HorizonBlue Cross Blue Shield New Jersey
HorizonBlue Cross Blue Shield New Jersey Jobs & Careers
3 HorizonBlue Cross Blue Shield New Jersey jobs found on Monster.Jobs 1 to 3 of 3
Job Overview: The Physician Relations Representative is field based and is responsible for maintaining effective relationships with all facets of the provider community. The position is responsible for provider education, facilitation and resolution of complex, urgent problems. In addition, the Provider Relations Representative ensures compliance with Federal and State guidelines pertaining to ne...
Job Overview: The Ancillary Contracting Specialist would be responsible for overseeing contracts between the Ancillary providers and Horizon NJ Health. The Ancillary Contractor would be expected to manage the relationship from the contracting process of Ancillary providers to the servicing of providers who become participating with Horizon NJ Health. The individual would take the lead in the cont...
Horizon Blue Cross Blue Shield of New Jersey Ewing Township, NJ, 08618
Job Summary: Manages resolution of administrative claim appeals that have been submitted to Horizon NJ Health Claim Appeals Department, Regulatory Affairs and Compliance, or Horizon BCBSNJ as related to Interplan Teleprocessing System (ITS) related claim processing, within prescribed timeframes as mandated by the regulatory entity and per designated quality standards. Responsibilities: Performs...
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