Medical Claims Processor GlobalchannelmanagementMedical Claims ProcessorParamus, New JerseyPartner with the clearing house to distribute patient billing statements and monitor the patient portal to post payments in the EHR system. Medical Claims Processor duties: Review medical claims and transmit to the insurance carrier using the practice electronic health records (EHR) system and clearing house.
Customer Service Rep Global Channel ManagementCustomer Service RepPort Washington, New YorkIdentify and recommend systems and process modifications necessary to improve the efficiency and effectiveness of the Assignment processes. Cash Claims Processor duties: Process transactions, apply cash, member bills, resubmit invoices, write-offs, etc.
Disability Transaction Processor Conduent IncDisability Transaction ProcessorNYThrough our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clients and the millions of people who count on them. Due to varying state and local minimum wage laws, we are currently only able to hire candidates residing in states where our compensation structure complies with applicable wage regulations.
NewCPC Processor Customer Support Datavant LLCCPC Processor Customer SupportNY$15–$18 / hourGuided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. Datavant has a network of networks consisting of thousands of organizations, more than 70,000 hospitals and clinics, 70% of the 100 largest health systems, and an ecosystem of 500+ real-world data partners.
Claims Processing & Billing Specialist Professional Physical TherapyClaims Processing & Billing SpecialistMelville, NY$23.64–$25.51 / hourReporting to the Manager of Claims Processing & Credentialing, this role reviews claims in the Raintree EMR system, resolves billing edits and clearinghouse exceptions, and works closely with payers, patients, providers, and internal teams to support efficient reimbursement. The Claims Processing & Billing Specialist is responsible for the accurate and timely submission of institutional and professional medical claims.
Processor, Ebay - NJ (Temp-To-Hire) Collectors Universe, Inc.Processor, Ebay - NJ (Temp-To-Hire)Jersey City, NJWe grade, authenticate, vault, and sell millions of record-setting collectibles, all while modernizing and digitalizing the process to further our mission of helping collectors pursue their passions. We grade, authenticate, vault and sell millions of record-setting collectibles, all while modernizing and digitalizing the process to further our mission of helping collectors pursue their passions.
Processor , Ebay (Temp-To-Hire) (Shift 2) Collectors Universe, Inc.Processor , Ebay (Temp-To-Hire) (Shift 2)Jersey City, NJWe grade, authenticate, vault, and sell millions of record-setting collectibles, all while modernizing and digitalizing the process to further our mission of helping collectors pursue their passions. Our services span collectible trading cards, autographs, comic books, coins, video games, event tickets, and memorabilia.
Processor, eBay - NJ (temp-to-hire) Collaborative SolutionsProcessor, eBay - NJ (temp-to-hire)Jersey City, New JerseyWe grade, authenticate, vault, and sell millions of record-setting collectibles, all while modernizing and digitalizing the process to further our mission of helping collectors pursue their passions. We grade, authenticate, vault and sell millions of record-setting collectibles, all while modernizing and digitalizing the process to further our mission of helping collectors pursue their passions.
Processor , eBay (Temp-To-Hire) (Shift 2) Collaborative SolutionsProcessor , eBay (Temp-To-Hire) (Shift 2)Jersey City, New JerseyWe grade, authenticate, vault, and sell millions of record-setting collectibles, all while modernizing and digitalizing the process to further our mission of helping collectors pursue their passions. Our services span collectible trading cards, autographs, comic books, coins, video games, event tickets, and memorabilia.
Processor , eBay (Temp-To-Hire) (Shift 2) Collectors Holdings, Inc.Processor , eBay (Temp-To-Hire) (Shift 2)Jersey City, NJWe grade, authenticate, vault, and sell millions of record-setting collectibles, all while modernizing and digitalizing the process to further our mission of helping collectors pursue their passions. Our services span collectible trading cards, autographs, comic books, coins, video games, event tickets, and memorabilia.
NewClaims Examiner Firstsource Solutions LtdClaims ExaminerNYMust be able to regularly or frequently talk and hear, sit for prolonged periods, use hands and fingers to type, and use close vision to view and read from a computer screen and/or electronic device. The Claims Examiner is responsible for reviewing all aspects of the claim, including reviewing policy coverage, damages, and supporting documentation provided by the policyholder.
Business Systems Analyst - No Surprises Act Contech SystemsBusiness Systems Analyst - No Surprises ActNewark, NJ$50–$75 / hourThis individual will work closely with business stakeholders, operations teams, and technology teams to analyze business processes, define requirements, and support enhancements to systems responsible for NSA compliance, claims processing, and reimbursement workflows. Our client is seeking an experienced Business Systems Analyst with a strong background in the U.S. healthcare payer industry to support initiatives related to the No Surprises Act (NSA).
Managed Care Coordinator Integrated Resources, IncManaged Care CoordinatorNewark, New JerseyContractorSpecialized knowledge/skills: Requires knowledge of medical terminology Requires knowledge of a claims processing platform with health insurance carrier (i.e., FACETS, QBLUE, etc.) Requires Good Oral and Written Communication skills Requires ability to make sound decisions under the direction of Supervisor Prefer knowledge of benefit contracts, enrollment, billing & claims coding/processing Prefer knowledge Managed Care principles and/or Medicaid Prefer the ability to analyze and resolve problems with minimal supervision Prefer the ability to use a personal computer and applicable software and systems Team Player, Strong Analytical, Interpersonal Skills. Job Summary: This position supports the Health Services and Utilization Management functions and acts as a liaison between Members, Physicians, Delegates, Operational Business members and Member Service Coordinators.
Commercial Insurance Producer GpacCommercial Insurance ProducerMorris Plains, NJ90000–150000GPAC (Growing People and Companies) is an award-winning search firm specializing in placing quality professionals within multiple industries across the United States since 1990. The agency is known for its strong employee tenure, collaborative culture, and commitment to supporting producers with the resources needed to succeed.
Senior Technical Trainer - Medical Enterprise Solutions Capital Rx LLCSenior Technical Trainer - Medical Enterprise SolutionsNew York, NY$98,400–$123,000 / yearJudi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including: Judi Rx, a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers, Judi Health, which offers full-service health benefit management solutions to employers, TPAs, and health plans, and. Develop and maintain engaging and effective technical training materials and resources (including user guides, job aids, video content, eLearning modules, and SOPs) that enable users to successfully navigate and utilize the Unified Claims Processing platform.
Claims Referral Specialist II LIBERTY Dental PlanClaims Referral Specialist IIUniondale, NYRemoteThe successful candidate will bring strong dental claims knowledge, experience with Coordination of Benefits (COB) and Orthodontic claims processing, and the ability to collaborate effectively across departments while working independently in a remote setting. We are seeking a detail-oriented and experienced Claims Referral Specialist II to join our Claims team and play a vital role in ensuring accurate and timely claims processing for our members and providers.
Claims Service Correspondent Metroplus Health Plan IncClaims Service CorrespondentNew York, NY$55,000–$64,518 / yearThey will work closely with Provider Contracting, Medical Management, Enrollment and Membership department, and Claims Processing unit. The Claims Service Correspondent is responsible for accurate and timely responses to written claim inquiries received from providers.
Administative Professional Phaxis LLCAdministative ProfessionalManhattan, NYRemote$30–$35 / hourNowHiring #HybridJobs #HealthcareJobs #ClaimsProcessing #HealthPlan #ProviderContracts #ContractAdministration #AdministrativeJobs #ExcelJobs #HiringNow #Phaxis What You'll Do: Support a major claims processing system conversion by locating, reviewing, and organizing provider contracts for the 2024, 2025, and 2026 implementation.
Senior Technical Trainer - (Enterprise Solutions) Capital Rx, Inc.Senior Technical Trainer - (Enterprise Solutions)New York, NY$98,400–$123,000 / yearJudi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including: Judi Rx, a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers, Judi Health, which offers full-service health benefit management solutions to employers, TPAs, and health plans, and. Develop and maintain engaging and effective technical training materials and resources (including user guides, job aids, video content, eLearning modules, and SOPs) that enable users to successfully navigate and utilize the Unified Claims Processing platform.
Medical Coding Specialist Capital Rx, Inc.Medical Coding SpecialistNew York, NY$70,000–$85,000 / yearBy delivering true price transparency, eliminating unnecessary middleman fees, and leveraging advanced AI-powered care delivery, Judi Health helps clients achieve unprecedented operational efficiency and service levels. This role offers the opportunity to play a key part in ensuring accurate claims processing, supporting client implementations, and helping drive innovation within a growing healthcare technology organization.