Jobs in Fairview nj

Last updated: 30+ 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

Stockroom Specialist

Altar’d State at American DreamEast Rutherford, NJ

$15.00 hourly

Full-time

Altar’d State at American Dream -.Altar'd State is a rapidly growing women's fashion brand with more than 100 boutiques in over 30 states.We offer a place of respite and a distinctive shopping expe... Show more

Corporate Events Assistant

DBI StaffingNew York, NY

Full-time

This will focus primarily on coordinating client-facing and internal events for the New York office and assist in supporting significant client events.This role will collaborate closely with collea... Show more

Work From Home Customer Support Agent – Flexible Schedule

Turbotax USANorth Arlington, New Jersey

$24.00 hourly

Remote

Full-time

Work from home with TurboTax Product Expert.Get a $405 Certification bonus³.Work from home & set your own flexible schedule between 8am EST and 12am midnight EST Monday to Sunday⁴.Earn an ... Show more

Costco Membership Desk Representative

TradeJobsWorkforce10115 New York, NY, US

Full-time

An exciting opportunity awaits for a Costco Membership Desk Representative to work collaboratively across teams and departments, support the preparation and delivery of goods or services, and coord... Show more

Food Runner

ZaZu Mediterranean Street FoodNew York, NY, US

$16.00 hourly

Part-time

Career Advancement Opportunities.As a Food Runner, you are the link between the kitchen and the wait staff.You will set and clear tables, deliver food, and generally act as the liaison between the ... Show more

Food Service Worker, Madison Square Park

DIG INNNew York City, New York, United States

$16.50–$18.00 hourly

Full-time +1

CHEF-IN-TRAINING* [Restaurant Team Member] *$17 - $18 / hour depending on experience + $2-3/hour in tips + MORE BENEFITS!* *ABOUT THE ROLE:* The next generation of chefs are evolving in DIG res... Show more

HVAC Installer

Cottam Heating & Air ConditioningBronx, NY, US

$55,000.00 yearly

Full-time +1

We are looking to fill a full time permanent HVAC Installer Position: We are a Lite Commercial and Residential Contractor.Our installs are high end residential split systems, lite commercial split ... Show more

Childcare Positions

Synergy HomeCareUnion City, NJ

$18.00 hourly

Full-time

SYNERGY HomeCare has a warm and rewarding opportunity for individuals passionate about childcare.Childcare Provider Opportunity.Deliver wholehearted, life-energizing care to children in their own h... Show more

HR Admin Assistant

TradeJobsWorkForce10002 New York, NY, US

Full-time

HR Admin Assistant Job Duties: Supports human resources department by screening, testing, and inte... Show more

Customer Support Representative - Work from Home - TurboTax

TurboTaxCliffside Park, New Jersey

$24.00 hourly

Remote

Full-time

Work From Home Appointment Setter - 60k/Year

Spade Recruiting USARutherford, 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

Remote Customer Service Sales

HMG CareersTenafly, New Jersey

$69,000.00 yearly

Remote

Full-time

Quick Apply

This full-time position offers flexible work hours and ample opportunities for advancement into management roles.You will work remotely to serve clients and offer valuable advice and protection to ... Show more

Remote Data Entry Specialist

Hall AssociatesNew York, New York

$23.00–$28.00 hourly

Remote

Full-time

Quick Apply

We are looking to hire a dynamic data entry specialist to join our company's administrative department.In this role, you'll be responsible for entering client information into our electronic storag... Show more

Remote M&A Associate - AI Trainer ($50-$60 per hour)

Data AnnotationPassaic, New Jersey

$50.00 hourly

Remote

Full-time

DataAnnotation is committed to creating high-quality AI.Enjoy the flexibility of remote work and the freedom to set your own schedule.This is an opportunity to work with us as an independent contra... Show more

Bengali Speaking Coordinator

Passion CareParamus, NJ

$20.00–$24.00 hourly

Full-time

Growing home care agency is seeking a home care coordinator to join our growing team.Home Care experience a plus .Tremendous room for growth . 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.