Trabajos claims processing en Hicksville, New YorkCrear alertas

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.

Job Summary The Clinical Review Coordinator will support the successful execution of clinical review and appeals projects by coordinating workflows, monitoring case activity, and collaborating with internal and external stakeholders. This individual will play a key role in managing provider and client communications, tracking deadlines and deliverables, and supporting interdisciplinary project operations in a fast-paced healthcare environment. Key Responsibilities • Serve as the primary point of contact for appeals and dispute adjudication programs, • Coordinate communication and documentation requests between healthcare plans, providers, patients, clients, and internal teams, • Monitor case statuses, updates, and correspondence through client portals and tracking systems, • Perform initial eligibility and case reviews, escalating recommendations to leadership as appropriate, • Assign and track cases using internal databases and project management software, • Distribute clinical documentation to coders, billers, nurses, physicians, and other stakeholders to support case reviews, • Monitor project timelines, quality standards, and contractual deadlines to ensure compliance and timely completion, • Identify workflow inefficiencies and recommend process improvements to enhance operations, • Present project and case updates during team huddles, scrums, and status meetings, • Schedule meetings, document action items, and track follow-up tasks and deliverables, • Prepare and submit billing invoices, while coordinating with finance and accounting teams regarding payment tracking, • Support onboarding, mentoring, and training of new team members on workflows and case management processes, • Associate’s or Bachelor’s degree in Healthcare Administration, Business, Management, Digital Studies, or a related field, • Minimum 2 years of healthcare administration, claims processing, project coordination, or related experience preferred, • Strong organizational and multitasking abilities with attention to detail, • Experience working with collaborative project management tools and electronic documentation systems, • Excellent written and verbal communication skills, including professional phone etiquette, • Ability to work independently and collaboratively in a deadline-driven environment, • Bachelor’s degree or advanced degree preferred, • Monday–Friday, • 8:00am–5:30pm

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

Job Summary The Clinical Review Coordinator will support the successful execution of clinical review and appeals projects by coordinating workflows, monitoring case activity, and collaborating with internal and external stakeholders. This individual will play a key role in managing provider and client communications, tracking deadlines and deliverables, and supporting interdisciplinary project operations in a fast-paced healthcare environment. Key Responsibilities • Serve as the primary point of contact for appeals and dispute adjudication programs, • Coordinate communication and documentation requests between healthcare plans, providers, patients, clients, and internal teams, • Monitor case statuses, updates, and correspondence through client portals and tracking systems, • Perform initial eligibility and case reviews, escalating recommendations to leadership as appropriate, • Assign and track cases using internal databases and project management software, • Distribute clinical documentation to coders, billers, nurses, physicians, and other stakeholders to support case reviews, • Monitor project timelines, quality standards, and contractual deadlines to ensure compliance and timely completion, • Identify workflow inefficiencies and recommend process improvements to enhance operations, • Present project and case updates during team huddles, scrums, and status meetings, • Schedule meetings, document action items, and track follow-up tasks and deliverables, • Prepare and submit billing invoices, while coordinating with finance and accounting teams regarding payment tracking, • Support onboarding, mentoring, and training of new team members on workflows and case management processes, • Associate's or Bachelor's degree in Healthcare Administration, Business, Management, Digital Studies, or a related field, • Minimum 2 years of healthcare administration, claims processing, project coordination, or related experience preferred, • Strong organizational and multitasking abilities with attention to detail, • Experience working with collaborative project management tools and electronic documentation systems, • Excellent written and verbal communication skills, including professional phone etiquette, • Ability to work independently and collaboratively in a deadline-driven environment, • Bachelor's degree or advanced degree preferred, • Monday–Friday, • 8:00am–5:30pm

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

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

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 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

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 DescriptionKey Responsibilities • Apply medical policy, contractual provisions, and operational procedures to ensure accurate Medical claims., • Resolve claim holds, review history records, and determine benefit eligibility for services rendered., • Research and document all pertinent information on claims requiring adjudication., • Respond to inquiries related to specific claim issues via email, chat, or verbal communication., • Perform non-standard claim data entry, including detailed claim notation and documentation., • Complete assigned projects and tasks within established deadlines., • Assist Customer Service, Casualty, Medical Management, and Management teams by providing support in resolving claims and responding to questions and concerns., • Meet or exceed production and quality standards established for the role., • Escalate issues to the Manager or Supervisor when appropriate., • High School Diploma or GED required., • 1 to 3 years of medical or hospital claims processing experience., • Strong understanding of medical terminology, CPT/HCPCS and ICD coding, and benefits administration., • Ability to interpret medical policies, provider contracts, and plan documents., • Excellent analytical and problem-solving skills, with the ability to identify discrepancies and resolve complex claim issues., • Proficiency with claims processing systems, data entry platforms, and standard office software (e.g., Microsoft Office)., • Strong written and verbal communication skills for interacting with internal teams and responding to inquiries. enoRSsXubg

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 This is an on-site position located in Roslyn, NY General Summary: A Claims Analyst Trainee will join an entry‑level program that provides structured training and hands‑on experience to prepare participants to review, investigate, and process insurance claims. Trainees learn claims procedures, systems, and regulations while developing analytical and decision‑making skills under supervision Important Note: The Claims Analyst Trainee role is a temporary-to-hire employment opportunity. During the three-month trial period, skills, performance, and compatibility with the organization will be evaluated. If both parties find the role suitable after this period, an offer may be extended for regular full-time employment. Essential Duties & Responsibilities: • Accept incoming calls and assist Insured (s) who are calling about a claim, incident or summons., • Obtain all pertinent information from Insured (s) regarding the service of legal papers and medical data involved, • Establish/maintain a claim file when appropriate for reported claims to include but not limited to; verify coverage before opening new file, obtain legal papers and/or medical records appropriate to claim, assign defense counsel,, • When appropriate send necessary documentation, prepare reinsurance report when appropriate and complete all necessary forms and documents neatly, legibly and thoroughly, • Maintain a diary for assigned files for follow up, • Complete all processes/procedures as outlined by the Claims Department in support of claims handling, • Report accurately and appropriately in compliance with all State and Federal requirements (medical coding and statuary requirements), • Review and analyze all monthly legal bills from assigned law firms, both hard copy and electronic, for compliance with Claims Department policy for the legal handling of claim files and legal billing guidelines, • Ensure that all hard copies from law firms are received and obtain any missing information from law firms, if necessary, • Maintain department standard turnaround time for processing invoices, • Prepare electronic check requisition for accounting, • Collaborate with Claims Analyst / Management on the review of legal and vendor invoices received from defense counsel, • Conduct billing audit within specified time frames to maintain timely payment of vendor fees, • Participate in claims conferences, mentoring meetings and trial observations, • Assigned projects (either individual or on a team) and complete projects by deadlines provided, • Ability to maintain high degree of confidentiality especially regarding information in files, • Adhere to timeline of training development program as outlined and approved by Claims Department, • All other duties deemed appropriate by management Education & Qualifications: • College graduate or progression toward a degree with related work experience in the following areas: Medical, Legal or Insurance field., • Demonstrate proficient knowledge of Microsoft Office Suite (Outlook, Word, Excel, PowerPoint), • Demonstrate ability to quickly learn and adapt to new software programs, • Excellent verbal skills with the ability to convey information clearly and professionally in a business setting, • Ability to maintain a cooperative, courteous, and professional relationship while interacting with other departments, employees, management and insureds; ability to communicate effectively with diplomacy and professionalism, • Strong business writing skills required, communicate clearly and professionally while ensuring communication aligns with company standards and branding, • Display strong problem-solving abilities, with the capacity to perform effectively under pressure and adapt to shifting priorities in a dynamic office environment, • Ability to work onsite in the Roslyn, NY office from 9:00am to 5:00pm, Monday – Friday, • Meticulous with strong time management, multitasking, and organizational skills, • Ability to function in a professional office environment and utilize standard office equipment, • Ability to multi-task and prioritize tasks and deadlines, • Ability to work independently or in a team atmosphere The actual compensation for this position will be determined by experience and other factors permitted by law.

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 Pay: $60k annually Job description: Job description: About Us LTE Care Plus Inc. is a nonprofit organization providing Applied Behavior Analysis (ABA) and Early Intervention (EI) services to children and families in New York. We are seeking a detail-oriented and reliable Bookkeeper to join our Finance & Accounting team. This role will ensure accurate financial recordkeeping, payroll processing, and compliance with state and federal requirements. Responsibilities Bookkeeping & Accounting • Accurately enter and categorize all financial transactions in QuickBooks Online, • Maintain a complete and organized set of records for audits and internal reviews, • Reconcile all bank and credit card accounts on a monthly basis, • Prepare adjusting journal entries as needed, • Process bi-weekly payroll using ADP Workforce Now, • Collect and verify staff timesheets, ensuring accurate hours and compensation, • Input and double-check payroll data, including LBA hours, training pay, PTO, and bonuses, • Run preview reports and confirm accuracy before submission, • Download payroll reports, tax liability reports, and maintain payroll folders, • Serve as liaison with external accountants; provide requested documentation, • Review internal books quarterly with accountants, • Respond to financial claims, notices, and maintain compliance with all agency policies, • 3+ Proven experience as a Bookkeeper, Payroll Specialist, or Accounting Clerk (nonprofit or healthcare experience preferred), • Proficiency in QuickBooks Online and ADP (Workforce Now or RUN), • Strong knowledge of payroll compliance, reconciliations, and financial reporting, • Excellent attention to detail, organizational skills, and ability to meet deadlines, • Strong communication skills and ability to collaborate with multiple departments, • QuickBooks Online (accounting), • ADP Workforce Now (payroll), • Google Drive / Cloud storage (file management), • Competitive hourly rate or salary based on experience, • Bi-weekly pay schedule, • PTO and paid holidays, • 401(k), • Health insurance, • Paid time off Work Location: In person

Job Description Job Description: NICRIS Capital Co. is seeking a Licensed Customer Service Representative(CSR) to work in their Plainview office supporting an Insurance Agency affiliate. The CSR is an integral part of the daily agency operation and will be working with the Supervising Agent and Producers. In addition to core administrative functions the CSR will be expected to coordinate daily office functions, greet visiting clients and assist with prospect inquiries. Responsibilities: • Participate in the insurance sales process thorough cross selling, endorsement processing and telemarketing., • Address client needs and concerns via phone, email, mail, and social media., • Approach potential clients through traditional outreach efforts such as by organizing mailings or phone solicitation introducing the Agency and the sales team., • Assist policyholders to initiate or settle claims., • Contact customers to obtain and verify appointments., • Greet customers warmly and ascertain problem or reason for calling. · Multi lingual, ability to converse in Spanish ++ · NYS Licensed P&C or Personal Lines · Advanced computer skills for applications that focus around social media and business productivity tools(i.e. MS Excel, Word, Power Point) · Organized and detail oriented · Prior experience with Salesforce or other CRM systems · College Degree or in process of obtaining preferred For more information or to see if this is an opportunity for you please email HR at Nicriscapital dot com with a copy of your resume or visit . Company DescriptionNICRIS Capital Co. Inc, focuses on investing and developing businesses that serve local communities and where it can leverage its expertise in preparing businesses for aggressive growth and realignment. With a concentration on building from the ground up, the firm’s Principal also has over 3 decades in business management and financial services consulting. This unique skillset positions NICRIS Capital across a broad spectrum of opportunities that adapt to a wide array of both public and private companies including local businesses.NICRIS Capital Co. Inc, focuses on investing and developing businesses that serve local communities and where it can leverage its expertise in preparing businesses for aggressive growth and realignment. With a concentration on building from the ground up, the firm’s Principal also has over 3 decades in business management and financial services consulting. This unique skillset positions NICRIS Capital across a broad spectrum of opportunities that adapt to a wide array of both public and private companies including local businesses.

Job Description Client Coordinator Location: Syosset, NY Schedule: Monday – Friday, 8:30 AM – 5:00 PM (onsite) Compensation: Up to $21/hour Employment Type: Temp-to-Hire Interview Process: One-step, in-person interview Pre-Employment Requirements: Background check and drug screening Position Overview The Client Coordinator serves as a central point of contact, responsible for managing and responding to inquiries related to independent medical examinations and case coordination. This role requires a high level of professionalism, communication, and attention to detail, as it supports interactions with clients, medical professionals, and internal teams. Operating in a fast-paced, service-driven environment, the Client Coordinator ensures all case-related information is accurately maintained, inquiries are resolved efficiently, and service expectations are consistently met. Key Responsibilities • Serve as the primary point of contact for inbound inquiries from clients, medical providers, and representatives via phone, email, and internal systems, • Coordinate scheduling activities, including appointment bookings, cancellations, and rescheduling of independent medical examinations, • Accurately enter, update, and retrieve case and client information within internal systems and databases, • Verify that all client records, guidelines, and case details are current and properly documented, • Partner with internal teams to ensure timely resolution of inquiries and efficient case processing, • Maintain clear and consistent communication across all stakeholders to support a seamless service experience, • Ensure all activities are conducted in compliance with confidentiality standards and regulatory requirements (including HIPAA), • Perform additional administrative and operational duties as assigned Qualifications • High school diploma or equivalent required, • Minimum of 1 year of experience in a clerical, administrative, or customer service role, • Prior experience in a medical office, insurance environment, or call center strongly preferred, • Strong communication skills with the ability to interact professionally and effectively with a variety of stakeholders, • Highly organized with strong attention to detail and accuracy, • Proficient in Microsoft Office (Word, Outlook, Excel) and general computer systems, • Ability to manage multiple priorities in a fast-paced, deadline-driven environment, • Demonstrated ability to work both independently and collaboratively, • Understanding of HIPAA regulations and commitment to maintaining confidentiality Ideal Backgrounds Candidates with experience in the following environments tend to excel in this role: • Medical reception or healthcare administration, • Insurance (e.g., auto, claims, or call center environments), • Customer service or client support roles, • Administrative or office coordination positions Performance Expectations Success in this role will be measured by: • Timely and accurate handling of client inquiries and case updates, • Consistent attention to detail in data entry and documentation, • Ability to manage workload efficiently and meet service timelines, • Professional communication and customer service delivery, • Adherence to compliance and confidentiality standards Additional Insight (for candidates) This position offers an excellent opportunity for individuals seeking long-term stability and growth within a structured, process-driven environment. It is particularly well-suited for candidates who are polished, detail-oriented, and thrive in roles that combine customer interaction with administrative responsibility. Company DescriptionThe Bachrach Group (TBG) is a New York-based staffing and recruiting agency founded in 1974 by Richard Bachrach. The agency specializes in facilitating placements for professionals across various industries on a nationwide scale. TBG's overarching mission is to deliver tailored staffing solutions to its client base while simultaneously providing job seekers with career prospects. The company relies on its team of recruiters, who leverage their industry knowledge and networks to connect employers with top talent. TBG provides a comprehensive range of staffing services, including direct hire, temporary staffing, Recruitment Process Outsourcing (RPO), and contract staffing. The agency has consistently achieved notable rankings in Crain's lists, ranking as the largest search firm in NYC since 2020.The Bachrach Group (TBG) is a New York-based staffing and recruiting agency founded in 1974 by Richard Bachrach. The agency specializes in facilitating placements for professionals across various industries on a nationwide scale. TBG's overarching mission is to deliver tailored staffing solutions to its client base while simultaneously providing job seekers with career prospects. The company relies on its team of recruiters, who leverage their industry knowledge and networks to connect employers with top talent. TBG provides a comprehensive range of staffing services, including direct hire, temporary staffing, Recruitment Process Outsourcing (RPO), and contract staffing. The agency has consistently achieved notable rankings in Crain's lists, ranking as the largest search firm in NYC since 2020.

Job DescriptionSalary: $60,000 Job description About Us LTE Care Plus Inc. is a nonprofit organization providing Applied Behavior Analysis (ABA) and Early Intervention (EI) services to children and families in New York. We are seeking a detail-oriented and reliable Bookkeeper to join our Finance & Accounting team. This role will ensure accurate financial recordkeeping, payroll processing, and compliance with state and federal requirements. Responsibilities Bookkeeping & Accounting • Accurately enter and categorize all financial transactions in QuickBooks Online, • Maintain a complete and organized set of records for audits and internal reviews, • Reconcile all bank and credit card accounts on a monthly basis, • Prepare adjusting journal entries as needed, • Generate financial reports (Statement of Activity, Statement of Financial Position, Cash Flow) Payroll (ADP) • Process bi-weekly payroll using ADP Workforce Now, • Collect and verify staff timesheets, ensuring accurate hours and compensation, • Input and double-check payroll data, including LBA hours, training pay, PTO, and bonuses, • Run preview reports and confirm accuracy before submission, • Download payroll reports, tax liability reports, and maintain payroll folders, • Ensure compliance with federal and state payroll regulations Finance & Compliance • Serve as liaison with external accountants; provide requested documentation, • Review internal books quarterly with accountants, • Respond to financial claims, notices, and maintain compliance with all agency policies, • Assist in preparing and submitting finance-related documents and forms as needed Requirements • 3+ Proven experience as a Bookkeeper, Payroll Specialist, or Accounting Clerk (nonprofit or healthcare experience preferred), • Proficiency in QuickBooks Online and ADP (Workforce Now or RUN), • Strong knowledge of payroll compliance, reconciliations, and financial reporting, • Excellent attention to detail, organizational skills, and ability to meet deadlines, • Strong communication skills and ability to collaborate with multiple departments, • Associates or Bachelors degree in Accounting, Finance, or related field preferred Tools & Systems • QuickBooks Online (accounting), • ADP Workforce Now (payroll), • Google Drive / Cloud storage (file management), • Gmail (communication) Compensation & Benefits • Competitive hourly rate or salary based on experience, • Bi-weekly pay schedule, • PTO and paid holidays, • Opportunity to grow with a mission-driven nonprofit organization Benefits: 401(k) Health insurance Paid time off Work Location: In person

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.

Job Description The Yankowitz Law Firm, P.C., an established and expanding Plaintiff’s Personal Injury Firm is seeking a motivated, ambitious, organized and detail oriented Pre-Litigation Legal Assistant/Paralegal for our Long Island office located in Great Neck, NY (on the border of Queens/Nassau County) to support our attorneys and paralegals with day-to-day administrative and legal tasks. This role is critical to keeping cases on track, clients informed, and the office running efficiently. Job Summary This is an exceptional opportunity for candidate experienced in but not limited to: • Opening and Processing new cases and inputting data/information into the Firm's case management program (Smart Advocate);, • Gathering and analyzing intake information and relevant documents;, • Conducting initial investigation to determine potentially liable parties (ownership, lessor, lessee, etc.);, • Setting up claims with Insurance Carriers for motor vehicle cases;, • Filing no fault applications;, • Provide administrative support to attorneys;, • Having direct contact with clients and insurance carriers and medical providers via phone and email. * Please e-mail your resume with realistic salary expectations. Salary is commensurate with experience. Bonuses and salary raises for dedicated and quality work

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

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

Seeking participants for Focus Group and market research studies.Work part-time from home and earn up to $750 per week.Register to see if you are eligible.Data Entry experience not required.Remote Work From Home Data Entry Clerk - Part Time Market Research Panelists Our company is seeking individual

Seeking participants for Focus Group and market research studies.Work part-time from home and earn up to $750 per week.Register to see if you are eligible.Data Entry experience not required.Remote Work From Home Data Entry Clerk - Part Time Market Research Panelists Our company is seeking individual

Seeking participants for Focus Group and market research studies.Work part-time from home and earn up to $750 per week.Register to see if you are eligible.Administrative Assistant admin experience not required.Remote Work From Home Administrative Assistant Admin - Part Time Market Research Panelists

Seeking participants for Focus Group and market research studies.Work part-time from home and earn up to $750 per week.Register to see if you are eligible.Data Entry experience not required.Remote Work From Home Data Entry Clerk - Part Time Market Research Panelists Our company is seeking individual

Seeking participants for Focus Group and market research studies.Work part-time from home and earn up to $750 per week.Register to see if you are eligible.Data Entry experience not required.Remote Work From Home Data Entry Clerk - Part Time Market Research Panelists Our company is seeking individual

Seeking participants for Focus Group and market research studies.Work part-time from home and earn up to $750 per week.Register to see if you are eligible.Data Entry experience not required.Remote Work From Home Data Entry Clerk - Part Time Market Research Panelists Our company is seeking individual

Seeking participants for Focus Group and market research studies.Work part-time from home and earn up to $750 per week.Register to see if you are eligible.Data Entry experience not required.Remote Work From Home Data Entry Clerk - Part Time Market Research Panelists Our company is seeking individual

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

Seeking participants for Focus Group and market research studies.Work part-time from home and earn up to $750 per week.Register to see if you are eligible.Administrative Assistant admin experience not required.Remote Work From Home Administrative Assistant Admin - Part Time Market Research Panelists

We are looking for a dental receptionist to join our team.The ideal candidate will have excellent communication skills and be able to handle a variety of tasks including scheduling appointments, answering phones, and managing patient records.The receptionist will work closely with the dental staff t