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Director of Revenue Cycle Management

ID Care is a dynamic and growing medical group in North and Central New Jersey with 60+ providers. We are seeking an experienced Director of Revenue Cycle Management for our high-volume in-house operation.

Essential Job Responsibilities:

· Leads the staff to provide excellent service to our Patients and their Families, Physicians, Advanced Practice Providers, and co-workers.
· Manages the day-to-day activities of the billing, coding compliance, and credentialing teams.
· Drives department innovation to keep our systems efficient, effective, and high performing. Develops, implements, and oversees effective and consistent operational policies.
· Leads and / or conducts focused charge capture and coding audits.
· Provides routine and custom performance reports, analytics, and benchmarking.
· Utilizes data analytics to identify trends for quality improvement.
· Identifies and implements workflow and process improvements.
· Monitors third-party payers’ compliance with established contracts.
· Develops and maintains relationships with major payers, hospitals, and facilities.
· Stays well versed with industry regulations, standards, trends and technologies

 

Knowledge, Skills, Abilities:

· Excellent interpersonal, leadership, and collaboration skills.
· Strong change management skills.
· Well developed organizational skills.
· Experience working productively with providers, patients, peers, and staff.
· Comprehensive experience leading teams in a complex environment.
· Ability to make independent decisions.
· Demonstrated adherence to ethical and compliant business practices.
· Ability to read and interpret payer agreements.
· Experience as a participant in payer negotiations.
· Comprehensive understanding of and experience with provider credentialing in a complex environment.
· Ability to effectively communicate regulatory changes to providers and to educate providers on coding compliance.
· Strong quantitative, analytic, and problem-solving skills.
· Expert knowledge of payer billing requirements in a physician environment.

 

Education:

· Bachelor’s degree in Business Administration, Healthcare Management, Health Information Management or related discipline. Masters preferred.
· CPC credentials required.

 

Experience:

Minimum of 10 years’ experience with progressive responsibility managing physician group billing, coding compliance, and credentialing. At least 5 years’ experience running a high-volume department with a large staff.

Apply to/at: [email protected]

Posted 10/22/19


LPN OR CMA

Advocare Parsippany Pediatrics
Parsippany, NJ 07054

We are a well-established, busy pediatric practice in need of an LPN or CMA for ~ 28 hours/week. One year prior pediatric work-experience is preferred from either a hospital, clinic, or private practice setting.Training will be provided in all clinical and EMR system responsibilities within our workflow. Pay is commensurate with experience.

Job type: Part-time

Applicants please repond to:
[email protected]

Posted: 7/30/19


Credentialing Specialist

ID Care seeks a credentialing specialist with at least 3 years’ experience to ensure that all providers are appropriately credentialed by both obtaining and maintaining privileges at designated facilities. In addition, he/she takes care of the insurance enrollment with all ID Care’s group contracts to provide accurate reimbursement on patient services.

1. Initiate, complete, and follow-up on all credentialing and privileging applications for providers at all facilities and nursing homes. This includes coordinating, obtaining and/or delivering all necessary requested materials for each facility.
2. Verify physicians’ licenses and credentials for privileges at designated hospitals: State licenses, DEA, Board Certification, malpractice/liability insurance.
3. Assist practitioners with the application of Controlled Substance and DEA licenses.
4. Schedule practitioner’s interviews with the hospital’s Medical Directors.
5. Provide affiliated hospitals with updated credentials: licenses, collaborative agreements, certificate of insurance and documents.
6. Obtain NPI numbers, and update NPPES database with current information.
7. Update CMS profiles and the PECOS internet database.
8. Input data, update and maintain the CAQH database.
9. Keep current on issues that affect billing, credentialing, and privileges.
10. Maintain all necessary materials for credentialing, including board certificates, licenses, CME’s, PPD testing, etc.
11. Other duties as assigned.

Education: High School Diploma or equivalent.

Experience: This position requires physician background with 3 years’ experience in credentialing.

Excellent salary and benefits including health care coverage and profit plan.

Apply to: [email protected]

Posted 7/23/19


Patient Experience Manager

Princeton Orthopaedic Associates, the premier provider of orthopaedic services in Central NJ, is seeking a career-minded, operations focused individual who is driven, disciplined and assertive, with a "patient first” and “can do” attitude to fill a new role for a Patient Experience Manager.   The position will be responsible for oversight of all front desk processes, procedures, and operations in offices throughout Princeton, Plainsboro, Monroe, Ewing, and Robbinsville NJ.  Compensation is commensurate with experience and only qualified candidates are encouraged to apply.

The right candidate for this role must have prior supervisory experience and experience providing exemplary customer service in a fast paced, multi-site medical setting.  Princeton Orthopaedic Associates is a successful full service orthopaedic practice that is currently on a growth trajectory.

JOB RESPONSIBILITIES:

  • Direct supervision of daily front desk operations
  • Act as a liaison between the front desk, call center, and clinical staff
  • Develop and maintain written policies and procedures for the department; maintains and updates the electronic Front Desk Training Guide
  • Effectively manage multiple priorities in a fast-paced, dynamic medical practice environment
  • Displays consistent commitment to customer service and team work by displaying POA core values in every interaction with patients and co-workers. Displays personal behavior that has a positive impact for the team
  • Proactively manage team members’ performance and development including but not limited to performance feedback, appraisals, and corrective actions
  • Utilizes data from patient surveys as an educational tool to maintain the highest service standards at all locations.  Reports metrics / outcomes of surveys to Senior Management
  • Be able to think out of the box and come up with new ideas for delivering optimal customer service to our patients
  • Makes recommendations for more efficient ways of utilizing technology to accomplish the responsibilities of the front desk.  Serves on as an advocate for optimizing EHR
  • Successfully implements patient service tools to achieve greater efficiencies and levels of patient satisfaction during the check-in process
  • Assists Management in integration of company initiatives at the office sites, contributing to continuous improvements in quality and service
  • Provides ongoing training to staff to ensure that productivity and knowledge of the overall process are maintained and improved;
  • Continually works towards building and sustaining a joint leadership work environment with doctors
  • Manages relationship with third party disability vendor (RRS) in order to ensure a smooth handoff between practice and vendor. 
  • Assist in daily workload as needed in scheduling and front desk operations; cover front desk associate responsibilities when necessary
  • Maintains a working knowledge of HIPAA requirements

MINIMUM REQUIREMENTS:

  • EDUCATION: Bachelor’s Degree (preferred)
  • Working knowledge of patient scheduling systems, customer service principles, and medical office operations
  • Computer / Technology Skills including, but not limited to, Microsoft Office Suite
  • Ability to maintain a flexible schedule and to travel between offices within a defined area
  • Ability to communicate effectively with physicians, patients, and coworkers

FULL TIME BENEFITS SUMMARY:

  • Medical Insurance
  • Dental, Vision, Life Insurance (Voluntary Options)
  • Paid Time Off, Paid Holiday Time
  • Voluntary Life Insurance
  • Flexible Spending Accounts
  • 401k / matching contribution

Interested and qualified candidates should submit resumes for consideration to:[email protected]

Posted 6/11/19


Certified Medical Assistant

Gastroenterology practice with multiple offices in NJ seeks Full Time candidate to join our medical office in Essex County and Hudson County. Seeking a responsible bilingual (Spanish) and certified Medical Assistant who is reliable, detail oriented, and someone who multi-task in a fast paced professional medical office. Must also have a good people skills to deal with patients, medical authorizations and excellent phone manners. Previous medical experience is a must and computer skills.
Excellent pay and 401K provided. Salary commensurable to professional experience and/or education.

Please email resume to: [email protected] or fax to: 973-759-7243

Posted: 5/22/19


Credentialing / Billing

Part-time credentialing/billing person needed for billing office in Butler, NJ. Experienced only. Flex days/hours. Please submit resume for consideration with desired hourly salary.

Apply to: [email protected]

Posted 5/21/19


Vice President Human Resources Officer (VP/HR)

The Vice President Human Resources Officer (VP/HR) is responsible for the strategic workforce plan, as well as the day-to-day HR Operations. He/she focuses on the acquisition, development and culture of the best talent, critical drivers to achieve Advocare’s goal of becoming an employer of choice. The VP/HR proactively works with leadership to manage the people metrics with the expected outcomes of minimal turnover, maintaining high employee engagement, and an excellent experience for all patients, physicians and employees.

Responsibility/Standards of Performance
• Develop and execute HR strategies, programs and initiatives.
• Champion the journey towards becoming “an employer of choice in health care” by fostering a high-performance culture focus that delivers high quality patient care and an excellent patient experience.
• Be a valuable business partner and high performing member, including problem-solving, decision support and leadership development.
• Deliver core HR services including recruiting, employee relations, employee health/safety, employee learning/development, and HR legal/regulatory compliance.
• Drive efficiency in overall HR operations, including implementation of HR services, oversight of salary/wages/benefits and performance on HR operations scorecard/metrics.
• Design and implement a workforce plan.
• Deliver sound selection, onboarding, and orientation activities to create positive new employment experience and reduce first-year turnover.
• Foster high employee engagement through the development of strong HR programs and team execution of engagement action plans.
• Establish effective employee recognition programs.
• Deliver timely and informative internal communications to employees.
• Oversee staffing and seek opportunities to improve productivity.
• Deliver on HR KPIs and metrics.
• Ensure compliance with all HR regulatory requirements, employment law, and HR standards.
• Direct overall employee health and occupational safety to ensure that employees have confidence that they are provided a safe workplace.
• Project workforce gaps considering current staff, local labor market, healthcare statistics, trends, and projections.
• Develop workforce strategies, including full-time/part-time/per diem mix, staffing models, and education strategies/partnerships to prepare workforce for the future.
• Design and implement leadership development programs including talent mapping, succession planning, and emerging talent programs.
• Deliver leadership education and development, inclusive of transitional leadership training, general leadership effectiveness, diversity and inclusion and labor relations and employee relations.

Minimum Responsibilities
• Experience of at least 3 to 5 years in a senior HR leadership position.
• Demonstrated track record of driving high organizational performance and high employee engagement.

Interested and qualified candidates should submit resumes for consideration to: [email protected]

Posted 04/23/19


Business Manager

GI Medical Practice with the main office located in Union and a satellite office in Livingston is looking for an experienced Medical Receptionist/Assistant
Ideal candidate will have exceptional customer service and decision-making skills, strong work ethics and a professional demeanor. Inter-personal skills a must.

Experience in gastroenterology (GI) Medical Front Desk in gastroenterology (GI) preferred.

Responsibilities include, but not limited to, answering phones, registering patients, patient intake, booking, data entry and filing. Candidate must be, computer literate and be organized.

Send resume to Ana, via email: [email protected] or fax: (908) 688 3161.

Posted 4/22/19


Medical Receptionist/Assistant 

GI Medical Practice with the main office located in Union and a satellite office in Livingston is looking for an experienced Medical Receptionist/Assistant.

Ideal candidate will have exceptional customer service and decision-making skills, strong work ethics and a professional demeanor. Inter-personal skills a must.

Experience in gastroenterology (GI) Medical Front Desk in gastroenterology (GI) preferred.

Responsibilities include, but not limited to, answering phones, registering patients, patient intake, data entry and filing. Candidate must be, computer literate and be organized.

Send resume to Ana, via email: [email protected] or fax: (908) 688 3161.

Posted: 4/17/19


Office Manager - Craig H.Rosen, M.D..P.A

The office manager will report directly to the physician and will be responsible for the daily management of the office. The right candidate of this role must have prior supervisory experience and must act as the liaison between the front desk, billing staff, clinical staff and the IME Co-ordinator.

Minimum Requirements:

Bachelor's Degree, or equivalent management/ work experience with excellent communication skills. At least three years of experience running a small medical specialty office.
Resolve problems relating to staffing, utilization of equipment and supplies for the office. Looks for new avenues of revenue or improved processes to grow the practice.
Knowledge of medical billing and insurance especially with Workers Comp, Motor Vehicle and Slip and Fall accidents.
Process payroll.

Daily process of posting checks and credits into quicken or other Accounting software and making daily bank deposits.
Update reports for attendance and vacation days. Manage staff and their performance.
Computer and technical skills. Credentialing
Assist in daily workload as needed in all types of scheduling and operations of a busy small medical office.
Must have a working knowledge of HIPAA requirements.

Other duties include marketing and obtaining a good rapport with attorneys and other medical/legal organizations and being a key link with third party payors in a busy Orthopedic office.

Salary commensurate with experience Job type: Full-time
For immediate consideration please send your resume to [email protected]

Posted 4/16/19


Podiatric Physician - Ocean County Foot & Ankle Surgical Associates, P.C.

NJ Shore Area - well established multi-physician podiatric practice in search of a full -time podiatric primary care associate. Associate position will focus on general podiatric care, however, opportunities to further enhance their surgical and hospital base care will be available. Candidate should be ABPS certified / qualified and hold a New Jersey license. Must be motivated, dedicated, personable & ethical. Compensation package includes salary plus bonus structure, benefits & malpractice.

Apply to: Send resumes to [email protected]

 Posted 4/15/19


Certified Coder

The Ortho Center in Red Bank, NJ seeks an experienced Certified Coder for a high volume orthopedics and sports medicine group practice. Position is full-time. Qualifications include organizational skills with the ability to multi-task; critical thinking skills including the ability to prioritize and to facilitate cohesiveness and teamworks; experience with electronical medical records and all aspects of front office procedures. The candidate should be self-motivated; task/goal orientated and demonstrates excellent communication skills. Competitive salary and benefits.

Apply to: MaryJo Mayberry at [email protected]

Posted 04/05/19


Medical Practice Assistant

Cooper University Health Care is currently seeking full-time, part-time, or per diem Medical Practice Assistants for their Ambulatory Operations locations.

Cooper University Health Care’s mission is “to serve, to heal, to educate” and it has been a leading health system in South Jersey since 1887, and our commitment to providing extraordinary health care begins with our team.

Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies, and research protocols. We have a commitment to our employees by providing competitive rates and compensation, comprehensive employee benefits programs, attractive working conditions, and the chance to build and explore a career opportunity by offering professional development.

For immediate consideration please apply online at www.cooperhealth.org or send your resume to [email protected]

Posted 04/01/19


Licensed Practical Nurse

Cooper University Health Care is currently seeking full-time, part-time, or per diem Licensed Practical Nurses for their Ambulatory Operations locations.

Cooper University Health Care’s mission is “to serve, to heal, to educate” and it has been a leading health system in South Jersey since 1887, and our commitment to providing extraordinary health care begins with our team.

Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies, and research protocols. We have a commitment to our employees by providing competitive rates and compensation, comprehensive employee benefits programs, attractive working conditions, and the chance to build and explore a career opportunity by offering professional development.

For immediate consideration please apply online at www.cooperhealth.org or send your resume to [email protected]

Posted 04/01/19


Patient Service Representatives

Cooper University Health Care is currently seeking full-time, part-time, or per diem Patient Service Representatives for their Ambulatory Operations locations.

Cooper University Health Care’s mission is “to serve, to heal, to educate” and it has been a leading health system in South Jersey since 1887, and our commitment to providing extraordinary health care begins with our team.

Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies, and research protocols. We have a commitment to our employees by providing competitive rates and compensation, comprehensive employee benefits programs, attractive working conditions, and the chance to build and explore a career opportunity by offering professional development.

For immediate consideration please apply online at www.cooperhealth.org or send your resume to [email protected]

Posted 04/01/19


Manager

Cooper University Health Care is currently seeking full-time Manager, Ambulatory Operations for their Cooper Bone & Joint Institute office located in Voorhees.

Cooper University Health Care’s mission is “to serve, to heal, to educate” and it has been a leading health system in South Jersey since 1887, and our commitment to providing extraordinary health care begins with our team.

Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies, and research protocols. We have a commitment to our employees by providing competitive rates and compensation, comprehensive employee benefits programs, attractive working conditions, and the chance to build and explore a career opportunity by offering professional development.

For immediate consideration please apply online at www.cooperhealth.org or send your resume to [email protected]

Posted 04/01/19


Manager

Cooper University Health Care is currently seeking full-time Manager, Ambulatory Operations for their Family Medicine office located in Haddon Heights.

Cooper University Health Care’s mission is “to serve, to heal, to educate” and it has been a leading health system in South Jersey since 1887, and our commitment to providing extraordinary health care begins with our team.

Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies, and research protocols. We have a commitment to our employees by providing competitive rates and compensation, comprehensive employee benefits programs, attractive working conditions, and the chance to build and explore a career opportunity by offering professional development.

For immediate consideration please apply online at www.cooperhealth.org or send your resume to [email protected]

Posted 04/01/19

 


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