Patient service representative jobs in Wayne, NJ - 1,645 jobs
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Patient Registrar
Scheduler
Insurance Specialist
Credentialing Assistant
Prior Authorization Specialist
Assistant Scheduler
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Patient service representative job in Newark, NJ
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.
$39k-77k yearly est. 3d ago
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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
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. 5d ago
Senior Medical Receptionist
Premium Health Center
Patient service representative job in Monroe, NY
Sr. Medical Receptionist - Reproductive Endocrinology & Infertility
Job Status: Part Time | Sun-Fri: 6:00am-8:00am (with potential for additional hours)
Reports to: Practice Manager / REI Clinical Leadership
The Sr. Patient Navigator serves as the face of the Reproductive Endocrinology & Infertility (REI) practice and is often the first point of contact for patients. In this role, the Medical Receptionist / Administrative Assistant plays a critical part in ensuring a smooth, coordinated flow of operations between the REI practice and Premium Health's Brooklyn site, while delivering a compassionate, organized, and professional patient experience.
This position requires a high level of attention to detail, discretion, and emotional intelligence, given the sensitive nature of REI care. The Medical Receptionist / Administrative Assistant is skilled at managing multiple responsibilities simultaneously in a fast-paced clinical environment while upholding Premium Health's standards of CARE: Compassion, Agility, Respect, and Excellence.
Responsibilities
Greet and check in patients in a warm, professional, and empathetic manner
Serve as the primary front-desk representative for the REI practice
Perform insurance eligibility checks and basic insurance verification
Print and prepare patient labels, laboratory orders, and clinical documentation, as well as copy/scan/fax the information into the relevant source
Assist patients with completion and organization of required paperwork
Liaise and coordinate administrative communication between the Aizer site and Premium Health's Brooklyn site
Answer incoming phone calls and place outbound calls to patients regarding appointments, instructions, and follow-up
Schedule, confirm, and update patient appointments
Collect copays and patient payments at time of service
Support light billing tasks and documentation as assigned
Scan, file, and maintain accurate patient records in accordance with HIPAA regulation
Respond to patient inquiries in a timely and professional manner
Support clinical and administrative staff to ensure efficient daily operations
Qualifications
Minimum education requirement: High-school diploma
Minimum 1 year of professional experience in a healthcare, medical office, or customer service-focused role
Prior experience in a medical receptionist, administrative assistant, or front-desk role preferred
Familiarity with insurance verification, copay collection, and basic billing processes
Strong organizational skills and attention to detail
Excellent verbal and written communication skills
Ability to handle sensitive patient information with discretion and professionalism
Experience in women's health or specialty practices (REI preferred) is a plus
$30k-37k yearly est. 4d 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
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
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
Customer Service Representative
ABM 4.2
Patient service representative job in Newark, NJ
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.
$30k-38k yearly est. 2d ago
Credentialing Specialist
Talent Software Services 3.6
Patient service representative job in Morristown, NJ
Are you an experienced Credentialing Specialist with a desire to excel? If so, then Talent Software Services may have the job for you! Our client is seeking an experienced Credentialing Specialist to work at their office in Morristown, NJ.
Primary Responsibilities/Accountabilities:
Enforce regulatory compliance and quality assurance
Prepare and maintain reports of credentialing activities such as accreditation, membership or facility privileges
Ensure that all information meets legal, federal and state guidelines when processing applications
Responsible for carrying out various credentialing processes in relation to physicians and allied health practitioners
Process applications for initial applicants as well as reappointments (approximately 125-200 quarterly)
Collect and process significant amounts of verification and accreditation information
Maintain and update accurate information in the Echo database (includes education, training, experience, licensure)
Prepare material for the Credentials Committee meeting, MEC as well as the Board of Trustees meeting
Sets up and maintains provider information in Echo
Maintains confidentiality of provider information
Ensure compliance with the Bylaws at each location as it pertains to the credentialing process
Schedule, and on occasion, attend and take minutes for site-based medical staff department meetings
Process and collect dues for the site-based medical staff
Compiles and maintains current and accurate data for all providers
Sets up and maintains provider information in online credentialing database
Tracks license and certification expirations for all providers
Maintains confidentiality of provider information
All other duties as assigned
Qualifications:
Knowledge of the credentialing process is required
Ability to organize and prioritize work and manage multiple priorities
Excellent verbal and written communication skills
Ability to research and analyze data
Ability to work independently
Ability to establish and maintain effective working relationships
Excellent computer skills
$52k-71k yearly est. 5d ago
Neurosurgery Opportunity in Central Florida
Direct Jobs
Patient service representative job in Florida, NY
Orlando Health is seeking an experienced Neurosurgeon to join our team in Lakeland, Florida. This is an exceptional opportunity to be a founding physician in a brand-new program launching in 2026 at our anticipated Level 1 Trauma Center.
About This Opportunity
This position offers the unique opportunity to establish and shape a neurosurgery program from the ground up. Our team is actively developing a comprehensive support staff infrastructure to ensure optimal clinical operations and patient outcomes. You will play a pivotal role in building a world‑class neurosurgical service line at our state‑of‑the‑art facility.
Qualifications:
Education: M.D., D.O.
Completion of an ACGME‑accredited Neurosurgery Residency
Board Certified or Board Eligible in Neurological Surgery
Unrestricted FL Medical License (on the ability to obtain one) and DEA
Financial Package:
Comprehensive benefits package includes health, vision, and dental insurance, malpractice coverage, disability coverage, deferred compensation, and matching retirement savings options starting from day one.
Generous starting bonus.
Annual CME stipend.
Eligible employer under the Public Student Loan Forgiveness Program.
As an integrated healthcare system, Orlando Health has joined forces with the nationally respected, physician‑led practice of Watson Clinic to bring exceptional healthcare to the communities of Polk County and the surrounding region. The combined strengths of this collaboration will be showcased with the summer 2026 opening of the Orlando Health Watson Clinic Lakeland Highlands Hospital.
Areas throughout the new hospital will reflect the collaborative spirit between the two organizations. Experts from both Orlando Health and Watson Clinic have been heavily involved in the overall planning of the project, including design of the facility, selection of next‑generation technologies, and development of a comprehensive scope of specialized programs and services, with key programs to include cardiology, neurology, gastroenterology, obstetrics, surgery and surgical oncology.
This state‑of‑the‑art facility will feature more than 300 inpatient beds, 69 emergency and observation beds, 11 operating rooms, four cardiac and interventional suites, and 18 beds in an intensive care unit that will grow to 36 at full build‑out. The hospital will support a wide offering of surgical and procedural services across multiple specialties. A robust cardiovascular program will offer diagnostic cardiology services upon opening, with the addition of PCI care soon after and further progressing to include structural heart disease and advanced electrophysiology (EP) programs. With a strong neurology focus on stroke and spine care, the hospital is expected to advance to a primary stroke center soon after opening with comprehensive stroke center to follow. A full obstetrical unit also will be highlighted on opening day with eight labor and delivery rooms, two designated C‑section operating rooms and more than 25 postpartum rooms. A 12‑bed neonatal intensive care unit debut shortly after the hospital opens.
The Orlando Health system of care includes award‑winning hospitals and EDs, specialty institutes, urgent care centers, primary care practices and outpatient facilities that stretch from Floridas east to west coasts and into Central Alabama and Puerto Rico. Collectively, our physicians and team members honor our 115‑year legacy by providing professional and compassionate care to the many patients, families and communities we serve.
Along with numerous excellence awards earned by our individual hospitals and institutes, Orlando Health is recognized for an exceptional workplace culture that focuses on personal and professional growth programs that support our physicians and team members throughout their careers.
Joy in Medicine designation by the American Medical Association
Great Hospitals in America 2024, Becker's Hospital Review
Great Place to Work Certification
150+ Top Places to Work in Healthcare 2025, Beckers Healthcare
Top Workplaces Award 2025, USA Today
Americas Greatest Workplaces 2025, Newsweek
Glassdoors Best Places to Work 2025
#J-18808-Ljbffr
$32k-42k yearly est. 3d ago
Credentialing Specialist (onsite)
Pacer Staffing
Patient service representative job in Summit, NJ
Job Title: Credentialing Specialist - Summit, NJ (ONSITE ROLE) NO REMOTE
Hours: 37.5 hours/week (8:00 AM - 4:00 PM, Monday-Friday)
Duration : 13 Weeks
MUST HAVE PROVIDER CREDENTIALING EXP. Purpose: To confirm a clinician is qualified,
Requirements:
2+ years of credentialing experience (medical staff office or hospital setting preferred).
Strong knowledge of regulatory standards and credentialing best practices.
Excellent written/verbal communication and organizational skills.
Proficient in Microsoft Office and Echo or similar credentialing systems.
Ability to manage multiple tasks independently and meet deadlines
Duties :-
Verification of Credentials Confirm that healthcare providers (e.g., physicians, nurses, therapists) have valid and current licenses, certifications, education, and training. Verify board certifications, malpractice history, and work experience.
. Compliance and Regulatory Oversight Ensure all providers meet the requirements of regulatory agencies, hospitals, and insurance networks. Maintain compliance with standards from organizations such as The Joint Commission (TJC) or NCQA.
. Enrollment and Privileging Manage applications for providers to be enrolled with insurance payers (so they can bill for services). Handle the hospital privileging process, which authorizes providers to perform specific procedures within a facility.
Record Maintenance Maintain accurate and up-to-date credential files for each provider. Track expiration dates for licenses, certifications, and re-credentialing timelines
. Communication and Coordination Act as a liaison between providers, HR, medical staff offices, and payers. Communicate with state licensing
$35k-57k yearly est. 4d 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
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
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 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 5d ago
Customer Service Representative
Prokatchers LLC
Patient service representative job in New York, NY
Job Title : Customer ServiceRepresentative
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.
$30k-39k yearly est. 2d ago
Patient Registration Representative
Pride Health 4.3
Patient service representative job in Cortlandt, NY
Title-Patient Registrar
Shift 8 to 4 pm Monday to Friday
Pay- $19 /hr to $23/hr
6 months of Contract with possible extensions
Duties & Responsibilities / Requirements
High School Diploma or GED (required); some college coursework (preferred)
Minimum 1 year of clerical experience (required); 5 years preferred
EMR experience with the ability to multitask
Bilingual Spanish speaking (preferred)
Data entry speed of 4,500 keystrokes per hour (required)
Knowledge of health insurance benefits and requirements (preferred)
Familiarity with ICD-9 and CPT-4 coding (preferred)
COVID vaccination copy required
Strong customer service, communication, telephone, computer, and keyboard skills (required)
Pride Health offers eligible employee's comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts with preferred vendors.
If Interested, you can reach me on my number ************** or email me at *******************************
$19-23 hourly 5d ago
Scheduling Specialist
Hudson Regional Hospital
Patient service representative job in Secaucus, NJ
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
$38k-64k yearly est. 28d ago
Credentialing Specialist
Pride Health 4.3
Patient service representative job in New York, NY
The Credentialing Specialist is responsible for coordinating and managing all aspects of provider credentialing and re-credentialing activities. This role ensures that all medical staff, allied health professionals, and other designated providers meet organizational, regulatory, and accreditation requirements prior to practicing. The position requires strong healthcare experience, exceptional attention to detail, and proficiency with credentialing systems.
This is a fully onsite position.
Key Responsibilities
Credentialing & Re-Credentialing
Facilitate the complete credentialing lifecycle for initial appointments, reappointments, and ongoing audits.
Manage clinical privileging processes for medical staff and allied health professionals in accordance with policies, procedures, and bylaws.
Primary Source Verification
Perform and document primary source verification for new and existing providers.
Ensure compliance with verification standards and due diligence requirements.
License & Certification Management
Track and ensure timely renewal of provider licenses and certifications prior to expiration.
Update provider files and databases promptly as renewals are completed.
Records Management & Data Integrity
Maintain accurate, organized, and up-to-date provider credentialing files.
Ensure consistency and accuracy in all credentialing database entries.
Utilize software tools to monitor status alerts, run reports, and review scanned documentation.
Compliance & Regulatory Standards
Interpret and apply standards from accrediting and regulatory agencies.
Maintain working knowledge of laws, statutes, and regulations related to credentialing.
Software & Technology
Use MDStaff credentialing software (or similar systems) for data entry, tracking, and monitoring credentialing activities.
Team Support & Backup Coverage
Provide credentialing support for other members of the credentialing team as needed to ensure continuity of operations.
Minimum Required Skills & Qualifications
Bachelor's Degree - Required.
Healthcare Field Experience - Previous experience working within a healthcare environment is mandatory.
Credentialing Expertise - Hands-on experience with provider credentialing and privileging.
Primary Source Verification Skills - Ability to conduct and document all required verification activities.
MDStaff or Equivalent Software Proficiency - Experience managing data within credentialing systems.
Regulatory Knowledge - Understanding of accreditation and regulatory standards governing credentialing activities.
Exceptional Attention to Detail - Ability to ensure accuracy, consistency, and data integrity.
Records Management Skills - Experience maintaining comprehensive, compliant credentialing files.
Backup Capability - Ability to step in for other credentialing team members when coverage is needed.
Pride Health offers eligible employees 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.
$41k-51k yearly est. 3d ago
Learn more about patient service representative jobs
How much does a patient service representative earn in Wayne, NJ?
The average patient service representative in Wayne, NJ earns between $30,000 and $44,000 annually. This compares to the national average patient service representative range of $27,000 to $38,000.
Average patient service representative salary in Wayne, NJ
$36,000
What are the biggest employers of Patient Service Representatives in Wayne, NJ?
The biggest employers of Patient Service Representatives in Wayne, NJ are: