At Virtua Health, we exist for one reason to better serve you. That means being here for you in all the moments that matter, striving each day to connect you to the care you need. Whether that's wellness and prevention, experienced specialists, life changing care, or something in between we are your partner in health devoted to building a healthier community.If you live o

Manages comprehensive Precertification integrity system and works toward goals and objectives for departmental denial management. Has a sound understanding of the payor policies related to denials and appeals process for all Institutes deemed within Healthcare Access scope. Reviews and analyzes denial data for all Institutes within the scope of HCA to determine denial tre

Manages comprehensive Precertification integrity system and works toward goals and objectives for departmental denial management. Has a sound understanding of the payor policies related to denials and appeals process for all Institutes deemed within Healthcare Access scope. Reviews and analyzes denial data for all Institutes within the scope of HCA to determine denial tre

Manages comprehensive Precertification integrity system and works toward goals and objectives for departmental denial management. Has a sound understanding of the payor policies related to denials and appeals process for all Institutes deemed within Healthcare Access scope. Reviews and analyzes denial data for all Institutes within the scope of HCA to determine denial tre

The Ops Excellence Specialist I is responsible for applying Lean, Six Sigma and Project Management methodologies to deploy strategic projects aimed at reducing variation and eliminating waste within the Patient Access and Experience pillar. This includes harnessing technology and other innovations to improve the health of those we serve focusing on exceptional patient/con

(This role has a hybrid schedule with 3 days in office and 2 days flex remote) Join a dynamic organization driven by our passion for healthcare. UHS is seeking talented individuals who are eager to contribute their expertise and pursue rewarding careers. As a leader in acute care and behavioral health, UHS provides high quality care to over 3 million patients annually, ac

INTELLECTUAL PROPERTY AND TECHNOLOGY TRANSFER SPECIALIST Camden, NJ Job ID 14705 Job Type Full Time Shift Day Specialty Other Professional Apply About us At Cooper University Health Care, our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the m

Acts as the internal and external point of contact and coordinates the day to day operations of the front desk and medical records. Serves as the lead in clerical/administrative components of patient encounters as a member of the care delivery team. Acts as a mentor to all patient service representatives and ensures that the delivery of high quality, cost efficient, cultu

Works collaboratively with department leadership to review and manage open Accounts Receivable, accurately documenting follow up activities resulting in the resolution of underpayments and denials. Conducts root cause analysis of denials and takes the action necessary to resolve the denial escalating accounts to management that need to be submitted to the provider represe

Reviews and adjudicates claims in accordance with claim processing guidelines. Provides accurate and timely resolution in processing claims. Provides customers with prompt, efficient, high quality claim service. Job Duties Reviews and researches insurance claims to determine benefits and to maintain expected department turnaround time. Adjudicates claims within the requir

Reviews and adjudicates claims in accordance with claim processing guidelines. Provides accurate and timely resolution in processing claims. Provides customers with prompt, efficient, high quality claim service. Job Duties Reviews and researches insurance claims to determine benefits and to maintain expected department turnaround time. Adjudicates claims within the requir

This role serves as the key link between the finance department and the Information Systems (IS) team, focusing on utilizing the Workday platform. Responsibilities include providing consultation, maintaining data integrity, configuring system changes, testing integrations and security, sharing knowledge, acting as an escalation point for issues, and ensuring system config

Coordinates administrative duties associated with daily physician practice operations and acts as a resource to the front line scheduling colleagues. Provides education and support to clerical staff. Functions as the primary practice resource for insurance information, clerical standard work, EMR scheduling, referrals, and other appointment functions. Job Duties Oversees

The New Jersey State Bar Foundation ( NJSBF ) Clinical Teaching Fellowship is designed to launch the teaching careers of practitioners with three to five years of practice experience. This research associate position will have the opportunity to co teach with an experienced clinician and to participate in supervision rounds and discussions of clinical pedagogy with clinic

Works collaboratively with department leadership to review and manage open Accounts Receivable, accurately documenting follow up activities resulting in the resolution of underpayments and denials. Conducts root cause analysis of denials and takes the action necessary to resolve the denial escalating accounts to management that need to be submitted to the provider represe