Patient service representative jobs in East Orange, NJ - 1,699 jobs

Job Title: Senior Patient Registrar Assignment Duration: 24 weeks Shift: Monday-Friday, 9:00 AM - 5:00 PM Break: 45-minute unpaid break Pay Rate: $28/hour Job Summary The Senior Patient Registrar is responsible for patient registration, demographic and insurance verification, and providing excellent customer service in a fast-paced healthcare environment. This role requires strong clerical, data entry, and communication skills, with a preference for experience in a cardiology or medical office setting. Required Qualifications (R) High School Diploma or GED Minimum 3 years of clerical experience in a healthcare or administrative setting Data entry speed of 4,500 keystrokes per hour Strong customer service skills Excellent verbal and written communication skills Proficiency in telephone systems, keyboarding, and basic computer applications Knowledge of health insurance benefits and requirements Ability to work independently and as part of a team Preferred Qualifications (P) Some college coursework 3-5 years of experience in a cardiology, medical, or secretarial setting Strong proficiency with Electronic Health Records (EHR) systems Knowledge of medical coding, including ICD-9 and CPT-4 Prior customer service experience in a healthcare environment 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

Answer incoming calls and electronic requests from patients, family members, and external parties in a professional and courteous manner. Register new patients and schedule healthcare appointments while ensuring timely, accurate, and compliant data entry. Verify insurance coverage or determine patient self-pay responsibilities and provide cost estimates. Handle clerical and clinical messages from patients, family members, and healthcare professionals. Identify urgent patient situations and coordinate immediate triage. Remain composed with upset callers, escalating priority issues when needed.

Hours: Full Time 10:00 AM - 6:00 PM: Sunday 11:30 AM-7:30 PM: Monday-Thursday Premium Health is looking for outstanding candidates for the Patient Care Coordinator position for our Internal Medicine Department. Premium Health, located in the heart of Brooklyn, is committed to providing compassionate, culturally sensitive, comprehensive health care, and behavioral health services to everyone in the community in need, regardless of ability to pay. Through our services, we aim to achieve community wellness for the individuals and families we serve. Premium Health prioritizes a collaborative care approach and utilizes evidence-based treatment, thus achieving improved patient care and superior outcomes. Conveniently located midway between Flatbush and Boro Park, our Foster Avenue location is home to our adult internal medicine, adult behavioral health, and podiatry departments. 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 have prior experience working in a medical office and have familiarity in medical terminology. Time Commitment: 10:00 AM - 6:00 PM: Sunday 11:30 AM-7:30 PM: Monday-Thursday Responsibilities: Daily responsibilities include: · Document results reviewed with provider and convey them to the patient · Reply to patient medical questions as instructed by the provider · Refill medications · Complete medical forms · Assist providers with tasks as needed · Perform tasks as assigned by supervisor Compensation: $23-$25 an hour Benefits: Public Service Loan Forgiveness (PSLF) Paid Time Off, Medical, Dental and Vision plans, Retirement plans

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.

ABM (NYSE: ABM) is one of the world's largest providers of integrated facility, engineering, and infrastructure solutions. Every day, our over 100,000 team members deliver essential services that make spaces cleaner, safer, and efficient, enhancing the overall occupant experience. ABM serves a wide range of market sectors including commercial real estate, aviation, education, mission critical, and manufacturing and distribution. With over $8 billion in annual revenue and a blue-chip client base, ABM delivers innovative technologies and sustainable solutions that enhance facilities and empower clients to achieve their goals. Committed to creating smarter, more connected spaces, ABM is investing in the future to meet evolving challenges and build a healthier, thriving world. ABM: Driving possibility, together. ABM is an Equal Employment Opportunity (EEO) employer that does not discriminate on the basis of any trait or characteristic protected by applicable federal, state, or local law, including disability and protected veteran status. ABM is committed to working with and providing reasonable accommodation to individuals with disabilities. If you have a disability and need assistance in completing the employment application, please call ************. We will provide you with assistance and make a determination on your request for reasonable accommodation on a case-by-case basis. ABM participates in the U.S. Department of Homeland Security E-Verify program. E-Verify is an internet-based system used to electronically confirm employment eligibility. ABM is a military-friendly company proudly employing thousands of men and women who have served in the U.S. military. With ABM, you'll have access to a world-class training program and ample opportunities to use the skills you developed while serving our country. Whether you're looking for a frontline or professional position, you can find post-military career opportunities across ABM. ABM directs all applicants to apply at ******************** ABM does not accept unsolicited resumes. For more information, visit *********** Under the direction of the Supervisor-In-Charge provide the first-line supervision of all personnel of the contractor engaged in the parking lot operation to ensure safe and efficient service, which may include resolution of problems at the exit plazas. Check all parking equipment and areas for condition and serviceability.

Title: Customer Service Representative Duration: 4 month contract The Customer Service Representative (CSR) will be responsible for contacting students who have been accepted into our charter school program and assisting them with the onboarding process for the new school year. This role requires excellent communication skills, attention to detail, and a commitment to providing exceptional service to our students and their families. Key Responsibilities: * Contact newly accepted students and their families to welcome them to the program. * Provide detailed information about the onboarding process, including required documentation, important dates, and next steps. * Answer any questions students and families may have about the program and the school. * Assist with the completion and submission of necessary forms and paperwork. * Coordinate with other departments to ensure a smooth onboarding experience. * Maintain accurate records of all communications and interactions with students and families. * Follow up with students and families to ensure all onboarding requirements are met. * Address any concerns or issues that arise during the onboarding process in a timely and professional manner. Required Skills & Experience * High school diploma or equivalent; associate's or bachelor's degree preferred. * Previous experience in customer service, preferably in an educational setting. * Excellent verbal and written communication skills. * Strong organizational and time management skills. * Ability to work independently and as part of a team. * Proficiency in Microsoft Office Suite and other relevant software. * Bilingual skills are a plus.

The Biller is responsible to bill all insurance companies, workers compensation carriers, as well as HMO/PPO carriers. Audits patient accounts to ensure procedures and charges are coded accurate and corrects billing errors. Able to identify stop loss claims, implants and missing codes. Maintains proficiency in Medical Terminology. The Biller is responsible for the follow-up performed on insurance balances as needed to ensure payment without delay is received from the insurance companies. Communicates clearly and efficiently by phone and in person with our clients and staff members. Maintains productivity standards and reports. Obtains updated demographic information and all necessary information needed to comply with insurance billing requirements. Operates computer to input follow up notes and retrieve collection and patient information. Is able to write effective appeals to insurance companies. Education and Work Experience 1. Knowledge of multiple insurance billing requirements and 1-2 years of billing experience 2. Knowledge of CPT, HCPCS, and Revenue Code structures 3. Effective written and verbal communication skills 4. Ability to multi-task, prioritize needs to meet required timelines 5. Analytical and problem-solving skills 6. High School Graduate or GED Equivalent Required

We are seeking a reliable Customer Service Representative to assist customers by providing product and service information, resolving issues, and ensuring a positive customer experience. The ideal candidate is a strong communicator who enjoys helping others and can handle inquiries with patience and professionalism. Key Responsibilities Respond to customer inquiries via phone, email, or chat Resolve customer complaints and issues in a timely and effective manner Provide accurate information about products, services, and policies Process orders, returns, exchanges, or account updates Document customer interactions and maintain accurate records Escalate complex issues to the appropriate team when necessary Maintain a positive, professional attitude at all times Qualifications Previous customer service experience preferred but not required Strong verbal and written communication skills

Job Title: Credentialing Specialist - Summit, NJ (ONSITE ROLE) NO REMOTE Hours: 37.5 hours/week (8:00 AM - 4:00 PM, Monday-Friday) Duration : 13 Weeks MUST HAVE PROVIDER CREDENTIALING EXP. Purpose: To confirm a clinician is qualified, 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 Duties :- Verification of Credentials Confirm that healthcare providers (e.g., physicians, nurses, therapists) have valid and current licenses, certifications, education, and training. Verify board certifications, malpractice history, and work experience. . Compliance and Regulatory Oversight Ensure all providers meet the requirements of regulatory agencies, hospitals, and insurance networks. Maintain compliance with standards from organizations such as The Joint Commission (TJC) or NCQA. . Enrollment and Privileging Manage applications for providers to be enrolled with insurance payers (so they can bill for services). Handle the hospital privileging process, which authorizes providers to perform specific procedures within a facility. Record Maintenance Maintain accurate and up-to-date credential files for each provider. Track expiration dates for licenses, certifications, and re-credentialing timelines . Communication and Coordination Act as a liaison between providers, HR, medical staff offices, and payers. Communicate with state licensing

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 office 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 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 organize and prioritize work and manage multiple priorities Excellent verbal and written communication skills Ability to research and analyze data Ability to work independently Ability to establish and maintain effective working relationships Excellent computer skills

We are seeking a motivated and knowledgeable Commercial Insurance Specialist to join our business insurance team. This role is responsible for advising commercial clients on insurance products, quoting and binding policies, servicing accounts, and ensuring customer satisfaction. The ideal candidate has a strong understanding of P&C insurance products and thrives in a fast-paced, client-focused environment. Key Responsibilities: Develop and maintain relationships with commercial clients, ensuring their property and casualty insurance questions are answered. Provide quotes, online policy insurance policies, and process endorsements, renewals, and cancellations. Respond to client inquiries and follow up to ensure excellent customer service and retention. Stay current on products, underwriting guidelines, and regulatory requirements. Maintain accurate records in the CRM and agency management systems. Requirements: 2+ years of experience in commercial property and casualty insurance preferred. Active P&C insurance license is a bonus Strong phone skills Familiarity with small and mid-size business insurance products and rating tools. Strong communication and customer service skills. Ability to multitask, manage priorities, and meet deadlines. Ability to commute daily to our Woodcliff Lake, NJ office is required. This is an in-office position, Monday through Friday, from 8:30 AM to 5:30 PM. Business attire and a clean-shaven appearance are required each day. Preferred Qualifications: Experience working in an independent agency or with a direct writer. Bilingual abilities are a plus. Bachelor's degree or equivalent professional experience.

About Us We're Maimonides Health, Brooklyn's largest healthcare system, serving over 250,000 patients each year through the system's 3 hospitals, 1800 physicians and healthcare professionals, more than 80 community-based practices and outpatient centers. At Maimonides Health, our core values H.E.A.R.T drives everything we do. We uphold and maintain Honesty, Empathy, Accountability, Respect, and Teamwork to empower our talented team, engage our respective communities and adhere to Planetree's philosophy of patient-centered care. The system is anchored by Maimonides Medical Center, one of the nation's largest independent teaching hospitals and home to centers of excellence in numerous specialties; Maimonides Midwood Community Hospital (formerly New York Community Hospital), a 130-bed adult medical-surgical hospital; and Maimonides Children's Hospital, Brooklyn's only children's hospital and only pediatric trauma center. Maimonides' clincal progams rank among the best in the country for patient outcomes, including its Heart and Vascular Institute, Neuroscience Institute, Boneand Joint Center, and Cancer Center. Maimonides is an affiliate of Northwell Health and a major clinical training site for SUNY Downstate College of Medicine. Overview clinical training site for SUNY Downstate College of Medicine. We currently seek a Patient Representative to serve as liaison between patient and hospital staff while functioning as a patient advocate interfacing with patients, families, staff and hospital administration; assists patients in interpreting hospital policies, procedures and services, and in obtaining solutions to problems and concerns. Responsibilities * Patient Advocacy & Education Educates patients/families on hospital policies, the Patient's Bill of Rights, pain management, safety, & advance directives (HCP, DNR, MOLST.), in compliance with the Patient Self-Determination Act/Family Health Care Decisions Act. * Issue Resolution & Communication Serves as in-house Administrator on Call, addressing non-clinical patient concerns, resolving complaints, coordinating with hospital departments, and feedback to patients. * Documentation & Reporting Maintains comprehensive records of patient/family interactions, documents incidents and follow-ups, and provides reports to administration. * Interdisciplinary Collaboration & Committees Participates in & coordinates interdisciplinary patient care teams and hospital committees, including Ethics, Safety, Nursing, and Child Protection, EOL. * Emergency Department Responsibilities Supports patients/families in Emergency Department waiting areas, assists with patient admissions/transfers, expedites lab/X-ray processes * Access & Support Services Assists in referring patients to appropriate services when alternatives are unavailable, coordinates interpreter services, hospital notary, organ donor * Policy Compliance & Outreach Ensures adherence to department policies, performance improvement standards, and regulatory requirements; participates in community outreach, education programs, and staff in-services on patient rights and healthcare directives. Qualifications * Bachelor's degree in communications, social sciences or nursing preferred. * Minimum 5 years exp in hospital field or suitable combination education/experience preferred. * Knowledge of patient care and patient problems * Good interpersonal and English verbal/written communication skills; Bilingual preferred. Pay Range USD $63,500.00 - USD $63,500.00 /Yr. Equal Employment Opportunity Employer Maimonides Medical Center (MMC) is an equal opportunity employer.

Job Description * Serves as a liaison between doctor's offices, the hospital, and patients. * Schedules appointments for various hospital departments and physician office visits. * The scheduler receives routine functional guidance from the supervisor/manager of Patient Access concerning resources to make appropriate patient referrals. * Manual dexterity is required as is the ability to concentrate on detail in the midst of other activity. * The scheduler will follow very specific protocols in scheduling and the collection of financial information. * The scheduler assures that all patients have all information they need so that they will arrive on time and prepared for their procedures and the hospital has all the information required to properly bill or services. * Receives requests to schedule patients from referrals and schedules patients accordingly. * Maintains open communication with other departments regarding scheduling changes. * Properly verifies and obtain prior-authorization when needed. * Follows up on any requests and/or messages left on work phone immediately. * Coordinates transportation needs for patients appointments. EDUCATION + EXPERIENCE REQUIREMENTS: High school Diploma required. College Degree preferred. 2 or more years experience in hospital registration/patient access is desired. 2 or more years of hospital setting experience in scheduling is required. Must have type speed of at least 45 WPM and basic experience with main frame computers, calculators, copiers, FAX machines, and multi-line phone systems required Knowledge of medical terminology Must be through and able to follow detailed instructions Must have excellent customer service skills Ability to work with speed and accuracy while multi-tasking is required

NYU Grossman School of Medicine is one of the nation's top-ranked medical schools. For 175 years, NYU Grossman School of Medicine has trained thousands of physicians and scientists who have helped to shape the course of medical history and enrich the lives of countless people. An integral part of NYU Langone Health, the Grossman School of Medicine at its core is committed to improving the human condition through medical education, scientific research, and direct patient care. At NYU Langone Health, equity and inclusion are fundamental values. We strive to be a place where our exceptionally talented faculty, staff, and students of all identities can thrive. We embrace inclusion and individual skills, ideas, and knowledge. For more information, go to med.nyu.edu , and interact with us on LinkedIn , Glassdoor , Indeed , Facebook , Twitter and Instagram . Position Summary: We have an exciting opportunity to join our team as a Part Time Patient Representative (FGP) - Staten Island. In this role, the successful candidate Position Summary:Greet patients as they arrive off the elevator, assist patients with their paperwork, and attend topatients needs. Acts as a liaison between the patient and Surgery Department. Responsible for helping to improve patient and family satisfaction by gaining a full understanding of patient concerns and providing resolution whenever possible. Serving as an informational resource to patients and their families; facilitating communications between patients/families and staff; documenting patient compliments and complaints. Job Responsibilities: Distributes Patients' Bill of Rights when requested and answer questions pertaining to those rights. Monitors waiting area and dressing rooms for tidiness and tidies as appropriate Stock waiting area with reading materials. Assist patient who are in wheelchairs, when needed escort patient to their doctors appointment. When needed escort patients to dressing room instruct on clothing changing procedures. Inform lead tech patient dressing room location. Inform patients on wait time. Greet and direct patients to appropriate registration line and seating areas. Assist patients to fill out paperwork, when necessary. Reports trends in patient feedback to the leadership, and works with the health care team to identify possible quality improvement initiatives. Documents all patient complaints and compliments in the Patient Feedback Tool and shares feedback and suggestions with involved staff as appropriate. Directs complaints to the office of the Chief Medical Officer and Risk Management. And/or Administrator. Serves as a liaison between patient and staff when requested by patient/family and/or health care team, and assists patient and/or family to gain resolution within the limits of established organizational policy. Investigates and facilitates resolution of quality of care concerns/complaints/grievances for all patients and families/visitors. Distributes Advance Directive information and serves as a resource for patients, caregivers and staff. Interprets and explains NYU Medical Center's policies, procedures and services that pertain to patient rights and responsibilities, as requested. Minimum Qualifications: High School Graduate or the equivalent, required. 3-5 years of equivalent experience in dealing with the public, required. Excellent communication and customer service skills. Knowledge of services provided in the Medical Center. Preferred Qualifications: College Graduate preferred. Qualified candidates must be able to effectively communicate with all levels of the organization. NYU Grossman School of Medicine provides its staff with far more than just a place to work. Rather, we are an institution you can be proud of, an institution where you'll feel good about devoting your time and your talents. At NYU Langone Health, we are committed to supporting our workforce and their loved ones with a comprehensive benefits and wellness package. Our offerings provide a robust support system for any stage of life, whether it's developing your career, starting a family, or saving for retirement. The support employees receive goes beyond a standard benefit offering, where employees have access to financial security benefits, a generous time-off program and employee resources groups for peer support. Additionally, all employees have access to our holistic employee wellness program, which focuses on seven key areas of well-being: physical, mental, nutritional, sleep, social, financial, and preventive care. The benefits and wellness package is designed to allow you to focus on what truly matters. Join us and experience the extensive resources and services designed to enhance your overall quality of life for you and your family. NYU Grossman School of Medicine is an equal opportunity employer and committed to inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration. We require applications to be completed online. View Know Your Rights: Workplace discrimination is illegal. NYU Langone Health provides a salary range to comply with the New York state Law on Salary Transparency in Job Advertisements. The salary range for the role is $17.68 - $28.44 Hourly. Actual salaries depend on a variety of factors, including experience, specialty, education, and hospital need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits. To view the Pay Transparency Notice, please click here

TITLE: Entitlement Medicaid Specialist (FT) REPORTS TO: Director of Entitlements Our Mission: Since 1967, Odyssey House has been providing innovative services and programs to a broad population of individuals and families struggling with substance use and mental health disorders. Odyssey House helps New Yorkers of all ages-and across all five boroughs-beat drugs and alcohol with highly individualized treatment programs. Odyssey House provides high quality, holistic treatment impacting all major life spheres, including: psychological, physical, social, family, educational and spiritual in order to support personal rehabilitation, renewal and family restoration. If that sounds different than other treatment programs, you're right. Because Odyssey is where recovery gets real. In addition to competitive salaries, Odyssey House offers: A 35-hour work week (as opposed to a 40-hour work week) Vacation Plan and Holiday Schedule Life Insurance Medical Insurance (Two Plans) Dental and Vision Insurance Additional Insurance Coverages (hospitalization, accidental, critical illness coverage) Long-Term & Short-Term Disability Flexible Spending Account/Health Reimbursement Account 403(b) Plan Corporate Counseling Associates (CCA) EAP benefit Ability Assist Counseling Services (through The Hartford) Commuter Benefits Educational Assistance Programs Special shopping discounts through ADP Marketplace and PlumBenefits RUFit?! Fitness Program Legal Assistance through ARAG Optum Financial Service through ConnectYourCare Benefit Advocacy Center through Gallagher MAJOR FUNCTIONS: Maintain a working relationship with the Department of Social Service (DSS), Human Resources Administration (HRA), the Social Security Administration (SSA), Medicaid Office, Expedited and Marketplace to ensure Medicaid Managed Care guidelines, policies and procedures are followed to receive appropriate funding for 819 and 820 programs. SPECIFIC DUTIES & RESPONSIBILITIES: Conduct daily comprehensive review of consumers' interviews to determine eligible for Entitlements benefits, Medicaid Eligibility, Medicaid Managed Care, Medicare, Private Insurance coverage, Self-Pay Case conference difficult cases with the Director for guidance and support to ensure funding for 819 and Part 820 programs are obtained in a timely fashion Conduct interviews on new admissions for HRA/DSS/Medicaid/SSI/SSD/Self-Pay Expedite consumers with the selection of Managed Care Organization, assist with the NY State Market Place at point of admissions and upon Medicaid Eligibility Daily Data Entry of Medicaid Managed Care coverage / Medicare / Private Insurance / MAT in AWARDS, E-Lab and LabCorp Portal Daily update the Entitlement 820 Reports with consumers' coverage Navigate Epaces (eMedNY) / Inovalon / STARS / SAAMS / AWARDS / WTW / Manage Care System Portals for coverage Communicate with consumers regarding insurance coverage, restrictions, and disenrollment (Medicaid/Managed Care, Medicare, and Private Insurance) Process Medicaid applications and recertifications for consumers through the Department of Social Services, NY State Exchange/Marketplace Investigate Medicaid disparities related to county / deferral / eligibility / denial / dropped / recertification Identify and process consumers with Medical / Pharmacy / Out-Patient restrictions through the Managed Care Organization and Managed Care System (MCS) Resolve problematic Medicaid Managed Care issues for Part 820 coverage Complete and submit bi-weekly 820 Medicaid Managed Care Reports Complete weekly Medicaid Manage Care Reports for five residential programs to reflect consumers' coverage for the Pharmacy, Medical department and LabCorp Other relevant duties as assigned REQUIREMENTS: BA Degree preferred Experience with Medicaid Managed Care; Human Services Field Background with DSS/HRA benefits, Recertifications, Medicaid Managed Care, Expediting, enrollment and disenrollment Demonstrated effective communication, proficiency in Excel, computer skills, organization and multitasking Notary Public Stamp Odyssey House is an equal opportunity employer maintaining a non-discriminatory policy on hiring of its personnel. Odyssey House, and its operational divisions, will not discriminate against any employee or applicant because of race, creed, color, national origin, sex, disability, marital status, sexual orientation or citizen status in all employment decisions including but not limited to recruitment, hiring, upgrading, demotion, downgrading, transfer, training, rate of pay or other forms of compensation, layoff, termination and all other terms and conditions of employment.

Patient Rep for Brooklyn Nursing home should be able to relate to patients and family of patients and take care of any issues that arise great communication skill will be dealing with the administration on a day to day business to see how can better care for patients and family Salary: 75K Operations Manager For Telehealth Center in Brooklyn has to be extremely organized and be on top of the center from A-Z to make sure it runs smoothly and efficiently Salary: 90K

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 Credentialing Specialist to support our client's medical facility based in Morristown, NJ 07960. 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: Credentialing Specialist Location: Morristown, NJ 07960 Shift: Days, (8:00 am - 4:00 pm) Duration: 13 weeks of assignment Pay Range: $30 - $32/hr (on W2) Responsibilities: 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 Background checks Malpractice history Skills/privileging (what procedures they are allowed to perform) 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 initials 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). All other duties as assigned Requirements: Knowledge of the credentialing process required. Ability to organize and prioritize work and manage multiple priorities. Excellent verbal and written communication skills. Ability to research and analyze data. Ability to work independently. High School Diploma is required. Ability to establish and maintain effective working relationships Excellent computer skills 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 : 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.

* Serves as a liaison between doctor's offices, the hospital, and patients. * Schedules appointments for various hospital departments and physician office visits. * The scheduler receives routine functional guidance from the supervisor/manager of Patient Access concerning resources to make appropriate patient referrals. * Manual dexterity is required as is the ability to concentrate on detail in the midst of other activity. * The scheduler will follow very specific protocols in scheduling and the collection of financial information. * The scheduler assures that all patients have all information they need so that they will arrive on time and prepared for their procedures and the hospital has all the information required to properly bill or services. * Receives requests to schedule patients from referrals and schedules patients accordingly. * Maintains open communication with other departments regarding scheduling changes. * Properly verifies and obtain prior-authorization when needed. * Follows up on any requests and/or messages left on work phone immediately. * Coordinates transportation needs for patients appointments. EDUCATION + EXPERIENCE REQUIREMENTS: High school Diploma required. College Degree preferred. 2 or more years experience in hospital registration/patient access is desired. 2 or more years of hospital setting experience in scheduling is required. Must have type speed of at least 45 WPM and basic experience with main frame computers, calculators, copiers, FAX machines, and multi-line phone systems required Knowledge of medical terminology Must be through and able to follow detailed instructions Must have excellent customer service skills Ability to work with speed and accuracy while multi-tasking is required