- Centers Plan for Healthy Living (Staten Island, NY)
- …developing a relationship with the provider, while providing the best customer service experience possible + Warm transfer calls to other business units for ... further resolution of the callers issue while adhering to CPHLs policies. + Complete the documentation necessary to track provider issues and facilitate the reporting of overall trends + Prepares correspondence, maintains phone and contact logs, and documents… more
- Sedgwick (New York, NY)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Auto Claims Representative **PRIMARY PURPOSE** : To analyze and process low to ... mid-level auto and transportation claims . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Processes auto property damage and lower level injury claims ; assesses… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …Responsible for the auditing functions of Centers Plan for Healthy Living (CPHL) claims . Collaborates with other Health plan departments and Management to ensure ... claims are processed in accordance with Federal, State and...multi-task in a fast paced environment + Must be service oriented, quick learner, team player + Appreciation of… more
- NJM Insurance (Parsippany, NJ)
- …0-3 years of workers' compensation or other litigation experience to defend formal claims venued in northern New Jersey. Job Responsibilities: + Defend the interests ... case recommendations, updates, and analysis to clients and internal Workers' Compensation Claims staff + Build and maintain strong internal and external client… more
- BELFOR Property Restoration, Inc (Piscataway, NJ)
- …an organized workspace to ensure all incoming and outgoing communication is representative of BELFOR Practices, Processes and Standards + Timely creation of new ... and depositing funds to appropriate account(s) + Comprehensive understanding of customer service , principles and practices + Work under time constraints to meet… more
- Travelers Insurance Company (Morristown, NJ)
- …reserve activities are consistent with corporate policies. + Resolve complex, severe exposure claims , using high service oriented file handling. + In order to ... and resolving assigned General Liability related Bodily Injury and Property Damage claims . Provide quality claim handling throughout the claim life cycle (customer… more
- Atlantic Health System (Morris Plains, NJ)
- Patient Financial Services Representative - CMN Coordinator + Reviews prescriptions and progress notes for accuracy and compliance with durable medical equipment ... revenue and prioritizes work to ensure timely billing of claims and reduction of bad debt. + Review patient...- a private duty Nursing and Home Health Aide service provider, servicing the NJ counties of Morris, Essex,… more
- NJM Insurance (Parsippany, NJ)
- …a top-rated insurance company, is looking for a Personal Injury Protection Representative who has excellent communication skills as well as strong organizational and ... make a determination as to coverage and course of action. + Evaluate claims for fraud indicators and potential underwriting issues and process appropriate referrals.… more
- New York State Civil Service (New York, NY)
- …DASNY - Dormitory Authority of the State of New York Title Senior Field Representative - NYC - 5 Boroughs and Long Island Occupational Category Other Professional ... NY Zip Code 10005 Duties Description Primary PurposeThe Senior Field Representative exercises independent judgment and makes high-level decisions while assisting the… more
- Molina Healthcare (New York, NY)
- …setting. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : * 3 - 5 years customer service , provider service , or claims experience in a managed care ... and procedures while achieving the highest level of customer service . **Job Duties** This role serves as the primary...monthly site visit goals. A key responsibility of the Representative during these visits is to proactively engage with… more
- Specialty Rx, Inc. (Ridgefield Park, NJ)
- Job Description SpecialtyRx is a full- service pharmacy. We need Billing Representative with Pharmacy experience in our Ridgefield Park, NJ location. Hours: ... We offer a competitive salary and benefits package. Billing Representative Responsibilities: + Perform duties assigned by the Billing...a must. + Experience in New York Pharmacy billing claims . (Preferred) + Frameworks/ECM knowledge is a plus. +… more
- Amalgamated Bank (New York, NY)
- Amalgamated Bank is seeking a Retail Banking Representative to be responsible for providing a high quality of Customer Service in a broad variety of activities. ... on to work in both the Teller and Customer Service areas, according to needs. This position is responsible...matters (ie check cashing). + Research and investigate customer claims in archive area, in matters relating to missing… more
- B&H Photo (New York, NY)
- …Make your move to B&H today! Job Overview: The Enterprise Accounts Support Representative is a key position responsible for ensuring that our enterprise customers in ... to customer inquiries such as stock check, order status check, price check, claims , returns etc. within defined time frames. + Proactively follows up with customers… more
- Hackensack Meridian Health (Glen Ridge, NJ)
- …transform healthcare and serve as a leader of positive change. The **Account Representative ** is responsible for billing and Revenue Cycle follow up. Ensures the ... the knowledge of ICD-10 and CPT codes to ensure accurate processing claims and denials. **Licenses and Certifications Preferred:** + Certified Professional Coder. If… more
- Northwell Health (Staten Island, NY)
- …for hospital and clinical facilities. Daily duties include processing claims , addressing patient billing inquiries, collecting payments, assisting in helping ... an account. Job Responsibility + Assists in processing and managing patient claims . + Assists in collecting payments from third party insurance carriers and… more
- Kemper (Clifton, NJ)
- …from policyholders, based on a pre-arranged schedule + Responding promptly to policyholder service requests such as beneficiary changes, claims , loans, etc. + ... visits with our customers in their homes for premium collection and other service needs. You'll start with a paid license preparation/training period! As an… more
- ProSmile (Woodbridge, NJ)
- …(Woodbridge, NJ) Dental Account Receivable Specialists! ProSmile, the premier Dental Service Organization in the NJ/MD/PA tristate area is currently offering career ... and exhausting all efforts to quickly resolve unpaid dental claims . + Ensures all dental insurance related duties are...Demands and Work Environment The physical demands described are representative of those that must be met by an… more
- CDM Smith (New York, NY)
- …This position is for an Assistant Resident Engineer for our reknowned lead service line replacement program. Plans, manages, and oversees multiple small to medium ... activities, including critical path method (CPM), and scheduling and claims administration. Interprets plans and specifications for clients, contractors, and… more
- City of New York (New York, NY)
- …the billing software. Perform and verify patient's insurance eligibility for all service areas of DOHMH Article 28/36 clinics. Obtain prior authorizations for ... services when required. Perform computations of service charges balance in the billing financial system. Calculate...to fee schedule. Perform claim reviews prior to submitting claims to payers. Communicate updated patient information with clinic… more
- Specialty Rx, Inc. (Ridgefield Park, NJ)
- …is a full- service pharmacy. We need Medicare Part B- Billing Representative with Pharmacy experience in our Ridgefield Park, NJ location. Hours: 8:00am-4:00pm, ... benefits package. Responsibilities: + Experience with billing Part B claims , review and handle denials. + Knowledge with vaccine...Knowledge with vaccine billing, including Covid. + Must research claims and denial codes. + Must correctly resubmit … more