Medicare insurance jobs in Passaic, New Jersey - Page 2Create job alerts

Job Description About Us Ennoble Care is a mobile primary care, palliative care, and hospice service provider with patients in New York, New Jersey, Maryland, DC, Virginia, Oklahoma, Kansas, Pennsylvania, and Georgia. Ennoble Care's clinicians go to the home of the patient, providing continuum of care for those with chronic conditions and limited mobility. Ennoble Care offers a variety of programs including, remote patient monitoring, behavioral health management, and chronic care management, to ensure that our patients receive the highest quality of care by a team they know and trust. We seek individuals who are driven to make a difference and embody our motto, "To Care is an Honor." Join Ennoble Care today! JOB SUMMARY The Collaborating Physician will have overall responsibility for the medical component of all components and conduct annual wellness exams once per year for our patients. They will serve as a medical resource to the interdisciplinary group, complement attending physician care, . They may be an employee or work under contract. RESPONSIBILITIES The Medical Director provides oversight of physician services including, but not limited to: • Complementing attending physician care, • Acting as a medical resource person to the IDG, • Assuring overall continuity of the hospice medical services, • Assuring that the patient receives appropriate measures to control uncomfortable symptoms, • Collaborating with the IDG to ensure that the medical needs of the patient are met, • Providing oversight of the plan of care, medications and treatments, • Adhering to regulations, standards, and conditions of participation required by Medicare, accrediting body, and federal and state statutes governing the provision of services, • Certifying that the patient meets the medical criteria for hospice admission based upon available diagnostic and prognostic indicators, related diagnosis(es) if any, current subjective and objective medical findings, current medication and treatment orders, information about the medical management of any of the patient's conditions unrelated to the terminal illness, • Re-certifying patients, as appropriate, for continuation of Medicare Hospice Benefit at appropriate levels of care, • Serving as a medical resource to hospice staff, patients, families, and attending physicians regarding pain and symptom control management, • Ensuring the provision of direct medical services to patients either directly or through arrangements, as appropriate, in the absence of the patient's attending physician, • Attending IDG conferences, • Acting as primary physician for patients whose referring/attending physicians desire to relinquish that care, if the referring/attending physicians are not available for further contact, and/or if the patient/family chooses the hospice Medical Director to assume the role of Attending Physician for them, • Documenting care provided in the patient's clinical record providing evidence of progression of the end-stage-disease process, • Maintaining current knowledge of the latest research and trends in hospice care and pain/symptom management, • Working in a team approach with the IDG, • Participating in performance improvement programs, as indicated, • Providing consultation and education to colleagues and attending physicians related to admission criteria for hospice and palliative care, • Reviewing and developing protocols for treatment and proposing the most current options for interventions, • Demonstrating knowledge in communications and counseling patient/family in dealing with end-of-life issues, • Participating in resolution of interpersonal conflict and issues of clinical and ethical concern, • Participating in the development and updating of patient care policies and emergency procedures, • Serving as a hospice champion in the community Position requires deadlines and timelines required by governing and regulatory organizations. It requires minimal lifting of office records and printouts. It is primarily a desk job which essentially involves sitting, standing, stooping and walking, as well as telephone communication. Face to face visits may be required, which may entail moderate physical exertion and car travel. Travel may be required, by car or airplane to local, out-of-town or state seminars, conferences or meetings. Hearing, eyesight and physical dexterity must be sufficient to perform a physical assessment of the patient's condition and to perform and demonstrate patient care. Equipment Operation Utilization of a computer, multi-line telephone, copy machine, and other office and basic medical equipment. COMPANY INFORMATION Has access to assigned patient medical records and personnel records of hospice physicians. Qualifications • Licensed or authorized to work in NY, NJ, MD, VA, GA, FL, OK, KS, TX, PA, • Must be a Doctor of Medicine/MD or Doctor of Osteopathy (DO), licensed to practice medicine in all of our pratctices, • Certified in Hospice or a related specialty, • Has experience with end of life care, • Maintains controlled substances registration with state and federal authorities, • Must have the ability to demonstrate self-confidence and positive attitude toward self and others and maintain commitment and enthusiasm to goal achievement, • Not excluded from the Medicare program, • The ability to communicate well, both verbally and in writing #PInk Full-time employees qualify for the following benefits: • Medical, Dental, Vision and supplementary benefits such as Life Insurance, Short Term and Long Term Disability, Flexible Spending Accounts for Medical and Dependent Care, Accident, Critical Illness, and Hospital Indemnity., • Paid Time Off, • Paid Sick Time, • 401(k) with up to 3% company match, • Referral Program Ennoble Care is an Equal Opportunity Employer, committed to hiring the best team possible, and does not discriminate against protected characteristics including but not limited to - race, age, sexual orientation, gender identity and expression, national origin, religion, disability, and veteran status.

Business Analyst - Health Insurance. Experience: 8 years of experience as a Senior Business System Analyst is required. Medicare/Medicaid experience and at least 3 years of experience in the health insurance industry is required.

Job Description We are seeking an energetic and experienced client care coordinator for a busy and fast-growing, multi-clinician, psychotherapy practice. The ideal candidate will possess a minimum of 2 years of highly responsible administrative, medical billing, and patient-care experience. Bachelor's degree preferred. Responsibilities • Checking eligibility and benefits verification for treatments and procedures., • Reviewing patient bills for accuracy and completeness and obtaining any missing information., • Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing., • Maintain and facilitate patient scheduling., • General office management tasks, including routing of phone calls to clinicians, sorting mail, keeping up office supplies and equipment, • Customer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members of diverse ages and backgrounds., • Must be available on weeknights and Saturdays., • A calm manner and patience working with either patients or insurers during this process., • Knowledge of insurance guidelines, including HMO/PPO, Medicare, and other payer requirements and systems., • Effective communication abilities for phone contacts with insurance payers to resolve issues., • Ability to work well in a team environment., • Excellent attention to detail, highly organized and independent, • Excellent communication skills and attention to confidential matters, • Flexible schedule and mentality, • Exceptional organizational skills and dedication to responsibilities, • Promote a professional and pleasant environment, • Ability to prioritize and organize tasks and to maintain flexibility in response to constantly changing demands, proficiency in G-Suite, EHR, Microsoft Office Suite, • 401(k), • 401(k) matching, • Flexible schedule, • Health insurance, • Health savings account, • Life insurance, • Paid time off, • Vision insurance

Job DescriptionIf you have a passion for helping others and enjoy interacting with the general public, FYZICAL, the leading physical therapy company in the country, has a Customer Service Representative opening in West Caldwell, NJ, that is a perfect fit for you! As the first and last person our amazing clients see when they enter and leave our cutting-edge facility, your role as Customer Service Representative is central to our daily operations. Here, you will join a champion team that works together to help grateful patients get back to the lives they love. We are committed to changing the PT industry by creating non-traditional, individualized treatment plans and want you along on that important journey. As part of the FYZICAL family, you can take advantage of advancement opportunities, state-of-the-art technology and grow your career under a practice leader who is fully invested in you. This excellent opportunity will not last long! Apply for FYZICAL's Customer Service Representative job opening today! Are you looking to join an innovative company where you can establish yourself and advance your career as part of a top-rated team? If so, you should consider our Customer Service Representative position in West Caldwell, NJ! We are an innovative physical therapy facility that bypasses traditional approaches to care. We work together, using the most modern technology and cutting-edge tools to provide our patients with the individualized care they need and deserve. As our Customer Service Representative, you will enjoy the easy flow of a supportive team that succeeds together. You also will have the chance to access our unparalleled continuing education opportunities, opening the door to further career growth. Start down your exciting career path today by applying for our Customer Service Representative job opening!Responsibilities • Handle patient scheduling, appointments, multi-phone line, • Gather new patient data; keep track of all patient referrals, • Disseminate information to patients; act as a go-between for patients and physicians, • Send and keep a log of all reports sent to doctors, • Collect all payments; insurance verification, • Collect/open mail; distribute mail to proper areas/people, • Send benefits paperwork to billing companies, • Handle all scheduling and ensuing communication, • Answer phones, act as a patient liaison, answer any questions from potential or current patients, • Schedule patients; coordinate evaluations, re-evaluations, appointment reminders and cancellations, • Collect new patient intake information; track all clinic referrals, • Fax reports to physicians; keep a log of incoming reports, • Verify Insurance and track insurance-covered visits; take copayments, • Check mail; keep track of Explanation of Benefits sent from mail and fax to billing company, • Communicate with the office manager and clinicians about scheduling/patient arrival, • Monitor marketing campaigns and schedule appointments from leads generated, • Work on credentialing new clinical staff with Medicare and various insurance providers, • Develop and update content on social media outlets, • Update marketing content and provide regular feedback to marketing campaign providers, • Other administrative tasks as neededRequired Skills, • High school diploma, GED certificate or equivalent, • Valid driver's license and reliable transportation, • Great communicator and multitasker, detail-oriented, • Positive attitude, good work ethic, integrity and empathetic toward people that are in pain, • Up-to-date DL and a dependable vehicle, • Experience with social media marketing, • EMR authorization and verification experience, • Medical reimbursements/billing, • Managing patient appointments and billing, • Managing marketing campaigns, • Processing medical credentialing

Job Description Position Summary Provides case management as well as routine discharge planning services to patients and their families, to facilitate safe and timely discharges, to enhance the benefits of medical care, to ensure hospital reimbursement, to provide cost effective acute care and to ensure continuity of care. Job Duties • Reviews all patient charts within 24 to 48 hours of admission to assess appropriateness of admission, intensity of service and potential discharge needs in accordance with the utilization/contractual requirements., • All questionable cases (i.e. inappropriate admission, level of care changes, quality issues) will be communicated to the Attending Physician. If no resolution, CM will refer the cases to the Physician Advisor., • Communicates with insurance providers for admission and continued stay reviews as stipulated by contract in order to certify the patients' stays. Contacts the Attending Physician to obtain additional clinical information on the case to minimize denials and to assist with reimbursement of care and/or appeals., • Denied day cases will automatically be referred to the Physician Advisor., • Participants in Interdisciplinary D/C Rounds to concurrently and collaboratively review and facilitate the patient's plan of care. Acts as liaison to assist in identifying opportunities to improve care., • Keeps Director of Case Management abreast of problem areas and seeks guidance in a timely manner., • Effectively coordinates care with ancillary departments and attending physician (i.e. rehabilitation, laboratory, radiology, etc.) to ensure timely provision of care and to decrease length of stay and appropriate treatment and discharge., • Performs other job duties and responsibilities as assigned. Qualifications and Skills • Knowledge of Utilization Review criteria to include Interqual and/or Milliman preferred., • Knowledge in Medicaid, Medicare, Managed Care review and documentation requirements. Is knowledgeable of state and federal regulations, DNV standards and practices for acute care facilities., • Excellent written and verbal communication skills., • Knowledge in discharge planning and length of stay initiatives., • Knowledge of home care and referral process., • Expert critical thinking and problem solving skills. Education, Experience and Certification/Licensure Requirements • Current RN license in the state of NJ., • Minimum 1- 2 years direct patient care experience in an acute care hospital, • Previous case management experience preferred.

Job DescriptionBenefits: • 401(k) matching, • Bonus based on performance, • Health insurance Responsibilities • Serve as a liaison between specialty pharmacies, prescribers, and insurance providers to ensure seamless access to prescribed medications and clarify any prescription-related needs., • Monitor market trends and competitor activity to adjust strategies, identify potential growth areas, and implement best practices for marketing and patient access., • Focus on sales/marketing efforts to promote the pharmacys services and secure referrals from providers, contributing to growth in patient enrollment and medication access., • Utilize sales strategies to target and expand market presence, identify new opportunities, and increase awareness of the pharmacys offerings among key stakeholders in the healthcare ecosystem., • Provide exceptional customer service, ensuring that both internal and external customers (patients, providers, pharmacy staff) receive timely and accurate support., • Maintain frequent communication with patients, providers, and pharmacies, clarifying prescription orders and resolving any issues., • Coordinate efforts with providers and specialty pharmacies to improve patient turnaround times and ensure optimal medication access., • Manage and prioritize multiple initiatives, resolving complex cases independently and efficiently, while maintaining a focus on customer satisfaction and outcomes., • Leverage marketing tactics, including digital communication, educational resources, and outreach, to effectively promote the pharmacys services and increase patient engagement.Seasonal Responsibilities: During immunization season (such as flu, RSV, covid, etc.) liaison is expected to do the following: • Manage and Coordinate Seasonal Immunization Clinics, • at store level/on site, • at community level (community centers, community drives, centralized location(s)), • Promote and manage marketing materials for immunization seasons, • Managing flyers and promotional materials, • Coordinate at doctor/physician offices, • Outreach to the community, • Coordinate with insurance carriers including Medicare and Medicaid for billing purposes Requirements, • Preferred experience in a health care setting, preferably within a specialty pharmacy environment., • Strong understanding of medication administration processes and patient care standards., • Familiarity with medical terminology related to pharmacy practices, medications and prior authorization process., • Previous experience as a pharmacy technician is highly desirable., • Excellent communication skills with the ability to build rapport with healthcare professionals and patients alike., • Ability to work independently and as part of a collaborative team focused on enhancing patient service., • Commitment to ongoing professional development in the field of specialty pharmacy.Qualifications:, • High School Diploma or GED required, • Associate or bachelors degree preferred, • 1+ years of pharmacy/medical work experience or related field, • Strong customer service, communication, and sales skills, • Proven ability to manage multiple accounts and projects independently, • Understanding of product and payer reimbursement landscapes, • Ability to work collaboratively with a variety of stakeholders, including medical offices, pharmacies, and insurance companies, • Valid drivers license required, • Must be willing and able to drive from office to office within the assigned area (TBD)Preferred Skills:, • Previous experience in sales, marketing, or customer relationship management within the healthcare industry, • Full Time, • On-siteSchedule:, • Monday to Friday, • 40 Hours weeklyPay Rate:, • Bi-weekly, • $22-30 hourly (based on experience)Benefits:, • Paid time Off, • Medical Insurance, • 401k (Matching), • Travel Stipend, • Bonus based on PerformanceLocation: | 517 UNION BLVD STE C TOTOWA, NJ 07512

Job Description Daughters of Israel is a non-profit skilled nursing facility. We are currently seeking a Director of Social Services to oversee and ensure that the medically related emotional and social needs of the residents are met on an individual basis. Responsibilities: • Oversee all aspectes related to the social services department to ensure all the emotional and social needs to the residents/patients are met., • Work with the IDT team to develop and implement policies and procedures for the identification of medically related social and emotional needs of the patient/resident., • Participate in planning, development and implementation of care plans, resident assessments, and discharge planning., • Interview patient/resident/families as necessary and in a private setting. Involve the patient/resident/family in planning objectives and goals for the patient/resident. Develop preliminary and comprehensive assessments of social service needs of each patient/resident., • Assist and develop a written plan of care for each resident that identifies social problems/needs of the patient/resident and the goals to be accomplished for each problem/need area., • Refer resident/patient/family to appropriate social service programs, as needed., • Review Advance Directives with patients/residents, provide information on Advance directives and care plan accordingly., • Participate in regularly scheduled Utilization Reviews of residents/patients and review discharge plans and barriers to discharge., • Perform administrative requirements such as completing necessary reports, approval of payroll and scheduling, etc., • Provide case management and information to the resident/patient/families as to Medicare/Medicaid and other financial assistance programs available to the resident/patient and refer to business office when appropriate., • Maintain a quality working relationship with the medical professionals and other health related facilities and organizations that work with DOI during the admission and discharge process. Licensed Clinical Social Worker (LCSW) preferred. LMSW and MSW will be considered depending on years of management/director experience. Direct management experience in long term / short term rehabilitation environment required Benefits: • 401(k), • Dental insurance, • Flexible spending account, • Health insurance, • Life insurance, • Paid time off, • Retirement plan, • Licensed Clinical Social Worker New Jersey (Required) Work Location: In person Company DescriptionDaughters of Israel is a multi-faceted, state-of-the-art, skilled nursing facility offering the most modern and comprehensive services available. We offer a full continuum of care, from short-term rehabilitation for sub-acute care and temporary respite stays, to long-term skilled nursing and memory care, as well as a broad array of specialty programs and services. Our team of skilled and dedicated professionals deliver the highest quality of care to close to 125 residents, which includes a full array of nursing care as well as social and recreational programming.Daughters of Israel is a multi-faceted, state-of-the-art, skilled nursing facility offering the most modern and comprehensive services available. We offer a full continuum of care, from short-term rehabilitation for sub-acute care and temporary respite stays, to long-term skilled nursing and memory care, as well as a broad array of specialty programs and services. Our team of skilled and dedicated professionals deliver the highest quality of care to close to 125 residents, which includes a full array of nursing care as well as social and recreational programming.

Job Description Purpose of the Role We are seeking a full‑time Corporate Paralegal to support our Healthcare Practice Group in the Roseland, NJ office. This role is ideal for someone who is detail‑oriented, organized, and comfortable working in a fast‑paced legal environment. The Corporate Paralegal will support healthcare attorneys with a broad range of corporate and regulatory matters, including transactions, entity formations, and ongoing compliance. This position requires flexibility to work additional hours as needed, particularly during transaction closings and time‑sensitive matters. Responsibilities • Assist with the preparation and filing of corporate documents, including UCC financing statements, articles of incorporation/organization, bylaws, operating agreements, and annual reports., • Support corporate attorneys on healthcare transactions, including mergers and acquisitions, joint ventures, affiliations, restructurings, and dissolutions, in compliance with applicable healthcare regulations., • Conduct due diligence for healthcare transactions, including review of business licenses, Medicare/Medicaid enrollment, Stark Law and Anti‑Kickback Statute compliance, and state‑specific licensing requirements., • Assist with healthcare entity formations, licensing, and regulatory filings with agencies such as the Department of Health, CMS, and state professional boards., • Coordinate with clients, attorneys, and regulatory agencies to ensure timely and accurate processing of filings and documents., • Maintain and organize corporate records, including minute books, stock certificates, professional entity records, and governance documents., • Prepare and review healthcare‑related agreements, including employment agreements, management services agreements, operating agreements, and business associate agreements (BAAs)., • Conduct legal research and compile information related to healthcare compliance matters, including HIPAA, Stark Law, and Anti‑Kickback Statute regulations., • Manage data rooms, track transaction progress, and assist with closings for healthcare‑related deals., • Assist with client correspondence, notarizations, and document execution in accordance with state and federal requirements., • Utilize MS Office and document management systems for document preparation and case support., • Bachelor’s degree or paralegal certificate from an accredited program., • Minimum 5+ years of experience as a corporate paralegal in a law firm setting, with experience supporting corporate transactions; healthcare experience strongly preferred., • Experience with healthcare regulatory filings and compliance matters is a plus., • Proficiency in MS Word, Excel, Adobe (Kofax), and document management systems., • Strong organizational skills with excellent attention to detail., • Strong written and verbal communication skills., • Ability to manage multiple priorities and meet deadlines in a fast‑paced environment., • Collaborative, team‑oriented approach., • Familiarity with HIPAA, Stark Law, Anti‑Kickback Statute, and Medicare/Medicaid regulations is a plus. This position offers a salary range of $85,000 – $110,000 annually, commensurate with experience and qualifications. Final compensation will be determined based on factors such as experience, skills, and qualifications. Support staff may also be eligible for discretionary year-end bonuses and a merit-based increase. Our comprehensive benefits package includes medical, dental, vision, life and disability insurance, a 401(k)-retirement plan, paid time off, and access to additional voluntary programs. The posted salary range reflects the base pay range for this position.

Medicare Advantage (MA), Part D, and EGWP products. This role will support end-to-end bid season execution, Medicare forecasting, and deliver deep experience analytics to inform pricing, product strategy, and financial performance. Medicare Advantage and Part D bids.

Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies.We guarantee 15-25 hours per week with an hourly pay of between $25 / hr.There is no payment required in order to apply or to work as an In-Home Usage Tester.You

To make insurance better for our customers, we experiment. We start with smarter homeowners insurance and expand to everything homeowners need to thrive. P&C (specifically, home insurance).

Independent insurance agents don’t work for an insurance company; they partner with multiple insurance companies. Workable knowledge of insurance, and prior insurance experience. Create insurance proposals; make sales presentations to prospective and existing clients on new and renewal business.

We start with smarter homeowners insurance and expand to everything homeowners need to thrive. Create, update, and process homeowners insurance policies, endorsements, payments, and refunds with accuracy and urgency. Hands-on experience servicing homeowners insurance policies.

Seeking participants for Focus Group and market research studies.Work part-time from home and earn up to $750 per week.Register to see if you are eligible.Customer service representative agent experience not required.Remote Work From Home Customer Service Representative Agent - Part Time Market Rese

Seeking participants for Focus Group and market research studies.Work part-time from home and earn up to $750 per week.Register to see if you are eligible.Customer service representative agent experience not required.Remote Work From Home Customer Service Representative Agent - Part Time Market Rese

Seeking participants for Focus Group and market research studies.Work part-time from home and earn up to $750 per week.Register to see if you are eligible.Customer service representative agent experience not required.Remote Work From Home Customer Service Representative Agent - Part Time Market Rese

Excellent opportunity to join a leading, national credit card processing company that has over a decade of industry experience.Slice Merchant Services offers innovative payment processing solutions to merchants.Slice has put together a comprehensive package of products and services.Slice delivers a

Seeking participants for Focus Group and market research studies.Work part-time from home and earn up to $750 per week.Register to see if you are eligible.Customer service representative agent experience not required.Remote Work From Home Customer Service Representative Agent - Part Time Market Rese

You'll be offering financial products such as life insurance, annuities, and Indexed Universal Life (IUL) policies. Optional exchange benefits to life and health insurance access.

Seeking participants for Focus Group and market research studies.Work part-time from home and earn up to $750 per week.Register to see if you are eligible.Customer service representative agent experience not required.Remote Work From Home Customer Service Representative Agent - Part Time Market Rese

Introducing products such as life insurance, annuities, and Indexed Universal Life (IUL), helping clients plan and protect their financial future. Access to health insurance options.

Sales Representative for the territory of NYC, Western Mass, CT, Northern NJ, and Long Island.This is a very unique sales positions – and it will not interest everyone.Not only do you need to be a top-notch salesperson who can interact with company owners and plant managers, but this role also has

Territory: Manhattan N, NY – Key Residences: Westchester, Bronx.LENZ Therapeutics is excited to be expanding its sales team! Looking to join LENZ as a Specialty Sales Representatives to lead the launch of a groundbreaking product in the ophthalmic presbyopia market? New specialty sales territory p

Our client is a 10 year relationship where I have had much success stories.Medical Device Company specializing in operating room surgical products.Surgical case coverage at your own pace and schedule.Specialized call point for cardiac, vascular and neurosurgery.Great work/life balance, no on-call or

Seeking participants for Focus Group and market research studies.Work part-time from home and earn up to $750 per week.Register to see if you are eligible.Customer service representative agent experience not required.Remote Work From Home Customer Service Representative Agent - Part Time Market Rese

Exciting Opportunity: Join Us as an Insurance and Financial Services Representative!. As an insurance and financial service representative, you will:. Drive sales: Actively seek new business opportunities and identify customer needs to present tailored insurance and financial product solutions.

We help customers with their insurance and financial services needs, including Auto Insurance, Home Insurance, Life Insurance, Business Insurance, and Renters Insurance. This busy insurance and financial services office has a passion to make a difference in the lives of others and better the communi

We seek a Licensed Insurance Agent in New Jersey with extensive knowledge of New Jersey insurance laws and regulations, and proven experience in both personal lines and commercial lines insurance. Employer-paid Group Life Insurance. Experience with multiple insurance carriers and a wide variety of p

This busy insurance and financial services office has a passion to make a difference in the lives of others and better the community. We have 25 years of combined insurance experience in our office.

We help customers with their insurance and financial services needs, including Auto Insurance, Home Insurance, Life Insurance, Business Insurance, Health Insurance, and Renters Insurance. As a Insurance Account Position - State Farm Agent Team Member with Austin Raab - State Farm Agent, you will gen

Benefits: Medical, Dental and Vision insurance, 401k matching, + more.

Access to top-rated insurance carriers and products. Insurance license (or willingness to obtain one we provide guidance). GIA Legacy Planning is a welcoming, client-focused insurance agency where people come firstboth our clients and our team.