Remote | Medical Billing & Claims Operations Consultant — Up to $60/hour 24-MagRemote | Medical Billing & Claims Operations Consultant — Up to $60/hourNew York, New YorkRemoteWe are sharing a specialised part-time consulting opportunity for United States-based healthcare revenue cycle professionals experienced in medical billing, claims submission, payer billing requirements, clearinghouse workflows, billing compliance, claim edits, electronic transactions, and revenue cycle operations. Selected professionals will apply billing and claims expertise to evaluate AI-generated billing outputs, review claim edits and payer requirements, identify compliance or submission issues, and provide structured feedback based on detailed project criteria.
Sr. Commercial Auto Claims Specialist Selby Jennings LtdSr. Commercial Auto Claims SpecialistJersey City, NJRemotePlay a key role in shaping the claims organization through mentorship, process improvement initiatives, industry benchmarking, and participation in mediations, trials, and other high-stakes proceedings. Key Responsibilities: Take ownership of complex commercial auto, trucking, and transportation claims nationwide, driving investigations and resolutions on high-exposure matters.
Claims Review Analyst EmblemHealth IncClaims Review AnalystNew York, NY$48,600–$83,160 / yearIdentify potential/actual claims problems (single or recurring/trending) and document root cause analysis; present findings to management. Review and analyze suspected underpaid and overpaid claims from hospital, ancillary, and provider groups based on contractual and industry guidelines.
Claims Manager - Executive Liability And Employment Matters JD Atlantic Health SystemClaims Manager - Executive Liability And Employment Matters JDMorristown, NJClaims Manager is responsible for managing employment related claims, administrative agency matters, and litigation involving Atlantic Health and its medical centers, subsidiaries, affiliates, employees, patients, board members and other related parties. Coordinate, facilitate and monitor discovery, motion practice, mediation, arbitration, litigation strategy, settlement discussions and trial preparations.
Sr Data Analyst, Healthcare Claims Audit And Compliance (Hybrid NY) HealthfirstSr Data Analyst, Healthcare Claims Audit And Compliance (Hybrid NY)New York, NY$83,100–$120,360 / yearThis role partners with cross-functional teams to identify risks, evaluate controls, analyze claims and configuration data, and develop reporting that supports operational excellence, compliance, and payment accuracy. Demonstrated ability to develop innovative solutions to complex problems, leveraging advanced problem-solving skills and sound judgment to make critical, independent decisions within area of responsibility.
Sr Data Analyst, Healthcare Claims Audit and Compliance (Hybrid NY) HealthfirstSr Data Analyst, Healthcare Claims Audit and Compliance (Hybrid NY)New York, NY$83,100–$120,360 / yearThis role partners with cross-functional teams to identify risks, evaluate controls, analyze claims and configuration data, and develop reporting that supports operational excellence, compliance, and payment accuracy. Demonstrated ability to develop innovative solutions to complex problems, leveraging advanced problem-solving skills and sound judgment to make critical, independent decisions within area of responsibility.
NewMaintenance Supervisor Pennrose Properties LLCMaintenance SupervisorAvenel, NJ$28–$30 / hourPerform administrative work each morning (30 minutes) as assigned by the PM or Support Center, including but not limited to prescribed online training, reviewing "My Pennrose" updates, reviewing messages from the executive team/ownership, scheduling vendors, ordering parts, participating in "Team Meetings," etc. This includes conducting a pre-move-out inspection, creating a "punch" list of maintenance work needed, scheduling vendors and contractors as needed, obtaining needed supplies and materials, completing all maintenance tasks, and inspecting completed work.
Sr. Claim Counsel, EPL Sompo InternationalSr. Claim Counsel, EPLMorristown, NJ$125,000–$175,000 / yearProvide coverage, liability, and damages analysis for EPL claims, with general knowledge of Director and Officer (D&O) liability claims and identify trends/exposures affecting CML or FI portfolios. Our business, your impact, our opportunity: What you'll be doing: Manage US Employment Practices Liability (EPL) claims, related systems, and processes, while evaluating exposures and making substantive claim decisions across EPL and other business lines.
Complex Claim Director - Mass Tort Unit CNA Financial Corp.Complex Claim Director - Mass Tort UnitNew York, NY$97,000–$189,000 / yearJOB DESCRIPTION: Essential Duties & Responsibilities: Performs a combination of duties in accordance with departmental guidelines: Leads the work activities of medium to high severity specialized Claims Professionals, has full management responsibility for setting and communicating expectations, providing direction and situational coaching, and facilitating ongoing training. Leads a team of Claims Consultants and Consulting Directors that are responsible for the handling of complex, high exposure mass tort and environmental claims, including social media addiction, PFAS, talc, sexual molestation, and other long tail general liability and pollution related matters.
Claim Director Chubb LtdClaim DirectorJersey City, NJ$83,600–$119,900 / yearThe Westchester Casualty Claim Director is responsible for investigating and settling high exposure, high severity surplus lines claims while ensuring a high level of customer service and claim file quality. Strong Communication Skills - including the ability to listen effectively; to confidently and diplomatically express opinions and voice concerns with other team members; and to present superior written communication to varied audiences.
Sr. Claim Counsel, EPL Sompo International Holdings LimitedSr. Claim Counsel, EPLGarden City, NY$125,000–$175,000 / yearProvide coverage, liability, and damages analysis for EPL claims, with general knowledge of Director and Officer (D&O) liability claims and identify trends/exposures affecting CML or FI portfolios. Our business, your impact, our opportunity: What you'll be doing: Manage US Employment Practices Liability (EPL) claims, related systems, and processes, while evaluating exposures and making substantive claim decisions across EPL and other business lines.
AVP, Claim - Casualty Manager (Environmental) Chubb LtdAVP, Claim - Casualty Manager (Environmental)Jersey City, NJ$152,400–$219,600 / yearThe claims involve bodily injury, property damage, and site/property remediation on varied pollution policy products which include energy, underground storage tank, premises pollution, contractors pollution liability (CPL) and CPL/Errors & Omission coverage in addition to some general liability. A minimum of five years of experience in claims management with a high degree of competence in the handling of complex casualty claims involving pollution and environmental claims stemming from property damage and bodily injury, is required.
Medical Biller Integrated ENT, Allergy and ImmunologyMedical BillerWoodbury, NYFull timeThe Medical Biller is responsible for accurately preparing, submitting, and following up on medical claims to ensure timely reimbursement while maintaining compliance with payer guidelines and healthcare regulations. The ideal candidate possesses strong analytical skills, a thorough understanding of medical billing processes, and the ability to effectively communicate with insurance carriers, patients, and internal staff.
NewNo Fault / PIP Insurance Verification Specialist III Progressive Spine and Orthopaedics LLCNo Fault / PIP Insurance Verification Specialist IIIEnglewood, NJThe Specialist III works directly with insurance carriers, adjusters, attorneys, legal representatives, and internal departments to obtain and clarify complex claim information, resolve discrepancies, address exhausted or disputed benefits, and ensure appropriate documentation is maintained. - Independently verify and research complex No-Fault / PIP claims, including claim status, claim numbers, dates of accident, adjuster information, benefit availability, benefit exhaustion, covered body parts, policy information, and applicable coverage limitations.
Associate Attorney – Insurance Coverage Tressler LLPAssociate Attorney – Insurance CoverageJersey City, NJ$125,000–$155,000 / yearOur Professional Liability Practice Group is known for its comprehensive approach to handling matters related to complex insurance claims analysis and representing insurance company clients in some of the most high-stakes coverage litigation cases across the country, including cases involving Directors and Officers (D&O), Errors and Omissions (E&O), and professional liability. The majority of Tressler attorneys devote their practice to the representation of the insurance industry in coverage analysis and resolution, litigation, underwriting consultation, product development, claims management, and reinsurance.
Insurance Follow-Up Specialist IVX HealthInsurance Follow-Up SpecialistNYRemote$22–$25 / hourOur Insurance Follow Up Specialists are a vital part of the patient care journey, ensuring that every claim is handled with precision, empathy, and a clear understanding of how billing impacts both access to care and peace of mind. IVX Health is a national provider of infusion and injection therapy for individuals managing complex chronic conditions like rheumatoid arthritis, Crohn's disease, and multiple sclerosis.
NewManager Data Administration Rutgers The State University of New JerseyManager Data AdministrationNew Brunswick, NJDo you have aMaster's degree in a related scientific field with a minimum of 3 years of experience working with large claims datasets, electronic health record data, or other large healthcare datasets, including data management and analysis; OR a Bachelor's degree in a related scientific field with a minimum of 5 years of experience working with large claims datasets, electronic health record data, or other large healthcare datasets, including data management and analysis. Master's degree in a related scientific field with a minimum of 3 years of experience working with large claims datasets, electronic health record data, or other large healthcare datasets, including data management and analysis; OR a Bachelor's degree in a related scientific field with a minimum of 5 years of experience working with large claims datasets, electronic health record data, or other large healthcare datasets, including data management and analysis.
Associate Large Loss Adjuster Plymouth Rock Management Company of New JerseyAssociate Large Loss AdjusterUniondale, NY$89,500–$127,500 / yearThe Plymouth Rock Company and its affiliated group of companies write and manage over $2 billion in personal and commercial auto and homeowner's insurance throughout the Northeast and mid-Atlantic, where we have built an unparalleled reputation for service. Plymouth Rock Assurance is looking for a General Adjuster who will be responsible for evaluating, pricing and settling losses involving personal property for all homeowner claims.
Billing Specialist - Brooklyn, NY OOS ManagementBilling Specialist - Brooklyn, NYBrooklyn, New York$20–$27 / hourWe here at Licensed Behavior Analyst Professional Services, PLLC are looking for a sharp and dedicated Billing Specialist to ensure our claims are submitted accurately and our revenue cycle stays healthy. Experience working denials and resubmissions with measurable recovery rates.
Contracts Manager Conti International LLCContracts ManagerEdison, NJPerform audits of all contracts, purchase orders, change orders and subcontractor insurance certificates for completeness and adherence to contract requirements to ensure compliance and risk mitigation. Possess experience with construction-specific agreements, including subcontracts, change orders, scopes of work, flow-down requirements, and project-specific risk allocation.