Claims processing jobs in Freeport, New YorkCreate job alerts

Job Description We are looking for several Independent Medical Examination (IME) providers to serve New York State, including the five boroughs and Long Island, specifically in the field of Neurology. Key Information: • No direct patient interaction: IME assessments consist solely of observation and evaluation, with no physical contact or treatment involved., • Case assessment: Providers are required to review case logs prior to processing insurance claims., • Provider availability: We need multiple professionals to ensure comprehensive coverage throughout New York State, particularly in the five boroughs and Long Island., • Certification requirement: A certification in Workers' Compensation is mandatory., • Credentialing process: Providers must undergo the COI credentialing procedure, which typically takes a few days., • Conduct examinations similar to expert witness evaluations (no treatment or ongoing care involved, resulting in low liability)., • No patient-provider relationship is formed, which significantly mitigates liability risks., • Support staff and scribes will assist with documentation and clinical processes.

Assists in answering any questions physicians may have about their account. Assists in several tasks related to patient accounts for hospital and clinical facilities. Daily duties include processing claims, addressing patient billing inquiries, collecting payments, assisting in helping resolve payer

Join to apply for the Mainframe Developer job role at Gain America Location: Jersey City Job # 142 Date Posted: 06/05/2024 Salary: $90000 Required Skills : Good knowledge of COBOL; CICS; DB2; VSAM JCL Endeaver Claims processing knowledge/Apps/POS Required Experience : Design, Develop, and Test Legac

Pharmacy Technicians are responsible for receiving prescription orders, entering prescription information into the pharmacy system, counting and measuring medications, labeling prescriptions, processing insurance claims, handling customer transactions, and assisting customers at the pharmacy counter

Pharmacy Technicians are responsible for receiving prescription orders, entering prescription information into the pharmacy system, counting and measuring medications, labeling prescriptions, processing insurance claims, handling customer transactions, and assisting customers at the pharmacy counter

Pharmacy Technicians are responsible for receiving prescription orders, entering prescription information into the pharmacy system, counting and measuring medications, labeling prescriptions, processing insurance claims, handling customer transactions, and assisting customers at the pharmacy counter

Pharmacy Technicians are responsible for receiving prescription orders, entering prescription information into the pharmacy system, counting and measuring medications, labeling prescriptions, processing insurance claims, handling customer transactions, and assisting customers at the pharmacy counter

Pharmacy Technicians are responsible for receiving prescription orders, entering prescription information into the pharmacy system, counting and measuring medications, labeling prescriptions, processing insurance claims, handling customer transactions, and assisting customers at the pharmacy counter

Pharmacy Technicians are responsible for receiving prescription orders, entering prescription information into the pharmacy system, counting and measuring medications, labeling prescriptions, processing insurance claims, handling customer transactions, and assisting customers at the pharmacy counter

Pharmacy Technicians are responsible for receiving prescription orders, entering prescription information into the pharmacy system, counting and measuring medications, labeling prescriptions, processing insurance claims, handling customer transactions, and assisting customers at the pharmacy counter

Pharmacy Technicians are responsible for receiving prescription orders, entering prescription information into the pharmacy system, counting and measuring medications, labeling prescriptions, processing insurance claims, handling customer transactions, and assisting customers at the pharmacy counter

Pharmacy Technicians are responsible for receiving prescription orders, entering prescription information into the pharmacy system, counting and measuring medications, labeling prescriptions, processing insurance claims, handling customer transactions, and assisting customers at the pharmacy counter

Pharmacy Technicians are responsible for receiving prescription orders, entering prescription information into the pharmacy system, counting and measuring medications, labeling prescriptions, processing insurance claims, handling customer transactions, and assisting customers at the pharmacy counter

Pharmacy Technicians are responsible for receiving prescription orders, entering prescription information into the pharmacy system, counting and measuring medications, labeling prescriptions, processing insurance claims, handling customer transactions, and assisting customers at the pharmacy counter

Job DescriptionPosition Summary Gabrielli Truck Sales is seeking a detail-oriented and experienced Warranty Manager to oversee all aspects of warranty administration across our service operations. This role is responsible for ensuring accurate and timely submission of warranty claims, maximizing warranty recovery, and maintaining compliance with OEM guidelines (Mack, Volvo, Paccar). The ideal candidate will work closely with service, parts, and accounting departments to streamline processes and improve overall efficiency. Key Responsibilities • Manage and oversee the complete warranty claim process from initiation through payment and reconciliation, • Review and submit warranty claims to manufacturers including Mack, Volvo, and Paccar in a timely and accurate manner, • Ensure compliance with all OEM warranty policies, procedures, and documentation requirements, • Audit repair orders and supporting documentation to validate warranty coverage and claim accuracy, • Monitor claim status, follow up on outstanding submissions, and resolve rejected or underpaid claims, • Maintain detailed records of all warranty activity, including credits, debits, and adjustments, • Work closely with Service Managers and Advisors to ensure proper coding, story writing, and documentation for warranty claims, • Identify trends in warranty issues and provide feedback to improve service processes and reduce claim denials, • Train and support service and administrative staff on warranty procedures and best practices, • Reconcile warranty receivables and coordinate with the accounting department on discrepancies, • Ensure timely processing of warranty parts returns in accordance with OEM requirementsQualifications, • 3+ years of experience in warranty administration, preferably in the heavy-duty truck or automotive industry, • Strong knowledge of OEM warranty systems (Mack/Volvo/Paccar experience preferred), • Familiarity with dealership management systems (e.g., Karmak/ADP/CDK or similar), • Excellent attention to detail and organizational skills, • Strong analytical and problem-solving abilities, • Effective communication skills with the ability to work cross-functionally, • Proficient in Microsoft Office, especially ExcelPreferred Skills, • Experience in a multi-location dealership environment, • Understanding of service operations, repair order flow, and technician documentation Benefits: • Medical and Dental plan, • Paid Holidays, • Paid vacation and sick/personal time, • 401k with an employer match, • EMPLOYER Paid Life insurance benefit, • Gym Reimbursement program

Job DescriptionBenefits: • 401(k), • Free uniforms, • Competitive Compensation, • Great Work Environment Responsibilities • Assist with processing insurance claims through both private insurance and Medicaid/Medicare, • Note and process all necessary forms from the insurance, • Assist patients in navigating the billing and insurance landscape, including collecting all necessary forms and signatures, • Work with doctors offices and hospitals to obtain charge information and billing details, • Enter all billing and payment information into the system properly and without errors, • Follow up with clients and payments, as needed, • Answer phones, assist clients with questions, take messages, and screen calls, • Maintains the highest level of confidentialityQualifications, • Strong customer service skills, • Previous experience with medical coding or billing desired, • Strong organization skills, • Excellent attention to detail

The Claims Audit Coordinator is responsible for auditing claims processing activities to ensure compliance with HCP guidelines, specifically focusing on payment and procedural accuracy. Assist in the training and development of internal audit staff, sharing expertise and best practices to enhance te

Job Description Reporting to the Unit Manager, this role will be responsible for direct handling of commercial claims specific to General Liability and/or Excess General Liability. Familiarity with SME (small to midsize enterprises) insureds involving premises liability, including but not limited to franchisees, hotels, and restaurants/entertainment. Duties include investigation and evaluation of coverage, liability, risk transfer (i.e. indemnification and/or tender application), and damages issues. The role will be responsible for claim and coverage evaluation, establishment/recommendation of adequate reserves, litigation management, liability and damage analysis in detail, case resolution and best claims outcome, and transaction processing in alignment with the Company’s and Client’s Strategic Vision. Essential Functions • Direct handle commercial and business general liability claims., • Mentors and guides less experienced claim analysts., • Assists the Unit Manager with departmental problem solving., • Manages external relationships including third party administrative oversight., • Serves on Companywide committees and projects as assigned., • Anticipates and identifies risks and opportunities on coverage and liability., • Anticipates and identifies transfer of risk, tender and/or indemnification., • Directly handles and/or assists in monitoring, reviewing, and coordinating the activities involving commercial and/or personal lines insurance claims, including analysis of coverage issues, establishment of adequate reserves, and the resolution and closure of claims., • Reviews loss notices; confirms and interprets policy coverages; establishes adequate reserves; and investigates and handles claims involving primary, umbrella, and/or excess policies., • Manages litigation with Preferred Counsel under Alternative Fee Arrangements or other defense fee structures., • Pursues and maximizes all risk transfer opportunities by contract or by insurance policy language., • Assigns and manages work of defense counsel, assignment of expert witnesses and interfacing with peer carriers including design and execution of defense and indemnity contracts, evaluation of liability and damages and participation in settlement negations., • Ensures proper file setup, reserving, general handling, and application of company procedure., • Participates in developing claims handling strategies, including defense coordination, litigation strategy, motion practice, and budgets, and expense control., • Records specific claims information and reports as appropriate to a manager relative to pertinent financial and general statistical records., • Maintains diary control, investigates, analyzes, and reports to ensure maintenance of proper reserves to reflect the company’s exposure and reports to our Reinsurance Department to assist in providing notice to reinsurers and the Reinsurance Department’s recovery of specific amounts when payment exceeds the company’s retention., • Handles large volume of diverse and dynamic claims effectively., • Empowered to make decisions within job description and authority. Seeks guidance where appropriate., • Develops creative ideas and solutions to real time business problems and /or business opportunities; Takes reasonable, calculated risks even if failure is possible., • Empowers self and teammates to continuously improve Company’s business processes/systems and develops and escalates ideas and solutions., • Seeks continuous development by identifying areas for growth and improvement. Works with team to implement process and technical improvements., • Consistently delivers superior customer service to both internal and external business partners., • Understands Key Performance Indicators and manages towards those priorities., • Performs special projects and assignments related to area of authority as necessary., • Maintains confidentiality., • Establishes and maintains professional relationships., • Assists in Due Diligence inquiries as assigned., • Travels as required. · Demonstrates alignment with Company’s Commitments. · Prioritizes and organizes work in self-directed manner. · Attains and maintains knowledge of assigned department. · Performs other duties as required, including supporting and coordinating with other department colleagues. Related Functions: · Leads Companywide initiatives and projects as assigned. Required Skills • Demonstrates ability and flexibility in a dynamic environment., • Excellent analytical, interpersonal and communications skills, both written and oral., • Customer service oriented with the ability for developing long lasting relationships with internal and external business partners. Experience Minimum of seven (7) years of commercial, business, and high value homeowners claims handling experience or a related field. Required Education Four-year college degree required or equivalent work experience. Preferred Education or Certification JD, CPCU, SCLA, CCLA, state(s) adjuster license – NEW YORK LICENSE REQUIRED

Job Description We are looking for an Epic Physician Billing Analyst to join our Team! This is for a Garden City location. 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 . This role is vital for ensuring accurate patient billing, claims processing, and reimbursement for services provided by individual healthcare providers, such as doctors or therapists. Responsibilities: • System Configuration and Maintenance:, • Configure and customize the Epic Professional Billing application to meet the specific business needs and workflows of the organization., • Maintain the Resolute Professional Billing module to manage charges, benefit engines, and workflows with external collection agencies., • Perform ongoing maintenance and updates to Epic applications., • Build and test system changes, presenting them to end-users and migrating them to production., • Workflow Analysis and Optimization:, • Analyze existing financial workflows and identify opportunities for improvement and optimization., • Design and implement leading practice workflows to enhance efficiency and effectiveness., • Collaborate with various stakeholders, including IT, finance, and end-users, to ensure the Epic system aligns with business operations., • Support and Troubleshooting:, • Act as the primary support contact for Epic Professional Billing application end-users., • Provide support to end-users on the Epic EMR system, including integrating revenue cycle processes such as maintaining claim scrubbers and payment processors., • Troubleshoot system errors and resolve issues related to billing, claims, and reimbursement., • Provide on-call support on a rotating basis., • Training and Education:, • Participate in training and educate end-users on the Epic Professional Billing application and related workflows., • Develop and document internal procedures for using Epic and other applications., • Compliance and Updates:, • Stay current with Epic technologies, obtain and maintain necessary Epic certifications., • Ensure compliance with industry standards and regulations, such as transitioning between different claim formats (e.g., X12 4010 to 5010) and coding systems., • Review and assess the impact of changes and enhancements with each new Epic release and make recommendations for the best course of action. Education & Requirements: • Education and Certification:, • Bachelor’s Degree, preferably in Computer Science, Information Technology, Computer Engineering, or a related field., • Certified in Epic Professional Billing., • Technical Skills:, • Expertise in Epic's Professional Billing module, including charge router, workqueue configuration, collection agency workflows, statement processing, benefit engine, and estimates., • Experience with system configuration and troubleshooting tools., • Proficiency with Microsoft Office Suite (Word, Project, Excel, Visio, and PowerPoint)., • Healthcare Industry Knowledge:, • Strong understanding of healthcare revenue cycle processes, medical billing codes, and insurance procedures., • Familiarity with the differences between professional billing and hospital billing., • Knowledge of medical coding systems like CPT and ICD-10.

Job DescriptionAbout The Role The Quality Department supervisor is responsible for coaching, mentoring, and training the Quality Department Auditors. The supervisor is accountable for identifying opportunities for enhancements and changes to workflows to increase effectiveness and productivity of the team. Provides on-going feedback to the team and identifies areas for improvement and growth. Must be able to make independent decisions, prioritize workload effectively and collaborate with other internal departments to assist in meeting our corporate goals. Primary Responsibilities • Coordinate monthly audit schedule with customer service and claims management teams., • Review and provide feedback on critical errors identified in Claims and Call Center audits., • Address disputes regarding HIPAA, AUTO Fails, deductions, and claims errors., • Assist QA staff with call and claims audit questions., • Train new QA hires and lead call evaluation calibration sessions., • Identify and address issues with agent calls, audio, or video., • Perform Quality Review of calls and claims audits., • Manage employee performance, including coaching and mentoring., • Oversee payroll, timesheets, schedules, and time off requests., • Foster a safe and productive work environment., • Research and respond to escalated issues., • Conduct daily team meetings with QA staff., • Distribute and monitor auditor tasks., • Document performance and disciplinary matters.Essential Qualifications, • Advanced knowledge of Microsoft Word and Excel, • Strong knowledge of contracts, medical terminology, and claims processing and procedures., • Experience in call auditing or managed contact center team., • 5+ years of payer industry experience., • Excellent written and oral communication, interpersonal and negotiation skills with a demonstrated ability to prioritize tasks as required., • Problem solving and critical thinking skills., • Organizational skills, ability to effectively prioritize and multitask., • Ability to establish and maintain positive and effective work relationships with clients, coworkers, members, providers, and customers., • Enthusiastic attitude, cooperative team player, adaptable to new or changing circumstances., • Bachelor’s Degree preferred or comparable experience in the healthcare field. Company Mission Transform the health plan experience – how health care is accessed and delivered – by bringing outstanding products and services to our partners. Company Vision Redefine health care quality and value by aligning the incentives of our partners in powerful and unique ways. Annual Salary Range: $70,000-$73,000 The salary range and/or hourly rate listed is a good faith determination that may be offered to a successful applicant for this position at the time of the posting of an advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable by law including but not limited to location, years of relevant experience, education, credentials, skills, budget and internal equity. JOB ALERT FRAUD: We have become aware of scams from individuals, organizations, and internet sites claiming to represent Brighton Health Plan Solutions in recruitment activities in return for disclosing financial information. Our hiring process does not include text-based conversations or interviews and never requires payment or fees from job applicants. All of our career opportunities are regularly published and updated brighonthps.com Careers section. If you have already provided your personal information, please report it to your local authorities. Any fraudulent activity should be reported to: Powered by JazzHR shOCN5lEWk

Job Description Preschool Service Coordinator Details about this opportunity: The Services Coordinator is responsible for entering and maintaining accurate student data into company systems. Location: Garden City, NY Status: Full-Time, hourly Hours: 10a-6p (3 days/week), 8a-4p (2 days/week) Compensation: $22-$24/hour Please note this is a range. Rates are determined by the service provided, professional experience and license/certifications held. In addition the position posted may be either full-time or fee-for-service (FFS), depending on the current caseload which will be discussed during the interview. This arrangement can vary and is subject to change. What we have to offer YOU: FULL TIME BENEFITS: • Generous Paid Time Off (between 25-28 days!), • 12 Holidays including Winter break 12/25-1/1, • Medical, Dental, and Vision Insurance, • 401(k), • Flexible Spending and Health Savings Accounts, • Life Insurance, • Employee Assistance Program, • Referral Program, • Professional Development Assistance, • Pet Insurance, • Long-Term & Short-Term Disability Insurance, • Team Building Events, • Incentive Program PART TIME BENEFITS: We are excited to offer a range of valuable benefits for our employees who work 25 or more hours per week (Medical, Dental, Vision, FSA, and Pet Insurance) • Employee Assistance Program, • Referral Program, • Professional Development Assistance, • Full-Time Opportunities Available, • Team Building events Responsibilities: • Process all incoming referrals for Early Intervention (EI) and Preschool Special Education (CPSE)., • Enter and maintain child demographic information in the system., • Assist with processing cases and scheduling services for EI and CPSE children., • File and save documentation in the appropriate records as needed., • Complete data cleanup and maintenance projects in CLAIMS., • Ensure all required Parent Packet paperwork is received and properly distributed., • Communicate with parents to discuss their child's needs and schedule appointments., • Review information from Early Intervention Coordinators and School District Coordinators regarding each child's needs., • Coordinate with home and community therapists to schedule service appointments. About You: If you have these attributes: • Excellent written communication skills, • Excellent time management/organizational skills, • Strong work ethic, • Ability to function well in a high-paced and at times stressful environment And this background: • High School Diploma with some college preferred, • 3-5 years office experience, • CLAIMS experience, • Comfortable with Microsoft Outlook/Word/Excel. Then we are looking forward to receiving your resume! ** Disclaimer: Please note the most current compensation information for all open positions at Family of Kidz can be found on our careers page at FamilyofKidz.com, which supersedes all other sources and job sites. Why Join our Family? Since 1998, Family of Kidz has brought together highly qualified teams of professionals who work diligently to help children with special needs, from birth to adulthood. Our focus is on establishing a strong understanding of each child's needs and teaching them skills that lead to greater independence and an enhanced quality of life. Family of Kidz provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

Accountable for security of financial processing of claims, as well as security information contained in claims files. Our Casualty Attorney Represented team is currently hiring for Senior Claims Specialists to manage attorney represented and litigated auto and homeowner's bodily injury claims. This

Job Description Are you an experienced leader with a knack for organization and HR? If so, join our team at Perfect Smile Dental Arts in Lynbrook, NY! We are searching for a talented full-time Operations and Office Manager who will be the backbone of our operations, keeping everything running smoothly, while ensuring patients receive the exceptional care they deserve. If this sounds like the challenge you've been waiting for, keep reading! BECOMING OUR OPERATIONS AND OFFICE MANAGER We offer competitive compensation starting at $30 per hour, with opportunities to earn additional commissions. You'll also enjoy paid time off, discounted treatments, and access to continuing education programs, and more! A Closer Look At This Role: Your schedule will be Monday through Friday, 9 AM to 5 PM, with just one Saturday shift per month, giving you the freedom to enjoy most weekends off. Each day, you: • Coordinate workflows and manage staff schedules so the team works efficiently and patients receive exceptional care., • Oversee administrative responsibilities, from keeping office supplies organized to ensuring appointment scheduling runs seamlessly., • Manage financial duties, including processing billing, handling insurance claims, and overseeing accounts payable., • Track budgets, monitor cash flow, and review financial reports to keep everything on target., • Identify opportunities for improvement, share constructive feedback, and work to strengthen team performance. GET TO KNOW US We are dedicated to providing outstanding dental care in a warm and inviting environment. Our mission is to serve the community with a full range of preventive and family-focused dental services. We prioritize teamwork, innovation, and a strong commitment to ensuring patient satisfaction. REQUIREMENTS FOR AN OPERATIONS AND OFFICE MANAGER Here's what we're looking for: • Education: High school diploma or equivalency, with some college coursework preferred., • Experience: Experience in HR or a similar business role, • Tech Knowledge: Comfortable using Microsoft Excel or Google Sheets., • Mindset: A proactive problem-solver who takes initiative., • Skills: Strong leadership, organizational abilities, and attention to detail., • Bonus: Previous managerial experience is preferred! TAKE THE NEXT STEP! Think you're the perfect fit? Applying for the Operations and Office Manager position is quick with our mobile-friendly application. It takes only a few minutes-no lengthy steps, no hassle. Start today and take the first step toward a rewarding career with Perfect Smile Dental Arts! Job Posted by ApplicantPro

Job Description Dragonfly Health - A great place to land Dragonfly Health is the leading care-at-home data, technology and service platform, and the industry’s first scale durable medical equipment (DME) and pharmacy solution. Built on a 20-year history, Dragonfly Health uses advanced technology and robust analytics to manage DME and pharmaceutical services as part of a single, efficient solution for caregivers, patients, and their families. We serve over 145,000 patients every day in all 50 states. Here, you are an integral part of a team that is transforming the future of hospice and post-acute healthcare. This is where innovation, collaboration and compassion thrive, allowing us to carry out our work at the highest level to serve our patients at a time in their life when they need us most. We offer a dynamic and inclusive workplace where you'll have the unique opportunity to shape the future of healthcare alongside a passionate and talented team. We believe in empowering our employees to grow both personally and professionally, providing ample opportunities for career advancement, continuous learning, and skill development. Dragonfly Health is our name for a reason. The dragonfly is symbolic of the transformational impact we’re making on the industry, our people, and the lives we touch. We are a guiding force for what’s ahead, delivering more than equipment and medications, but also comfort and peace of mind. We are agile and adaptable, able to quickly and easily pivot from one point to the next, ready for whatever situation or patient need that arises. Whatever it takes. Wherever it takes us. What we offer • Competitive Pay, • Comprehensive Benefits Package (Health, Dental, Vision, PTO, Sick Time, 401k w/match, etc.), • Growth Opportunity and Career Advancement, • Agile and Adaptable team culture, • Innovative and revolutionary technology solutions, • Responds promptly and professionally to customer inquiries, working to resolve issues efficiently while supporting broader customer service goals, • Collaborates with team members on a variety of projects and assignments, contributing ideas, sharing workload, and supporting team-based problem solving., • Upholds organizational policies and regulatory requirements, consistently demonstrating ethical conduct and adherence to compliance standards., • Accurately manages patient records by entering new admissions, updating demographic or status changes, processing refills, transferring patients, and completing required documentation., • Produces high quality work by maintaining accuracy, attention to detail, and thoroughness across all assigned tasks., • Delivers exceptional service to hospice partners, ensuring their needs are met with professionalism, empathy, and clear communication., • Completes all required Skill-Based Learnings to stay current on processes, systems, and professional development expectations., • Manages a high volume of inbound calls efficiently, providing timely assistance and maintaining a calm, customer focused approach., • Assists callers with service-related concerns such as package tracking and service failure reporting, including completion of CS report forms., • Supports local pharmacies by assisting with claims adjudication and contributing to fulfillment operations at designated sites when needed., • Other duties as assigned., • May assist with projects related to pharmacy and clinical practice & professional development.What we look for, • High school diploma or equivalent, • Must be enrolled in a school of pharmacy, • Must be registered per the board of pharmacy for state residing in., • Pharmacy experience required, • Demonstrated passion for improving patient experiences and healthcare outcomes, • Demonstrates strong attention to detail and maintains a high level of accuracy across all tasks, • Consistently adheres to all applicable privacy, security, and safety policies, ensuring compliance in daily workflow, • Exhibits strong interpersonal skills and communicates effectively in verbal and written formats., • Shows drive, dedication, and a proactive approach to completing responsibilities., • Works collaboratively as a contributing and supportive team member., • Demonstrates self‑motivation., • Maintains strong organizational skills and effectively manages multiple priorities in a dynamic environment., • Applies strong problem‑solving abilities and reliably follows through on assigned tasks until completion., • Upholds exceptional personal and professional ethics aligned with company standards., • Learns new systems quickly and adapts well to ongoing changes in the practice environment, • Possesses solid Windows-based computer skills and working knowledge of Microsoft applications. Let's soar together

Job DescriptionNassau County law firm has an opportunity for a Human Resources Generalist responsible for all the daily human resources functions for the firm, including Payroll recruitment, compliance, employee relations, and benefits administration. Call Center experience supporting a commissioned sales force helpful.Responsibilities • Manage and process ADP Workforce Now HR and payroll for salaried and hourly employees, • Conduct recruitment and onboarding, • Ensure the organization's compliance with local, state and federal regulations, • Maintain and revise the company’s handbook on policies and procedures, • Communicate policies and procedures to the staff, • Respond to internal and external employee relations issues, • Manage and track all PTO leave for employees, • Implement and manage the annual company benefit review process, • Facilitate annual benefits open enrollment, • Enroll new hires & new participants in all benefit plans. Terminate employee benefit participation as necessary, • Perform 401(k) Plan administration including quarterly enrollment, bi-weekly contribution and loan repayment processing, approving loans and withdrawals and year-end plan compliance, • Review all monthly HR, Payroll and Health Insurance related invoices, • Manage and process FMLA, Paid Family Leave, Short Term Disability, and Workers Compensation., • Manage and process all unemployment claims, wage garnishments, mandated health insurance requests, employment and wage verifications, and employment record requests.Qualifications:, • Strong customer service mentality, • Two to three years of HR Generalist experience, • Two to three years ADP Workforce Now Payroll processing experience, • Two to three years of Recruiting experience, • Knowledge of a broad range of human resource strategies and practices, including compensation, performance management, safety, hiring and employee relations; able to apply these strategies and practices in compliance with employment regulations, • Must have Strong knowledge of Federal and NY employment laws and regulations, • Working knowledge, understanding, and practical application of employment laws and HR practices, • Ability to manage multiple projects simultaneously, • High degree of confidentiality, integrity and sound judgment., • Bachelors Degree

Job Description Job Description: Who We Are: At Community Mainstreaming, our mission is to support individuals with developmental disabilities in living fulfilling, independent lives. Through our comprehensive services, we promote inclusion and empower those we serve to thrive within their communities. We are driven by compassion, innovation, and a strong commitment to making a difference. Learn more about our impactful work at communitymainstreaming.org Overview: The Benefits Specialist is responsible for administering and managing all employee benefits programs and leave of absence processes. This includes health, dental, vision, life and disability insurance, retirement plans, and wellness initiatives, as well as federal, state, and employer-sponsored leaves such as FMLA, Paid Family Leave (PFL), Workers' Compensation, and Disability. This role ensures compliance with applicable laws and policies and provides excellent service to employees throughout their benefits and leave experiences. Why You’ll Love Working with Us: A supportive, inclusive team culture where your contributions make a real difference. The chance to work for an organization that transforms lives and empowers individuals with developmental disabilities. Opportunities for career advancement and professional development. Minimum Qualifications: • Associate or bachelor’s degree in human resources, business administration, or related field is preferred, • 2+ years of experience in benefits and/or leave of absence administration., • Familiarity with FMLA, PFL, ADA, Workers’ Compensation, and disability programs., • Knowledge of relevant employment laws and benefits regulations., • Experience with HRIS and benefits systems (ADP)., • Strong communication, problem-solving, and customer service skills., • Ability to maintain confidentiality and manage sensitive information., • Medical Benefits: Generous employer contribution; eligibility begins the first day of the month following 60 days of employment., • Dental Benefits: Employer-paid., • Vision Plan, • Accident Insurance, • Critical Illness Insurance, • Pet Insurance, • Identity Theft & Fraud Protection, • Legal Services, • 403(B) Retirement Plan: Organization match of up to 5%., • Life Insurance: Employer sponsored, • Tuition Assistance, • Section 125 Flexible Spending Program, • Up to 80 hours of vacation during the first calendar year of employment. Employees accrue an additional 8 vacation hours each subsequent calendar year, up to a maximum of 120 hours., • Up to 40 hours of personal time per calendar year. Pay: $55,000 - $60,000/year What You Will Do: Benefits Administration • Serve as the primary point of contact for employee questions regarding eligibility, coverage and provision for our health, dental, vision, life, disability insurance, and retirement benefits., • Coordinate benefits enrollment for new hires and process changes due to qualifying life events., • Facilitate annual open enrollment, including preparation of materials, vendor coordination, and employee education., • Maintain accurate benefit records in HRIS and benefit systems; ensure timely updates., • Responsible for all billing and reconciliation of benefit invoices and resolve billing discrepancies with carriers and finance., • Ensure compliance with ERISA, COBRA, HIPAA, ACA, and other benefits-related regulations., • Distribute mandatory notices and benefit plan documents., • Manage all aspects of employee leaves of absence, including FMLA, Paid Family Leave (PFL), Workers' Compensation, Short-Term Disability (STD), and Long-Term Disability (LTD)., • Communicate leave eligibility, required documentation, and timelines to employees., • Coordinate with third-party administrators, insurance carriers, and internal departments (e.g., payroll) to ensure timely processing of leave claims and pay., • Track leave usage and maintain accurate records of employee status and return-to-work dates., • Ensure compliance with federal, state, and local leave laws and organizational policies. Work Hours/Schedule: Full-time, Monday – Friday, 9 AM – 5 PM _ Community Mainstreaming Associates is an equal opportunity employer._ Monday - Friday, 9:00 am to 5:00 pm Job Type: Full-time Work Location: In person #FMLA #WorkersComp #WorkersCompensation #Disability #DisabilityBenefits #LeaveOfAbsence #MedicalLeave #FamilyLeave #SickLeave #ShortTermDisability #LongTermDisability

Job Description Job Title: Dental Treatment Coordinator Location: Garden City, New York Job Type: Full-Time/Part-Time Reports to: Office Manager Job Overview: We are seeking a friendly, highly organized, and detail-oriented Dental Treatment Coordinator to join our growing dental practice. The ideal candidate will play a crucial role in managing patient care by guiding patients through their treatment plans, ensuring smooth scheduling, and providing excellent customer service. This role requires a passion for dentistry and the ability to build lasting relationships with patients and the dental team. Key Responsibilities: * Patient Consultation and Communication: * Review patient treatment plans with the dentist and explain the recommended procedures and options to patients. * Answer patient inquiries about treatment costs, insurance coverage, and financing options. * Provide clear, accurate information regarding the benefits, risks, and expected outcomes of treatments. * Treatment Scheduling and Coordination: * Schedule and coordinate appointments for patients based on treatment plans. * Ensure patients are aware of their appointment schedules and follow-up treatments. * Coordinate with dental assistants, hygienists, and other team members to ensure timely and efficient care delivery. * Insurance and Financial Management: * Verify patient insurance eligibility and benefits. * Assist patients with insurance claims, billing inquiries, and payment processing. * Provide estimates for treatment costs and work with patients to arrange financing options if needed. * Work closely with the billing department to resolve any discrepancies or outstanding balances. * Patient Records and Documentation: * Maintain accurate patient treatment records in compliance with HIPAA and practice policies. * Ensure that all patient information is up-to-date and properly documented in the practice management software. * Customer Service: * Ensure a positive, welcoming, and professional experience for every patient. * Address and resolve any patient concerns or complaints in a timely and courteous manner. * Support patients throughout their treatment journey, fostering trust and rapport. * Team Collaboration: * Work closely with the dental team to ensure seamless patient care and communication. * Attend and participate in team meetings, training sessions, and practice events. * Promote a positive and cooperative work environment. Qualifications: * Education & Experience: * High school diploma or equivalent required; associate’s degree or higher in a related field is a plus. * Previous experience as a dental treatment coordinator, receptionist, or in a similar role is highly preferred. * Knowledge of dental terminology, procedures, and insurance processes is strongly preferred. * Skills: * Strong verbal and written communication skills. * Excellent organizational skills with the ability to multitask in a fast-paced environment. * Proficient with dental practice management software (e.g., Dentrix, Eaglesoft, Open Dental) and Microsoft Office Suite. * Ability to work independently and as part of a team. * Exceptional customer service and interpersonal skills. Working Conditions: * Full-time/Part-time position. * May require occasional evening or weekend hours, depending on the practice's schedule. * Ability to handle high patient volumes with efficiency and care. Why Join Us? * Competitive salary and benefits package. * Opportunities for professional development and growth. * Friendly and supportive team environment. * A chance to make a meaningful impact on patients’ oral health and well-being. If you are a compassionate, organized individual who thrives in a fast-paced dental environment, we’d love to meet you! Apply today to be a part of our dedicated team and contribute to providing outstanding care to our patients.

We're currently looking for individuals across the country to take part in remote paid research, including remote focus groups, product trials, and consumer studies.Earn up to $750 a week in your free time by providing feedback on everyday products and services.If you're comfortable sharing your opi

We're currently looking for individuals across the country to take part in remote paid market research, including online focus groups, product trials, and consumer studies.Earn up to $750 a week in your free time by providing feedback on everyday products and services.If you're comfortable sharing y

Answer insurance and collection calls from patients, call insurance companies to verify coverage or receipt of claims, call insurance companies to pre-certify procedures.

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UnitedHealth Group - - Responsibilities: Load or update insurance information as needed; Verify eligibility and authorization and flag appointment accordingly; Schedule appointments; Manage claims denial; Educate customers regarding the availability of receiving invoices and remitting payments thro