198 Best claims processing Jobs in New York, NY (April 2025)

Are you a people-oriented, organized individual with a knack for details? Join our team as a Dental Receptionist and Biller! We are looking for someone who is friendly, professional, and dedicated to providing exceptional service to our patients while managing billing tasks with accuracy and efficiency. Responsibilities: Greet and Check-in Patients: Provide a warm welcome to all patients, manage check-ins, and answer questions about appointments and treatments. Appointment Scheduling: Coordinate patient appointments to ensure efficient clinic flow and patient satisfaction. Insurance Verification & Billing: Verify patient insurance coverage, submit claims, and manage billing processes, including follow-ups on unpaid claims. Maintain Patient Records: Accurately input and update patient information and records in our database. Handle Patient Inquiries: Address questions regarding billing, insurance, and treatment plans with professionalism and patience. Collect Payments: Process patient payments and ensure accurate billing records are maintained. Qualifications: Experience in Dental Office Setting: Preferred but not required. Knowledge of Insurance Billing and Coding: Familiarity with dental billing software is a plus. Excellent Communication Skills: Ability to interact professionally with patients, insurance companies, and colleagues. Organized and Detail-Oriented: Ability to manage multiple tasks with accuracy. Customer Service Mindset: Friendly, approachable, and dedicated to patient satisfaction.

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Elm Drugs is an independently owned and operated pharmacy located on the border of the West Village and Chelsea in Manhattan. We have been proudly serving our customers and patients since 2010 and pride ourselves on the level of personalized care we deliver to them on a daily basis. We are seeking a full-time Staff Pharmacist to join our team. **WE OFFER 3 OR 4 DAY WORK WEEKS, HEALTH INSURANCE FOR ELIGIBLE NEW HIRES, GENEROUS EMPLOYEE DISCOUNT, PAID TIME OFF AND A GREAT WORK ENVIRONMENT** JOB DESCRIPTION Staff Pharmacist Full-Time As a Staff Pharmacist, you will perform all duties of a pharmacist under the supervision and guidance of the Supervising Pharmacist. JOB RESPONSIBILITIES/TASKS - Provide an excellent customer experience for our customers and patients - Engage customers and patients by greeting them and offering assistance with products and services. Resolve customer issues in a timely manner and answer questions to ensure a positive customer experience. - Counsel patients and answer their questions regarding usage of medicine, side effects, interactions, contraindications, patient information privacy, generics, less expensive medicines, over-the-counter products, and refer to medical provider as needed to ensure medication is taken correctly, health needs addressed, and satisfaction with service. - Perform pharmacist tasks including drug therapy reviews, verification, and medication management. Review, interpret and accurately dispense prescribed medications when necessitated by workload. - Ensure the pharmacy operates in accordance to regulations, company policies and standards. Responsible for the opening and closing of the pharmacy and shift change duties. - Ensure the accurate processing of insurance claims to resolve customer issues and prevent payment rejections. Follow-up with insurance companies as well as medical providers and participates in 3rd party audit. - Follow-up with medical providers’ offices to clarify prescribed medications, dosages, refills, interactions and allergies to suggest alternative medications, and answer medical provider questions. - Perform retail, clinical, and wellness services such as immunizations, flu shots, diabetes awareness and other preventive healthcare services. - Develop and maintain good relationships with local medical community including physicians, nurses, and other health care providers. Participate in community outreach activities to promote the pharmacy business and further enhance growth opportunities. - Training & Personal Development - Maintain current knowledge and skills related to pharmacy and healthcare by reading pharmacy related journals, and communications. Maintain awareness of developments in retail and pursue best practices that would enhance performance. COMPENSATION The typical pay range for this role is: Minimum: $ 60.00 and up Please keep in mind that this range represents the pay range for all positions in the job grade within which this position falls. The actual salary offer will take into account a wide range of factors. MINIMUM REQUIRED QUALIFICATIONS · Active Pharmacy License in the state of New York · Not on the DEA Excluded Parties List · Immunization Certification through an accredited organization · No pending felony charges or convictions for criminal offenses involving controlled substances EDUCATION Bachelor of Science in Pharmacy or Pharm. D. degree

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QI Venture Partners

Vice President of Finance

1 month ago

$175000–$225000 yearly

Full-time

Manhattan, New York

*This role is for our subsidiary company, Class Action Capital. Class Action Capital is a boutique class action claims management firm in the global litigation finance industry specializing in the identification, research, data analysis and filing of complex class action claims for corporate clients. CAC is seeking a highly motivated and detail-oriented Vice President of Finance to manage our day-to-day financial operations and the receipt and distribution of class action funds to our corporate clients. The ideal candidate possesses a solid foundation in accounting and financial principles and a passion for driving financial efficiency and accuracy. This role will provide accounting and financial leadership, financial asset protection and support strategic and investment operating initiatives. Responsibilities: - Oversee and manage the accounting and financial departments, ensuring accurate and timely financial reporting. - Develop and maintain internal control systems to safeguard company assets and ensure compliance with financial policies and procedures, including our multi-national presence. - Develop and implement efficient processes for receiving and distributing settlement funds to our corporate clients in cooperation with our corporate banking partner. - Oversee entry and maintenance of financial information and verifying reliability and accuracy. - Ensure compliance with all legal, tax and regulatory requirements. - Prepare monthly, quarterly, and annual financial statements and reports. - Manage the budgeting and forecasting process, working closely with department heads to develop accurate financial projections. - Collaborate with external accountants and manage the accounting and tax process. - Provide financial analysis and insights to support decision-making and performance improvement initiatives. - Create and coordinate financial dashboards in cooperation with executive leadership. Requirements: - Bachelors degree in Accounting, Finance, or a related field. - CPA is required. - Minimum of 5 years of experience in accounting or financial management, with at least 2 years in a supervisory role. Professional services market experience preferred. - Strong knowledge of GAAP, financial regulations, and internal control best practices. - Excellent organizational and time management skills, with the ability to prioritize tasks and meet deadlines. - Experience in Netsuite and proficiency in Microsoft Excel. - Excellent communication and interpersonal skills, with the ability to collaborate effectively with cross-functional departments. - Proven ability to work independently with minimal oversight and direction. - Demonstrated problem-solving skills and attention to detail. Benefits - Base Salary: $175,000 - $225,000. We, in good faith, believe this pay range to be accurate at the time of positing but may decide to pay more or less depending on specific applicants qualifications and experience. This pay range is only applicable to New York City. - Performance Based Annual Bonus - Health Care Plan (Medical, Dental & Vision) - 401K - Paid Time Off (Vacation, Sick & Public Holidays) - Hybrid Workforce

Sheepshead Bay, Brooklyn

Prescription Processing: Receive and verify prescriptions from doctors or patients. Accurately interpret prescription orders, including medication dosage, strength, and directions. Prepare and label medications according to prescription orders. Ensure the correct drug, dosage, and instructions are provided. Medication Dispensing: Assist in the preparation of medication by counting, measuring, and mixing medications. Dispense prescribed medications to patients. Ensure the right medication is provided to the right patient. Inventory Management: Monitor and maintain inventory levels of medications and supplies. Order and stock medications as necessary. Check for expired medications and ensure proper disposal when required. Customer Service: Provide excellent customer service by answering patient inquiries and addressing concerns. Explain proper medication usage, dosage, and potential side effects to patients. Assist patients in understanding prescription refills, insurance matters, or general pharmacy policies. Medication Preparation and Compounding: Prepare customized medications (e.g., creams, ointments, solutions) when required. Follow strict guidelines for compounding sterile and non-sterile medications. Record Keeping and Documentation: Maintain accurate and up-to-date patient medication records. Document prescription orders, refills, and patient consultations. Ensure confidentiality of patient information according to HIPAA regulations. Quality Control: Double-check prescriptions for accuracy and completeness. Ensure medications are properly stored, following safety protocols. Participate in routine audits or checks to maintain compliance with legal and regulatory standards. Collaboration with Pharmacists and Healthcare Professionals: Work under the supervision of licensed pharmacists to ensure proper patient care. Communicate with doctors or other healthcare professionals regarding prescription clarifications or medication interactions. Insurance and Billing: Process insurance claims and verify patient insurance information. Assist patients in understanding prescription coverage and any out-of-pocket costs. Maintaining Pharmacy Equipment: Ensure all pharmacy equipment is functioning properly, including pill counters, label printers, and compounding tools. Pharmacy technicians play an essential role in supporting pharmacists and ensuring that patients receive the correct medication and care.

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