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Nurses In Insurance Jobs in New Jersey (NOW HIRING)

Nurses 24/7

Travel Nurse RN - Cardiac Cath Lab

Brick, NJ · On-site

$2.7K - $3.6K/wk

Nurses 24/7 is seeking a travel nurse RN Cardiac Cath Lab for a travel nursing job in Brick, New ... Accident Insurance * Critical Illness Insurance * Disability Insurance * Term Life Insurance

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Nurses In Insurance information

What is the difference between Nurses In Insurance vs Insurance Claims Adjusters?

AspectNurses In InsuranceInsurance Claims Adjusters
Required CredentialsRN license, nursing degreeHigh school diploma or equivalent, licensing may be required
Work EnvironmentInsurance companies, healthcare settings, remote optionsFieldwork, office settings, remote work possible
Industry UsageHealth insurance, disability, life insuranceProperty, casualty, health insurance claims
Job FocusAssessing health-related claims, medical reviewsInvestigating claims, determining coverage validity

While Nurses In Insurance focus on medical assessments and reviews within insurance claims, Insurance Claims Adjusters handle the investigation and evaluation of various insurance claims, including property and casualty. Both roles require understanding insurance policies, but Nurses In Insurance have a healthcare background, whereas Claims Adjusters focus more on claim investigation and settlement processes.

How to become a nurse in insurance?

To become a nurse in insurance, you typically need to be a licensed registered nurse (RN) with a valid nursing license. Gaining experience in clinical nursing and developing knowledge of insurance policies and healthcare regulations can be beneficial. Some roles may require additional certifications or training in insurance or risk management.

Can a nurse work for an insurance company?

Yes, nurses can work for insurance companies in roles such as claims review, case management, health policy analysis, or medical consulting. These positions often require clinical knowledge, strong communication skills, and sometimes additional certifications or training in insurance processes.
What are popular job titles related to Nurses In Insurance jobs in New Jersey? For Nurses In Insurance jobs in New Jersey, the most frequently searched job titles are:
What job categories do people searching Nurses In Insurance jobs in New Jersey look for? The top searched job categories for Nurses In Insurance jobs in New Jersey are:
What cities in New Jersey are hiring for Nurses In Insurance jobs? Cities in New Jersey with the most Nurses In Insurance job openings:
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Infographic showing various Nurses In Insurance job openings in New Jersey as of July 2026, with employment types broken down into 1% As Needed, 79% Full Time, 16% Part Time, and 4% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution.

Precertification Representative

Princeton Medical Group, PA

Princeton, NJ • On-site

$42K - $58K/yr

Full-time

Medical, Dental, Life, Retirement, PTO

Re-posted 15 days ago

Job description

Precertification Representative

Be a part of our talented and growing team!

Are you looking for a Full-Time Precertification Representative position in an office setting? At Princeton Medical Group, we are looking for dedicated individuals to join our dynamic team to support our wide variety of medical specialties!

About Us:

Princeton Medical Group, P.A. We are a private medical practice with over 30 providers and 8 medical specialties. Our mission has always been to deliver excellent medical care with compassion.

PMG's Comprehensive Benefit Plan:

  • Personal medical and dental insurance
  • 401k and profit-sharing plan
  • Life insurance
  • 3 weeks' vacation time
  • 40 hours of paid sick leave
  • Employee Assistance Program

Precertification Representative Responsibilities

As an important part of our clinical operations, your duties will include:

  • Obtain precertification's for testing/procedures.
  • Communicate with nursing staff all necessary information concerning precertification for patients.
  • Stay actively abreast of changes in insurance company requirements and guidelines and relay changes as they occur to staff.
  • Use manual and computerized systems to obtain precertification's.
  • Track appeals for denied requests to insurance companies.
  • Complete follow up tasks related to active and pending reviews
  • Coordinate peer to peer sessions as needed.
  • Establish and maintain logs to ensure historical patient and office activities are available for review by doctors or nursing staff.
  • Adhere to strict confidentiality guidelines.

Precertification Representative Requirements:

  • Previous precertification experience
  • Excellent customer service skills for dealing with both internal and external customers
  • Knowledge of insurances and precertification processes
  • Knowledge of medical terminology and the ability to interpret medical charts
  • 1 year of experience with ICD-10 billing processes (Preferred)

Schedule:

  • Monday to Friday 8:30 AM - 5:00 PM, flexibility is necessary as this schedule is subject to change.
  • Overtime as required

Medical Specialties Providing Support For:

  • Pulmonology
  • Gastroenterology
  • Primary Care
  • Cardiology
  • Rheumatology
  • Endocrinology
  • Oncology/Hematology
  • Dermatology

Healthcare Setting:

  • Medical Office
  • Outpatient
  • In-person

Job Locations:

  • Princeton, NJ

Pre-employment drug screen is required

Pre-employment professional reference check is required

PMG is an equal employment opportunities ( EEO ) to all employees and applicants for employment without regard to, and does not discriminate on the basis of, race, color, religion, creed, gender/sex, sexual orientation, gender identity and expression (including transgender status), national origin, ancestry, citizenship status, age, disability, genetic information, marital status, pregnancy, military status, veteran status, or any other characteristic protected by applicable federal, state, and local laws.

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