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.
Manager, Payments Carrot Fertility IncManager, PaymentsNY$100,000–$120,000 / yearYou will be accountable for SLA's and quality performance of your direct reports, coaching/developing your team, queue management, identifying process improvements and partnering cross‑functionally (e.g., Product, Analytics, Member Support, Finance) to improve Payments operations. Carrot is regularly featured in media reporting on issues related to the future of work, women in leadership, and healthcare innovation, including MSNBC, The Economist, Bloomberg, The Wall Street Journal, CNBC, National Public Radio, Harvard Business Review, and more.
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.
Medical Coding Specialist Capital Rx LLCMedical Coding SpecialistNew York, NY$70,000–$85,000 / 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. 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.
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.
Billing Specialist Community OptionsBilling SpecialistPrinceton, New JerseyThis person will collect Medicaid reimbursements by resolving discrepancies, adjusting claims, preparing reports, monitoring collections, and providing excellent customer service to internal staff and designated payers. Community Options, Inc. is a national non-profit agency providing services to individuals with disabilities in 12 states.
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).
Manager, Claims Amalgamated LifeManager, ClaimsWhite Plains, New YorkStrong written and verbal communication skills, including empathetic listening and a high level of customer service, are vital for this role which interacts with Claimants and stakeholders. They lead a small team responsible for the entire claims lifecycle, including but not limited to evaluating medical records, coordinating with providers, and communicating with claimants to determine eligibility for benefits.
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.
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.
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.
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.
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.
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.
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.