- 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)
- …Hybrid: 3 days in office, 2 days remote once training is completed PIP Claims Representative : Reporting to the immediate designated PIP Supervisor, the PIP ... claims representative is responsible and accountable for...knowledge of Microsoft suite + Strong interpersonal and customer service skills + Good organizational, time-management, and data entry… 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- Constructive Partnerships Unlimited (Manhattan, NY)
- …all individuals in receipt of Social Security Income. + Complete Social Security representative payee forms for all applicable service recipients. + Execute and ... preparing Medicaid and Social Security Administration (SSA) recertifications; completing representative payee and Supplemental Nutrition Assistance Program (SNAP) forms/application… more