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.
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.
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.
EPIC Physician Billing Analyst 5 Star RecruitmentEPIC Physician Billing AnalystHicksville, New YorkTechnical Skills: Expertise in Epic's Professional Billing module, including charge router, workqueue configuration, collection agency workflows, statement processing, benefit engine, and estimates. An Epic Physician Billing Analyst (also known as an Epic Professional Billing Analyst) is responsible for the configuration, maintenance, and optimization of the Epic Professional Billing module within a healthcare organization.
Licensed Public Adjuster (NJ) Velaz Solar & RoofingLicensed Public Adjuster (NJ)Elizabeth, NJThis is an excellent opportunity for a motivated professional who wants unlimited earning potential while helping homeowners navigate the insurance claims process after storm, wind, hail, or other property damage. Velaz Group LLC is seeking a licensed Public Adjuster to join our growing team in New Jersey.
Enterprise Onboard Specialist RedSail Technologies, LLCEnterprise Onboard SpecialistLong Island, NY$35–$40 / hourWorking with customer contacts, pharmacy operations, IT teams, third-party vendors, and internal cross-functional teams, this role completes assigned onboarding activities, tracks progress, escalates issues, and supports timely implementation. The Enterprise Onboarding Specialist supports the onboarding of assigned pharmacy chain customers onto RedSail's claims switching and pharmacy technology platform by completing defined implementation tasks, maintaining documentation, and coordinating routine activities.
Medicare Pricing Analyst Wisconsin Physicians Service Insurance CorpMedicare Pricing AnalystNJRemoteThe Medicare Pricing Procedures Analyst also researches and responds to interdepartmental requests, reviews Medicare pricing guidance, supports system testing and validation, maintains internal documentation, and assists the Technical Claims team with projects that improve the accuracy and efficiency of Medicare pricing operations. This role supports the implementation and validation of CMS pricing updates, maintains pricing information within Medicare systems, and collaborates with CMS, Shared System Maintainers, and other Medicare Administrative Contractors (MACs) to ensure accurate and timely claims payment.
Claims Assistant II HCC Life Insurance CompanyClaims Assistant IIPurchase, NY$56,800–$85,200 / yearPerform initial and ongoing claims processing including setting up claims files for multiple lines of business, performing data entry, scanning documents, and preparing loss runs. Tokio Marine HCC (TMHCC) brings 50 years of service to the specialty insurance industry, today offering over 100 products to commercial customers in 180 countries around the world.
Claims Operations Manager SiriusPointClaims Operations ManagerNew York City, New York$120,000–$135,000 / yearThe successful candidate will work closely with Global Head of Claims Operations, Claims leadership, claims handlers, underwriting, finance, actuarial, compliance, legal, IT and external service providers to deliver high-quality operational support across claims management, governance, reporting and transformation activities. Data and systems support: Help maintain data quality across claims platforms, reporting tools and workflow systems, supporting system enhancements, user acceptance testing and operational change delivery.
Licensed Public Adjuster (Nj) Velaz Solar & RoofingLicensed Public Adjuster (Nj)Elizabeth, NJ$40,000–$60,000 / yearThis is an excellent opportunity for a motivated professional who wants unlimited earning potential while helping homeowners navigate the insurance claims process after storm, wind, hail, or other property damage. Velaz Group LLC is seeking a licensed Public Adjuster to join our growing team in New Jersey.
NASCO claims Specialist Tata Consultancy Services LtdNASCO claims SpecialistNewark, NJ$110,000–$115,000 / yearInterpret and guide implementation of complex payer rules, benefit configurations, and provider contracts. Review test artefacts and guide offshore UAT teams to ensure domain accuracy.
Customer Service Representative -(#26-11790) US Tech Solutions, Inc.Customer Service Representative -(#26-11790)whipanny, NJ$19–$20.90 / hourThis individual is part of a highly concierge ‘white glove’ service team that will manage the patient experience from start to finish by providing program information, eligibility, reimbursement support, and general assurances and ease of use in supporting our client’s copay assistance programs. 8:30am-5pm Under the supervisor's direction, The Patient Support Specialist is responsible for providing patient health care services, enabling access to care for prescription medications.
Remote Transaction Processing Associate IV Conduent IncRemote Transaction Processing Associate IVNYRemoteIdentifying and mitigating risks related to project profits, including fraud prevention through the review of alerts, reports, and investigations into new account, ACH, wire, and debit fraud. Through 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.
NewAssociate, Payment Integrity IBR Oscar HealthAssociate, Payment Integrity IBRNew York, NY$91,908–$120,629 / yearThis is accomplished by leveraging a deep understanding of Oscar's claim infrastructure, workflows, workflow tooling, platform logic, data models, etc., to work cross-functionally to understand and translate friction from stakeholders into actionable opportunities for improvement. Proactively identify and document potential billing errors, including duplicate billing of items, services, or procedures as improper unbundling of services (e.g., separating components that should be billed together) and charges for non-covered or non-rendered services.
Billing Specialist Healthy PharmacyBilling SpecialistElmhurst, New York$18–$25In addition, this person will be expected to track Key Performance Indicators, create reporting and analytics, improve processes where needed and be responsible for maximizing the overall efficiency of the company’s accounts receivable collection efforts. This will involve sharing duties of calling for eligibility and authorizations, re-submissions of denied claims, negotiating with insurance carriers, and the follow-up of non-paid and underpaid claims.
Claims Associate, Risk Management The Related Companies LPClaims Associate, Risk ManagementNew York, NY$120,000–$140,000 / yearWe are looking for a Claims Associate who will assist in the administration and documentation of the property, casualty, workers' compensation and financial/executive risk claims for the company's real estate portfolios and corporate activities. This role requires strong organizational, communication, and interpersonal skills, as well as the ability to work collaboratively with insurers, brokers, legal counsel, third-party administrators, and internal stakeholders.
NewSenior Director, Product, Care Foundations Spring HealthSenior Director, Product, Care FoundationsNew York, NY$245,000–$328,000 / yearWith outcomes independently validated by JAMA Network Open and the Validation Institute, Spring Health reaches more than 170 million people worldwide through leading employers, health plans, and partners. Build strong cross-functional partnerships with leaders across Engineering, Design, Clinical Operations, Revenue Operations, and Finance to ensure operational readiness and alignment.
Technical Account Manager RedSail Technologies, LLCTechnical Account ManagerLong Island, NY$85,000–$120,000 / yearActing as the customers trusted operational advisor and primary point of contact for technical and service delivery matters, the Technical Account Manager develops a deep understanding of each customers business, pharmacy operations, systems, and strategic priorities. When escalation is required, engage Engineering, Product, Network Operations, or other internal teams with complete technical context while remaining the customers single point of accountability until resolution is achieved.