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OtherJobs in Melville, NYCreate job alerts
- North American Partners in Anesthesia (NAPA)
Paralegal1 month ago$57532.29–$79106.9 yearlyFull-timeMelvilleThe RCM Insurance Arbitration Support Paralegal will join our dedicated out-of-network team, focusing on fully supporting the arbitration process for state and federal cases while maximizing reimbursements from out-of-network payers. This critical role involves managing arbitration processes when major payers are pushed out of network and supporting the team in handling all out-of-network claims to ensure appropriate claim processing by the insurance companies. Key responsibilities include preparing and overseeing arbitration cases, negotiating non-arbitrated disputes to secure maximum payments, and providing essential support to the Managed Care team during payer negotiations. The ideal candidate will possess strong organizational and legal research skills, along with a deep understanding of insurance claims and healthcare reimbursement. RESPONSIBILITIES Arbitration Support: Assist in preparing and managing the arbitration process for out-of-network claims, including gathering necessary documentation, drafting legal correspondence, and coordinating with external legal counsel as needed. Ensure compliance with state and federal arbitration regulations. Dispute Resolution: Handle other out-of-network disputes that do not result in arbitration by negotiating with payers to process claims at maximum reimbursements. Collaborate with the out-of-network team to prepare and submit appeal letters and follow up on denied or underpaid claims to ensure optimal financial outcomes. Provide guidance on tactics for maneuvering the landscape for major markets. Managed Care Support: Collaborate with the Managed Care team to provide guidance on applicable state and federal guidelines for arbitration when major payers move to out-of-network status. Documentation and Compliance: Maintain accurate and up-to-date records of all arbitration and dispute cases. Ensure that all activities are following relevant laws, regulations, and organizational policies. Legal Research: Conduct legal research on state and federal arbitration laws and regulations to support case preparation and strategy. Stay updated on changes in healthcare and insurance laws that may impact arbitration and dispute processes. REQUIRED QUALIFICATIONS Bachelor's Degree preferred and Paralegal Certificate required. Minimum of three years of related experience with Litigation Healthcare Insurance law, No Surprise Act claims and arbitrations. Strong skills in data mining and is a detail researcher with fact-checking. Ability to recognize and analyze complex contracting issues and discuss such issues with in-house attorneys and internal departments. Excellent written and verbal communication skills. High level of professionalism, dependability, and strong interpersonal skills. Ability to work independently and efficiently in a fast-paced, deadline-driven business environment, with a high focus on accuracy. High level of proficiency with Apttus, MS Office products, including Word, Excel, and SharePoint.
Immediate start!Easy apply - New York Life Insurance Company
Entry Level Financial Services Professional2 months ago$70000–$120000 yearlyFull-timeMelvilleNew York Life and its affiliates are dedicated to prudent financial management, high-quality products, and impeccable service. Our financial professionals help clients develop a sound, long term financial strategy to achieve their financial goals using a comprehensive array of financial products and services, including life insurance, investments, annuities, and mutual funds As an entry level financial services professional with New York Life, you will be able to build your practice and help those in your community plan for their financial futures. We're looking for people who possess the following characteristics: - Highly self-motivated and self-disciplined with the ability to work effectively and independently - Outgoing personality with the ability to develop relationships (i.e., "People Person") and a sincere desire to help others - Fearless, positive attitude and willingness to be accountable for results - Organized, detail-oriented and excellent time-management skills - Desire for continuous learning - Good communicator-excellent listening skills and ability to explain complex information in a simple and concise manner.
Immediate start!No experienceEasy apply - JP David - Aflac Insurance Agent
Benefits Advisor2 months ago$60000–$120000 yearlyFull-timeMelvilleAre you hard-working? Goal oriented? Driven to help others succeed? If so, supporting local business owners as a benefits advisor may be the career change you’ve been looking for. Role responsibilities: • Generate new business opportunities through networking, referrals and cold calls. • Meet with business owners to understand their employee benefits strategy and needs. • Conduct virtual and on-site presentations to position the value of Aflac’s products and services. • Educate employees on available benefits packages and support their enrollment. • Provide ongoing enrollment and claims support to new and existing clients. Qualifications: • Willingness to obtain a life and health insurance license; study resources provided. • Must be at least 18 years old and authorized to work in the United States without need of current or future employer-sponsored work authorization. Related competencies: • Networking and relationship building. • Strong written and verbal communication skills. • Sales aptitude and comfort in presenting ideas. Advantages to working with us: • Flexibility to build and manage your own schedule. • Competitive commissions, stock bonuses and incentives. • Discounted rates and benefits with wireless communication providers. • On-demand training and professional development opportunities.
Immediate start!Easy apply
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