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Medical claims jobs in Borough Of Queens, New YorkCreate job alerts

  • Customer Service Representative (CSR)
    Customer Service Representative (CSR)
    17 hours ago
    $17–$25 hourly
    Full-time
    Manhattan, New York

    We are seeking a friendly, reliable, and customer-focused individual to join our vibrant team. If you enjoy helping people and thrive in a fast-paced retail environment, we’d love to hear from you! The associate ensures accurate, compliant billing and record-keeping while supporting the organization's operational workflow. Responsibilities and Duties: • Verify private insurance, Medicare, and Medicaid coverage, ensuring compliance with billing requirements., • Process patient intake forms and required documentation for product or service delivery., • Maintain complete and accurate patient records for billing and reimbursement purposes., • Prepare invoices, route delivery documentation, and monthly financial/operationalreports., • Process and track reimbursement claims (manual or electronic) in accordance with company policy., • Maintain rental files, including Medicaid coverage verification and monthly follow-up on pending patients., • Input and manage data across multiple systems; generate orders, invoices, statements, and reports., • Communicate with physicians’ offices and referral sources to obtain authorizations, prescriptions, and supporting documentation., • Identify and escalate issues that could affect timely or accurate reimbursement to the Operations Director., • Assist with driver route planning and back-office support for daily deliveries., • Participate in in-service trainings and compliance meetings to remain current on regulations.• Perform additional administrative duties as assigned. Qualifications: • Education: High school diploma or equivalent., • Prior experience in medical billing, insurance processing, or healthcare administration preferred., • Proficient in data entry and computer systems; detail-oriented with strong organizational skills., • Strong written and verbal communication skills for coordination with internal teams and referral sources., • Ability to remain seated and perform computer-based tasks for extended periods., • Ability to lift up to 15 lbs. occasionally for filing or record management., • Ongoing training in HIPAA, infection control, Medicare billing compliance, fraud prevention, and documentation standards., • Satisfactory completion of annual performance evaluations and compliance updates.

    No experience
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  • Pharmacy Technician
    Pharmacy Technician
    13 days ago
    Full-time
    Crown Heights, Brooklyn

    Job Requirements & Daily Responsibilities As a technician in a community pharmacy that also processes DMV vision testing, your daily routine will blend standard clinical pharmacy support with local DMV registry management: • DMV Vision Screenings: Administering quick distance visual acuity tests (such as the Snellen Eye Chart) for customers renewing their New York State driver's licenses., • Registry Data Entry: Securely logging passed vision results directly into the New York DMV Vision Registry System so the state system updates within 24 hours., • Prescription Processing: Assisting the pharmacist by counting medications, entering prescription details into the pharmacy management system, and labeling medication containers., • Customer Support & Inventory: Checking out customers, resolving insurance claims, answering phones, and tracking over-the-counter and behind-the-counter stock levels. Qualifications to Prepare • Licensure: Active New York State Pharmacy Technician registration or license (or proof of an active application status)., • Certification: While some independent pharmacies train on the job, having a national PTCB Certification significantly increases your application strength., • Skills: Ability to handle a fast-paced retail environment and comfortable working with basic computer systems to input official state registry data. How to Apply Independent community pharmacies like Prime Health Pharmacy typically manage hiring directly rather than utilizing large corporate portals. 1. Prepare Your Resume: Detail any experience handling customer checkouts, pharmacy point-of-sale (POS) systems, healthcare data entry, or vision tests., 2. Contact the Pharmacy: You can visit the location in person at 1417 Bedford Ave with a printed copy of your resume or reach out to their direct phone line to ask the hiring manager or pharmacist-in-charge if they are actively conducting interviews.

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