Current jobs related to Reimbursement Manager - New Providence - PromptCare Companies Inc

  • Insurance Reimbursement Coordinator

    3 weeks ago

    New Providence, New Jersey, United States PROMPT CARE COMPANIES INC Full time

    Job TypeFull-timePosition OverviewPromptCare is on the lookout for a dedicated and detail-oriented Insurance Reimbursement Coordinator to enhance our Accounts Receivable (AR) team. This role involves managing patient billing and collections, requiring expertise in insurance data collection, verification, and authorization processes. The ideal candidate will...

  • MDS Clinical Reimbursement Coordinator

    3 weeks ago

    New Providence, United States Wallingford Nursing & Rehab - Wallingford, PA Full time $40 - $45

    Genesis HealthCare is one of the nation's leading providers of healthcare services from short-term to long-term care and a wide variety of living options and professional clinical services. We are changing how care is delivered by bringing together people like you -- passionate, highly skilled and motivated to make a difference. Why Genesis?Skills,...

  • MDS Clinical Reimbursement Coordinator

    1 month ago

    Nether Providence, United States Wallingford Nursing & Rehab - Wallingford, PA Full time

    Genesis HealthCare is one of the nation's leading providers of healthcare services from short-term to long-term care and a wide variety of living options and professional clinical services. We are changing how care is delivered by bringing together people like you -- passionate, highly skilled and motivated to make a difference. Why Genesis? We improve the...

  • MDS Clinical Reimbursement Coordinator

    2 months ago

    Nether Providence, United States Wallingford Nursing & Rehab - Wallingford, PA Full time

    Genesis HealthCare is one of the nation's leading providers of healthcare services from short-term to long-term care and a wide variety of living options and professional clinical services. We are changing how care is delivered by bringing together people like you -- passionate, highly skilled and motivated to make a difference. Why Genesis? We improve the...

  • MDS Clinical Reimbursement Coordinator

    25 minutes ago

    Nether Providence, United States Wallingford Nursing & Rehab - Wallingford, PA Full time

    ASK ABOUT OUR WEEKEND PROGRAM AND MODIFIED COMPENSATION TO EARN TOP PAY Genesis HealthCare is one of the nation's leading providers of healthcare services from short-term to long-term care and a wide variety of living options and professional clinical services. We are changing how care is delivered by bringing together people like you -- passionate, highly...

  • Manager, Payer Access and Reimbursement Specialist

    7 days ago

    Secaucus, New Jersey, United States Quest Diagnostics Full time

    Job SummaryWe are seeking a highly skilled Manager, Payer Access and Reimbursement to join our team at Quest Diagnostics. This individual will play a critical role in supporting Payer Access & Reimbursement (PAR) activities as a member of a cross-functional team, oriented to Medical Affairs (MA) activities related to medical access, evidence generation,...

  • Clinical Reimbursement Leader

    3 days ago

    Buffalo, New York, United States Elderwood Full time

    Director of Clinical ReimbursementElderwood Administrative Services is seeking a seasoned healthcare professional to lead our clinical reimbursement team and drive optimal outcomes through accurate Minimum Data Set (MDS) process completion. This leadership role is crucial for managing reimbursement in accordance with federal and state regulations, ensuring...

  • MDS Clinical Reimbursement Coordinator

    2 months ago

    Nether Providence, PA, United States Wallingford Nursing & Rehab - Wallingford, PA Full time

    Genesis HealthCare is one of the nation's leading providers of healthcare services from short-term to long-term care and a wide variety of living options and professional clinical services. We are changing how care is delivered by bringing together people like you -- passionate, highly skilled and motivated to make a difference. Why Genesis? We improve the...

  • Provider Network Reimbursement Analyst

    2 months ago

    New York, United States MetroPlusHealth Full time

    Job DescriptionJob DescriptionEmpower. Unite. Care.MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day.About NYC Health +...

  • Dining Services Manager

    7 days ago

    New Providence, New Jersey, United States Erickson Senior Living Careers Full time

    {"title": "Assistant General Manager of Dining Services", "description": "About the Role:As an Assistant General Manager of Dining Services, you will oversee the dining room and café staff, ensuring exceptional mealtime service and kitchen efficiency. This role requires strong leadership and organizational skills to manage multiple dining rooms and a large...

  • Dining Services Manager

    6 days ago

    New Providence, New Jersey, United States INFINITE BLU POOL SERVICES LLC Full time

    {"title": "Assistant General Manager of Dining Services", "description": "Job SummaryWe are seeking an experienced Assistant General Manager to oversee the dining services at our luxurious continuing care retirement community. As a key member of our team, you will be responsible for managing the dining room and café staff, ensuring exceptional mealtime...

  • Reimbursement Specialist

    1 week ago

    New York, New York, United States Prime Healthcare Full time

    About the RolePrime Healthcare is seeking a highly skilled Reimbursement Specialist to join our team. As a key member of our revenue cycle team, you will be responsible for ensuring accurate and timely payment analysis of managed care contracts to determine optimal reimbursement.Key ResponsibilitiesAnalyze payments received from insurance companies to ensure...

  • Reimbursement Specialist

    3 weeks ago

    Denville, New Jersey, United States Prime Healthcare Management Inc Full time

    Job Summary:The Reimbursement Specialist position is a critical role within Prime Healthcare Management Inc, responsible for ensuring accurate and timely payment analysis of managed care contracts. This position requires a high level of expertise in complex regulations, guidelines, and systems to determine optimal reimbursement.Key Responsibilities:Under the...

  • Reimbursement Specialist

    3 weeks ago

    Denville, New Jersey, United States Prime Healthcare Management Inc Full time

    About the Role:Prime Healthcare Management Inc. is seeking a highly skilled Reimbursement Specialist to join our team. As a Reimbursement Specialist, you will play a critical role in ensuring accurate and timely payment analysis of managed care contracts to determine that appropriate reimbursement is received.Key Responsibilities:Under the supervision of the...

  • Field Reimbursement Specialist

    3 weeks ago

    New Orleans, Louisiana, United States RemX Full time

    Job OverviewField Reimbursement Specialist position available, focusing on the Gulf regions including Louisiana, Mississippi, and Alabama.This role involves traveling within your designated territory, engaging with healthcare providers three days a week.Essential Qualifications:Proficient in Prior Authorizations for Specialty Medications, Access and...

  • Dining Services Manager

    6 days ago

    New Providence, New Jersey, United States Erickson Senior Living Careers Full time

    {"title": "Assistant General Manager of Dining Services", "description": "About the Role:As an Assistant General Manager of Dining Services, you will oversee the dining room and café staff, ensuring exceptional mealtime service and kitchen efficiency. This role requires strong leadership and organizational skills to manage multiple dining rooms and a large...

  • Executive Chef

    2 weeks ago

    New Providence, New Jersey, United States Erickson Senior Living Full time

    About the RoleWe are seeking a highly skilled and experienced Executive Chef to lead our culinary operations at Lantern Hill by Erickson Senior Living. As a key member of our team, you will be responsible for managing multiple restaurants and collaborating with our Food and Beverage Director to drive resident satisfaction and employee engagement.Key...

  • Nursing Center Staffing Manager

    3 weeks ago

    New Providence, New Jersey, United States Marquis Health Services Full time

    Healthcare Scheduling CoordinatorPrevious experience in a staffing or scheduling role within a healthcare environment is essential Become a valued member of Marquis Health Services and contribute to our dedicated and compassionate team. We prioritize the well-being of our staff while ensuring exceptional care for our residents and patients. As part of...

  • EPIC Contract Management Analyst

    3 weeks ago

    Providence, United States Care New England Full time

    Job Summary: The EPIC Contract Management Analyst analyzes changes to reimbursement rules and regulations for all payers, evaluates the impact on hospital and physician reimbursement, and educates appropriate personnel. The EPIC Contract Management Analyst maintains Epic’s contract management module and content related to executed contracts and modeling,...

  • Lead, Provider Reimbursement Specialist

    49 minutes ago

    New York, New York, United States Guardian Life Full time

    Job SummaryWe are seeking a highly skilled and experienced professional to lead our provider reimbursement team at Guardian Life. As a key member of our organization, you will be responsible for developing and implementing analytical strategies to optimize our dental network performance.Key ResponsibilitiesLead a team of analysts in evaluating and optimizing...

Reimbursement Manager

4 months ago

New Providence, United States PromptCare Companies Inc Full time
Job DescriptionJob DescriptionDescription:

Promptcare is seeking a highly motivated and experienced Reimbursement Manager to join our team. As a Reimbursement Manager, you will be responsible for managing the reimbursement process for infusion services. You will work closely with patients, healthcare providers, and insurance companies to ensure timely and accurate reimbursement. If you are a self-starter with a passion for healthcare reimbursement and a desire to make a difference in the lives of patients, we encourage you to apply for this exciting opportunity. To learn more about our company, please visit PromptCare In-home Respiratory and Infusion

Reporting to: VP of Reimbursement

Job Type: Full-time, 40 hours per week, Hybrid, Mon-Fri

Location: New Providence, NJ


Requirements:
  • High School Diploma. Associates preferred
  • Experience in medical office, patient contact and related experience
  • Excellent oral and written communication skills are required to communicate with colleagues, management, patients, and physician offices
  • Infusion background is required
  • Medical Reimbursement background is preferred
  • Appropriate computer skills for the position (Microsoft Office Suite) and areas of influence, CPR+ and/or Caretend experience is preferred
  • Strong work ethic with attention to detail and quality is required
  • Ability to identify and address problem accounts is required
  • Solid knowledge of authorizations and re-authorizations processes is required
  • 3-5 years managerial experience is required


Job Responsibilities, included but not limited to:

  • Assist the team with complex issues and problems and provide constructive feedback and training as necessary to ensure resolution
  • Manage Reauthorization workload and ensure successful completion of the team’s workload in a timely manner
  • Participate in projects or process updates as they relate to improving key outcomes
  • Identify deficiencies and work to improve them through collaboration within the team and with other departments
  • Work collaboratively utilizing the tools and reports provided, ensuring staff compliance with internal and external policies, and providing consistent feedback through QA reviews
  • Ensure staff meets quantity requirements while also maintaining quality
  • Work collaboratively with other departments staff such as Intake, Sales, Pharmacy, Nursing and Reimbursement to ensure timely approvals or resolution of issues
  • Manage timeliness of Re-Authorization submission to ensure that there are no delays in patient therapies and held revenue remains below established threshold and there is minimal bad debt write offs
  • Prepare reports and do analysis to ensure proper workload distribution
  • Managed escalated issues, communicate changes in payer rules that affect Authorizations / Reimbursement or require changes in current processes
  • Provide training and re-training for staff as necessary
  • Provide timely and regular feedback to staff on processes, compliance, and performance


Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk and listen. The employee is required to occasionally walk, and bend or stand as necessary. This position requires the ability to occasionally open filing cabinets, lift office products and supplies of 25 pounds but no more than 35 pounds.


Benefits & Perks

  • Competitive Salary
  • Medical, Dental, Vision Package
  • 401(k) plan (discretionary)
  • PTO - Vacation, Sick and Personal days, and paid holidays
  • Referral bonuses & Discount Ticket Program
  • Lunch & Learn Programs
  • Employee Recognition Program



Equal Employment Opportunity

The PromptCare Companies is committed to Equal Employment Opportunity (EEO) and prohibits employment discrimination on the basis of race, color, age, national origin, religion, gender, gender identity, sexual orientation, pregnancy, marital status, genetic disposition, disability, veteran's status or any other characteristic or classification protected by State/Federal/Local laws. We foster a work environment in which diversity and inclusion are embraced, people are hired and advanced on their merits, and employees are treated with mutual respect and dignity.