CTS) (RN) - Connect to Care - Access Center will compassionately deliver an ... exceptional patient experience and provide clinical support to CTS-MA team members by serving...Thank you for your interest in St. Luke's!! St. Luke's University Health Network is an Equal Opportunity Employer.… more
    St. Luke's University Health Network (12/28/24)
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  • Revenue Cycle Operational Improvement…

    St. Luke's University Health Network (Allentown, PA)
    …a patient's ability to pay for health care. Responsible for delivery of multi- network training and quality assurance for hospital and SLPG revenue cycle departments. ... Ensure staff receives consistent and accurate training on network hospital and SLPG workflow, processes, and policies and procedures. Reviews regulatory and third… more
    St. Luke's University Health Network (12/05/24)
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  • Equipment Lifecycle Management Specialist

    J&J Family of Companies (Titusville, NJ)
    Johnson & Johnson is currently recruiting for Equipment Lifecycle Management (ELM) Specialist ! This position will be located in Titusville, NJ. At Johnson & Johnson, ... at https://www.jnj.com/. Position Summary: The Equipment Lifecycle Management (ELM) Specialist performs the technical execution of ELM Quality Control activities… more
    J&J Family of Companies (12/18/24)
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  • Billing and Collections Specialist

    HomeSafe Alliance (Trenton, NJ)
    …we provide earlier visibility into upcoming moves and greater network throughput capacity-ensuring household goods shipments are picked up and delivered on ... **Title:** Billing and Collections Specialist **_HomeSafe Alliance_** is the single global household...provide earlier visibility into upcoming moves and greater network throughput capacity-ensuring household goods shipments are picked up… more
    HomeSafe Alliance (12/25/24)
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  • Reinsurance Claim Specialist

    Axis (Princeton, NJ)
    This is your opportunity to join AXIS Capital - a trusted global provider of specialty lines insurance and reinsurance. We stand apart for our outstanding client ... request for candidates taking part in the selection process. Reinsurance Claim Specialist Job Description Job Family Grouping: Reinsurance Claims Job Family: Claims… more
    Axis (12/21/24)
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  • Community Peer Specialist

    Legacy Treatment Services (Burlington County, NJ)
    …services from Screening Crisis Intervention Program (SCIP). The Community Support Peer Specialist will provide peer based and focused case management to ... Community Peer Specialist Job Details Job Location SCIP Peer Support...rooms or during community outreach to residence. Will also provide short term follow-up to specific identified consumers collaborating… more
    Legacy Treatment Services (10/24/24)
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