28 Claims Processing job openings in the Jersey City, New Jersey area

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Job listings, help wanted ads and employment postings (last updated on Monday, March 2)

eService Call Center Service Associate


NJ-Ironbound, Provide excellent service to customers through the resolution of basic customer inquiries received by phone or though written correspondence. Receive customer inquiries via phone, fax, mail, e-mail, etc. If necessary, probe for additional helpful information (i. e. member ID, claim number, name, etc. ) in order to effectively handle inquiry. Review computer systems and/or other reference materials t … MORE INFO

Market Healthcare Analytic Consultant - Multiple Locations (East Coast)


NY-New York, Description: Position Description: This Healthcare Economics team is part of the Customer Analysis and Solution area known as CAS. The team examines data to identify health care trends for fully insured and self- funded accounts generally between 300 and 1,000 lives, and then partners with Sales to serve as a consultant to the client, explaining the story the data reveals and recommending plan adj … MORE INFO

NYC Director of Operations


NY-New York, Prime Staffing is one of New York’s leading staffing firms, specializing in temporary and permanent full-time placements. We are currently interviewing to place a full-time placement at a corporate commercial real estate company in New York City. This role is full-time, and the client is open to either temp to perm or direct hire, either way the candidate placed is expected to do an outstanding jo … MORE INFO

Medical Coder


NY-New York City, Medical coder: Abstracts data from, Reviews and Reports on medical Records Certificate in ICD-9-CM coding required, such as CCS, HCSD, CPC Job Purpose: Creates new medical records and retrieves existing medical records by gathering appropriate record folders and contents; assigning and recording new record numbers; verifying existing record numbers; inputting and recording locations to computer; d … MORE INFO

Medical Receptionist


NY-New York City, Medical Receptionists Company is seeking two Medical Receptionist/Intake Coordinator positions to work F/T in a fast-paced orthopedic medical device company. Full Time Location is Upper East Manhattan Part Time Location is in Morris Park area of the Bronx, NY (approximately 20 - 24 hours per week) Qualified applicants must have experience in the medical industry. Experience in the Orthopedics and/ … MORE INFO

Front Desk Coordinator


NY-New York, About Us Up and coming Urgent Care Center and expanding health care company is looking for a Front Desk Coordinator for its Upper East Side location. The Front Desk Coordinator will be responsible to greet and direct all visitors, including patients, representatives, and other customers. The Front Desk Coordinator will need to ensure the completion of paperwork, sign-in and security procedures, an … MORE INFO

Medicaid Billing Specialist


NY-Rockville Centre, Medicaid Billing Specialist Company Overview Centris Group is a leading provider ofweb-based software to K-12 school districts. We combine a leading edge technology, best of class training and the highest level of support to achieve a 100% client retention rate. With headquarters in Long Island, New York, we provides a professional and dynamic environment where creativity is encouraged, empowermen … MORE INFO

Market Healthcare Analytic Consultant - Multiple Locations (East Coast)


NJ-Basking Ridge, Description: Position Description: This Healthcare Economics team is part of the Customer Analysis and Solution area known as CAS. The team examines data to identify health care trends for fully insured and self- funded accounts generally between 300 and 1,000 lives, and then partners with Sales to serve as a consultant to the client, explaining the story the data reveals and recommending plan adj … MORE INFO

Healthcare Claims Architect


NJ-Basking Ridge, Description: In this hands-on role, you will be directly accountable for driving the Healthcare Claim domain strategy and architecture for our Fortune 15 enterprise. Specific responsibilities will include the following: Leading the development of strategies and initiatives for the Claims domain Developing strategies that can enable business growth and increase revenue opportunities Participating i … MORE INFO

Managed Care Coordinator - Spanish


NJ-Ewing, Medical terminology experience is required. Customer service in a call center experience is required. Bilingual in Spanish is helpful but not required. Requires ability to make sound decisions under the direction of Supervisor Prefer knowledge of contracts, enrollment, billing & claims coding/processing Prefer knowledge Managed Care principles Responsibilities: - Performs review of service request … MORE INFO

BUSINESS OFFICE MANAGER - Facility Coordinator


NJ-Ewing, Great new Career Opportunity in Long Term Care / Skilled Nursing / Assisted Living! Now Hiring - BUSINESS OFFICE MANAGER / FACILITY COORDINATOR- CARE ONE at EWING - EWING, NJ CARE ONE at EWING is part of the Care One family of Healthcare & Assisted Living centers. Our mission is to define excellence within the health care community. We are dedicated to Maximizing Patient Outcomes in Long Term Care … MORE INFO

Shown below: Jersey City claims processing area jobs provided by Indeed job search

Claims Reconciliation Processor IV

1199SEIU Family of Funds – New York, NY – Indeed.com

Thorough knowledge of medical claims processing including major medical, office visits, surgery, anesthesia, lab and x-rays required. . . . … MORE INFO

Subrogation Specialist

Everest National Insurance Company – Liberty Corner, NJ – Indeed.com

Review, direct and monitor recovery claims managed by outside vendors and claim administrators. Coordinate invoice processing with our vendor partners. . . . … MORE INFO

Patient Navigator - Staten Island

AdvantageCare Physicians – New York, NY – Indeed.com

And processing of all patient referrals. This position follows protocols for proper authorization and processing of all referrals. . . . … MORE INFO

Sr. Coding and Appeals Analyst

MashPoint – Bedminster, NJ – Indeed.com

5+ years healthcare and medical claims processing experience within a provider/facility’s office or payer. Validate edits for non-editing client claims. . . . … MORE INFO

Contracted Provider Claims Specialist (Claims Processing Exp Req)

Visiting Nurse Service of New York – Manhattan, NY – Indeed.com

Prior experience with claims editing software preferred. Resolves contracted provider claims disputes (CPCD) for VNSNY CHOICE Medicare Advantage (MA) products. . . . … MORE INFO

Data Scientist, Digital Intelligence

JPMorgan Chase – New York, NY – Indeed.com

Many companies claim that they have “big data”. Reduce or Apache Spark ecosystem of open-source tools and ML packages very desirable. We use these frameworks for. . . … MORE INFO

Image Analysis Specialist

Canfield Scientific – Fairfield, NJ – Indeed.com

Lead our method development, implementation, execution, and validation in support of clinical and product efficacy claim support. . . . … MORE INFO

Workers' Compensation Claims Examiner

Matrix Absence Management – Hawthorne, NY – Indeed.com

Process Workers' Compensation Claims determining compensability and benefits due on long-term indemnity claims. . . . … MORE INFO

Special Education Legal Coordinator

New York City Department of Education – New York, NY – Indeed.com

Collects, examines and analyzes documents for claims filed by private attorneys and negotiate special education claims;. . . … MORE INFO

Benefits Coordinator

Sony Music Entertainment – Rutherford, NJ – Indeed.com

Verifies processing of employee benefits changes entered by employee per life event/status change. Sony Music Entertainment is a global recorded music company. . . … MORE INFO

Traceability Coordinator

Rainforest Alliance – New York, NY – Indeed.com

The Coordinator will assist the Claims, Traceability and Trademarks (CTT) Unit in all participation royalty related financial operations and processing. . . . … MORE INFO

Senior Tester to support Healthcare Client, eMedNY

AppLabs – New York, NY – Indeed.com

NY contract handles all Medicaid processing including Service Authorization, Prior Approval, Claim submission, remittance advice, and other transactions. . . . … MORE INFO

Payment Integrity Analyst

Horizon Blue Cross Blue Shield of New Jersey – Newark, NJ – Indeed.com

Must have claim processing experience including pricing, coding, and recovery/billing/reimbursement processes. . . . … MORE INFO

Consumer Lines Marine Claim Specialist

AIG – Berkeley Heights, NJ – Indeed.com

Minimum of ten years’ experience in property & casualty industry with emphasis on marine claims handling to include liability claims. . . . … MORE INFO

Pharmacy Lead Technician

CVS Health #2535 – Montclair, NJ – Indeed.com

Maintain prescription prioritization throughout prescription processing. Resolve Third Party rejections and complete any manual claim forms. . . . … MORE INFO

Bank to Bank Reimbursement & LOC Specialist

Starpoint Solutions – Jersey City, NJ – Indeed.com

Ensure Pre-debit customer transactions are properly set up and payment claims are processed accurately and released in timely manner as per procedures and. . . … MORE INFO

Claims Assistant II – LIU Casualty Claims – NY

Liberty Mutual – New York, NY – Indeed.com

Thorough knowledge of claims processing. Opens claims in claims system and inputs all data related to claim based on information provided by the claims. . . … MORE INFO

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