Top 625 Claims manager Jobs in New Jersey

Manager Patient Accounts (Commercial & Government)
University Hospital, Newark NJ —Newark, NJ
- $96,417 - $144,628 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- 5 years
- Health savings account
- Disability insurance
Quick Apply
Retailer Claims Support Manager - Operations
Subaru of America —Camden, NJ
- $94,800 - $120,000 a year
- Full-time
- Hybrid work
- 6 years
- Office
- Databases
- Profit sharing
- Health insurance
2nd shift Temporary Sub - Construction Safety Manager
Signature Safety, LLC —Kenilworth, NJ
- $45 - $52 an hour
- Temporary
- Construction site
- 5 years
- US work authorization
- Health insurance
Quick Apply
8d
Construction Manager
Radin Consulting, Inc. —Newark, NJ
- $165,000 - $195,000 a year
- Full-time
- Hybrid work
- Construction site
- Bachelor of Science
- Master's degree
- Health insurance
- Paid time off
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4d
Kubota Dealership Assistant Service Manager
Eagle Power Kubota —Pennington, NJ
- $65,000 - $70,000 a year
- Full-time
- Background check
- Management
- Sales
- Health insurance
- Dental insurance
Quick Apply
Commercial Lines Account Manager
World Insurance Associates LLC —Iselin, NJ
- Full-time
- Microsoft Word
- Background check
- Microsoft Excel
- Health insurance
- Dental insurance
Quick Apply
Marketing Manager
Schweid & Sons —East Rutherford, NJ
- $110,000 - $125,000 a year
- Marketing
- 5 years
- Office
- Paid holidays
- Health insurance
Benefits Manager
ARC Morris —Flanders, NJ
- $45,000 - $50,000 a year
- Full-time
- Background check
- HIPAA
- Mid-level
- Health savings account
- Health insurance
Quick Apply
9d
Senior Account Manager, Foodservice - Taste, North America (Remote, US/Midwest Preferred)
dsm-firmenich —Princeton, NJ
- Online Application
- Remote
- 7 years
- English
- Bachelor's degree
- Health insurance
- Paid time off
Manager of Commercial Insurance Claims
ETS, Inc —Ewing, NJ
- $125,000 - $145,000 a year
- Full-time
- Mid-level
- Office
- Continuous improvement
- Health savings account
- Health insurance
Quick Apply
1d
Healthcare Operations Manager
Centers for Neurosurgery, Spine, and Orthopedics —Wayne, NJ
- $75,000 - $85,000 a year
- Full-time
- Background check
- Mid-level
- 3 years
- Health insurance
- 401(k)
Quick Apply
3h
Commercial Glass and Glazing Project Manager
NEXT LINE GLASS —Parsippany-Troy Hills, NJ
- $155,000 - $180,000 a year
- Full-time
- Hybrid work
- Construction site
- 5 years
- Office
- Paid training
- Health insurance
Quick Apply
Case Manager Registered Nurse - Field (Somerset County, New Jersey)
CVS Health —Trenton, NJ
- $66,575 - $142,576 a year
- Full-time
- Bilingual
- Nursing
- Microsoft Outlook
- Health insurance
- Dental insurance
Construction Safety Manager
Signature Safety, LLC —Rahway, NJ
- $38 - $48 an hour
- Full-time
- Construction site
- Mid-level
- In-person
- AD&D insurance
- Health insurance
Quick Apply
Commercial Lines Senior Client Manager/ Remote NJ (40451)
IOS Staffing Services —New Jersey
- Up to $38 an hour
- Full-time
- Remote
- Background check
- Mid-level
- 3 years
- Referral program
Quick Apply
Accounting Manager
Vaco by Highspring —Metuchen, NJ
- $145,000 - $150,000 a year
- CPA
- ERP systems
- Office
- Health insurance
- Dental insurance
Quick Apply
Business Office Manager
Confidential —Essex County, NJ
- $25.96 - $31.26 an hour
- Full-time
- Skilled nursing facility
- Mid-level
- Office
Quick Apply
Pre-Litigation Paralegal / Case Manager
Affinity Injury Law —Lyndhurst, NJ
- $55,000 - $75,000 a year
- Full-time
- Spanish
- Mid-level
- In-person
- Paid holidays
- Health insurance
Quick Apply
2h
Logistics Lead
Sanofi EU —Morristown, NJ
- $123,750 - $178,750 a year
- Hybrid work
- English
- Bachelor's degree
- Experience equivalent to degree accepted
- Parental leave
11d
Construction Project Manager
TEG Design & Build —Newark, NJ
- $120,000 - $165,000 a year
- Full-time
- 7 years
- Construction site
- Residential
- Paid holidays
- Relocation assistance
Quick Apply

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Manager Patient Accounts (Commercial & Government)

University Hospital, Newark NJ -
Newark, NJ

Quick Apply

Job Details

Full-time
$96,417 - $144,628 a year

Benefits

Health savings account
Disability insurance
Health insurance
Dental insurance
Flexible spending account
Pension plan
Employee assistance program
Vision insurance
Prescription drug insurance
Pet insurance

Qualifications

Medicare
Commercial insurance knowledge
Team leadership
Health insurance policy knowledge
CMS
Windows
CMS regulatory compliance
Desktop applications
Centers for Medicare & Medicaid Services (CMS) billing regulations
Business management

Full Job Description

About the Role

The primary purpose of the Manager Patient Accounts (Commercial & Government) position is to plan, organize, staff and direct the Patient Account Department’s Charity Care Self Pay and Bad Debt operations at University Hospital. The position is also responsible for managing special projects within the Department, with an overall goal of assisting the organization to meet its strategic objectives. Takes charge of the department in the absence of the Assistant Director.

What You’ll Do

Monitors monthly follow-up on unpaid claims and take appropriate action to correct and re-bill for timely reimbursement.
Manages and pulls daily facility (UB04) (837-I) and physician (HCFA-CMS 1500) 837-P claims submission and 835 errors, and
rejections from the Clearinghouse.
Performs regular audits of daily billing reports to identify billing errors. Works with the billing team and other department staff
to address; notify on-site management of problems and troubleshoot as needed.
Manages the zero, partial, denials (credentialing, COB and any carrier issues) payment reports monthly to identify trends and
underpayments; investigate causes and take appropriate steps toward resolution using professional judgment.
Develops and Implements quality assurance measurements and standards, including completion of internal and external audits
for Medicare, Medicaid, Commercial, Charity Care, Worker Compensation, No Fault, self-pay, refunds, write offs and bad debt
accounts. Responsible for yearly external audit or other entity engaged to conduct the yearly audits as it relates to revenue
related questions and respond to payer audits requests as needed.
Directly manages account receivable units to ensure maximum efficiencies and productivity by prioritizing work activities.
Responsible for weekly/monthly/status and reconciliation report (development/preparation/maintenance/analysis of reports)

What You’ll Bring

Bachelor’s degree in Business Administration, Finance, Hospital Administration, or a related field required.
Minimum of five (5) years of experience as a Supervisor or Manager in Patient Accounts, Hospital Billing, or Patient Financial/Business Services required.
Proficiency in personal computers and supporting software in a Windows-based environment, including Microsoft Word, Excel, PowerPoint, and Outlook.
Thorough knowledge of Charity Care, UB-04/CMS-1500 billing forms, healthcare claims processing, ICD-10, CPT, and HCPCS coding.
Strong knowledge of Charity Care, Medicare, Medicaid, commercial insurance, and federal and state regulations and guidelines.
Knowledge of intranet and internet applications.
Excellent oral and written communication skills.
Ability to effectively interact with internal and external departments.
Ability to represent the department professionally and effectively at meetings.
Proficiency in department-specific software applications.
Ability to prioritize projects and manage multiple responsibilities.
Excellent customer service skills.
Outstanding interpersonal and leadership skills.
Ability to work effectively in a team-oriented environment.
Demonstrated knowledge and success working in a unionized environment.
Additional related experience may be substituted for the required degree on a year-for-year basis

What We Offer

Medical & Prescription Drug Coverage
Dental & Vision Insurance
Health Savings Account (HSA) & Flexible Spending Account (FSA)
Short- & Long-Term Disability Insurance
Pension Plan
Pet Insurance
Employee Assistance Program (EAP)
Professional Development

Compensation

In compliance with New Jersey’s Pay Transparency Act, the salary range for this position is VS/29S: $96,417 - $120,522- $144,628 per year. University Hospital considers multiple factors when determining compensation, including (but not limited to) the scope and responsibilities of the position, the candidate’s relevant work experience, education and training, key skills, internal equity, market data, and organizational needs. The expected salary range for this position is in accordance with the New Jersey Pay Transparency Law; final compensation will be commensurate with experience and qualifications.

About Us

University Hospital is one of the nation’s leading academic medical centers. As the principal teaching affiliate of Rutgers New Jersey Medical School and the only state-certified Level 1 Trauma Center in Northern New Jersey, University Hospital is training the next generation of physicians and advancing science to discovery while taking exceptional care of patients, regardless of their financial situation.

Apply Today

We encourage candidates from all backgrounds to apply. If you want to grow your career in healthcare while serving a vibrant community, we’d love to meet you.

Quick Apply

Refine Your Search

claims manager jobs in new jersey

Manager Patient Accounts (Commercial & Government)

Retailer Claims Support Manager - Operations

2nd shift Temporary Sub - Construction Safety Manager

Construction Manager

Kubota Dealership Assistant Service Manager

Commercial Lines Account Manager

Marketing Manager

Benefits Manager

Senior Account Manager, Foodservice - Taste, North America (Remote, US/Midwest Preferred)

Manager of Commercial Insurance Claims

Healthcare Operations Manager

Commercial Glass and Glazing Project Manager

Case Manager Registered Nurse - Field (Somerset County, New Jersey)

Construction Safety Manager

Commercial Lines Senior Client Manager/ Remote NJ (40451)

Accounting Manager

Business Office Manager

Pre-Litigation Paralegal / Case Manager

Logistics Lead

Construction Project Manager

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