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As a Revenue Cycle Representative, Reconsiderations you will determine the acceptance of providers' payment through claims research, plans, eligibility and notes to determine if the payor owes payment to CareCentrix.
Identifies and escalates provider issues and concerns to the appropriate senior. Works under general supervision. Guides collectors in their performance of invoice processing activities to ensure receivables are reimbursed in an accurate and timely basis. Works directly with the payer, internal and external customers and...
As a Nurse Practitioner in Post Acute Care, you will oversee clinical operations for CareCentrix markets, including Utilization Management reviews, discharge coordination, readmission management, and post-discharge follow-up. You will work with Onsite Nurse Liaisons and market engagement directors to address facility discharge barriers including clinical rounds with nurse teams to support PAC length of stay and readmission management. Your role involves peer-to-peer conversations with physicians and medical necessity reviews using InterQual, MCG, and CMS criteria. You will manage PAC facilities such as SNF, IRF, and LTCH, and develop training and quality improvement interventions to support optimal PAC outcomes.
Are you able to travel to hospitals, healthcare facilities, and/or to patients’ home in the Bergen County, New Jersey area for this job?
Are you an experienced Registered Nurse with a passion for shaping the future of healthcare?
As a Post-Acute Care Nurse Liaison you will be an expert in resource management, a...
Are you able to travel to hospitals, healthcare facilities, and/or to patients’ home in the Middlesex County, New Jersey area for this job?
Are you an experienced Registered Nurse with a passion for shaping the future of healthcare?
As a Post-Acute Care Nurse Liaison you will be an expert in resource management,...
Are you able to travel to hospitals, healthcare facilities, and/or to patients’ home in the Ocean, New Jersey area for this job?
Are you an experienced Registered Nurse with a passion for shaping the future of healthcare?
As a Post-Acute Care Nurse Liaison you will be an expert in resource management, a...
Are you an experienced Registered Nurse with a passion for shaping the future of healthcare?
As a Nurse Liaison you will be an expert in resource management, a master of utilization review and a compassionate partner for patients and their support network. You will be responsible for an assigned caseload at acute and/or post-acute care...
As a Healthcare Customer Service Expert, you will be the first point of contact for patients needing home healthcare services. Typical phone calls range from interactions with customers who need basic information or to help those with more complex requests.
In this role, you will work in a remote high-volume call center...
As a Technical Product Owner, you will be working in a fast-paced, Agile environment. You will be the conduit between Business and Technology at CareCentrix, and responsible for leading new go-to-market products, core system enhancements, client implementations, and strategic product development. You will partner with other product managers/owners, vendors, business subject-matter experts, and leadership to execute a strategic vision for your product. You will define and monitor Product Health to ensure your product exceeds the expectations of our customers and users, delivering value continuously. You will help drive the team to...
As a Lead Technical Product Owner, you will be working in a fast-paced, Agile environment. You will be the conduit between Business and Technology at CareCentrix, and responsible for leading new go-to-market products, core system enhancements, client implementations, and strategic product development. You will partner with other product managers/owners, vendors, business subject-matter experts, and leadership to execute a strategic vision for your product. You will define and monitor Product Health to ensure your product exceeds the expectations of our customers and users, delivering value continuously. You will help drive the team to success by understanding your product E2E, calling out...
Do you have the passion to make an impact on people’s lives? Then come join our team! CareCentrix is committed to making the home the center of patient care.
As an A/R Representative - Revenue Cycle Management, you will be responsible for the follow up of outstanding A/R and resolution of denials for various payers. As such, the responsibilities include effective research and resolution of AR work queues and handling of all insurance related correspondence or patient accounts is required to maximize...
As the Senior Vice President of Market and Client Services you will be a strategic leader responsible for driving market research, client satisfaction, retention, and revenue growth for both new and existing accounts. This role oversees executive-level client relationships and manages an internal team dedicated to providing ongoing client support. The SVP will focus on aligning with client priorities and building strong external relationships to ensure all strategic objectives are met.
Key responsibilities include meeting and exceeding key performance indicators related to contractual commitments and delivering continuous value to clients. As a trusted advisor and...
CareCentrix is looking for an enthusiastic and personable Senior Linux System Engineer to become a part of our Technology team. This role will concentrate on designing and automating our on-premises and next-generation cloud Linux infrastructure, as well as supporting the DevOps team in automating application deployments. The perfect candidate will be a goal-driven team player, excited to take on challenging projects and dedicated to achieving outstanding result.
As a Senior Director of Infrastructure and Operations, you will lead and manage CareCentrix' Enterprise Infrastructure services and operations. Reporting directly to the VP of Infrastructure, this role will oversee the development, implementation, and maintenance of the company's core infrastructure, including servers, data center, operations, and cloud environments to support business goals and ensure operational excellence. The Senior Director will play a crucial role in developing and executing strategic infrastructure plans, ensuring the alignment of technology solutions with business objectives, and maintaining the security and compliance of all systems.
Are you an experienced Registered Nurse with a passion for shaping the future of healthcare?
As a Nurse Liaison you will be an expert in resource management, a master of utilization review and a compassionate partner for patients and their support network. You will be responsible for an assigned caseload at acute and/or post-acute care...
As a Patient Billing Representative, you will research, resolve, and document approximately 30-35 inbound calls per day from patients, providers and health plan companies. You will respond to patient needs and help educate the patient in the role CareCentrix plays in their care.
Hiring for...
Are you an experienced Registered Nurse with a passion for shaping the future of healthcare?
As a Nurse Liaison you will be an expert in resource management, a master of utilization review and a compassionate partner for patients and their support network. You will be responsible for an assigned caseload at acute and/or post-acute care...
Are you an experienced Registered Nurse with a passion for shaping the future of healthcare?
As a Nurse Liaison you will be an expert in resource management, a master of utilization review and a compassionate partner for patients and their support network. You will be responsible for an assigned caseload at acute and post-acute care facilities. You will conduct in person, on site, face to face outreach, with patients to...
As a Business Intelligence Developer, you will be responsible for the full development life cycle from development, implementation, production support and performance tuning of the business intelligence reports to the support of the integration of those solutions with other systems. You will design, develop, implement and maintain reporting and analytic solutions which includes both the design of the back-end data structures, the processes that refresh those structures as well as the front-end consumption layer. The data that you provide should be optimized for modern business intelligence and analytic reporting layers.
Post-Acute Care (PAC) Program is an end-to-end post-acute offering that manages up to 90-day episodes of care, beginning prior to the patient’s discharge from the hospital, or for elective surgical cases, outreach begins prior to hospitalization. The program identifies the likely best site-of-care for the patient, manages length of stay (LOS) if a Skilled Nursing Facility (SNF), Inpatient Rehab Facility (IRF) and/or Long Term Acute Care Hospital LTCH is appropriate, and reduces hospital readmissions through effective discharge planning.
CareCentrix is looking for a proven Software QA Engineer to develop and lead the strategy and execution of testing modern Web Development Architecture.