- Novo Nordisk Inc. (Plainsboro, NJ)
- …other customers. Maintains a positive working relationship as an NNI representative to all stakeholders. Essential Functions Supports resolution of government ... contract issues and compliance with 340B regulations and review of MFP refund payments within the 14-day payment...are not treated as unclaimed funds and that related claims must be resolved directly with dispensing entities outside… more
- MISTRAS Group, Inc. (Princeton Junction, NJ)
- …legal and compliance activities at MISTRAS. and manage litigation, activities, draft, review and negotiate company agreements, review and monitor compliance and ... and counsel executives on risk mitigation. **Major Responsibilities/Activities:** + Draft, review , and negotiate a broad range of commercial agreements/renewals and… more
- Humana (Trenton, NJ)
- **Become a part of our caring community and help us put health first** The Claims Review Representative makes appropriate claim decision based on strong ... procedures, contract provisions, and state and federal legislation. The Claims Review Representative performs advanced administrative/operational/customer… more
- Sedgwick (Trenton, NJ)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative | Auto | Remote Are you looking for an opportunity to ... YOU AN IDEAL CANDIDATE?** Join our team as a Claims Representative focused on Property Damage and...and commercial lines policies and endorsements + Ability to review and assess Property Damage estimates, total loss evaluations,… more
- Ryder System (Trenton, NJ)
- _Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **SUMMARY** This ... position handles worker's compensation claims under Ryder's self-insured, self administered worker's comp program....to verify the legitimacy of an interview or Ryder representative , please contact Ryder at ###@ryder.com or ###. **Current… more
- Ryder System (Trenton, NJ)
- _Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **Summary** The ... Director Claims directs...to verify the legitimacy of an interview or Ryder representative , please contact Ryder at ###@ryder.com or ###. **Current… more
- NJM Insurance (Trenton, NJ)
- …extremely lucky to have had this excellent opportunity!" Overview NJM Insurance Group's Claims Analytics Department is seeking a Claims Insights Analyst Intern ... efficiency, reduce operational friction, and enhance customer experience. RESPONSIBILITIES: + Review and report on loss activity within assigned line of business.… more
- NJM Insurance (Hammonton, NJ)
- …a top-rated insurance company, is looking for a Personal Injury Protection Representative who has excellent communication skills as well as strong organizational and ... days remote once training is completed Essential Duties and Responsibilities: + Review PIP coverages and/or identify coverage issues and investigate and analyze the… more
- Atlantic Health System (Hackettstown, NJ)
- Patient Access Representative Responsible for patient-facing registration and other associated tasks like information collection, validation, and requisitioning of ... (including but not limited to) + The Patient Access Representative (PAR) plays a vital role in the patient...contact with third-party payers to determine reasons for outstanding claims and communicates to facilitate speedy payment of … more
- Atlantic Health System (Summit, NJ)
- Patient Access Representative Responsible for patient-facing registration and other associated tasks like information collection, validation, and requisitioning of ... (including but not limited to) + The Patient Access Representative (PAR) plays a vital role in the patient...contact with third-party payers to determine reasons for outstanding claims and communicates to facilitate speedy payment of … more
- Care Plus NJ (Paramus, NJ)
- Accounts Receivable Representative Location:1 Kalisa Way, Paramus NJ On-site40 hours M-F: 8am-4pm or 9am-5pm Salary: $52k What We Offer: + Health, Dental and Vision ... and reimbursements from insurance companies and other third-party payers + Review , monitor, and evaluate third party reimbursement compliance and research variances… more
- Middlesex Water Company (Iselin, NJ)
- …To learn more, please visit www.middlesexwater.com Job Summary: The HR Representative is responsible for supporting day-to-day Human Resources operations for New ... the HR Specialist. * Administer New Jersey Workers' Compensation claims and maintain OSHA reporting log; Ensure FROI are...employee must have the ability to visually inspect and review hard copy and electronic documents. Specific vision abilities… more
- Highmark Health (Trenton, NJ)
- …position, product development, network options, strategic partnerships, utilization review , local/national client demographics and dentist distribution. Interpret ... added benefits. Meet with all identified practices in assigned territory to review practice financial and quality performance. + Perform effective on-site visits… more
- Ryder System (Trenton, NJ)
- _Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **SUMMARY** This ... position supervises adjusters and directly handles claims within Ryder's self-insured, self-administered liability program. Oversees claim-handling processes… more
- NJM Insurance (Trenton, NJ)
- …including pre-work such as audit program development and file selection, assuring the review process is proper and timely. + Conduct WC Claim audits to ensure ... process improvements, data integrity, compliance, and best practices. + Collaborate with claims management in the development of meaningful action plans that detail… more
- Highmark Health (Trenton, NJ)
- …for the implementation of effective Payment Integrity strategies on a pre-payment and retrospective claims review basis. Review process includes a review ... the ability to identify issues related to professional and facility provider claims data including determining appropriateness of code submission, analysis of the… more
- NJM Insurance (Trenton, NJ)
- The Paralegal for the General Claims Legal department provides paralegal support to in-house staff attorneys for claims -based legal matters, assists attorneys' ... of staff attorneys. The GC Legal Paralegal develops reports to aid General Claims leadership through the analysis and assembly of data provided from various sources,… more
- Specialty Rx, Inc. (Ridgefield Park, NJ)
- …competitive salary and benefits package. Responsibilities: + Experience with billing Part B claims , review and handle denials. + Knowledge with vaccine billing, ... a full-service pharmacy. We need Medicare Part B- Billing Representative with Pharmacy experience in our Ridgefield Park, NJ...including Covid. + Must research claims and denial codes. + Must correctly resubmit … more
- CVS Health (Trenton, NJ)
- …representatives that are responsible for contacting payers to collect on unpaid claims in a timely and accurate manner, researching and resolving payment variances, ... and managing the accurate and timely filing of claims within payer function group. **Additional responsibilities of the Accounts Receivable Supervisor include:** +… more
- Otsuka America Pharmaceutical Inc. (Trenton, NJ)
- …maintain the effectiveness of Quality Systems for managing the batch record review and release process Quality Management Activities supporting all phases of ... compliance. + Manages reports and trends to the Management Representative to help in the preparation of Management reviews...above. + Improves supplier quality performance for batch record review and release process for OAPI GMP release of… more
