Top 177 Payment specialist Jobs in Pennington, Nj

Managed Care Contract Specialist - FT - Day - Managed Care Pennington NJ
Capital Health —Pennington, NJ
- $21.33 - $27.73 an hour
- 8 hour shift
- 5 years
- Office
- High school diploma or GED
- AD&D insurance
- Disability insurance
Medicaid Specialist
Bridgeway Care and Rehabilitation Center —Bridgewater, NJ
- From $65,000 a year
- Full-time
- Background check
- HIPAA
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
7h
Senior Logistics & Trade Compliance Specialist
CompoSecure —Somerset, NJ
- $31.25 - $38.46 an hour
- Email
- Oracle
- 5 years
- Office
- Health savings account
- Paid holidays
Quick Apply
Indirect Procurement Project Specialist
Atrium —Princeton, NJ
- $35 - $45 an hour
- Mid-level
- Analysis skills
- Bachelor's degree
- Health insurance
- Paid time off
Quick Apply
11d
ROI Medical Records Specialist
MRO Corporation —Doylestown, PA
- $16 - $22 an hour
- Full-time
- Computer literacy
- Medical office experience
- HIPAA
- Health insurance
- Dental insurance
Quick Apply
Warehouse Specialist
GenScript/ProBio —Pennington, NJ
- $60,000 - $80,000 a year
- Mid-level
- 3 years
- Continuous improvement
- Commuter assistance
- Paid parental leave
Quick Apply
Payment Specialist
RW Bet NJ LLC —New Brunswick, NJ
- Hybrid work
- Mid-level
- 3 years
- High school diploma or GED
Quick Apply
7d
Funding Verification Specialist - Remote
Lingraphica —Princeton, NJ
- $50,000 - $55,000 a year
- Full-time
- Remote
- HIPAA
- Research
- Mid-level
Quick Apply
7d
Specialist: Seasonal, Part-time
Apple —Township of Lawrence, NJ
- $23.00 - $30.59 an hour
- Part-time
- Entry level
- Employee stock purchase plan
- Health insurance
Patient Access Quality Specialist
Capital Health —Pennington, NJ
- $21.76 - $28.28 an hour
- Full-time
- Data analysis skills
- Mid-level
- 3 years
- AD&D insurance
- Disability insurance
Customer Solution & Claims Specialist
Nestlé Health Science —Bridgewater, NJ
- $53,000 - $63,000 a year
- Hybrid work
- Microsoft Outlook
- Mid-level
- Bachelor's degree
- Health insurance
- 401(k) matching
7d
DMV Operations Specialist
eBay Inc. —Trenton, NJ
- $40,000 - $78,000 a year
- Full-time
- Customer service
- Mid-level
- Office
- Paid time off
- Parental leave
4d
Patient Reception Rep - FT - Day - Gastroenterology Specialists Pennington NJ
Capital Health —Pennington, NJ
- $17.00 - $20.85 an hour
- Full-time
- HIPAA
- High school diploma or GED
- 1 year
- AD&D insurance
- Disability insurance
1d
HAS Specialist
New Jersey Housing and Mortgage Finance Agency —Trenton, NJ
- $62,450.89 - $87,874.00 a year
- Full-time
- Microsoft Access
- Sales
- 5 years
- Disability insurance
- Dental insurance
HEALTHCARE AUTHORIZATION / PRE-CERTIFICATION SPECIALIST
Advanced Obstetrics & Gynecology —Flemington, NJ
- Full-time
- HIPAA
- Mid-level
- High school diploma or GED
EHS Specialist
Amazon.com Services LLC —Burlington, NJ
- $27.98 - $33.41 an hour
- Weekends as needed
- Microsoft Word
- CPR Certification
- Microsoft Excel
- AD&D insurance
- Health insurance
11d
Accounts Payable Specialist
KVK Tech —Newtown, PA
- Microsoft Outlook
- Mid-level
- Office
- Paid holidays
- Dental insurance
Senior Accounts Receivable / Accounts Payable Specialist
TerraCycle —Trenton, NJ
- $75,000 - $85,000 a year
- Full-time
- Hybrid work
- Office
- Finance
- Analysis skills
- AD&D insurance
- Paid holidays
Quick Apply
Sr. Specialist, Brand Enablement
Catalent —Bridgewater, NJ
- $90,000 - $110,000 a year
- Email
- Marketing
- 5 years
- Office
- Paid holidays
- Health insurance
Senior Specialist, Export
Brother International Corporation —Bridgewater, NJ
- $27 - $33 an hour
- Extended hours
- Hybrid work
- Spanish
- Microsoft Excel
- Microsoft Outlook

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Managed Care Contract Specialist - FT - Day - Managed Care Pennington NJ

Capital Health -
Pennington, NJ

Apply Now

Job Details

Full-time
$21.33 - $27.73 an hour

Benefits

AD&D insurance
Disability insurance
Health insurance
Dental insurance
Flexible spending account
Paid time off
Employee assistance program
Vision insurance
Life insurance
Prescription drug insurance
Pet insurance

Qualifications

Spreadsheets
High school diploma or GED
Productivity software
Hospital experience

Full Job Description

Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advanced technology. Capital Health is a dynamic health care resource accredited by the DNV that includes two hospitals, an outpatient center, satellite ED, and an expansive network of primary and specialty care. Capital Health Medical Group is made up of more than 600 physicians and other providers who offer primary and specialty care, as well as hospital-based services, to patients throughout the region.

Capital Health recognizes that attracting the best talent is key to our strategy and success as an organization. As a result, we aim for flexibility in structuring competitive compensation offers to ensure we can attract the best candidates.

The listed pay range or pay rate reflects compensation for a full-time equivalent (1.0 FTE) position. Actual compensation may differ depending on assigned hours and position status (e.g., part-time).

Pay Range:

$21.33 - $27.73

Scheduled Weekly Hours:

Position Overview

Under the direction of the VP of Payer Relations, responsible for reviewing all managed care contracts and the yearly updates. Works with departmental leadership to load all contracted rates in a timely manner. Conducts maintenance and monitoring of the contracts by running ad-hoc reports to ensure compliance and accuracy of pricing according to the various contracts. Works with Management team in the Revenue Cycle department to verify all pricing discrepancies.

MINIMUM REQUIREMENTS
Education: High School degree or equivalent. Bachelor’s degree preferred.
Experience: Five years' experience in hospital-based billing. ICD-10 knowledge preferred.
Other Credentials:
Knowledge and Skills: Proficient knowledge of healthcare billing. Outstanding organization skills. Excellent verbal and written communication skills.
Special Training: Proficient in Microsoft Office. Ability to quickly learn the billing system to become proficient.
Mental, Behavioral and Emotional Abilities: Ability to manage multiple tasks simultaneously and ability to change priorities when necessary to meet deadlines. Demonstrates good judgment as well as attention to detail.
Usual Work Day: 8 Hours
Reporting Relationships
Does this position formally supervise employees? No

If set to YES, then this position has the authority (delegated) to hire, terminate, discipline, promote or effectively recommend such to manager.

ESSENTIAL FUNCTIONS
Facilitates and coordinates process standardization with vendor to promote accurate contractual allowances in the contract management tool.
Reviews claim calculations in contract management tool, identifies discrepancies between the tool and contractual terms and works with the vendor or the payer to resolve discrepancies.
Performs root cause analysis behind payment calculation variances and identifies improvement opportunities for contract management software vendor as appropriate.
Provides ongoing evaluation and assessment of payer contracts, correlation tables, fee schedules, etc. through claims data to ensure the contract management tool remains current and accurate.
Coordinates with management and other revenue cycle leaders on contract valuation issues resulting in payment discrepancies. Assures payment discrepancies are quantified timely and accurately.
Partners with Hospital and Professional Billing Department to engage with different payers in providing feedback regarding trends and issues. Assures compliance of payers with regulatory guidelines and contract provisions.
When discrepancies are found, identifies if it's due to the contract load or due to the payer. When due to the contract load, it goes back to the vendor to have any incorrect loads updated. When due to payer issues, adds all issues to the Payer spreadsheet and works with our Payer Representative to resolve and completed in conjunction with revenue cycle management team.
Obtains a thorough understanding of payer reimbursement practices and procedures.
Contributes to topics included on payer agendas and spreadsheets to support Billing and Contract Management leadership in efficient communication for consistent resolution of payer contracting issues.
Remains current with changes in payer medical policies that impacts claim pricing methodologies and adjusts contract management software and/or communicates impact to management.
Performs other duties as assigned.

PHYSICAL DEMANDS AND WORK ENVIRONMENT
Frequent physical demands include: Pinching/fine motor activities , Keyboard use/repetitive motion , Talk or Hear

Occasional physical demands include: Standing , Walking , Climbing (e.g., stairs or ladders) , Carry objects , Push/Pull , Twisting , Bending , Reaching forward , Reaching overhead , Squat/kneel/crawl , Wrist position deviation

Continuous physical demands include: Sitting

Lifting Floor to Waist 20 lbs. Lifting Waist Level and Above 10 lbs.

Sensory Requirements include: Accurate Near Vision, Accurate Far Vision, Color Discrimination, Minimal Depth Perception, Minimal Hearing
Anticipated Occupational Exposure Risks Include the following: N/A

IND123.

This position is eligible for the following benefits:

Medical Plan
Prescription drug coverage & In-House Employee Pharmacy
Dental Plan
Vision Plan
Flexible Spending Account (FSA)

Healthcare FSA

Dependent Care FSA

Retirement Savings and Investment Plan
Basic Group Term Life and Accidental Death & Dismemberment (AD&D) Insurance
Supplemental Group Term Life & Accidental Death & Dismemberment Insurance
Disability Benefits – Long Term Disability (LTD)
Disability Benefits – Short Term Disability (STD)
Employee Assistance Program
Commuter Transit
Commuter Parking
Supplemental Life Insurance

Voluntary Life Spouse

Voluntary Life Employee

Voluntary Life Child

Voluntary Legal Services
Voluntary Accident, Critical Illness and Hospital Indemnity Insurance
Voluntary Identity Theft Insurance
Voluntary Pet Insurance
Paid Time-Off Program

The pay range listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining base salary and/or rate, several factors may be considered including, but not limited to location, years of relevant experience, education, credentials, negotiated contracts, budget, market data, and internal equity. Bonus and/or incentive eligibility are determined by role and level.

The salary applies specifically to the position being advertised and does not include potential bonuses, incentive compensation, differential pay or other forms of compensation, compensation allowance, or benefits health or welfare. Actual total compensation may vary based on factors such as experience, skills, qualifications, and other relevant criteria.

Apply Now

Refine Your Search

payment specialist jobs in pennington, nj

Managed Care Contract Specialist - FT - Day - Managed Care Pennington NJ

Medicaid Specialist

Senior Logistics & Trade Compliance Specialist

Indirect Procurement Project Specialist

ROI Medical Records Specialist

Warehouse Specialist

Payment Specialist

Funding Verification Specialist - Remote

Specialist: Seasonal, Part-time

Patient Access Quality Specialist

Customer Solution & Claims Specialist

DMV Operations Specialist

Patient Reception Rep - FT - Day - Gastroenterology Specialists Pennington NJ

HAS Specialist

HEALTHCARE AUTHORIZATION / PRE-CERTIFICATION SPECIALIST

EHS Specialist

Accounts Payable Specialist

Senior Accounts Receivable / Accounts Payable Specialist

Sr. Specialist, Brand Enablement

Senior Specialist, Export

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