- 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
- IQVIA (Newark, NJ)
- **Patient Support Medical Claims Processing Representative ** _Contract Remote Role - Location (Open to Remote US)_ As the only global provider of commercial ... are looking for a 100% remote (work from home-WFH) contact **Patient Support Medical Claims Processing Representative ** to join our team. In this position, you… more
- Port Authority of New York and New Jersey (New York, NY)
- …to ensure alignment on valuation of the exposure and strategy to resolve claims . Oversee the accident reporting process to ensure that injury reports are completed ... coordinate the delivery of salary adjustments on lost time claims from the TPA to the Agency's accounting staff....as well as any ad hoc items. Provide customer service by responding to inquiries from injured employees, staff… 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
- 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 ... information on programs available for energy assistance. Job Description The Customer Service Representative performs the following: + Address customer bill, … more
- Travelers Insurance Company (Morristown, NJ)
- …for handling low to moderate Personal and Business Insurance Auto Damage claims from the first notice of loss through resolution/settlement and payment process. ... unclear liability and no injuries. Will also handle more complex Auto Damage claims such as non-owned vehicles, fire/theft, and potential fraud as well as non-auto,… more
- Fedcap (New York, NY)
- …data entry accuracy; assure correct provider, facility, place of service , medical service and coding are billed. + Submit claims to insurance companies on ... Position Summary The Medical Billing Representative I provides support and reports directly to...A/R aging to include appeal, trouble shoot, prepare denied claims for rebilling, inquire and correct unpaid claims… more
- Elevance Health (New York, NY)
- **Position Title:** Customer Care Representative I **Location: Virtual:** This role enables associates to work virtually full-time, with the exception of required ... essential face-to-face onboarding and skill development. The Customer Care Representative is responsible for successfully completing the required basic training.… more
- Molina Healthcare (Manhattan, 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
- MTA (New York, NY)
- Senior Labor Relations Representative Job ID: 12716 Business Unit: MTA Headquarters Location: New York, NY, United States Regular/Temporary: Regular Department: ... Date Posted: Aug 15, 2025 Description JOB TITLE: Senior Labor Relations Representative DEPT/DIV: Labor Relations WORK LOCATION: 420 Lexington Ave FULL/PART-TIME FUL… more
- Barnes & Noble Education (Florham Park, NJ)
- …education. As part of this mission, we are seeking a **Human Resources Representative ** to drive a positive employee experience and support our business operations. ... employment verification, work authorization, hiring, timekeeping, paid time off, unemployment claims , and general benefits. + Investigates and resolves inquiries by… more
- Hackensack Meridian Health (Aberdeen, 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
- Insight Global (Newark, NJ)
- …benefit approval. They will be communicating with government agencies regarding status of claims and maintain documentation of claims . We are a company committed ... ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by… more
- Robert Half Finance & Accounting (Edison, NJ)
- Description We are looking for a motivated Customer Service Supervisor to lead a dynamic team. This role offers an exciting opportunity to oversee customer ... service operations while ensuring exceptional service quality...smoothly. * Approve expedited shipping for replacements and warranty claims as necessary. * Process order cancellations and warranty… more
- City of New York (New York, NY)
- …5141. 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
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- …oversee business compliance with Otsuka policies and procedures governing fee-for- service arrangements with healthcare professionals (HCPs) and financial sponsorship ... compliance with state drug price transparency requirements and state pharmaceutical representative licensure and disclosure requirements. + Tracks and logs federal… more
- Penn Medicine (Plainsboro, NJ)
- …Member + Prints claims - when necessary logs into Claim Agent and reprints claims for submission. + Collects Time of Service (TOS) and Point of Service ... ASC and Breast Health Center Summary: + The Patient Access Representative is responsible for computerized patient registration including obtainment and verification… 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