Coordinator of Care (Community Health Nurse) - $15,000 Sign-On Bonus or Student Loan Assistance!
Patient access representative job in Elmont, NY
$15,000 Sign-On Bonus or Student Loan Assistance!
As an employer, MJHS attracts individuals who see their work as a calling as well as a job. Professionals in every job category have cited that they appreciate being left to make their own decisions, are encouraged to voice their opinions, and are given the necessary breathing room to do their work with minimal supervision. Yet, at the same time, they feel that management and their co-workers are solidly behind them and readily accessible.
Patients trust and rely on your judgment. And so do we!
Someone with your depth of compassion, clinical insight and strong decision-making capabilities is the ideal person to map out and oversee the process of a patient's recovery from illness, injury or surgery at home. At MJHS, our dedicated staff provides a full range of advanced clinical home care services, including patient assessment, medication management and patient/family education.
In this role, you will assume the ongoing, primary responsibility to coordinate, implement and continually evaluate the home care needs of your patients. You will also review patient insurance information, coordinate activities involved in each individual care plan and make sure that pertinent findings are shared with family and professional caregivers. Your excellent communication, documentation and time management capabilities will be essential to your success. And all along the way, you will experience the respect for your opinions and the high level of autonomy you need to do the job right.
Excellent clinical assessment skills
Strong ability to solve problems independently and interact with an integrated team
Current NYS RN license and registration
Bachelor's degree in nursing preferred
Minimum of one year acute medical-surgical nursing experience
CHHA experience preferred
Associate Patient Care Coordinator
Patient access representative job in Lake Success, NY
Opportunities with Optum in the Tri-State region (formerly CareMount Medical, ProHEALTH New York and Riverside Medical Group). Come make a difference in the lives of people who turn to us for care at one of our hundreds of locations across New York, New Jersey and Connecticut. Work with state-of-the-art technology and brilliant co-workers who share your passion for helping people feel their best. Join a dynamic health care organization and discover the meaning behind Caring. Connecting. Growing together.
Optum Infection Disease has an immediate opening for a friendly, patient focused and detailed oriented Associate Patient Care Coordinator to join our team. The Associate Patient Care Coordinator is responsible for the completion of set processes and protocols. Works cooperatively with all members of the care team to support the vision and mission of the organization, deliver excellent customer service and adhere to Lean processes. Supports the teams in meeting financial, clinical and service goals.
Schedule: Monday through Friday a 37.5-hour work week from 9:00 am to 5:30 pm. The schedule will be determined by the supervisor upon hire.
Location: 1 Dakota Drive, Suite 218, Lake Success, NY 11042
Primary Responsibilities:
Greets patients, family members and guests with a friendly smile
Assists patients with signing in and completing registration
Enters and scans patient's demographic and insurance information into Epic
Verifies insurance eligibility and benefit information; informs patients of insurance benefits
Collects co-payments and patient balances
Answers incoming phone calls in a courteous and prompt manner; directs calls and takes messages
Assists physician and clinical staff by coordinating follow up care for patients; schedules referral appointments for patients and obtains authorization for diagnostic testing
Sends patient records to primary care physician
Assists with other tasks as assigned
Ability to cover offices as needed for coverage
Performs all other related duties as assigned
What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:
Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
Medical Plan options along with participation in a Health Spending Account or a Health Saving account
Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
401(k) Savings Plan, Employee Stock Purchase Plan
Education Reimbursement
Employee Discounts
Employee Assistance Program
Employee Referral Bonus Program
Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
More information can be downloaded at: *************************
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
High School Diploma/GED (or higher)
1+ years of customer service or healthcare related experience
Intermediate level of proficiency in Microsoft Office (Outlook, Word, etc.)
Ability to cover other offices as needed for coverage
Preferred Qualifications:
1+ years of experience working in medical office position performing duties such as scheduling appointments, checking patients in/out, insurance verification, collecting co-pays, and maintaining medical records
Epic experience
Knowledge of insurance carriers and managed care plans
Knowledge of medical terminology
Soft Skills:
Ability to work independently and as a team, and maintain good judgment and accountability
Demonstrated ability to work well with health care providers
Strong organizational and time management skills
Ability to multi-task and prioritize tasks to meet all deadlines
Ability to work well under pressure in a fast-paced environment
Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying information in a manner that others can understand, as well as ability to understand and interpret information from others
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $16.00 to $27.69 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
#RPO, #RED
Auto-ApplyPatient Registration Representative
Patient access representative job in New York, NY
Please find below the :
Job Title : Patient Registrar
Duration : 6+ months (Possibility for extension)
Pay Rate : $23/Hr.
Schedule Notes: 9:00 am - 5:00 pm
Job Description:
M-F 9a-5p. 24 wk assignment covering FTE LOA. HS diploma/GED (R). Some college (P). Proficiency in EHR (strongly P). 3 yrs clerical exp (R) [3-5 yrs preferred of cardiology exp in medical or secretarial setting]. Data entry skills of 4500 keystrokes (R).Knowledge of health insurance benefits/requirements, Coding: ICD 9, CPT-4 (P). Customer service, telephone, keyboard, computer, effective communication skills (R). Customer service exp (P).
Benefits:
Pride Health offers eligible employee's comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, , legal support, auto, home insurance, pet insurance, and employee discounts with preferred vendors.
Customer Service Representative
Patient access representative job in East Windsor, NJ
Come join the Modway family!
We're a team of passionate individuals with a unique company culture and dynamic work environment. With warehouses strategically located on both coasts, we aspire to bring joy to the modern home with furnishings for every room in the house.
Modway is seeking a Customer Service Representative with a passion for ensuring that customers' needs are satisfied through effective communication and support. organization. The position will work on-site at our Corporate Office located in East Windsor.
Essential Duties & Responsibilities:
Resolves customers' most pressing questions and concerns in a courteous, helpful, and knowledgeable manner in all areas of the Customer Experience value chain (i.e Order Entry, Customer Calls, Shipping, and Customer claims)
Research and diagnoses issues that resolve customer concerns to ensure a high level of retention and satisfaction
Follows the Customer Experience SOP's and compliance requirements while exhibiting efficient workplace productivity and time management skills.
Build sustainable relationships and trust with customer accounts through open and interactive communication
Provide appropriate solutions and alternatives within the time limits; follow up to ensure resolution
Keep records of customer interactions, process customer accounts, and file documents the CRM database.
Experience & Competencies:
Minimum of 2 years of Customer Service experience a call center operations environment resolving customers' concerns
Ability to learn and adapt to new processes quickly
Strong work ethics and eager to learn
Team player and work well with others at all levels of the organization
Maintains positive attitude when facing change in a fast paced environment
Strong problem-solving skills and the ability to think analytically
Excellent communication skills both written and verbal
Modway offers competitive market compensation, paid lunch, federal and company holidays (12 to 15 holidays a year) benefits including medical, dental, vision, flexible spending account, AFLAC, 401K, employee discount, and PTO.
Modway is an equal opportunity employer and will not discriminate against any applicant for employment by race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, or veteran status.
Practice Coordinator
Patient access representative job in New York, NY
ABOUT THE ROLE
The Practice Coordinator performs a wide range of administrative tasks to support assigned attorneys and other timekeepers and plays an integral role in daily practice support, combining premier assistance with administrative, organizational, project-based, and practice-related responsibilities to provide comprehensive support. The Coordinator leverages detailed knowledge of legal procedures, firm operations, and client needs to ensure seamless and efficient management of attorney schedules, client matters, billing, and practice-related projects. This individual provides a high level of client service and support while producing a high volume of consistently excellent work product.
Administrative Coordination
Maintains detailed calendars displaying appointments, deadlines, travel schedules, and conference calls. Proactively tracks important dates to ensure timely completion of key tasks.
Provides professional relationship management with external and internal clients. Serves as a direct point of contact for telephone calls, emails, and in-person inquiries. Exercises sound judgment when screening communications, facilitating effective follow-up and high-quality client service.
Creates and maintains client/matter lists and communication lists. Maintains contacts in Outlook and Salesforce.
Manages both paper and electronic files in compliance with the firm's records management policies, ensuring confidentiality and accuracy. Creates and maintains working files and binders as requested. Utilizes firm-provided software to accurately store email messages and maintain and retrieve files.
In conjunction with Paralegals, may prepare or coordinate the preparation of Responses to Auditor Requests. Assists with preparation of Opinion Letters.
Utilizes firm-designated workflow software to open and close matters. Processes and tracks conflict reports. Prepares engagement letters. Initiates client file transfer requests and assists with client disengagements. May facilitate the secure transfer of case/client data in accordance with firm's data security policy.
General Practice Support
Creates, edits, proofreads, and finalizes complex and practice specific legal and administrative documents, forms, and correspondence, ensuring accuracy and completeness.
Engages in active coordination of practice-related projects such as practice group meetings and initiatives, client or industry research, and event planning. Interprets objectives, designs project timelines, and ensures that deliverables align with the firm's expectations.
Supports attorneys' efforts to maintain client relationships. Coordinates pitch materials, tracks leads, updates contact databases, and arranges key client meetings. Assists with social media or targeted outreach.
Partners with other administrative departments (Billing, Marketing, IT, Office Services) to assemble critical information, coordinate billing tasks, and maintain client satisfaction.
Billing and Financial Administration
Upon attorney request, diligently manages attorney time, including inputting timenotes provided by attorney, editing and proofreading, and ensuring compliance with matter codes and billing guidelines. Proactively reminds attorneys of time entry deadlines and collaborates with them to ensure timely submission. Collaborates with attorneys to finalize and submit time daily.
Collaborates with Client Account Manager, Pricing Team, and attorneys to respond to client requests for budgets, projections, costs incurred, and related reports.
Collaborates with Client Account Specialist or Client Account Manager and assigned timekeepers to manage billing process, including editing prebills, generating reports, and performing final proofing and sending out final invoices. May assist with collection efforts. Coordinates client, matter, and timekeeper inquiries.
Prepares expense reimbursements, reconciles travel expenditures, arranges for payment of invoices, and prepares check requests as needed.
Travel and Meeting Logistics
Books travel (domestic and international) through designated travel providers, considering attorney preferences, cost guidelines, and itinerary efficiencies.
Organizes in-person or virtual conferences, meetings, meals, seminars, and client events, including making reservations, sending invitations and tracking attendees, booking conference rooms, catering arrangements, confirming audio/video logistics, and final follow-up.
Thoroughly organizes itineraries, prepares comprehensive travel documents, and disseminates meeting agendas or background information in advance. Prepares and disseminates both hard-copy and electronic materials.
Team and Leadership Support
Works proactively and efficiently to free attorneys from administrative burdens, allowing them to focus on core legal tasks. Anticipates attorneys' needs by outlining upcoming deadlines, preparing relevant background materials, and prioritizing tasks.
Communicates professionally and courteously with clients, external counsel, and vendors, upholding a polished firm image.
Provides backup support to other attorneys and timekeepers as needed. Volunteers for overflow work assignments when time permits and actively seeks to maximize productivity and promote teamwork. May participate in departmental projects designed to streamline workflow and/or resolve issues. Proactively supports the firm's strategic initiatives and operational improvements.
Acts and assists as a proactive mentor for junior department members and new employees. Assists with training on specific firm processes, software, and procedures as requested.
ABOUT YOU
Bachelor's or Associate's degree in business, finance, or a related field and relevant certifications is highly preferred.
Minimum 3+ years' experience supporting attorneys, including partners, in a law firm or professional services environment. Experience managing complex administrative tasks, legal documents, and sophisticated scheduling required and an in depth understanding of law firm practice areas.
Experience coordinating cross-functional or interdepartmental projects and ensuring that deadlines are met.
Proficiency in Microsoft Office suite (Word, Excel, PowerPoint, and Outlook), Adobe Acrobat Pro, DocuSign, electronic filing platforms, document management systems, CRM platforms, expense reimbursement, time, attendance and billing tracking software (e.g., Aderant or 3E) is essential.
A strong ability to learn and adapt to new software applications and technological tools. Comfort with ongoing changes in technology and willingness to embrace new systems and processes as they are introduced.
Excellent communication skills and the ability to build effective internal and external client relationships. Excellent grammar, attention to detail, and ability to manage multiple deadlines in a fast-paced practice group. Must exhibit discretion, diplomacy, and professionalism in verbal and written communications. Ability to interact effectively with all levels of management and staff and a variety of external entities, including clients and prospective clients of the firm.
Ability to work under pressure and complete job assignments in an accurate and timely manner. Strong organizational skills and the ability to apply strong attention to detail to all levels of work. Ability to multitask, prioritize work, and meet deadlines.
Uses sound decision making and judgment. Skilled in prioritizing high-volume workloads, solving problems proactively, and maintaining confidentiality.
Demonstrated ability to maintain positive internal and external client relationships and anticipate needs.
Eagerness to refine processes and adopt best practices for tasks like billing, filings, or scheduling. Exhibits a proactive approach to learning, including seeking out training opportunities and resources to enhance technological skills.
Customer Service Representative
Patient access representative job in Newark, NJ
Customer Service Representative I
Responsibilities:
Responds to telephone inquiries using standard scripts and procedures.
Defines or resolves inquiries received either through written or telephone correspondence.
Gathers information, researches/resolves inquiries and logs customer calls.
Communicates appropriate options for resolution in a timely manner.
Performs customer needs analysis and informs customers of services and resources available to them.
Maintains adherence (attendance, punctuality, use of AUX time).
All other duties as assigned
Must have experience working in a call center.
Education/Skills/Experience Requirements:
High School diploma or GED.
Excellent communication skills.
Candidates must go through the interview process with the client.
Customer Service Representative I *Bilingual
Responsibilities:
Responds to telephone inquiries using standard scripts and procedures.
Defines or resolves inquiries received either through written or telephone correspondence.
Gathers information, researches/resolves inquiries and logs customer calls.
Communicates appropriate options for resolution in a timely manner.
Performs customer needs analysis and informs customers of services and resources available to them.
Maintains adherence (attendance, punctuality, use of AUX time).
All other duties as assigned
Must have experience working in a call center.
Education/Skills/Experience Requirements:
High School diploma or GED.
Excellent communication skills.
Language: Spanish
Training Schedule: Monday through Friday 9 am to 5 pm for 2 weeks
After Training Schedule: Must be able to work between the hours of Monday through Friday 7 am to 5:30 pm and Saturday, Sunday, and holiday from 8:30 am to 5:00 pm (40-hour work week); fluctuating schedule.
Work Schedule: Will be discussed during interview
Logistics & Customer Service Representative
Patient access representative job in New York, NY
Job Type: Full-Time | Contract or Permanent (based on client need) Industry: Logistics | Supply Chain | Customer Support LHH RecruitmentSolutions is currently seeking a Logistics & Customer Service Representative on behalf of our client. This role is ideal for candidates with strong communication skills and a background in coordinating transportation, resolving customer issues, and supporting end-to-end order and delivery processes.
Key Responsibilities
Enter and maintain customer orders and shipping information with accuracy
Coordinate deliveries, shipments, and transportation routes to ensure on-time arrival
Serve as liaison between customers, distributors, and freight/logistics partners
Track purchase orders and resolve service or delivery conflicts
Maintain updated records of deliveries, damage reports, and service adjustments
Benchmark carrier rates and support cost-efficient route planning
Assist the sales team with customer invoicing and support documentation
Monitor logistics KPIs and support the logistics budget process
Ensure compliance with logistics regulations and internal documentation standards
Support ad hoc logistics and customer service projects as needed
Qualifications
2+ years of experience in logistics, transportation coordination, or customer service
Experience working with freight carriers, 3PLs, and distributor networks
Strong organizational and problem-solving skills
Excellent communication skills and customer-first mindset
Proficiency in Microsoft Excel and logistics software/tools
Ability to work cross-functionally with sales, finance, and operations teams
Detail-oriented and capable of managing multiple priorities in a fast-paced environment
Work Environment
Onsite or hybrid work schedule depending on client site
Collaborative logistics and operations team
Reports to the Operations Manager
To Apply:
Apply directly through this job board posting or submit your resume to *********************
Pay Details: $50,000.00 to $55,000.00 per year
Search managed by: Renee Walker
Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.
Equal Opportunity Employer/Veterans/Disabled
Military connected talent encouraged to apply
To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to
The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:
The California Fair Chance Act
Los Angeles City Fair Chance Ordinance
Los Angeles County Fair Chance Ordinance for Employers
San Francisco Fair Chance Ordinance
Massachusetts Candidates Only: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.
Customer Service Representative
Patient access representative job in Woodbridge, NJ
Are you ready to embark on a rewarding career journey? At Plymouth Rock, we pride ourselves on fostering a dynamic and supportive service center environment where professionalism and teamwork are highly valued. If you're the kind of person who enjoys solving problems and helping others when they need it, this could be a great opportunity to start your career at Plymouth Rock!
We're currently seeking passionate individuals to join our team as Customer Service Representatives, where you'll play a pivotal role in providing exceptional service to our valued customers, agents, and partners. As a Customer Service Representative, you'll be at the forefront of our customer interactions, handling inbound calls with efficiency and professionalism.
RESPONSIBILITIES
• Answer inquiries via phone, email and texting regarding policies, coverages, and premiums with confidence and accuracy.
• Ensure first call resolution, making the customer experience as seamless as possible.
• Develop and maintain comprehensive product knowledge across all three lines of insurance (Auto, Homeowner, and Umbrella).
• Cultivate strong relationships with our agents and partners, contributing to our collaborative work environment.
• Utilize your analytical and decision-making skills to address policy changes and corrections effectively.
• Exceed customer and agent expectations by delivering top-notch service through positive interactions and extensive product expertise.
• The ability to work a flexible schedule is a critical aspect of this position. Hours for this position are shifts between: 8:00am-7:00pm Monday - Friday and 10:00am-3:00pm every third Saturday.
QUALIFICATIONS
• Strong interpersonal, communication, and organizational skills.
• Analytical mindset with good decision-making abilities.
• Proficiency in computer skills and data entry.
• High motivation to take ownership and follow up on tasks.
• Flexibility to adapt to a fast-paced, changing environment.
• Ability to work weekdays and rotational Saturdays.
• High school diploma required, college degree is a plus!
• Spanish language proficiency is a plus!
SALARY RANGE
The pay range for this position is $45,000 to $49,500 annually. Actual compensation will vary based on multiple factors, including employee knowledge and experience, role scope, business needs, geographical location, and internal equity.
PERKS & BENEFITS
• 4 weeks accrued paid time off + 9 paid national holidays per year
• Low cost and excellent coverage health insurance options that start on Day 1 (medical, dental, vision)
• Annual 401(k) Employer Contribution
• Free onsite gym at our Woodbridge Location
• Resources to promote Professional Development (LinkedIn Learning and licensure assistance)
• Robust health and wellness program and fitness reimbursements
• Various Paid Family leave options including Paid Parental Leave
• Tuition Reimbursement
ABOUT THE COMPANY
The Plymouth Rock Company and its affiliated group of companies write and manage over $2 billion in personal and commercial auto and homeowner's insurance throughout the Northeast and mid-Atlantic, where we have built an unparalleled reputation for service. We continuously invest in technology, our employees thrive in our empowering environment, and our customers are among the most loyal in the industry. The Plymouth Rock group of companies employs more than 1,900 people and is headquartered in Boston, Massachusetts. Plymouth Rock Assurance Corporation holds an A.M. Best rating of “A-/Excellent”.
#LI-DNI
Medical Receptionist-Dermatology
Patient access representative job in New York, NY
Hours:
Full Time
2 Sunday per Month 10:00 AM - 3:00 PM, 1 Sunday per Month 10:00 AM-2:00 PM
Monday: 9:00 AM-5:00 PM
Tuesday, Wednesday: 11:00 AM- 7:00 PM
Thursday: 10:00 AM - 6:00 PM
Premium Health is looking for outstanding candidates for the Front Desk Receptionist position.
Our team goes the extra mile to make every patient visit a positive one. In addition to providing top notch medical care, every visit is an opportunity to build relationships and every patient is treated like family. Our goal is to make each patient's care experience to our standards: Compassionate, Agile, Respectful, and Excellent.
Ideal candidates will be able to work well under pressure and in fast paced environments. Daily responsibilities include:
Greeting patients upon arrival
Assisting patients with paperwork
Answering phone calls
Scheduling appointments
Verifying medical insurances
Creating referrals
Responding to patient medical questions
Time Commitment:
2 Sunday per Month 10:00 AM - 3:00 PM, 1 Sunday per Month 10:00 AM-2:00 PM
Monday: 9:00 AM-5:00 PM
Tuesday, Wednesday: 11:00 AM- 7:00 PM
Thursday: 10:00 AM - 6:00 PM
Compensation:
Commensurate with Experience, $21-$24 per hour
Benefits:
Public Service Loan Forgiveness (PSLF)
Paid Time Off, Medical, Dental and Vision plans, Retirement plans
Verification/Authorization Specialist
Patient access representative job in Bridgewater, NJ
Job Title: Verification/Authorization Specialist
Employment Type: Full-time, Hybrid 2 days remote
Schedule: Monday - Friday
About Us
Performance Ortho is a leading provider of comprehensive orthopedic and outpatient care in New Jersey. With four clinic locations, an Ambulatory Surgery Center, and our corporate headquarters in Bridgewater, we're celebrating 24 years of growth and excellence. Our holistic approach includes a wide array of services-Chiropractic, Physical Therapy, Acupuncture, Occupational Therapy, and Orthopedic Surgery-all aimed at delivering the highest quality of patient care. We pride ourselves on fostering a collaborative, supportive work environment where our team members are empowered to thrive and grow.
Job Overview
The Verification/Authorization Specialist is responsible for conducting detailed verification of patient eligibility and benefits, as well as securing required authorizations for services across government, commercial, and third-party payers. This role ensures accurate and timely eligibility and authorization determinations while adhering to compliance regulations. The specialist will collaborate with internal teams, external vendors, and insurance providers to resolve discrepancies, streamline processes, and maintain data integrity.
A strong understanding of Medicare, Medicare Advantage, private insurance plans, and other third-party payers is essential for success in this role.
Key Responsibilities
Eligibility & Verification
Conduct detailed reviews of patient insurance coverage, supporting documents, and eligibility criteria.
Verify patient insurance and benefit information for scheduled services, including diagnostics, therapies, and surgeries.
Process eligibility determinations in accordance with company policies and payer guidelines.
Authorizations
Obtain pre-authorizations and referrals as required by insurance carriers.
Communicate with insurance representatives to ensure timely approval of procedures and services.
Track and follow up on pending authorizations to prevent delays in care.
Compliance & Quality Assurance
Ensure all verification and authorization activities align with company standards and regulatory requirements.
Conduct audits and quality checks to maintain accuracy and minimize errors.
Stay updated on payer policy changes and industry best practices.
Case Management & Collaboration
Manage complex cases, including appeals, escalations, and exceptions.
Collaborate with internal departments-billing, scheduling, and clinical teams-to resolve insurance-related issues.
Provide guidance and support to junior staff as needed.
Documentation & Reporting
Maintain accurate and up-to-date records in EHR and billing systems.
Prepare reports and summaries on verification and authorization trends.
Ensure compliance with HIPAA and internal confidentiality standards.
Communication & Patient Support
Respond to inquiries from patients, providers, and other stakeholders.
Clearly and professionally explain insurance coverage, eligibility status, and authorization outcomes.
Support the development of internal communication materials and policy updates.
Preferred Candidate Attributes
Exceptional attention to detail and accuracy
Strong analytical and problem-solving skills
Excellent communication and customer service abilities
Ability to handle confidential information with discretion
Team-oriented mindset with a proactive, solutions-driven approach
Capable of managing multiple tasks and meeting deadlines in a fast-paced environment
Qualifications
High school diploma or equivalent; Associate degree in healthcare administration or related field preferred
Minimum of 2 years of experience in verification, authorization, eligibility determination, or a related healthcare role
Familiarity with orthopedic billing codes, payer requirements, and insurance policies
Knowledge of EHR systems and billing software (eClinicalWorks experience preferred)
Proficiency in Microsoft Office Suite, especially Excel
Strong communication skills, both written and verbal
Ability to work independently and collaboratively within a team
Must be able to work onsite in Somerset County, NJ
Customer Service Representative
Patient access representative job in Jersey City, NJ
The ideal candidate loves talking to people and proactively solving issues. You will be responsible for assisting customers with all issues with their online sports betting and iCasino accounts:
Applicants must be available to work any 8 hour shift between the hours of 10am -12am any day of the week. Agents are required to work in office 3 days per week.
Responsibilities
Communicate with customers via phone, email and live chat
Provide knowledgeable answers to questions about product, pricing and availability
Work with internal departments to meet customer's needs
Data entry in various platforms
Qualifications
At least 1 - 3 years' of relevant work experience
Excellent phone etiquette and excellent verbal, written, and interpersonal skills
Ability to multi-task, organize, and prioritize work
Sports interest and knowledge
Customer Service Representative
Patient access representative job in Edison, NJ
Edison, NJ 08817
Role Type: Onsite Role
Note: MUST be legally authorized to work in the United States.
JOB RESPONSIBILITIES:
Core Responsibilities:
Ensures all orders received, through EDI, emails and phone are processed in a timely and accurate manner. Ensure any changes or revisions to orders are properly documented and communicated. Provide necessary documents to operations/warehouse department
Responsible for establishing and maintaining effective communication with all customers regarding price discrepancies, out of stocks and potential shipping delays
Ensure all customer related documentation is complete and filed
Processes RMAs and credits. When necessary, forward credits to customers and corporate finance
Oversee/manage Papervision
Attend and participate meetings as required
Additional Responsibilities:
Answer incoming calls
Oversee the resolution of all customer complaints. Ensure communications are comprehensive and thorough. Report all complaints to supervisor when applicable
Provide customers missing or misplaced documents including but not limited to invoices and BOLs
Provide effective support to sales team
Greets and screens visitors and telephone call and notifies staff members or records and relays messages
Monitors admittance to facility assuring admittance is authorize employees and vendors only
Complete miscellaneous customer care functions and special projects as assigned
Complete reports and maintain documentation as required
Performs other duties as assigned
JOB REQUIREMENTS:
Education/Certifications:
High School diploma or GED equivalent
Experience:
One to two years related experience and/or training; or equivalent combination of education and experience
System Implementation preferred
Knowledge/Skills/Abilities:
Knowledge of Microsoft Excel; IDS systems; Power Sell software; EDI software and Microsoft Outlook
Oral and written communication skills
Time management
10 key skills
Language Ability:
Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals
Ability to write routine reports and correspondence
Ability to speak effectively before groups of customers or employees of organization
Math Ability:
Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals
Ability to compute rate, ratio, and percent and to draw and interpret bar graphs
Reasoning Ability:
Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form
Ability to deal with problems involving several concrete variables in standardized situations
Good judgment is required for this position as there may be times when direct supervision may not be immediately available
WORK ENVIRONMENT:
Onsite Role: This position requires the associate to perform all duties at one of our UNFI locations, such as a distribution center or office
Travel (Minor): This position may require the associate to travel to company offices, distribution centers, or other locations for specific meetings or other business reasons
PHYSICAL ENVIRONMENT/DEMANDS:
Office Roles:
Most work is performed in a temperature-controlled office environment
Incumbent may sit for long periods of time at a desk or computer terminal
While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle, or feel; reach with hands and arms; and talk or hear
Incumbent may use calculators, keyboards, telephones, and other office equipment in the course of a normal workday
Stooping, bending, twisting, and reaching may be required in the completion of job duties
Warehouse Roles:
Ability to lift up to 75 pounds and to stand, walk, bend, stoop, twist, and turn frequently
Exposed to temperatures ranging from -20 degrees below zero to 35 degrees Fahrenheit in Perishable Operation and 37 degrees to 90 degrees Fahrenheit in Grocery Operation
Ability to do repetitious arm, wrist, and hand movements required for maintenance and service procedures
Must be able to work with hands and arms overhead, and to work in or under the equipment
Requires manual dexterity, overall coordination, and good balance to work both at ground level and in high places to perform job duties. Ability to operate work-related equipment
Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception, and the ability to adjust focus
Woodstock Farms: Ability to work in an environment containing tree nuts, peanuts, soy, wheat, sesame, milk and different spices like pepper, chili, etc.
ADDITIONAL INFORMATION:
Interview Process:
The selection process will likely consist of two rounds. The first round will be conducted virtually via Microsoft Teams, followed by a second round which will be an onsite interview
Temporary to Permanent Opportunity:
Conversion from a temporary to a permanent position will be based on business needs, attendance, and overall performance. Candidates demonstrating strong performance and reliability may be considered for permanent employment
We are an equal opportunity employer, and we are an organization that values diversity. We welcome applications from all qualified candidates, including minorities and persons with disabilities.
req UNFI-JB-687
Credentialing Coordinator
Patient access representative job in New York, NY
Job Title : Credentialing Coordinator
Duration : 2 Months Contract (with possible extension)
Education : High school Degree required, Bachelor's Degree preferred
Shift Details : 9:00 AM-5:00 PM Hybrid (Thursdays Mandatory) First week training on-site
General Description:
·Maintain communication with the credentialing contacts at facilities and provider sites to coordinate receipt of information required for credentialing, re-credentialing, and update of provider credentialing information
·Review provider-credentialing file for completion and presentation to the Credentialing Committee
·Perform primary source verification on required elements and in accordance with MetroPlus' policies and procedures
·Respond to inquiries from other MetroPlus departments relative to a provider's credentialing status
Education:
High school Degree required, Bachelor's Degree preferred
Customer Service Representative
Patient access representative job in New York, NY
Our client is seeking a Patient Retention Coordinator to add to their growing team! The Patient Revenue Coordinator will be responsible for handling escalated customer issues, resolving discrepancies, answering questions, and working with insurance.
The ideal Patient Retention Coordinator will have 2+ years of experience in a Home Healthcare environment.
This role is in person - 5 days on site - in Brooklyn, New York.
Commercial Lines Customer Service Representative
Patient access representative job in Nutley, NJ
About Us
For more than 100 years, Strategic Insurance Partners (SIP) has been providing Personal and Business Insurance protection that fit your needs. Developing a comprehensive insurance portfolio can be a challenge without guidance from a trusted advisor. At Strategic Insurance Partners, we've been working alongside business owners in New York, New Jersey, and Pennsylvania for more than a century. Instituting extensive insurance expertise, SIP agents take a consultative approach toward identifying risks and proactively reducing the impact of loss through customized coverage. Our management and representatives have developed an atmosphere of trust over the years, which has enabled deeply valued and longstanding relationships with our clients.
Commercial Lines Customer Service Representative
Responsibilities:
Policy Servicing: Assist the Account Managers with processing Change Requests, Audits, Certificates, and more.
Agency Management System Operation: Work daily in AMS to access policy details and update the accounts for accuracy.
Task Management: Track, follow up and close out service tasks.
Team Collaboration: Partner with Account Managers and/or Account Executives to assist and maintain the retention lists every month, 90 days in advance.
Customer Servicing: Assist the Account Managers with incoming calls when needed.
Qualifications:
Valid New Jersey Property and Casualty License required
Minimum of 2 years of commercial lines insurance experience
Knowledge of insurance products
Proficiency with AMS360 and ImageRight preferred; experience with other agency management systems will be considered
Effective verbal and written communication skills
Excellent organizational skills
Strong multitasking skills, attention to detail, and follow-through discipline
Hours: Monday-Friday, 9:00am-5:00pm
Office Location: 492 Franklin Avenue, Nutley, NJ 07110
Benefits:
Competitive Salary
Health Insurance Plans (PPO, HSA, Copay Options)
Dental Insurance
Vision Insurance
Company Paid Disability Insurance
Supplemental Insurance including Critical Illness, Accident, Legal, Pet Insurance
401(k) with Safe Harbor Match
Paid Time Off
Paid Holidays
No Solicitation Notification to Agencies: Please note that Keystone Agency Partners and our Partner Agencies do not accept unsolicited resumes or calls from third-party recruiters or employment agencies. In the absence of a signed Master Service Agreement and approval from HR to submit resumes for a specific requisition, Keystone Agency Partners will not consider or approve payment to any third parties for hires made.
Senior Medical Biller
Patient access representative job in New York, NY
About Us
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 to ensure the maximum reimbursement for their services. Our rapidly growing organization provides employees with generous opportunities for professional growth and advancement. We're looking for talented, dedicated employees who are eager to grow and contribute to our success. If you meet the qualifications below, we encourage you to apply.
Job Description
We are seeking an experienced and detail-oriented Senior Medical Biller to join our dynamic billing department. The ideal candidate will possess deep knowledge of the full claims lifecycle, surgical billing, and current coding guidelines, including CMS CPT, ICD-10, NDC, and LCD regulations. Strong communication skills and the ability to work cross functionally are essential for success in this role.
Primary Responsibilities
· Serve as a liaison with clients and front office staff to gather missing information and minimize billing delays.
· Ensure clients provide accurate and complete data for timely and compliant claims
· submission.
· Collaborate with the coding team to resolve claims on hold due to incomplete or
· missing information.
· Accurately review and process patient encounters in compliance with coding and
· billing regulations.
· Demonstrate understanding of various surgical specialties and their specific billing
· requirements.
· Identify gaps or deficiencies in clinical documentation, work with physicians to
· clarify and improve records.
· Maintain up-to-date knowledge of CMS guidelines, as well as NDC and LCD payer specific regulations.
· Participate in internal billing audits and implement process improvements based on
· audit findings.
· Work proficiently within Electronic Medical Records (EMR) systems.
· Perform additional billing-related tasks and responsibilities as assigned.
Qualifications
· Proficient in CPT and ICD-10 coding.
· In-depth knowledge of CMS, LCD, and NDC billing requirements.
· Familiar with both CMS-1500 and UB-04 billing formats.
· Proven ability to independently identify and resolve billing and coding issues.
· Strong attention to detail with excellent analytical and organizational skills.
· Experience with commercial insurance payers.
· Prior experience with surgical billing required.
· Familiarity with Epic EMR system is preferred.
· 3-5 years experience in a billing position or related position
Benefits
M&D Capital offers our employees a comprehensive benefits package, including health, dental, vision, employee assistance plan, paid family leave, short-term disability and life insurance. We also provide a 401(k) plan with employer match, flexible spending accounts, employee discount program and an employee referral program.
Salary
This position offers a salary range of $70,000 to $95,000 annually, commensurate with experience.
Front Desk Coordinator
Patient access representative job in New York, NY
About Us
RE Brands is a fast-growing fashion company that owns and operates Real Essentials, one of the top-selling apparel brands on Amazon. We're a dynamic, innovative team redefining value-driven fashion through design, speed-to-market, and technology. With licenses like Juicy Couture Sport, Nautica, and Hunter, and a rapidly expanding retail and wholesale presence, we're scaling across e-commerce and brick-and-mortar channels.
Job Description
We're looking for a personable, detail-oriented Front Desk Coordinator to be the face of our NYC office. This is an entry-level position ideal for someone with strong interpersonal skills, a proactive mindset, and an interest in supporting day-to-day office operations.
Responsibilities
Manage and maintain front desk operations
Greet all visitors with warmth and professionalism
Schedule guests and vendor visits with the building
Coordinate office needs such as ordering supplies, stocking the kitchen, and maintaining cleanliness
Manage sample ordering, returns, and organization
Liaise with building management on administrative and operational requests
Assist with office-wide communication and internal team support as needed
Requirements
Some prior administrative, office, or customer service experience preferred
Excellent communication and organizational skills
Ability to multitask and stay proactive in a fast-paced environment
Friendly, professional demeanor and team-first attitude
Associate Patient Care Coordinator
Patient access representative job in Lake Success, NY
Opportunities with Optum in the Tri-State region (formerly CareMount Medical, ProHEALTH New York, Crystal Run Healthcare and Riverside Medical Group). Come make a difference in the lives of people who turn to us for care at one of our hundreds of locations across New York, New Jersey, and Connecticut. Work with state-of-the-art technology and brilliant co-workers who share your passion for helping people feel their best. Join a dynamic health care organization and discover the meaning behind Caring. Connecting. Growing together.
Lake Success Ophthalmology, part of Optum, has an immediate opening for a friendly, patient focused and detailed oriented Associate Patient Care Coordinator to join our team. Associate Patient Care Coordinator--is responsible for the completion of set processes and protocols. Works cooperatively with all members of the care team to support the vision and mission of the organization, deliver excellent customer service and adhere to Lean processes. Supports the teams in meeting financial, clinical and service goals.
Schedule: This is a 37.5-hour work week to be determined by the supervisor. Monday, Wednesday and Thursday 9:00 am to 5:00 pm. Tuesday 11:00 am to 7:00 pm and Friday 8:00 am to 4:00 pm. An rotating Sundays from 8:00 am to 1:00 pm.
Location: 2 OHIO DRIVE, Suite 200, LAKE SUCCESS, NY 11042
Primary Responsibilities:
Greets patients, family members and guests with a friendly smile
Assists patients with signing in and completing registration
Enters and scans patient's demographic and insurance information into Epic
Verifies insurance eligibility and benefit information; informs patients of insurance benefits
Collects co-payments and patient balances
Answers incoming phone calls in a courteous and prompt manner; directs calls and takes messages
Assists physician and clinical staff by coordinating follow up care for patients; schedules referral appointments for patients and obtains authorization for diagnostic testing
Sends patient records to primary care physician
Assists with other tasks as assigned
What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:
Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
Medical Plan options along with participation in a Health Spending Account or a Health Saving account
Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
401(k) Savings Plan, Employee Stock Purchase Plan
Education Reimbursement
Employee Discounts
Employee Assistance Program
Employee Referral Bonus Program
Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
More information can be downloaded at: *************************
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
High School Diploma/GED (or higher)
1+ years of computer proficiency experience (multi-task through multiple applications including Microsoft Outlook, Excel, and Word)
1+ years of customer service or healthcare related experience
Ability to work a 37.5-hour flexible weekly schedule
Monday, Wednesday and Thursday 9:00 am to 5:00 pm
Tuesday 11:00 am to 7:00 pm
Friday 8:00 am to 4:00 pm
One Sunday per month from 8:00 am to 1:00 pm
Preferred Qualifications:
1+ years of experience working in medical office position performing duties such as scheduling appointments, checking patients in/out, insurance verification, collecting co-pays, and maintaining medical records
Experience working with an electronic health record (EPIC)
Knowledge of insurance carriers and managed care plans
Knowledge of Medical terms
Soft Skills:
Ability to work independently and maintain good judgment and accountability
Demonstrated ability to work well with health care providers
Strong organizational and time management skills
Ability to multi-task and prioritize tasks to meet all deadlines
Ability to work well under pressure in a fast-paced environment
Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying information in a manner that others can understand, as well as ability to understand and interpret information from others
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $16.00 to $27.69 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
#RPO, #RED
Auto-ApplyPatient Service Representative
Patient access representative job in New York, NY
We are seeking a detail-oriented and experienced Patient Coordinator to support front-end administrative functions in a fast-paced healthcare setting. The ideal candidate will have a strong background in medical office operations, electronic medical records (EMR), and health insurance processes, along with excellent communication and customer service skills.
Key responsibilities include:
Perform patient registration, including verifying demographic and insurance information
Ensure accurate data entry into the Electronic Medical Record (EMR) system
Verify insurance eligibility and benefits, including managed care plans
Collect co-pays and provide patients with necessary documentation
Maintain knowledge of health insurance requirements, authorizations, and referrals
Apply medical coding standards including ICD-9 and CPT-4 where applicable
Answer incoming calls and provide prompt, professional responses
Work collaboratively with clinical and administrative staff to ensure patient flow
Maintain compliance with HIPAA and other healthcare regulations
Qualifications:
High School Diploma or GED (Required)
Minimum of 3 years clerical experience in a medical office setting (Required)
Data entry skills of at least 4,500 keystrokes per hour
Knowledge of medical coding (ICD-9, CPT-4)
Strong understanding of health insurance benefits and requirements
Excellent customer service and effective communication skills
Proficiency in telephone and computer usage, including keyboarding
Experience using EMR systems (Required)
Familiarity with managed care insurance plans (Required)
Pride Health offers eligible employee's comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts with preferred vendors
Credentialing Specialist
Patient access representative job in New York, NY
Responsible for all aspects of provider credentialing and re-credentialing. Healthcare Field Experience- Required
License Renewals: Ensures that physician licenses are renewed prior to expiration.
Primary Source Verification: Completes primary source verification for new and existing providers to ensure due diligence.
Records Management: Maintains assigned physician files, updating each item/action as processed.
Utilizes database status/alert and other report functions, software tools and links to scanned documentation.
Ensures that information is current and accurate.
Credentialing Standards: maintains consistency in database entry to ensure accurate and consistent processes.
Back-up Coverage: provide credentialing back-up for other members of the credentialing group