- Elevance Health (Woodbridge, NJ)
- ** Claims Representative I** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... - Friday, between the hours of 7 am - 6 pm EST. The ** Claims Representative I** is responsible for successfully completing the required basic training. Able to… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …Individualized professional and personal growth is a primary focus at CPHL. With various teams to match the unique strengths of each individual, tiered roles to ... support the advancement, and with opportunities for cross-training and education, CPHL is the place for a fulfilling long-term career. Position Details: + Professionally handle incoming inquiries via telephone, email or fax from providers (ie physician… more
- New York State Civil Service (New York, NY)
- …not limited to: Administrative Assistant 1, Office Assistant 3, Program Aide, Claims Services Representative Trainee 1; OR*A bachelor's or higher ... degree.Preferred Qualifications: * Bachelor's degree in pre-law or criminal justice studies* Experience in Oracle FinancialPlease be advised that the New York State Insurance Fund (NYSIF) does not offer sponsorship for employment visas to employees or… 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...PHYSICAL REQUIREMENTS : The physical requirements described here are representative of those that must be met by an… 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 ... updates, and analysis to clients and internal Workers' Compensation Claims staff + Build and maintain strong internal and...promoting a diverse and inclusive workforce that is fully representative of the diversity that exists in the communities… more
- New York State Civil Service (Garden City, NY)
- NY HELP Yes Agency Labor, Department of Title Labor Services Representative /Trainee 1/2- Garden City (NY HELPS, UIAB) Occupational Category Other Professional ... Zip Code 11530 Duties Description Standard Duties:As a Labor Services Representative /Trainee 1/2 with the Unemployment Insurance Appeal Board (UIAB), the incumbent… 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 ... as to coverage and course of action. + Evaluate claims for fraud indicators and potential underwriting issues and...promoting a diverse and inclusive workforce that is fully representative of the diversity that exists in the communities… 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
- 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
- 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
- Care Plus NJ (Paramus, NJ)
- Accounts Receivable Representative Location:Paramus + Main:1 Kalisa Way Paramus, NJ + Late night &Saturday:610 Valley Health Plaza Paramus, NJ On-site M-F: Schedule ... requirements and criteria of each plan. Job Summary: As an Accounts Receivable Representative in our Finance Department, you will be responsible for meeting monthly… more
- Molina Healthcare (New York, NY)
- …or exceed the Plan's monthly site visit goals. A key responsibility of the Representative during these visits is to proactively engage with the provider and staff to ... arise, making an assessment when escalation to a Senior Representative , Supervisor, or another Molina department is needed. Takes...3 - 5 years customer service, provider service, or claims experience in a managed care setting. * 3+… more
- Otsuka America Pharmaceutical Inc. (Manhattan, NY)
- …fee, even if claimed you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to exercise caution when you receive ... legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,...will not be held liable or responsible for any claims , losses, damages or expenses resulting from job recruiting… more
- Graybar (New York, NY)
- Are you ready? As an Outside Sales Representative for State and Local Education (SLED), you will develop new prospects and maintain contacts with established ... policies + Handle customer complaints promptly and effectively, and report potential claims . + Keep management informed of local competition and market conditions +… 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. This ... complex work-related matters (ie check cashing). + Research and investigate customer claims in archive area, in matters relating to missing deposits, missing checks,… 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
- 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 interact ... including order entry, pricing, expediting, billing, order maintenance, credit and claims **Skills & Requirements** + Strong communication skills + Ability to… more
- Molina Healthcare (Yonkers, NY)
- …member eligibility and covered benefits, Provider Portal, and status of submitted claims . * Ability to effectively communicate in a professionally setting. **Job ... Qualifications** **REQUIRED EDUCATION** : HS Diploma or equivalent combination of education and experience **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : 1-3 years Sales and/or Customer Service experience in a fast paced, high volume environment… 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 ... information to providers, members, and pharmacies. + Assists with clerical services/tasks and other day-to-day operations as delegated. + Effectively communicates plan benefit information, including but not limited to, formulary information, copay amounts,… more