Patient access representative jobs in North Bergen, NJ

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 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

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.

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

Credentialing Specialist - 📍 Morristown, NJ | Onsite $30 - 35 /hr | 37.5 hrs/week | Mon-Fri | Duration : 13 weeks MUST HAVE PROVIDER CREDENTIALING EXP. Purpose: To confirm a clinician is qualified, competent, and safe to practice at a specific healthcare facility. Focuses on: Education (degrees, residency, boards) Licenses & certifications Work history Clinical competence Backg round checks Malpractice history Skills/privileging (what procedures they are allowed to perform) Requirements: 2+ years of credentialing experience (medical staff office or hospital setting preferred). Strong knowledge of regulatory standards and credentialing best practices. Excellent written/verbal communication and organizational skills. Proficient in Microsoft Office and Echo or similar credentialing systems. Ability to manage multiple tasks independently and meet deadlines

Who are we? Colonial Surety Company is an insurance company licensed for business in every state, listed by the U.S. Treasury as an approved surety, and rated “A Excellent” by A.M. Best Company. Our distinct, digital product platform has recently expanded to include important liability coverages for small and mid-size businesses. Founded in 1930, we use our experience-plus technology-to give busy people and businesses easy, affordable and digital access to a growing portfolio of bond and insurance products. We have an ambitious vision for impact and growth-and invite a diversity of motivated achievers to come, learn, work, create, grow-and succeed-with Colonial. Position Overview We are seeking a high-energy, customer-focused Customer Service Representative (CSR) for our ERISA Fidelity Department. This role is ideal for someone who is hungry to grow, enjoys a heavy phone presence, and has a strong interest in sales. You will be responsible for assisting clients, managing CRM data, handling administrative tasks, and ensuring a seamless customer experience. Prior experience in Customer Service is a must-as well as a strong work ethic, excellent communication skills, and a drive to succeed! Key Responsibilities Customer Service & Sales Support: Engage with clients via phone and email, providing top-notch service and assistance. Educate potential customers on ERISA Fidelity products and services, helping them navigate their options. Proactively follow up on leads and in-progress applications to drive sales conversions. Maintain accurate customer records and interactions in the CRM system. Collaborate with internal teams to streamline processes and improve customer experience. Administrative Responsibilities: Process and track applications, renewals, and policy updates. Ensure accurate data entry and maintain organized client records. Assist in preparing reports, documentation, and client communications. Support the team with invoicing, follow-ups, and other administrative tasks. Qualifications & Skills Experience: 1-3 years in customer service, sales support, or administrative roles. Prior experience working in a CRM system is highly preferred. Skills & Competencies: Strong verbal and written communication skills - comfortable with a high-volume phone role. Driven, self-motivated, and eager to grow in a sales-oriented environment. Detail-oriented with strong organizational and problem-solving skills. Proficiency in Microsoft Office Suite (Word, Excel, Outlook). Ability to multi-task, prioritize, and meet deadlines efficiently. Education & Certifications: BA Degree in Business in related field. Why Join Us? 📞 Heavy phone presence & sales growth opportunities 💼 $45,000 base salary 🏆 Career advancement in a fast-growing company 📈 Monday-Friday, 8:30 AM - 5:30 PM schedule with a 1-hour lunch 🌟 Supportive team environment & professional development If you're hungry for success, love being on the phone, and want to grow in sales, we'd love to hear from you!

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

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

Credential Specialist Shift: 37.5 hours/week (7.5 hours/day) Timing: 8:00 AM - 4:00 PM Duration: 13 weeks Pay: $30 - $32/hourly Requirements: Minimum 2+ years of experience High School/ Batchelor Degree License/ Certificate (Preferred) Skills & Qualifications Strong knowledge of the provider credentialing process (Required). Excellent organization and prioritization skills with the ability to handle multiple tasks. Exceptional verbal and written communication skills. Ability to research, analyse, and verify credentialing data. Strong ability to work independently and collaboratively. Proven ability to build and maintain effective professional relationships. Proficient with computers and credentialing systems; Echo database experience preferred Duties & Responsibilities: Credentialing & Compliance Enforce regulatory compliance and quality assurance throughout the credentialing process. Process initial and reappointment applications for providers (approximately 125-200 quarterly). Collect, verify, and process large volumes of credentials including education, training, licensure, certifications, work history, and accreditation. Ensure all credentialing data meets legal, federal, state, and facility-specific requirements. Maintain strict confidentiality of all provider information. Database & Documentation Management Maintain and update accurate provider records in the Echo credentialing database. Set up and maintain provider profiles in both Echo and online credentialing systems. Track and monitor license and certification expirations for all providers. Prepare reports and documentation related to credentialing activities and audits. Committee & Meeting Support Prepare materials for Credentials Committee, MEC, and Board of Trustees meetings. Schedule, attend, and take minutes for site-based medical staff department meetings as needed. Process and collect dues for medical staff at designated locations. General Operations Ensure all credentialing processes comply with facility Bylaws for each location. Compile, organize, and maintain current, accurate data for all providers. Perform other duties as assigned.

Job Title : Customer Service Representative Duration : 2+ months contract (Possible extension ) Education : High school degree Shift Details : M-F schedule 9A-5P Job Description: • Assist all line of business (Medicaid/Medicare/MLTC/CHP/EP) in retaining current qualified members by following a strategic daily work schedule that includes am and pm hours, field locations as well as weekends. • Maintaining daily Outreach and Renewal goals set through business needs to increase overall retention Enrollment and retention support. • They are experts on the system and understand the NYSOH processes to quickly route members to the appropriate resolution and support. • The Customer Success Specialist will work as a liaison to ensure proper processes are introduced and implemented such that the experience is enhanced.

Job Title: Scheduling / Room Booking Coordinator East Hanover, NJ (On-Site) WHAT YOU'LL DO The Internal Meetings & Events (IME) Scheduling / Room Booking Coordinator plays a critical role in ensuring seamless scheduling and coordination of meeting spaces and related services for corporate meetings and events. This position serves as a primary point of contact for room booking requests, manages scheduling systems, and collaborates with internal teams and customers to deliver high-quality experiences for Client associates and stakeholders. Day to Day Responsibilities: Scheduling & Coordination Serve as a primary contact for global scheduling inquiries, providing guidance via phone, email, and other channels. Manage all aspects of IME room reservations, including approvals, declines, and adjustments using Outlook, SharePoint & ServiceNow (SNOW). Reserve rooms via generic mailboxes and ensure accurate calendar management. Monitor, categorize and respond to communications via multiple shared mailboxes, hotlines and chats. Adhere to multiple Standard Operating Procedures related to the role and scheduling requirements for various scenarios and locations. Act as a main resolver for scheduling requests in ServiceNow and any future enterprise systems, ensuring timely completion within SLAs. Secure meeting spaces based on customer requirements and availability. Coordinate room changes, cancellations, and escalations to minimize disruptions. Track and update event details in SharePoint and other IME systems. Manage the AV Request Approvals, AV Request Calendar and centralized scheduling mailboxes. Assign support staff for onsite, hybrid and virtual meetings, ensuring proper resource allocation. Provide guidance and support to end-users for regarding room bookings. Key contributor to projects that require scheduling/booking intervention such as blocking rooms for maintenance and relocating meetings to alternative space. Customer & Team Collaboration Provide guidance to end-users and global booking teams. Monitor scheduling tools and escalate issues as needed. Participate in team meetings. Contribute to process improvements. Generate daily space schedule reports and ad-hoc reports for management. Partner with internal teams (AV, IT, REFS) to ensure meeting readiness and service quality. Assist in process improvement Operational Support (5% of Role) Process vendor invoices, chargebacks, and billing tasks (Accounts Payable Processing, Goods Receipt Management, accruals). Coordinate travel arrangements and submit expense reports. Order catering and office supplies; manage inventory and logistics. WHAT WE'RE LOOKING FOR Must-Haves: Excellent communication and customer service skills; ability to interact professionally with all levels of the organization. Commitment to providing excellent service and meeting client needs. Strong organizational and communication skills with exceptional attention to detail and accuracy. Ability to collaborate effectively across teams on a local and global scale. Proficiency in Microsoft Outlook, SharePoint, and ServiceNow (or similar ticketing systems) as well as Microsoft Office suite. Ability to prioritize tasks, manage schedules, and handle competing deadlines in a fast-paced environment. Initiative in identifying and resolving issues promptly. Capability to work independently while also collaborating effectively across teams. WHY YOU'LL LIKE WORKING HERE Enjoyable and dynamic company culture Training and professional development opportunities

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.

Are you an experienced Credentialing Specialist with a desire to excel? If so, then Talent Software Services may have the job for you! Our client is seeking an experienced Credentialing Specialist to work at their company in Morristown, NJ. Primary Responsibilities/Accountabilities: Enforce regulatory compliance and quality assurance Prepare and maintain reports of credentialing activities such as accreditation, membership, or facility privileges Ensure that all information meets legal, federal, and state guidelines when processing applications Responsible for carrying out various credentialing processes in relation to physicians and allied health practitioners Process applications for initial applicants as well as reappointments (approximately 125-200 quarterly) Collect and process significant amounts of verification and accreditation information Maintain and update accurate information in the Echo database (includes education, training, experience, licensure) Prepare material for the Credentials Committee meeting, MEC, as well as the Board of Trustees meeting Sets up and maintains provider information in Echo Maintains confidentiality of provider information Ensure compliance with the Bylaws at each location as it pertains to the credentialing process Schedule, and on occasion, attend and take minutes for site-based medical staff department meetings Process and collect dues for the site-based medical staff Compiles and maintains current and accurate data for all providers Sets up and maintains provider information in the online credentialing database Tracks license and certification expirations for all providers Maintains confidentiality of provider information All other duties as assigned Qualifications: Knowledge of the credentialing process is required Ability to organise and prioritise work and manage multiple priorities Excellent verbal and written communication skills Ability to research and analyse data Ability to work independently Ability to establish and maintain effective working relationships Excellent computer skills

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.

Gottlieb and Greenspan is a boutique law firm based in Fair Lawn, New Jersey with a strong focus on arbitration under the Federal No Surprises Act. Our collaborative team is growing, and we're seeking a detail-oriented and motivated Medical Biller to join us. About the Role As a Medical Biller Paralegal on our team, you'll be part of a close-knit group of 5-6 paralegal professionals led by a Senior Paralegal. You'll receive comprehensive training in all aspects of the arbitration process and play a key role in supporting our legal efforts to ensure fair reimbursement for healthcare providers. Responsibilities: Assist in preparing and filing arbitration documents Review and analyze medical billing records and reimbursement claims Maintain accurate case files and documentation Support attorneys and senior paralegals in case strategy and execution Educational Qualifications: Bachelor's degree preferred, or associate's degree with relevant experience in medical billing or coding Medical Billing Certification preferred Required Skills: The ability to read and decipher medical EOBs Familiarity with CPT coding Proficiency in the Microsoft Office Suite and Adobe Strong attention to detail and a high level of accuracy Excellent critical thinking and problem-solving skills Effective written and verbal communication abilities Professional customer service skills Strong ability to uphold and promote the organization's core values Flexibility to adapt to increased workloads and shifting deadlines Positive, collaborative outlook, and strong interpersonal skills Prior paralegal experience is a plus, not required. Training will be provided Benefits: 401(k) Safe Harbor Profit Sharing Cash Balance Health Insurance Dental Insurance Vision Insurance Life Insurance Paid Time Off Work Location: Onsite

Front Office Receptionist. Multi tasker. Professional appearance. Courteous. Well spoken. Bilingual in English and Spanish. Hospitality experience is a plus. Full time and part time positions available.

Hello, Greetings from Pride Health I hope this email finds you well. This is Shubham, and I work here as a Senior healthcare Recruiter. I am reaching out to you to offer you a job of Patient Registrar to support our client's medical facility based in Brooklyn, NY 11215. I am sharing the job info below. If you like the job, then kindly reply with your availability to speak with you further. Job Details: Job Title: Patient Registrar Location: Brooklyn, NY 11215 Shift: 9:00 AM - 05:00 PM Duration: 13 weeks Pay Rate for locals: $20/hr - $23/hr (on W2) Responsibilities: Prepares pertinent paperwork for auths, physician reqs, diagnostics testing reqs & transport & reimbursements. Verifies/document 3rd party eligibility, determine patient liability and obtain auths. Data entry skills of 4500 keystrokes. Requirement: HS diploma/GED is required. Minimum 1 yr clerical exp is required. Knowledge of health insurance benefits/requirements. Attention to detail & HIPAA knowledgeable. Telephone, keyboard, computer, communication, customer services skills is required. Pride Global 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. Thanks & Regards, Shubham Saini Senior Associate, EST

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

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