Patient service representative jobs in North Hempstead, NY - 1,732 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

A nationally recognized joint venture is seeking a detail-oriented Assistant Scheduler to support a major transportation infrastructure project at a high-traffic airport. This role offers the opportunity to work alongside an experienced team delivering a high-stakes public works initiative with long-term regional impact. This is an ideal opportunity for an entry-level or early-career professional with a background in civil construction or project controls, eager to grow in a complex, fast-paced environment. Key Responsibilities: Assist with the development and maintenance of project schedules using Primavera P6 Input, update, and manage schedule data, including activities, durations, logic ties, and milestones Monitor progress updates from field and project management teams Support schedule analysis, including critical path, float tracking, and risk assessments Prepare reports, charts, and visualizations for internal teams and external stakeholders Attend planning meetings and support coordination across engineering and field operations Integrate subcontractor and supplier schedules into overall project timelines Assist with time impact analysis and documentation for schedule delays and claims Maintain organized scheduling files and related project documentation Qualifications: Bachelor's degree in Civil Engineering, Construction Management, or a related field (or equivalent experience) 0-2 years of experience in scheduling or project controls within the construction industry Basic proficiency in Primavera P6 Understanding of construction sequencing and terminology Proficient in Microsoft Office, particularly Excel and Outlook Strong attention to detail, organizational skills, and analytical thinking Excellent communication skills and the ability to collaborate with cross-functional teams Exposure to civil infrastructure projects (bridges, utilities, rail, or transit) is a plus Internship or prior hands-on experience in construction scheduling or project planning preferred This is a great opportunity to build your career in construction project controls while contributing to a vital infrastructure project. Join a team that values precision, teamwork, and continuous development.

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.

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

Russell Tobin's client is hiring a Customer Service Representative 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.

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

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.

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

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.

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

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.

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 service representative 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.

*IMMEDIATE OPENING FOR MEDICAL RECEPTIONIST * *OPPORTUNITY TO WORK FOR ONE OF THE LARGEST HEALTHCARE NETWORKS ON LONG ISLAND * *FULL TIME OPPORTUNITY WITH ROOM FOR ADVANCEMENT * *MONDAY - FRIDAY * *SMITHTOWN, NY * *$24/HR * *Qualifications: * * 2 years of medical receptionist experience * Insurance verification experience * ERM experience * Detail oriented * Excellent communication skills *Responsibilities: * * The medical receptionist position will involve answering phones, scheduling appointments, scan results, may get trained on insurance verifications, etc. * Handle all incoming call from patients * Provides administrative support to the practice physicians and management * Maintains patient files * Scans all patient information reports, insurance information and patient demographic, progress notes, etc. in designated section of patient's electronic chart and flags appropriately * Obtains all referrals and authorizations required by insurance carriers for patient services. * Retrieves examination and procedure authorizations and referrals. * Obtains admission authorizations and any other authorization required by division * Maintain EMR database * Support medical billing functions *Job Type & Location* This is a Contract to Hire position based out of Smithtown, NY. *Pay and Benefits*The pay range for this position is $20.00 - $24.00/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 Smithtown,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.

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 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*********************************************

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

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.