- Elevance Health (Wallingford, CT)
- ** 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
- New York State Civil Service (Melville, 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
- 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
- Travelers Insurance Company (Melville, NY)
- …and resolving assigned General Liability related Bodily Injury and Property Damage claims . Provide quality claim handling throughout the claim life cycle (customer ... statements. + Identifies resources for specific activities required to properly investigate claims such as Subrogation, Risk Control, nurse consultants, and fire or… 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
- Adecco US, Inc. (Melville, NY)
- …a great opportunity to further your existing skills as a Credit and Collections representative , while learning new ones to assist you in your career. The best part ... receivable and past dues, and coordinates resolution of customer chargeback claims , disputes, and billing issues. . Gathers credit and/or reference information.… more
- Phoenix House (Brentwood, NY)
- **Front Desk Representative ** **Job Details** **Job Location** Brentwood Mental Health Clinic - Brentwood , NY **Position Type** Full Time **Education Level** ... weekly billing requirements with program staff and the billing department for claims generation. **COMPETENCIES (KSAs)** + Ethical Practices + Judgment + Critical… 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 (Garden City, 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
- 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
- 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
- Northwell Health (Riverhead, NY)
- …communication skills, preferred. + Insurance experience, preferred. + Denied claims experience, preferred. + Excel experience, preferred. *Additional Salary Detail ... The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a… 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
- Molina Healthcare (Yonkers, NY)
- …party administrators. + Performs enrollment functions to include call tracking, claims workflow, and encounter requests for verification and updates, PCP assignment ... activity, enrollment record error reports, enrollment/ disenrollment activity + Displays initiative to complete assigned tasks timely and accurately and balances workload to assist peers and leadership team. + Strong knowledge of Enrollment processing for… more
- City of New York (New York, NY)
- …accuracy according to fee schedule. Perform claim reviews prior to submitting claims to payers. Communicate updated patient information with clinic teams to ensure ... transparency. Review all claims CPT/ICD-10/HCPCS, payment modifiers in billing financial systems, to...requirement applies to you, please discuss with the agency representative at the time of interview. BOOKKEEPER - 40526… more
- Transdev (Garden City, NY)
- …reports, track savings and resolve vendor, contractor and user disputes & claims . + Participate in procurement and industry-related conventions and expositions. + ... personnel so classified. The physical demands described here are representative of those that must be met by an...legally protected status. The physical demands described here are representative of those that must be met by an… more
- Phoenix House (Wainscott, NY)
- …for patients receiving behavioral health services. The Manager will monitor claims and approvals to ensure uninterrupted service provision. This position is ... experience working with Managed Behavioral Health Organizations (MBHOs), billing and claims management **WORK ENVIRONMENT** . This role routinely uses standard… more