- 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
- TEKsystems (Melville, NY)
- IMMEDIATE 100% REMOTE CLAIMS /CALL CENTER REPRESENTATIVE NEEDED OPPORTUNITY TO WORK FOR ONE OF THE LARGEST INSURANCE ORGANIZATIONS IN THE AREA EQUIPMENT/TRAINING ... $20/HR Qualifications: + 2 years of call center experience or insurance/healthcare claims experience + Experience managing high volume inbound phone calls +… 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
- South Jersey Industries (Union, NJ)
- …is not for immediate hire, rather it is for pipelining purposes for our Customer Service Representative training classes** A career in Customer Service will ... customers with information on programs available for energy assistance. The Customer Service Representative performs the following: + Address customer bill, … more
- World Insurance Associates, LLC. (Syosset, NY)
- …retirement services, and human capital management solutions. Position Overview Our Client Service Representative provides general account support and customer ... products and services from major providers, combined with attentive service from local agents. Founded in 2011, World is...inquiries and escalate issues related to eligibility and member claims + Develop and leverage knowledge of customer needs… more
- Travelers Insurance Company (Melville, NY)
- …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
- Graybar (Garden City, NY)
- Are you ready? As a Customer Service Representative , you will serve as a key contact and liaison for customers to ensure their total satisfaction. You will ... Provide support on product selection and application + Coordinate customer service requests including order entry, pricing, expediting, billing, order maintenance,… more
- New York State Civil Service (Orangeburg, NY)
- …- Dormitory Authority of the State of New York Title Field Representative - Rockland PC Occupational Category Other Professional Careers Salary Grade NS Bargaining ... Orangeburg State NY Zip Code 10962 Duties Description Primary PurposeThe Field Representative assists the Project Manager or Senior Project Manager in all aspects… more
- Molina Healthcare (Yonkers, NY)
- …pharmacy prior authorization requests and/or appeals. + Explains Point of Sale claims adjudication, state, NCQA, and CMS policy/guidelines, and any other necessary ... equivalent **Required Experience** 1-3 years of call center or customer service experience **Preferred Education** Associate degree **Preferred Experience** + 3-5… more
- New York State Civil Service (Melville, NY)
- …HELP Yes Agency Insurance Fund, State Title Assistant Insurance Fund Services Representative - NY HELPS Occupational Category Other Professional Careers Salary Grade ... existing, or past payments being provided to check the coordination of claims , if applicable.* Provide any additional information required to assist various internal… 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
- Surgery Care Affiliates (Englewood Cliffs, NJ)
- …make is rooted in seven core values: + Clinical quality + Integrity + Service excellence + Teamwork + Accountability + Continuous improvement + Inclusion Our values ... patient care in a brand-new environment. The Associate Insurance Verification Representative will: + Verify that sufficient information is available for accurate… 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 (Lake Success, NY)
- …for hospital and clinical facilities. Daily duties include processing claims , addressing patient billing inquiries, collecting payments, assisting in helping ... and mailing. 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
- Wells Fargo (Iselin, NJ)
- …and its ecosystem, or introduce better efficiency in our fraud and claims routines and workflows or accelerate new capability development through software ... readiness, application modernization, data strategy + Function as the technical representative for the product during cross-team collaborative efforts and planning +… more