Claims jobs in Jersey City, New Jersey - Page 6Create job alerts

Review hospital claims and determine action needed to resolve pended claims.Process and evaluate hospital claims manually or through claims work flow.Validate information entered in hospital claims module (QNXT); determine the process or work flow needed to resolve discrepancies.Finalize hospital cl

At AXIS, we believe that we are only as strong as our people. At AXIS, we recognize that in order to be an industry leader, we need the dedication and accomplishments of our people, which is why we offer comprehensive benefits, competitive compensation, attractive work-life perks and incentivize exc

Research and resolve inventory discrepancies including, but not limited to: researching customer claims, cycle count for missing product, adjust inventory quantities, print labels, handle damaged inventory, disposing of inventory. Update inventory and inventory discrepancies in the Warehouse Managem

As a Claim Account Manager - US Mid-Market for the Americas Claims team, you will be responsible for claim account management functions for customers in our growing US Mid-Market business unit, helping to sell AXA XL Claims value in the marketplace and managing claims-related service issues for our

Providing Covert Surveillance, Claims Investigations, Net-Sweep Investigations, Remote Controlled Surveillance, and more, we're able to save our clients time and money on insurance fraud cases. Conduct investigations of auto, property, liability, and worker's compensation claims. Locate subjects of

Review medical records and documentation to accurately assign codes and ensure compliance with coding guidelines Medical Billing, Medical, Associate, Billing, Healthcare, Claims. Assign appropriate ICD-10, CPT, and HCPCS codes to diagnoses, procedures, and services rendered by healthcare providers.

Bill (over $200,000 in education support for you or dependents) What You Won’t Do: Deal with insurance claims or reimbursement issues Worry about collections, overhead, or administrative burdens Work weekends unless on-call or deployed Eligibility Requirements: MD or DO from an accredited progra

The Claims Investigator should demonstrate proficiency in the following areas:. Seeking experienced investigators with commercial or personal lines experience, with multi-lines preferred to include AOE/COE, Auto, and Homeowners.

The Claims Specialist manages within company best practices lower-level, non-complex and non-problematic no-fault claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel.

Field Investigator - Brooklyn, NY Territory. Minimum of 5 years in law enforcement/military required OR prior experience as an insurance field investigator required. The main purpose of Investigator is to investigate premises liability claims.

Provencher & Company has immediate openings for Multi-Line Claims adjusters that possess the ability to work remotely and have the experience to handle both property and liability claims. The candidate must possess the ability to understand coverage, how to investigate a variety of property and negl

In addition to handling complex claims, the Claims Manager will lead and manage a team of Claims Specialists and work closely with senior management to implement strategies that align with company goals for several dynamic books of business. Minimum of 2+ years of experience in claims management or

The Medical Biller is responsible for accurate and timely billing, claims submission, payment posting, and follow-up for services provided by a Federally Qualified Health Center (FQHC).

The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life on their own terms. At MJHS, we are more than a workplace; we are a supportive community committed to excellence, respect, and providing high-quality, personalized health care services. We foster collaboration, celebrate achievements, and promote fairness for all. Our contributions are recognized with comprehensive compensation and benefits, career development, and the opportunity for a healthy work-life balance, advancement within our organization and the fulfillment of having a lasting impact on the communities we serve. Benefits include: • Tuition Reimbursement for all full and part-time staff, • Generous paid time off, including your birthday!, • Affordable and comprehensive medical, dental and vision coverage for employee and family members, • Two retirement plans! 403(b) AND Employer Paid Pension, • Flexible spending Responds to member and provider inquires and requests concerning benefits, claims and complaints within a call center environment in order to ensure high quality customer service to members and providers. Receives calls from members and providers. Responds to customers complaints and grievances. Records all calls and detail. Receives requests for adjustments on claim issues. Receives requests for disenrollment. • High School Diploma, • Minimum 6 months call center experience, • Microsoft Word, • Excellent skills in telephone communication and a professional demeanor USD $45,000.00/Yr.

Corporate/Administrative Office - Chelsea - New York, NY 10011 Salary Range: $24.50 - $24.50 Hourly Position Type: Full Time Job Shift: Day Education Level: High School Travel Percentage: Negligible Category: Health Care About Us: Callen-Lorde is the global leader in LGBTQ+ healthcare. Since the days of Stonewall, we have been transforming lives in LGBTQ+ communities through excellent comprehensive care, provided free of judgment and regardless of ability to pay. In addition, we are continuously pioneering research, advocacy and education to drive positive change around the world, because we believe healthcare is a human right. Our Mission: Callen-Lorde Community Health Center provides sensitive, quality health care and related services targeted to New York's lesbian, gay, bisexual, and transgender communities in all their diversity regardless of ability to pay. To further this mission, Callen-Lorde promotes health education and wellness, and advocates for LGBTQ+ health issues. About the Role: Callen-Lorde is seeking a highly motivated Billing Associate to join our growing patient accounts team. In this critical role, you will play a vital role in ensuring efficient and accurate billing for our patients, contributing directly to our mission of providing exceptional healthcare. Key Responsibilities: • Act as the lead billing contact, collaborating with medical staff to ensure timely patient account generation and reimbursement., • Maintain accurate and efficient patient flow through our medical, behavioral health, and dental financial systems., • Provide exceptional customer service to patients, answering billing and insurance questions with courtesy., • Handle all aspects of the billing cycle, including:, • Insurance verification and authorization, • Treatment plan setup and monitoring, • Claims entry, processing, re-billing, and corrections, • Payment entry and reconciliation, • Overall account maintenance and troubleshooting Benefits: Salary will be based on experience and will be accompanied by a comprehensive benefits package including an exceptional low cost medical plan option for you, your spouse/domestic partner and/or your family, dental insurance, vision insurance, no cost life insurance, short- and long-term disability insurance, Flexible Spending Account, Tuition Assistance, commuter benefits, a generous paid time off plan, and a 403B retirement savings plan. • Bachelor's degree preferred, high school diploma required, • 1+ year of medical billing experience required, • Strong Internet, PC, and spreadsheet skills, • Knowledge of ICD-10 and CPT4 coding as well as Federal & NY State privacy and billing regulations/laws., • Demonstrated leadership and administrative/organizational skills., • Ability to work with diverse populations., • Excellent interpersonal, written, and oral communication skills., • Commitment to the mission of Callen-Lorde Community Health Center.

The Billing Manager, Care Management Division will oversee all billing, claims submission, and revenue cycle activities related to Essen Health Care's Health Home and Care Management programs. As the largest privately held multispecialty medical group in the Bronx, we provide high-quality, compassio

Ethos Risk Services is a leading insurance claims investigation and medical management company, specializing in surveillance and fraud detection. Ethos Risk Services is an equal opportunity employer that does not discriminate on the basis of religious creed, sex, national origin, race, veteran statu

Conduct medical reviews and analyses claims to calculate injury related Medicaid liens pursuant to SSL-104b on cases involving medical malpractice, mass medical torts, lead paint poisoning, traumatic brain injury, or other catastrophic or medically complex cases. The City of New York is an inclusive

Will conduct Medical Disability Examinations (MDE) for veterans who file disability claims for hearing conditions (e.Veterans Benefits Administration (VBA) as part of the Compensation and Pension Program.Comprehensive auditory exams will require a thorough hearing assessment, diagnostic testing, and

Full-time, hybrid position Lead billing and revenue cycle operations for a growing multi-specialty healthcare group Oversee all billing functions: charge capture, claims submission, payment posting, collections, A/R management, and appeals Supervise and mentor billing staff to ensure accuracy, timel

Reconcile medical claims for the purpose of collecting revenue for the organization.They work with patient, client and/or Third Party insurance bills, and may work on one or more of these processes on a daily basis.

The Fraud Data Product Manager will lead a team of Software Engineers through the design, building, and launch of a formal Fraud Claims Data Product. Senior Associate, Product Management - Fraud Data Product Manager.

Designed with our employees' needs in mind, the ZNA Claims hybrid work model emphasizes flexibility, allowing claims employees to conduct individual work in their preferred location, while facilitating in-person connections and collaborative activities when meaningful and valuable. The Claims profes

About the job Claims Cash Processor. Cash Claims Processor needs 3 years experience. Cash Claims Processor requires:.

Senior Associate - FLSA / False Claims Act (Qui Tam) Litigation.We are a nationally recognized litigation firm focused on high-stakes plaintiff-side matters, including whistleblower (False Claims Act), wage & hour (FLSA) class and collective actions, mass torts, and complex commercial litigation.We

We are actively looking for driven, newly licensed individuals who are ready to break into the industry through hands-on, real-world field experience.This isn't a "drone inspection" desk job.You will be on the front lines, performing daily direct inspections and ladder assists.You will be mentored b

Experienced adjusters and field inspectors. Our inspectors physically access roofs and structures to deliver thorough, high-quality assessments.

Manage insurance escrow: Review, pays insurance premiums, performs insurance escrow analysis, and updates insurance records in the servicing platform accordingly. The Insurance Administrator will also work closely with the Engineering team to complete any insurance claims accurately and efficiently.

We are seeking a detail-oriented Medical Biller to accurately process medical claims, post payments, and follow up on outstanding accounts.

It includes one of the world's most far-reaching property casualty networks.AIG") offers a broad range of products to customers through a diversified, multichannel distribution network.Customers value AIG's strong capital position, extensive risk management and claims experience and its ability to b

Handle all aspects of the billing cycle, including:. Claims entry, processing, re-billing, and corrections. Stay up-to-date on billing regulations and procedures.

Responsible for ensuring unpaid and partially paid claims are resolved in an efficient and timely manner.Resolves EOB discrepancies and researches refunds.Monitors and ensures that collections, net, gross and days in accounts receivable targets are met.Follows up on submitted claims, monitors unpaid

M&D Capital is a leading third-party Medical Billing and Revenue Cycle Management company serving clients across the United States.We operate offices across multiple states, along with a growing international team.We specialize in out-of-network surgical claims, and partner directly with our clients

Claims Representative, Auto | PIP | Remote. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. To evaluate auto claims involving injured parti

Claims, Claims Examiner, Claims Adjuster, Claims Manager, Claims Director, Commercial Lines, General Liability, Primary Casualty, Excess Casualty, NY Labor Law, New York, Syracuse, Litigated, J. Claims Manager/Director will be responsible for conducting proactive investigation, risk transfer, claim

Associate - DCI (Disputes, Claims & Investigations), Wage & Hour. Stout is seeking an Associate with 2-5 years of experience to join our Disputes, Claims & Investigations (DCI) Wage and Hour practice.

CTG is seeking a results-driven PBM Service Delivery Manager to lead claims adjudication and governance operations for a leading healthcare client. Lead PBM service delivery and governance for claims adjudication, formulary rules, benefit hierarchies, and pricing logic. Analyze claims performance da

Proven record in process improvement, claims operations, and service delivery excellence. CTG is seeking a results-driven PBM Service Delivery Manager to lead claims adjudication and governance operations for a leading healthcare client. This role focuses on strategic oversight, operational excellen

About the job Cash Claims Processor. Cash Claims Processor needs 2+ years' experience. Cash Claims Processor requires:.

Senior Claims Representative- Reinsurance. Analytical Thinking, Critical Thinking, Customer Service, Data Analysis, Insurance Claims Processing, Intentional collaboration, Managing performance, Negotiation, Problem Solving, Regulatory Compliance, Reinsurance, Report Writing, Risk Management, Sound J

Raphael & Associates is a third-party claims administrator and independent claims adjusting company internationally recognized for exceptional service.We understand the importance of adapting to the demands of a dynamic market and we tailor our services to our client's specific needs.As a claims org

In this role, you will assist with translating medical services into standardized billing codes, preparing claims for insurance reimbursement, supporting patient billing questions, and performing essential administrative tasks that keep clinical operations running smoothly. No prior medical office e

As a travel Audiologist, you will conduct Medical Disability Examinations (MDE) for veterans who file disability claims for hearing conditions (e.

Field Claims Representative/Virtual US. Conduct and manage on-site insurance property claim inventory assignments pursuant to SOS field inventory processes. Communicate with your Field Manager and Service Manager on a daily basis with regards to operational issues and/or improvements.

Collections & Denial Management Specialist.Downtown Brooklyn, in-office (100% on-site).Seeking a detail-oriented Collections & Denial Management Specialist to join a dynamic team in downtown Brooklyn.This role involves managing a high volume of complex claims, including workers' compensation, auto,

Three (3) years' experience in medical coding/medical billing is required. This role is responsible for accurate and timely billing of insurance claims and patient statements across multiple sites, implements accurate medical coding policies, and enhances operational processes. It involves acting as

It includes one of the world’s most far-reaching property casualty networks.AIG”) offers a broad range of products to customers through a diversified, multichannel distribution network.Customers value AIG’s strong capital position, extensive risk management and claims experience and its abilit

Ethos Risk Services is a leading insurance claims investigation and medical management company, specializing in surveillance and fraud detection. To learn more, visit: . Ethos Risk Services is an equal opportunity employer that does not discriminate on the basis of religious creed,