- Centers Plan for Healthy Living (Staten Island, NY)
- Claims Service Representative 75 Vanderbilt Ave, Staten Island, NY 10304, USA Req #811 Monday, December 2, 2024 Centers Plan for Healthy Living's goal is to ... developing a relationship with the provider, while providing the best customer service experience possible + Warm transfer calls to other business units for… more
- Sedgwick (New York, NY)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Claims Representative | Remote | NY Licensing Required **PRIMARY ... PURPOSE** **:** To analyze mid- and higher-level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims within company… 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 ... APPLICANTS MUST BE PERMANENT IN THE ELIGIBILITY SPECIALIST CIVIL SERVICE TITLE OR IF YOU ARE HIRED PROVISIONALLY IN...data reporting. The areas are Centralized Data Entry (CDE), Claims & Collections (C&C), Division of Financial Review and… more
- Centers Plan for Healthy Living (Staten Island, NY)
- Claims Auditor 75 Vanderbilt Ave, Staten Island, NY 10304, USA Req #1153 Monday, December 2, 2024 Centers Plan for Healthy Living's goal is to create the ultimate ... auditing functions of Centers Plan for Healthy Living (CPHL) claims . Collaborates with other Health plan departments and Management...multi-task in a fast paced environment + Must be service oriented, quick learner, team player + Appreciation of… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- About The Role The Customer Service Representative assists members, physicians, hospitals, revenue agencies and other healthcare providers with member benefits, ... eligibility, claims inquiry, claim reconsiderations and appeals. The Customer Service Representatives must be able to work in various shifts Monday to Friday… 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 ... customers with information on programs available for energy assistance. The Customer Service Representative performs the following: + Address customer bill, … more
- Leviton (Melville, NY)
- …to kick-start your career? The Leviton Finance team is looking for a Deduction Representative I to join the Credit, Accounts Receivable & Claims department. We ... who thrive on challenges and are eager to learn. The Deduction Representative I is responsible for evaluating, processing, and resolving customer claims… more
- Travelers Insurance Company (Bronx, NY)
- …is intended to develop skills for investigating, evaluating, negotiating and resolving claims on losses of lesser value and complexity. Provides quality claim ... the following core assignments: + Handles 1st party property claims of moderate severity and complexity as assigned. +...with state regulations, where applicable. + Provides excellent customer service to meet the needs of the insured, agent… more
- World Insurance Associates, LLC. (Syosset, NY)
- …retirement services, and human capital management solutions. Position Overview Our Client Service Representative provides general account support and customer ... products and services from major providers, combined with attentive service from local agents. Founded in 2011, World is...inquiries and escalate issues related to eligibility and member claims + Develop and leverage knowledge of customer needs… more
- Graybar (Garden City, NY)
- Make a difference. As a Customer Service Representative , you will serve as a key contact and liaison for customers to ensure their total satisfaction. You will ... Provide support on product selection and application + Coordinate customer service requests including order entry, pricing, expediting, billing, order maintenance,… more
- Catholic Health Services (Melville, NY)
- …the direction of the Physician Revenue Realization Manager, the Insurance Follow-Up Representative is responsible for investigating claims status with insurance ... acute care hospitals, three nursing homes, a home health service , hospice and a network of physician practices across...carriers, correcting and resubmitting denied claims in the EPIC billing system. Responsibilities: Performs follow… more
- Truecare Homecare Agency (Brooklyn, NY)
- …Overview: True Care is a licensed Home Care Agency providing outstanding homecare service in the New York Metropolitan area. Our passionate dedication to our clients ... experience the most excellent care. Position Title: Medical Billing Representative Reports To: Billing Department Manager Job summary: The...the agency's weekly billing cycle, follow up on all claims and ensure that billed visits are paid +… more
- New York State Civil Service (New York, NY)
- …- Dormitory Authority of the State of New York Title Senior Field Representative -NYC - 5 Boroughs and Long Island Occupational Category Other Professional Careers ... NY Zip Code 10005 Duties Description Primary PurposeThe Senior Field Representative exercises independent judgment and makes high-level decisions while assisting the… more
- Brighton Health Plan Solutions, LLC (Melville, NY)
- About The Role MagnaCare is seeking Customer Service Representatives to assist members, physicians, hospitals, and other healthcare providers with member benefits, ... eligibility, claims inquiry, claim reconsiderations and appeals. This job description...Ability to learn quickly. * Courteous with strong customer service orientation. * Dependable with proficient attention to detail.… more
- ManpowerGroup (Saddle Brook, NJ)
- …Able to Multi-Task. Efficient.** My client needs Data Entry Representative . The incumbent will process non-complex, non-technical claim related activities ... claim adjuster. The individual handles a single line of claims or a combination of claims from...segments. The individual is also expected to deliver compassionate service that is fast, fair, and easy, to ensure… more
- Molina Healthcare (New York, NY)
- …pharmacy prior authorization requests and/or appeals. + Explains Point of Sale claims adjudication, state, NCQA, and CMS policy/guidelines, and any other necessary ... equivalent **Required Experience** 1-3 years of call center or customer service experience **Preferred Education** Associate degree **Preferred Experience** + 3-5… more
- Molina Healthcare (Manhattan, NY)
- …setting. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : * 2 - 3 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
- Travelers Insurance Company (Melville, NY)
- …is responsible for handling Personal and Business Insurance First Party Medical claims from the first notice of loss through resolution/settlement and payment ... regulations. **What Will You Do?** + Customer Contacts/Experience: + Delivers consistent service quality throughout the claim life cycle, including but not limited… more
- Specialty Rx, Inc. (Ridgefield Park, NJ)
- Job Description SpecialtyRx is a full- service pharmacy. We need Billing Representative with Pharmacy experience in our Ridgefield Park, NJ location. Hours: ... We offer a competitive salary and benefits package. Billing Representative Responsibilities: + Perform duties assigned by the Billing...a must. + Experience in New York Pharmacy billing claims . (Preferred) + Frameworks/ECM knowledge is a plus. +… more
- Phoenix House (Long Island City, NY)
- **Front Desk Representative ** **Job Details** **Job Location** Long Island City Residential - Long Island City, NY **Position Type** Full Time **Education Level** ... weekly billing requirements with program staff and the billing department for claims generation. **COMPETENCIES (KSAs)** + Ethical Practices + Judgment + Critical… more