Patient service representative jobs in New Rochelle, NY - 1,604 jobs
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Senior Patient Registrar
Pride Health 4.3
Patient service representative job in New York, NY
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
$28 hourly 3d ago
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Patient Service Representative
Prokatchers LLC
Patient service representative job in New York, NY
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.
$33k-40k yearly est. 13h ago
Patient Care Coordinator-Adult Primary Care
Premium Health Center
Patient service representative job in New York, NY
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
$23-25 hourly 13h ago
Customer Service Representative
Esquire Bank 4.4
Patient service representative job in Jericho, NY
Basic Function:
The principal responsibility of this position is to create a welcoming environment for all clients while providing client support to our New York Branch. This individual will be the first point of contact for clients and internal partners.
Principal Responsibilities:
Answer and direct incoming telephone calls, take messages and greet customers in a friendly and courteous manner.
Assist customers with deposits, withdrawals, or payments and resolve client concerns.
Process transactions per customer requests. Transactions could include cash and check deposits, cash withdrawals or check cashing, issuing bank checks, debit card services, check ordering, online banking assistance, stop payments and wire transfers.
Open commercial and consumer accounts and assist customers with routine account related inquiries.
Respond to emails from clients in a timely manner and confirm with client that their request has been processed to their satisfaction.
Utilize Sales Force to track client interactions.
Assist with branch vault opening, closing and balancing procedures.
Inform customers about bank products and services.
Always maintain a professional appearance and demeanor.
Comply with all department Security, company policies, procedures, and regulations.
Ensure that all activities are performed in compliance with federal, state and Bank Secrecy Act regulatory requirements.
Background and Experience:
High school diploma or equivalent required, and 1-3 years Teller/customer service experience.
Exceptional verbal, written and interpersonal communication skills, with the ability to apply common sense to carry out instructions and instruct others, train personnel, write reports, and speak clearly to customers and employees.
Excellent organizational and time management skills.
Ability to work independently with little to no supervision.
Cash handling experience preferred.
High level of accountability, efficiency, and accuracy.
Prior Customer Service experience.
Microsoft Office and Excel skills. Salesforce experience preferred.
Location: Esquire Bank, Jericho, NY (On-site)
Full time - M-F 8:30 am - 5:30 pm
Estimated Salary Range:
$40,000 - $55,000 / year
Compensation may vary based on education, skills, qualifications and/or expertise.
$40k-55k yearly 13h ago
Customer Service Representative
Russell Tobin 4.1
Patient service representative job in Port Washington, NY
Russell Tobin's client is hiring a Customer ServiceRepresentative in Port Washington, NY
Employment Type: Contract
Pay rate:
English Speaker - $17.50
French Speaker - $20
Responsibilities:
Answer incoming calls and process customer orders.
Troubleshoot technical issues, particularly related to electrical and IT systems, and communicate solutions clearly.
Resolve customer complaints while maintaining composure and professionalism.
Document customer interactions accurately and track call types.
Follow up with customers regarding order status, shipping, and stock availability.
Maintain support service levels consistent with Luxottica's standards.
Perform all other duties as assigned.
Requirements:
High school diploma or equivalent.
Minimum 1 year of experience in customer service, hospitality, or call center environments.
Excellent telephone etiquette and communication skills (verbal and written).
Strong PC skills including Microsoft Office (Word, Excel) and internet navigation.
Ability to prioritize tasks, manage time efficiently, and work well in a team environment.
Demonstrated listening and comprehension skills.
Nice to have:
Higher education degree.
Experience using SAP.
Knowledge of optical products and industry terminology.
Bilingual in French.
Benefits that Russell Tobin offers:
Russell Tobin offers eligible employees comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance, and hospital indemnity), a 401(k)-retirement savings, life & disability insurance, an employee assistance program, identity theft protection, legal support, auto and home insurance, pet insurance, and employee discounts with some preferred vendors.
$31k-37k yearly est. 2d ago
Customer Service Representative
Insight Global
Patient service representative job in New York, NY
Title: Customer ServiceRepresentative
Duration: 4 month contract
The Customer ServiceRepresentative (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.
$30k-39k yearly est. 3d ago
Credentialing Specialist
The Goodkind Group, LLC 4.0
Patient service representative job in Farmingdale, NY
Type: Temp to Permanent (Full-Time)
Shift: Days
Hours: 8:30 AM - 4:30 PM or 9am-5pm
The Medical Affairs Credentialing Specialist processes credentialing and re-credentialing applications of physician and allied health practitioners. The Specialist reviews applications, conducts primary source verifications, prepares appointment letters, and maintains Midas database. The Credentialing Specialist contacts internal and external medical office staff, licensing agencies, and insurance carriers to complete credentialing applications.
The Credentialing Specialist should have a good working knowledge of commonly used concepts, practices, and procedures relative to NCQA and Joint Commission standards.
Responsibilities:
Process initial and recredentialing applications for physicians and allied health professional.
On a monthly basis, track expiring licensure and send reminder notices to practitioners.
Collect and verify background information for practitioners using primary and secondary sources by querying various websites.
Enter and maintain practitioner information in Credentialing database, as appropriate
Maintain confidential credentials files and electronic medical staff databases.
Assist with preparation of agenda for Credentialing Committee meetings and distribution of minutes to Committee members.
Provide support during Managed Care, Joint Commission and DOH audits
Additional tasks, as applicable
Requirements:
3-5 years' experience in Medical staff Services and/or Credentialing
CPCS Certification preferred
High School diploma or Equivalency required
B.S. Preferred
Excellent written and verbal communication skills
Excellent technical skills
Excellent interpersonal skills
$35k-44k yearly est. 1d ago
Commercial Lines Customer Service Representative
Strategic Insurance Partners-Sip
Patient service 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 ServiceRepresentative
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.
$30k-39k yearly est. 2d ago
Medical Office Receptionist
Gentile Retina
Patient service representative job in Mineola, NY
Experienced Medical Receptionist - Front Desk, Mineola, Long Island.
For Premier Private Ophthalmology Office in Mineola, Long Island (11501), adjacent to Long Island Railroad, Mineola Station and NYU Winthrop University Hospital with affiliated practice in the NYC, East Village (close to Stuyvesant Town / Union Square/ less than 1 block to L train), Both offices are beautiful, newly renovated with a positive vibe and teaching environment.
This is a great opportunity to join a well-established, growing ophthalmology practice. Experience with insurance eligibility, understanding of billing and credentialing a must. Ophthalmology and Eye Care experience preferred. Competitive starting salary and benefits package come with this part-time (possible future full-time) opportunity. If you are interested, please forward your resume to: ************************ and ***************************.
Applicant must be friendly, energetic, highly organized, and dependable with excellent customer service, computer and administrative skills. The ability to effectively and professionally communicate with patients, co-workers, managers and physicians is critical. Candidates must be able to maintain a professional image in appearance as well as over the phone. Providing courteous and friendly service to all patients while contributing to building a positive work environment is key!
***Ideal candidate is someone who can work (2-4 days/wk) in both offices (Long Island and NYC). Days and times needed include Mon., Tues., Wed., and Fridays with Fridays a priority. Typical shift would be 8:00/9:00AM to 4:00/6:00PM
Job Responsibilities include:
• Greet patients, patient registration, telephone coverage and appointment scheduling
*Multi-task
• Ensure patient information is accurate including billing information
• Check patient eligibility and be familiar with in NY insurance carriers including commercial, governmental, Medicare, Medicaid, HMO, etc.
• Answer insurance and collection calls from patients, call insurance companies to verify coverage or receipt of claims, call insurance companies to pre-certify procedures
• Inform patients of medical office procedures and policies
• Maintain and manage patient records
• Move patients through appointments as scheduled
• Collect co-pays and payments
• Obtain external medical reports as required by medical professionals
• Complete other clerical duties as assigned
• Ensure reception area is well maintained, neat, clean, and well stocked.
• Safeguard patient privacy and confidentiality
• Experience in the medical field and understanding of terminology is desirable.
• Ability to work well in a team environment a must.
• Being able to triage priorities, delegate tasks if needed, and handle conflict in a reasonable fashion.
• Proficiency with reading, writing, and communicating in English.
• Proficiency Problem-solving skills to research and resolve discrepancies.
• Knowledge of medical terminology likely to be encountered in medical claim
• Special projects when needed.
• Great hospitality skills with patients is paramount
$32k-41k yearly est. 3d ago
Medical Biller
St. Mary's General Hospital 3.6
Patient service representative job in Passaic, NJ
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
$31k-36k yearly est. 4d ago
Credentialing Specialist - Temporary (Part-Time)
Flexstaff Careers 4.0
Patient service representative job in Syosset, NY
FlexStaff is seeking a temporary Credentialing Specialist, part time (2 days/week) requiring travel between 2 locations during the week (Garden City & Syosset). Healthcare credentialing experience required.
Pay Rate: $25/hr
Job Description
Assures the credentialing of healthcare providers is conducted in accordance with organizational policies, operational procedures, and applicable governmental and regulatory agency regulations and standards. Performs activities associated with verification, tracking inquiries, and follow-up on problems which may delay completion of the file.
Responsibilities
• Obtains source verification of credentials in accordance with prevailing policies and procedures.
• Tracks responses and follows-up on items not received within established cycle periods.
• Reviews completed files with management in accordance with established schedules.
• Maintains credential records.
• Produces management reports regarding operations performance and/or provider credentialing status for internal management and external providers using the health system's verification services.
•Adheres to operating policies and procedures including delivery of completed work and use of resources.
•Initiates correspondence to providers, users, health plans and others as necessary to obtain requisite credentialing information.
• Informs management regarding the status of departmental operations and provider credentialing issues of concern.
• Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions.
Qualifications
• High School Diploma or equivalent required.
• 1-3 years of relevant experience, required.
$25 hourly 3d ago
Commercial Insurance Specialist
Colonial Surety Company
Patient service representative job in Woodcliff Lake, NJ
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.
$30k-40k yearly est. 1d ago
Online Customer Service Representative
London Jewelers 3.5
Patient service representative job in Glen Head, NY
London Jewelers is a premier jewelry business, family owned and operated for over 95 years. We continue to set the standard for quality and service in providing customers with the finest selection of diamonds, designer jewelry, fine timepieces and gifts, presented in a luxurious style and setting with superior customer service. We are seeking a dedicated online customer service, brand relationship representative to manage customer interactions and provide support for our products and services. The ideal candidate will handle inquiries and tracking, resolve complaints, and ensure customer satisfaction.
Responsibilities:
Respond to customer inquiries via phone, email, and chat
Track customer inquiries through multiple websites and through entire lifecycle of customer's request
Add products and update content on London Jewelers website
Maintain Brand pages on London Jewelers website updating banners, products and information
Daily price and inventory updates on our website
Resolve customer complaints in a professional manner
Process orders, returns, and exchanges
Track monthly store traffic report
Daily cash report
Routine testing of functionality of website, content images displayed correctly, links live, and add to cart active
Provide product and service information and guidance
Maintain appointment requests for store locations
Document and update customer records based on interactions
Follow up and track with customers and the store to ensure their issues are resolved
Stay updated on product knowledge and company policies
Follow daily task check list
Maintain a positive and empathetic attitude toward customers
Qualifications/Experience:
Proven experience as a customer servicerepresentative or similar role
Excellent communication and interpersonal skills
Ability to handle stressful situations and diffuse upset customers
Proficient in using ERP software and CRM tools
Strong problem-solving skills
Ability to multitask and manage time effectively
Attention to detail and accuracy
High school diploma or equivalent; a degree or equivalent
Flexibility to work in shifts if required
Good typing skills and computer literacy
Preferred Qualifications:
Degree in a relevant field
Job Type:
Full-time
In office
Salary:
$25 an hour
Benefits:
Health insurance
Dental insurance
Vision insurance
Paid time off
401(k) with employer matching
Employee assistance program
Employee discount
Flexible spending account
Health savings account
Life insurance
We are an Equal Opportunity Employer. All persons shall have the opportunity to be considered for employment without regard to their race, color, creed, religion, national origin, ancestry, citizenship status, age, disability, sex, gender, veteran status, genetic information or any other characteristic protected by applicable federal, state or local laws.
$25 hourly 13h ago
Customer Service Representative- START ASAP
Teksystems 4.4
Patient service representative job in New York, NY
*Shareholder ServicesRepresentative - Call Center (Entry Level)* *Schedule:* In-office Monday-Friday (10:00am-6:00pm) + *Mandatory Remote Saturdays* (10:00am-4:00pm ET) *Hours:* 40+ hours/week during peak season
*Position Overview*
The Shareholder ServicesRepresentative is responsible for providing highquality customer service to registered shareholders through both inbound and outbound calls. Using a shareholder call list provided by the client, this individual will educate shareholders on corporate actions, voting options, and relevant proposals, while ensuring all communications are logged accurately and professionally.
This role operates in a *fastpaced call center environment*, with an expectation of completing *20-25 outbound calls per hour*. Representatives must be proactive, articulate, and able to multitask while delivering a superior customer experience.
*Key Responsibilities*
* Make outbound calls to shareholders using clientprovided call lists.
* Provide customer service support to registered shareholders via inbound and outbound calls.
* Educate shareholders on corporate actions, board proposals, and voting options.
* Track, monitor, and report outstanding issues to ensure timely client updates.
* Accurately log all call details and interactions into the Access Database.
* Assist in the development of campaign themes and messaging to maintain a clear and effective narrative.
* Maintain performance metrics in a highvolume call center environment.
* Use only the company's tollfree 800 number for all calls (personal phone numbers never appear on caller ID).
*Required Skills & Qualifications*
* Customer service oriented with strong communication and interpersonal skills.
* Ability to multitask effectively between inbound and outbound calls.
* Selfmotivated, proactive, and able to stay productive during slower call periods.
* Experience or education in *finance, business, or accounting* (required).
* Strong professionalism-*zero tolerance for lateness*.
* Must be available to work *every Saturday* (10:00am-4:00pm ET).
*Experience Level*
* *Entry Level*, with related coursework or professional exposure to finance, accounting, or business.
*Preferred Skills*
* Customer service
* Finance or business management
* Highvolume inbound/outbound calling
* Strong clarity in verbal communication
* Ability to meet or exceed call metrics
*Disqualifiers*
* No relevant experience or education in finance, accounting, or business.
* Habitual lateness or reliability concerns.
* Degrees unrelated to business/finance (Graphic Design, Fashion, Cosmetology, etc.) *without relevant work experience*.
*Job Type & Location*
This is a Contract position based out of New York, NY.
*Pay and Benefits*The pay range for this position is $18.00 - $18.00/hr.
Eligibility requirements apply to some benefits and may depend on your job
classification and length of employment. Benefits are subject to change and may be
subject to specific elections, plan, or program terms. If eligible, the benefits
available for this temporary role may include the following:
* Medical, dental & vision
* Critical Illness, Accident, and Hospital
* 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available
* Life Insurance (Voluntary Life & AD&D for the employee and dependents)
* Short and long-term disability
* Health Spending Account (HSA)
* Transportation benefits
* Employee Assistance Program
* Time Off/Leave (PTO, Vacation or Sick Leave)
*Workplace Type*This is a fully onsite position in New York,NY.
*Application Deadline*This position is anticipated to close on Jan 28, 2026.
h4>About TEKsystems:
We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
About TEKsystems and TEKsystems Global Services
We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.
The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
$18-18 hourly 2d ago
Prior Authorization Quality Assurance Pharmacist
Capital Rx 4.1
Patient service representative job in New York, NY
About Judi Health
Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including:
Capital Rx, a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers,
Judi Health, which offers full-service health benefit management solutions to employers, TPAs, and health plans, and
Judi, the industry's leading proprietary Enterprise Health Platform (EHP), which consolidates all claim administration-related workflows in one scalable, secure platform.
Together with our clients, we're rebuilding trust in healthcare in the U.S. and deploying the infrastructure we need for the care we deserve. To learn more, visit ****************
Position Summary:
The QA Pharmacist will use their state regulatory knowledge to perform routine auditing and monitoring processes to ensure quality, accuracy, and regulatory compliance of coverage requests and appeals. The QA Pharmacist will utilize a strong comprehension of regulatory requirements to ensure success in annual reporting, program audits, and ad hoc audits.
Position Responsibilities:
Complete monthly utilization management and appeals performance and process audits in alignment with applicable regulations, accreditation standards, and best practices.
Create and maintain progress reports and audit results in accordance with regulatory/accreditation requirements and internal processes.
Present audit results to leadership in a timely manner to address issues and ensure adherence to departmental procedures and regulatory/accreditation requirements (CMS, URAC, NCQA).
Continuously review and remain informed of all regulatory/accreditation requirements and updates impacting the coverage request and appeals processes.
Respond to inquiries from internal and external stakeholders regarding quality assurance processes, audit results, and compliance policies and procedures.
Work independently and with team members as warranted by audit assignment.
Assist in designing and implementing audit tools and programs, creating QA scorecards and guides in collaboration with all department stakeholders.
Provide ongoing performance feedback, to team leads to ensure consistent performance.
Assist management in identifying, evaluating, and mitigating operational, and compliance risks.
Work in collaboration with operational leaders to identify training opportunities and recommend improvements to Work Instructions, Job Aids, and Policy and Procedures to improve performance.
Minimum Qualifications:
Active, unrestricted, pharmacist license required
2+ years of state regulatory and auditutilization management experienceat a PBM or health plan required
Extensive knowledge of how to operationalize regulatory requirements
Strong oral and written communication skills required
Intermediate to advanced Microsoft Excel skills required
Possess strong analytical skills, attention to detail, quantitative, and problem-solving abilities
Ability to work independently with minimal supervision, stay productive in a remote, high-volume, metric driven work environment
Ability to multi-task and collaborate in a team with shifting priorities
Preferred Qualifications:
Familiarity/experience with URAC and NCQA accreditation requirements
Utilization management and/or appeals audit experience
3+ years of compliance or regulatory experience at a PBM or health plan
This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals.
#LI-BC1
Salary Range$135,000-$145,000 USD
All employees are responsible for adherence to the Capital Rx Code of Conduct including the reporting of non-compliance. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals.
Judi Health values a diverse workplace and celebrates the diversity that each employee brings to the table. We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
By submitting an application, you agree to the retention of your personal data for consideration for a future position at Judi Health. More details about Judi Health's privacy practices can be found at*********************************************
$31k-45k yearly est. 3d ago
Part Time Patient Representative (FGP) - Staten Island
NYU Langone Health
Patient service representative job in New York, NY
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.
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Position Summary:
We have an exciting opportunity to join our team as a Part Time PatientRepresentative (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
$17.7-28.4 hourly 2d ago
Entitlement Medicaid Specialist
Odyssey House Inc. 4.1
Patient service representative job in New York, NY
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.
$32k-45k yearly est. Auto-Apply 3d ago
Scheduling Specialist
Hudson Regional Hospital
Patient service representative job in Secaucus, NJ
* 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
$38k-64k yearly est. Auto-Apply 60d+ ago
Patient Representative
Miravistarehab
Patient service representative job in Harrison, NY
State of Location:
New York Our PatientRepresentatives are the backbone of our clinics and have a direct impact on patient experience. They work collaboratively with clinicians and colleagues to provide exceptional patient care and world-class customer service. Responsibilities include greeting and checking-in patients, scheduling appointments, answering incoming phone calls, verifying insurance coverage, obtaining necessary authorization, collecting payments, processing new patients, and helping the clinic maintain optimal performance. Ivy's rewarding and supportive work environment allows accelerated growth and development opportunities for all teammates.
Join Ivy Rehab's dedicated team where you're not just an employee, but a valued teammate! Together, we provide world-class care in physical therapy, occupational therapy, speech therapy, and applied behavior analysis (ABA) services. Our culture promotes authenticity, inclusion, growth, community, and a passion for exceptional care for every patient.
Job Description:
PatientRepresentative - Part-time
Harrison, NY
Ivy Rehab Network
Why Choose Ivy?
Best Employer: A prestigious honor to be recognized by Modern Healthcare, signifying excellence in our industry and providing an outstanding workplace culture.
Innovative Resources & Mentorship: Access to abundant resources, robust mentorship, and career advice for unparalleled success.
Professional Development: Endless opportunities for career advancement through training programs centered on administrative excellence and leadership development.
Exceeding Expectations: Deliver best-in-class care and witness exceptional patient outcomes.
Incentives Galore: Eligibility for full benefits package beginning within your first month of employment. Generous PTO (Paid Time Off) plans, paid holidays, and bonus incentive opportunities.
Exceptional Partnerships: Collaborate with leaders like Hospital for Special Surgery (HSS) to strive for excellence in patient care.
Empowering Values: Live by values that prioritize teamwork, growth, and serving others.
Position Qualifications:
1+ years of administrative experience in a healthcare setting is preferred.
Proficiency in Microsoft Office applications such as Excel, Word, and Outlook.
Great time management and ability to multi-task in a fast-paced environment.
Self-motivated with a drive to exceed patient expectations.
Adaptability and positive attitude with fluctuating workloads.
Self-motivated with the eagerness to learn and grow.
Dedication to exceptional patient outcomes and quality of care.
We are an equal opportunity employer, committed to diversity and inclusion in all aspects of the recruiting and employment process. Actual salaries depend on a variety of factors, including experience, specialty, education, and organizational need. Any listed salary range or contractual rate does not include bonuses/incentive, differential pay, or other forms of compensation or benefits.
ivyrehab.com
$31k-38k yearly est. Auto-Apply 60d+ ago
Patient Representative and Operation Manager
Staff Connect
Patient service representative job in New York, NY
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
$31k-38k yearly est. 60d+ ago
Learn more about patient service representative jobs
How much does a patient service representative earn in New Rochelle, NY?
The average patient service representative in New Rochelle, NY earns between $30,000 and $43,000 annually. This compares to the national average patient service representative range of $27,000 to $38,000.
Average patient service representative salary in New Rochelle, NY
$36,000
What are the biggest employers of Patient Service Representatives in New Rochelle, NY?
The biggest employers of Patient Service Representatives in New Rochelle, NY are: