Claims manager jobs in New York, NYCreate job alerts

Heart to Heart home is looking for an experienced professional to join our growing HR team! The position presents a wonderful growth opportunity as we continue to expand operations within our territories. Join our team and discover professional, caring and excellent service at its best. Responsibilities include: Serve as the primary contact between the NYS Department of Labor and the Company. Effectively interpret and apply state laws and regulations in response to UI documents. Prioritize claims, questionnaires, determinations, state requested audits, and other unemployment related data. Manage incoming Worker's Compensation and Disability Claims. Required: Must be fluent in conversational Spanish Advanced writing skills is a must Strong business and analytical ability with a proven ability to gather research. Exceptional administrative and clerical skills GREAT PAY AND ROOM FOR GROWTH! Job Type: Full-time What we offer: Supportive management team Growth opportunities 401K Retirement Benefit Sick day and PTO benefits Job Type: Full-time Job Type: Full-time Pay: $20.00 - $23.00 per hour Benefits: 401(k) Dental insurance Health insurance Paid time off Vision insurance Schedule: 8 hour shift Monday to Friday No weekends Work Location: In person

Healthy Claims Medical Management is dedicated to helping doctors of all types increase their cash flow using new innovations in technology. We are currently seeking an sales representative to join our team in the Tri state region. This position is a full-time opportunity and is a commission based position. The sales representative will be in charge of developing new business relationships by cold calling and meeting with potential clients. We will provide with all the tools and training that you need to become successful. Requirements: • Minimum of 1 year of successful outside sales experience • Minimum of 1 year of medical related experience • Self Starter and Self Motivated Personality

-Knowledge of Practice Management Software -Experienced in communicating with insurance companies for claim processing, status and appeals -Posting insurance payments and client payments -Working with reports *HIPAA knowledge and compliance *self motivated and energetic *good communication and interpersonal skills *multitasking *handling heavy phone call volume *bilingual is a plus

We are seeking a highly-motivated, professional, and reliable individual to fulfill a Paralegal position in the Workers’ Compensation Department of an established Glendale, Queens Office. Central daily responsibilities include: Heavy volume client communication; periodic file reviews; hearing preparation; follow-up on carrier payments; evaluation of case status; follow-up on medical requests with doctor’s offices; coordinating medical care and determining status of client treatment; filing of fee applications; contact with claim’s adjusters; drafting of correspondence to all appropriate parties; and explanation of detailed legal issues to clients. The ability to handle heavy call volume with outstanding customer service skills is imperative in maintaining this position. The ability to set priorities and successfully manage any changes in priority is required. The ideal candidate for this position enjoys strong client contact and communication. You must enjoy working on the phone, as that is critical your success and enjoyment at this firm. The ideal candidate must possess the following attributes: •Knowledge of Workers’ Compensation law; •Ability to communicate clearly and effectively with a variety of individuals; •Strong customer service skills and excellent telephone manner; •Supreme organizational skills; •Ability to work independently and maintain accuracy in a fast-paced work environment; •Ability to multi-task and appropriately manage time and responsibilities; •Ability to maintain and coordinate numerous records and files; •Professionalism; •Ability to communicate effectively with in-office executives; and •Dependability Prior experience as a Workers’ Compensation paralegal is a MUST. Fluency in Spanish is preferred. We are willing to hire the right individual immediately. Pay is competitive and commensurate with experience.

Responsibilities: Greeting and thanking guests in a sincere, friendly manner. Checking guests in on arrival and out on departure. Posting charges to appropriate guest accounts. Anticipating and addressing guests' needs, and resolving their problems and complaints. Assisting guests with disabilities. Operating switchboard and assisting with inquiries. Assisting the reservations manager with taking reservations. Collaborating and communicating with other internal departments to ensure guest satisfaction. Complying with company procedures and safety policies. Performing duties on a daily checklist. Verifying the patient’s health insurance benefits. Explaining insurance benefits to patients. Entering data using dental practice management software. Generating reports for all activities. Posting payments made by patients. Following up on non-paid insurance claims. Managing late payments and overdue accounts. Processing insurance payments and refunds. Uploading completed insurance verification forms. Monitoring weekly, monthly and quarterly reports to confirm payment from clients and insurance companies.

Medical Coding, Posting and Collections. Ophthalmological Terminology Analyze and Manage Medical Collections, including communicating with patients and insurance companies to resolve outstanding balances. Utilize Computer Systems to Manage patient billing and Medical Records. Medicaid Claim processing and Posting.