Jobs in Rutherford nj

Last updated: 15 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

Telemarketer - State Farm Agent Team Member

Maria Alawi - State Farm AgentClifton, NJ, US

$17.00 hourly

Part-time

We are currently seeking a dynamic and enthusiastic Telemarketer to join our team.As a Telemarketer, you will play a crucial role in expanding our client base and promoting our insurance products a... Show more

Remote Customer Service Sales

HMG CareersKearny, 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

Team Member

Dunkin' - Franchisee Of Dunkin DonutsOrange, NJ

Full-time

In 1950, Bill Rosenberg opened the first Dunkin' shop in Quincy, Massachusetts.Dunkin' licensed the first of many franchises in 1955.It is now the world's leading baked goods and coffee chain, serv... Show more

T Mobile Authorized Retailer Sales Associate

Luna Wireless, An Authorized T-Mobile Retailer (Northeast)Jersey City, NJ, US

$15.92 hourly

Full-time +1

Chase #LimitlessPotential at Luna Wireless, an Authorized T-Mobile Retailer!.Luna Wireless is one of the largest Authorized T-Mobile Retailers in the US!.Seeking candidates with a hustle and ambiti... Show more

CHHA - Stand Out Home Care!

Stand Out Home CareBloomfield, NJ

Full-time

Join a Growing Home Care Team That Puts Caregivers First!.Stand Out Home Care is a rapidly growing home care agency based in Hamilton, NJ.Certified Home Health Aides (CHHAs).Flexible scheduling to ... Show more

HouseKeeping & Cleaning jobs

TradeJobsWorkforce10003 New York, NY, US

Full-time

ESSENTIAL FUNCTIONS: · Performs cleaning duties in residential apartments, skilled nursing facility, public areas and offices as necessary including cleaning of bathrooms, kitchenettes and other s... 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

HVAC - Sales Representative (Comfort Advisor)

1-800-Plumber + Air of Bergen CountyFair Lawn, NJ, US

$40,000.00 yearly

Full-time

Plumber +Air is looking for an outstanding HVAC Sales Representative that will bring their sales knowledge and combine it with 1-800-Plumber +Air values of honesty and integrity to create an except... Show more

TurboTax (WFH) Customer Service - Entry-Level

TurboTaxFort Lee, 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

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 Sales Coach

TradeJobsWorkForce10175 New York, NY, US

Remote

Full-time

Remote Sales Coach Job Duties: Quickly become an expert in our programs and health philosophy so you can ... Show more

Emerging Companies and Venture Capital Associate

Serotonin IncNew York, New York, United States, 10001

$150,000.00 yearly

Full-time

Emerging Companies and Venture Capital Associate.Serotonin is the top go to market firm for transformative technologies, specialising in marketing, strategy, recruiting, and legal services.With a g... 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.