- 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
- 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
- Brighton Health Plan Solutions, LLC (New York, NY)
- About The Role The Customer Service Representative assists members, physicians, hospitals, revenue agencies and other healthcare providers with member benefits, ... eligibility, claims inquiry, claim reconsiderations and appeals. The Customer Service Representatives must be able to work in various shifts Monday to Friday… 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
- 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
- Atlantic Health System (Morristown, NJ)
- …Principal Accountabilities: (including but not limited to) + The Patient Access Representative (PAR) plays a vital role in the patient and family experience, ... registration + Maintains contact with third-party payers to determine reasons for outstanding claims and communicates to facilitate speedy payment of claims +… more
- Atlantic Health System (Summit, NJ)
- …Principal Accountabilities: (including but not limited to) + The Patient Access Representative (PAR) plays a vital role in the patient and family experience, ... registration + Maintains contact with third-party payers to determine reasons for outstanding claims and communicates to facilitate speedy payment of claims +… 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
- GAF (Parsippany, NJ)
- …status. This position will provide the highest level of customer service while maintaining solid interdepartmental and customer relationships by addressing questions ... in a call center environment + Assist customers by opening new warranty claims upon request + Ability to resolve inquiries regarding GAF's published application… 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
- City of New York (New York, NY)
- …ONLY. Under direct supervision, receives and processes incoming workers' compensation claims . Performs tasks such as the following: Reviews accident reports and ... other documents related to incoming claims to determine workers' compensation coverage. Sets up computer...requirement applies to you, please discuss with the agency representative at the time of interview. To Apply Click… 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
- City of New York (New York, NY)
- …duties, housing office teller duties, purchasing agent, assistant store manager, sales representative responsible for accounts, or customer service duties or a ... Job Description APPLICANTS MUST BE PERMANENT IN THE ELIGIBILITY SPECIALIST CIVIL SERVICE TITLE The DSS Accountability Office (DSS-AO) is responsible for protecting… more
- PVH Corp. (Bridgewater, NJ)
- …third-party administrators, and insurance carriers to resolve issues, process enrollments, claims , and ensure timely service delivery. + Oversee employee ... guidance to employees and managers regarding plan details, benefit options, claims processes, and policy changes. + Prepare and review benefits-related reports… more