Top 250 Claims representative Jobs in New Jersey

Claims Representative - Remote
The Cigna Group —New Jersey
- $17.75 - $26.00 an hour
- Online Application
- Remote
- Microsoft Outlook
- Research
- High school diploma or GED
- Paid holidays
- Health insurance
6d
Patient Account Representative
Med-Metrix —Parsippany-Troy Hills, NJ
- Full-time
- Remote
- Basic math
- HIPAA
- Mid-level
2d
Claims Analyst - REMOTE
Ryder System —Trenton, NJ
- $90,000 - $100,000 a year
- Full-time
- Remote
- Customer service
- Bachelor's degree
- Experience equivalent to degree accepted
- Disability insurance
- Health insurance
Customer Service Representative, Behavioral Health (Shift: Mon-Fri 11:45AM-8:15PM EST)
CVS Health —New Jersey
- $17.00 - $31.30 an hour
- 8 hour shift
- Remote
- Microsoft Excel
- Microsoft Outlook
- Residential
- Health insurance
- Dental insurance
3d
Billing Representative
Reliable Respiratory —Hoboken, NJ
- $30 - $35 an hour
- Full-time
- 18 years or older
- Computer literacy
- Research
Quick Apply
Medical Biller
www.advanced-wellness.net —Marlboro, NJ
- $22 - $25 an hour
- Part-time
- Medical office experience
- Mid-level
- Organizational skills
- Health savings account
- Health insurance
Quick Apply
13d
NF/PIP and WC Collections Specialist
Ambulatory Surgical Center —Saddle Brook, NJ
- $24 - $28 an hour
- Full-time
- Mid-level
- Organizational skills
- In-person
- Health insurance
- Dental insurance
Quick Apply
NJ Personal Lines Insurance Customer Service Rep
David M Hundertmark Agency Inc —Pompton Lakes, NJ
- $40,000 - $56,000 a year
- Full-time
- Microsoft Excel
- English
- Mid-level
Quick Apply
Medical Billing Specialist
Affinity Med Solutions —Park Ridge, NJ
- $21 - $23 an hour
- Full-time
- Medical office experience
- Office
- High school diploma or GED
- Health insurance
- Dental insurance
Quick Apply
4d
Medical Billing Accounts Receivable Specialist
CH Revenue Management Solutions —Red Bank, NJ
- From $27 an hour
- Full-time
- Background check
- Microsoft Excel
- Microsoft Outlook
- Health insurance
- Dental insurance
Quick Apply
Pre-Authorization Coordinator
Monmouth Cardiology Associates, LLC —Eatontown, NJ
- From $20 an hour
- Full-time
- Writing skills
- High school diploma or GED
- Organizational skills
- Health savings account
- Health insurance
Quick Apply
Medical Collections Representative
NexGen Orthopedic Health & Wellness —Paramus, NJ
- $20 - $25 an hour
- 8 hour shift
- HIPAA
- Mid-level
- Office
- Health insurance
- Dental insurance
Quick Apply
Revenue Cycle Specialist – Full Cycle Management
MAX Surgical Specialty Management —Parsippany-Troy Hills, NJ
- $27 - $33 an hour
- Full-time
- Surgery
- Research
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
Infusion Referral Coordinator - Annandale, NJ - Part Time
OI Infusion Services, LLC —Annandale, NJ
- $23 - $25 an hour
- Part-time
- Microsoft Excel
- Mid-level
- High school diploma or GED
Quick Apply
Revenue Cycle Specialist – Full Cycle Management
MAX Surgical Specialty Management —Parsippany-Troy Hills, NJ
- $27 - $33 an hour
- Full-time
- Surgery
- Research
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
Medical Credentialing, Drug Authorization, Denials, Clerical, Medical Records
Eye Centers of America, LLC —Wayne, NJ
- From $22 an hour
- Full-time
- Bilingual
- Microsoft Word
- Microsoft Excel
- Health savings account
- AD&D insurance
Quick Apply
Customer Service Representative - State Farm Agent Team Member
edwin mata - State Farm Agent —Emerson, NJ
- $40,000 - $50,000 a year
- Full-time
- Spanish
- Office
- Communication skills
- Paid time off
- Parental leave
Quick Apply
Health Assistant
TouchCare —Shrewsbury, NJ
- Medical office experience
- Research
- Mid-level
- Vision insurance
- Flexible schedule
Quick Apply
Insurance Account Representative - State Farm Agent Team Member
Dominick Abramo - State Farm Agent —Bayonne, NJ
- $65,000 - $85,000 a year
- Full-time
- Computer literacy
- Office
- Computer skills
- Paid holidays
- Health insurance
Quick Apply
Claims Intake Representative I
New Jersey Schools Insurance Group —Mount Laurel, NJ
- $39,918.28 - $52,143.00 a year
- Weekends as needed
- Hybrid work
- Office
- Microsoft Office
- Finance
- Health insurance
- Dental insurance
Quick Apply
11d

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Claims Representative - Remote

The Cigna Group -
New Jersey

Apply Now

Job Details

Full-time
$17.75 - $26.00 an hour
6 days ago

Benefits

Paid holidays
Health insurance
Dental insurance
401(k)
Tuition reimbursement
Paid time off
Smoking cessation program
Vision insurance
Life insurance

Qualifications

Video conferences (communication methods)

Full Job Description

Claims Representative – Remote

SUMMARY

The claims representative is responsible for manually reviewing and processing medical, supplemental, or dental claims. Claims are processed according to benefits, eligibility, and internal processes, policies, and procedures and may be completed, held for additional information/review, or denied. New claim representatives will be provided with a robust training program, which includes virtual classroom training, on-the-job learning/feedback, and gradually increasing claims per hour/quality requirements over several months. After completion of training, claim representatives must meet specific accuracy/quality, volume/claims per hour, and on production performance metrics.

$19/Hour Pay Rate

RESPONSIBILITIES

Independently research and navigate various documents and databases to accurately process claims, ensuring compliance and adherence to established guidelines.
Confirm the presence of necessary documents within submitted claims.
Validate the accuracy of medical codes provided in claim submissions.
Assess the eligibility status of claims based on established criteria.
Review and verify other insurance coverage information in submitted claim.
Evaluate authorizations provided in claim submissions for accuracy.
Analyze account benefit plans to ensure claims align with coverage and policies.
Identify discrepancies, errors, or missing information.
Utilize multiple computer applications simultaneously.
Maintain self-discipline, consistently uphold a strong work ethic, and complete work tasks/responsibilities while working without close supervision.
Meet or exceed quality and productivity goals.
Identify claim processing learning opportunities by working directly with supervisors, coaches, and trainers to learn efficient and effective processing techniques and workflows.
Utilize a variety of virtual tools, including Outlook email, Cisco Webex, and similar applications, to effectively collaborate, communicate, and stay connected with colleagues and supervisors.

QUALIFICATIONS

High school diploma or equivalent
Ability to quickly learn a variety of computer applications to complete job functions,
Experience sending/receiving emails, scheduling calendar appointments/sending invitations, attaching files in Microsoft Outlook.
Knowledge of basic Microsoft Excel functions, such as filtering/sorting.
Experience in navigating multiple computer applications through the use of shortcut keys and other techniques.
Detail-oriented with experience in applying complex policy/procedure documents.
Strong organizational skills to maximize available work time. Ability to prioritize tasks to ensure job tasks are completed before deadlines.
Proven experience completing work with quality and productivity performance standards.
Experience working independently in a virtual environment preferred.
Experience with medical and insurance terminology in a professional setting preferred.
Knowledge of CPT/ICD-10 codes preferred.
Proven experience in health insurance claims processing or similar field preferred

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

For this position, we anticipate offering an hourly rate of 17.75 - 26 USD / hourly, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus plan.

At The Cigna Group, you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year, paid holidays, and leaves of absence. For more details on our employee benefits programs, click here.

About The Cigna Group

Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you need a reasonable accommodation to complete the online application process, please email [email protected] for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.

The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Apply Now

Refine Your Search

claims representative jobs in new jersey

Claims Representative - Remote

Patient Account Representative

Claims Analyst - REMOTE

Customer Service Representative, Behavioral Health (Shift: Mon-Fri 11:45AM-8:15PM EST)

Billing Representative

Medical Biller

NF/PIP and WC Collections Specialist

NJ Personal Lines Insurance Customer Service Rep

Medical Billing Specialist

Medical Billing Accounts Receivable Specialist

Pre-Authorization Coordinator

Medical Collections Representative

Revenue Cycle Specialist – Full Cycle Management

Infusion Referral Coordinator - Annandale, NJ - Part Time

Revenue Cycle Specialist – Full Cycle Management

Medical Credentialing, Drug Authorization, Denials, Clerical, Medical Records

Customer Service Representative - State Farm Agent Team Member

Health Assistant

Insurance Account Representative - State Farm Agent Team Member

Claims Intake Representative I

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