• Prior Authorization

    Actalent (Sparta, NJ)
    Job Title: Patient Care SpecialistJob Description We are seeking a dedicated Patient Care Specialist to join our team. In this role, you will handle a high volume of ... prior authorizations for patients, utilize EMR systems such as...Skills + Experience with EMR systems, particularly ModMed. + Prior experience with prior authorizations. + Knowledge… more
    Actalent (12/20/25)
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  • Supervisory Intelligence Operations…

    Air National Guard Units (Mcguire AFB, NJ)
    Summary This job opportunity is for a SUPERVISORY INTELLIGENCE OPERATIONS SPECIALIST , position description D1508P01, within the 204 INTEL SQ of the New Jersey ... 32, Excepted Service position. Responsibilities As an SUPERVISORY INTELLIGENCE OPERATIONS SPECIALIST , GS-0132-13, you may be expected to accomplish the following::… more
    Air National Guard Units (10/16/25)
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  • Utilization Review Specialist

    Hunterdon Health Care System (Flemington, NJ)
    …conducted through the application of evidence-based criteria or guidelines, and through authorization / prior authorization under the provisions of an ... is an in-person role. Position Summary The Utilization Review Specialist monitors adherence to the hospital's utilization review plan...must provide proof of enrollment in a BSN program prior to hire, be continuously enrolled and complete within… more
    Hunterdon Health Care System (10/31/25)
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  • Utilization Review Specialist

    BriteLife Recovery (Englewood, NJ)
    What you will be doing? The Utilization Review (UR) Specialist is a critical member of the administrative team at Advanced Revenue Solutions and is responsible for ... overseeing and coordinating all aspects of utilization review and insurance authorization for clients receiving substance use disorder (SUD) treatment at Britelife… more
    BriteLife Recovery (12/05/25)
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  • Senior Specialist , Info Security Systems…

    L3Harris (Clifton, NJ)
    …early, and in a sustainable manner that will allow for the security authorization of the system of interest. Works with systems developers or commercial product ... DCID 6/3, Common Criteria, and NIST 800-37, to achieve security authorization of supported systems. Represents program security needs, concerns and requirements… more
    L3Harris (09/27/25)
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  • Recalls and Campaigns Specialist

    Subaru of America (Pennsauken, NJ)
    …timeline and provides approval of the proofs of owner notification letters prior to mailing. Processes recall and campaign administrative expense invoices, obtains ... authorization from NASI executive-level management for payment through Docusign,...the invoices for payment through Emburse (Certify) upon receiving authorization . + Monitors Subarunet and email communications for new… more
    Subaru of America (12/04/25)
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  • ROI Medical Records Specialist - Remote

    Sharecare (Trenton, NJ)
    …all releases of information are in compliance with the request, authorization , company policy and HIPAA regulations. **Essential Functions:** + Completes release ... **Qualifications:** + High School Diploma (GED) required + A minimum of 2 years prior experience in a medical records department or like setting preferred + Must… more
    Sharecare (12/10/25)
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  • Patient Access Analyst - Full Time - Day

    Hackensack Meridian Health (Edison, NJ)
    …areas of scheduling, registration, referrals, and Inpatient and Outpatient authorization /denials management in their assigned area/hospital(s) at Hackensack Meridian ... is not available or not entered by Patient Access Specialist at time of registration to again mitigate loss...equivalent relevant HMH experience. + Minimum 5 years of prior experience in hospital access management, or a large… more
    Hackensack Meridian Health (12/18/25)
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  • Senior Coordinator, Revenue Cycle Management

    Cardinal Health (Trenton, NJ)
    …cycle management specialists simplify and optimize the practice's revenue cycle, from prior authorization through billing and collections. Job Purpose: The ... Patient AR Specialist is responsible for managing and resolving outstanding patient balances, ensuring the accuracy of accounts and supporting overall revenue cycle… more
    Cardinal Health (12/04/25)
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