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    1 day 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...

  • Reimbursement Specialist

    1 day 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...

  • Practical Nursing Specialist

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    Denville, New Jersey, United States GreenLife Healthcare Staffing Full time

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  • Registered Nurse

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    Denville, New Jersey, United States LanceSoft Full time

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  • Travel Nurse RN

    4 weeks ago

    Denville, United States LanceSoft Full time

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  • Travel Nurse RN

    4 weeks ago

    Denville, United States LanceSoft Remote Work Freelance Full time

    LanceSoft is seeking a travel nurse RN Med Surg / Telemetry for a travel nursing job in Denville, New Jersey.Job Description & RequirementsSpecialty: Med Surg / TelemetryDiscipline: RNStart Date: 08/25/2024Duration: 13 weeks36 hours per weekShift: 12 hours, nightsEmployment Type: TravelPerks: 401(k), Day one Dental, Health and Vision insurance. License...

  • Travel Nurse RN

    3 weeks ago

    Denville, United States LanceSoft Full time

    Job DescriptionLanceSoft is seeking a travel nurse RN Med Surg / Telemetry for a travel nursing job in Denville, New Jersey.Job Description & RequirementsSpecialty: Med Surg / TelemetryDiscipline: RNStart Date: 09/08/2024Duration: 13 weeks36 hours per weekShift: 12 hours, nightsEmployment Type: TravelPerks: 401(k), Day one Dental, Health and Vision...

  • Travel Nurse RN

    4 weeks ago

    Denville, United States LanceSoft Full time

    LanceSoft is seeking a travel nurse RN Med Surg / Telemetry for a travel nursing job in Denville, New Jersey.Job Description & RequirementsSpecialty: Med Surg / TelemetryDiscipline: RNStart Date: 08/25/2024Duration: 13 weeks36 hours per weekShift: 12 hours, nightsEmployment Type: TravelPerks: 401(k), Day one Dental, Health and Vision insurance. License...

  • Travel Nurse RN

    4 weeks ago

    Denville, United States LanceSoft Remote Work Freelance Full time

    LanceSoft is seeking a travel nurse RN Med Surg / Telemetry for a travel nursing job in Denville, New Jersey.Job Description & RequirementsSpecialty: Med Surg / TelemetryDiscipline: RNStart Date: 09/08/2024Duration: 13 weeks36 hours per weekShift: 12 hours, nightsEmployment Type: TravelPerks: 401(k), Day one Dental, Health and Vision insurance. License...

  • Travel Nurse RN

    2 months ago

    Denville, United States LanceSoft Full time

    Job DescriptionLanceSoft is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in Denville, New Jersey.Job Description & RequirementsSpecialty: ED - Emergency DepartmentDiscipline: RNStart Date: 08/05/2024Duration: 13 weeks36 hours per weekShift: 12 hours, nightsEmployment Type: TravelPerks: 401(k), Dental insurance, Health...

  • Travel Nurse RN

    4 weeks ago

    Denville, United States LanceSoft Full time

    LanceSoft is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in Denville, New Jersey.Job Description & RequirementsSpecialty: ED - Emergency DepartmentDiscipline: RNStart Date: 09/09/2024Duration: 13 weeks36 hours per weekShift: 12 hours, nightsEmployment Type: TravelPerks: 1. Day 1 Medical, 2. Health, Dental 3. Vision...

  • Travel Nurse RN

    4 weeks ago

    denville, United States LanceSoft Full time

    LanceSoft is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in Denville, New Jersey.Job Description & RequirementsSpecialty: ED - Emergency DepartmentDiscipline: RNStart Date: 08/26/2024Duration: 13 weeks36 hours per weekShift: 12 hours, nightsEmployment Type: TravelPerks: 401(k), Dental insurance, Health insurance, Life...

  • Travel Nurse RN

    1 month ago

    Denville, United States LanceSoft Remote Work Freelance Full time

    LanceSoft is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in Denville, New Jersey.Job Description & RequirementsSpecialty: ED - Emergency DepartmentDiscipline: RNStart Date: 08/26/2024Duration: 13 weeks36 hours per weekShift: 12 hours, nightsEmployment Type: TravelPerks: 401(k), Dental insurance, Health insurance, Life...

  • Travel Nurse RN

    4 weeks ago

    Denville, United States LanceSoft Full time

    Job DescriptionLanceSoft is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in Denville, New Jersey.Job Description & RequirementsSpecialty: ED - Emergency DepartmentDiscipline: RNStart Date: 09/09/2024Duration: 13 weeks35 hours per weekShift: 12 hours, daysEmployment Type: TravelPerks: 1. Day 1 Medical, 2. Health, Dental3....

  • Travel Nurse RN

    4 weeks ago

    Denville, United States LanceSoft Full time

    Job DescriptionLanceSoft is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in Denville, New Jersey.Job Description & RequirementsSpecialty: ED - Emergency DepartmentDiscipline: RNStart Date: 09/09/2024Duration: 13 weeks36 hours per weekShift: 12 hours, nightsEmployment Type: TravelPerks: 1. Day 1 Medical, 2. Health, Dental3....

  • Travel Nurse RN

    4 weeks ago

    Denville, United States LanceSoft Remote Work Freelance Full time

    LanceSoft is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in Denville, New Jersey.Job Description & RequirementsSpecialty: ED - Emergency DepartmentDiscipline: RNStart Date: 09/09/2024Duration: 13 weeks36 hours per weekShift: 12 hours, nightsEmployment Type: TravelPerks: 1. Day 1 Medical, 2. Health, Dental 3. Vision...

  • Travel Nurse RN

    4 weeks ago

    Denville, United States LanceSoft Remote Work Freelance Full time

    LanceSoft is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in Denville, New Jersey.Job Description & RequirementsSpecialty: ED - Emergency DepartmentDiscipline: RNStart Date: 09/09/2024Duration: 13 weeks35 hours per weekShift: 12 hours, daysEmployment Type: TravelPerks: 1. Day 1 Medical, 2. Health, Dental 3. Vision...

  • Travel Nurse RN

    4 weeks ago

    denville, United States Travel Nurses, Inc. Full time

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  • Travel Nurse RN

    4 weeks ago

    denville, United States Travel Nurses, Inc. Full time

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  • Travel Nurse RN

    4 weeks ago

    denville, United States Travel Nurses, Inc. Full time

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Reimbursement Specialist

1 month ago

Denville, United States Prime Healthcare Full time

Prime Healthcare - Reimbursement Specialist - Denville, New Jersey Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 45 hospitals and has more than 300 outpatient locations in 14 states providing more than 2.6 million patient visits annually. It is one of the nation’s leading health systems with nearly 50,000 employees and physicians. Fourteen of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation, a 501(c)(3) not-for-profit public charity. Prime Healthcare is actively seeking new members to join our corporate team Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: EEOC Know Your Rights Responsibilities: Under the supervision of the PFS Director, the Reimbursement Specialist position is the lead responsible for accurate and timely payment analysis of managed care contracts to determine that appropriate reimbursement is received. Utilizing many complex and varying regulations, guidelines, and systems, analyzes payments received from insurance companies to assure maximum and correct reimbursement receivables. Proactively works with payers and in-house resources to identify and resolve issues that hinder optimal and correct account payment. Utilizes and applies the appropriate regulations to assure compliance in payment practices. Qualifications: Education and Work Experience: Minimum four years hospital billing and collection experience required. Medical and Insurance terminology essential. Knowledge of CPT, ICD-9, HCPCS coding structures. Experience with payment/EOB review. Bachelor's degree preferred. Connect With Us Apply Here #J-18808-Ljbffr