Top 189 Medical claims processing Jobs in Uniondale Ny

Accounts Representative - Part-Time
Network Recovery Services, Inc. —Jericho, NY
- $34.30 - $40.55 an hour
- Part-time
- Hybrid work
- Microsoft Word
- Microsoft Excel
- Microsoft Outlook
- Paid training
- Work from home
Quick Apply
Specialist, Provider Network Administration - Remote
Molina Healthcare —New York, NY
- $18.04 - $42.20 an hour
- Full-time
- Remote
- Customer service
- Mid-level
- 3 years
- Health insurance
Bilingual English/Russian Home Care Coordinator
Family Home Care of Brooklyn and Queens, Inc. —Brooklyn, NY
- $50,000 - $55,000 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
11d
Dental Assistant/Receptionist
Dental Surgery & Esthetics —Hicksville, NY
- From $18 an hour
- Full-time
- Bilingual
- Dental office
- HIPAA
Quick Apply
12d
Dental Office Biller
Complete Dental Care —Brooklyn, NY
- From $28 an hour
- Full-time
- Dental office
- Mid-level
- In-person
- Paid holidays
- 401(k)
Quick Apply
4d
DENTAL* Treatment Coordinator for Modern Dental Office in FiDi/Manhattan
Lumia Dental, PLLC —New York, NY
- $26 - $32 an hour
- Full-time
- Background check
- Dental office
- English
- Health insurance
- 401(k)
Quick Apply
Senior Manager, Utilization Management
1199SEIU Family of Funds —New York, NY
- $125,400 - $156,700 a year
- Full-time
- Nursing
- 6 years
- RN License
Experienced Medical Office Professional (in-person at the Tenafly, N.J. office)
Confidential —Tenafly, NJ
- $17 - $21 an hour
- Full-time
- Microsoft Word
- HIPAA
- Mid-level
- 401(k)
Quick Apply
11d
Billing/ Data Entry Pharmacy Techician
LI Script Pharmacy —Woodbury, NY
- $21 - $24 an hour
- 8 hour shift
- Background check
- Microsoft Excel
- Microsoft Outlook
- Health insurance
- Dental insurance
Quick Apply
Medical Coder and Biller
Doctors of New York —Flushing, NY
- $25 - $30 an hour
- Part-time
- Medical office experience
- English
- Mid-level
- 401(k)
- Flexible schedule
Quick Apply
Dental Receptionist
Modern Dental Hub —Merrick, NY
- $25.45 - $30.64 an hour
- Part-time
- Bilingual
- Dental office
- Microsoft Excel
Quick Apply
3d
Senior Medical Claims Specialist
InfinityRx —Westbury, NY
- $55,000 - $75,000 a year
- Full-time
- Background check
- Customer service
- Medical office experience
- 401(k)
- Paid time off
Quick Apply
Hospital Billing and Follow Up Representative
Jzanus Consulting —Garden City, NY
- From $55,000 a year
- Full-time
- Hybrid work
- Computer literacy
- HIPAA
- Research
- Health insurance
- Dental insurance
Enrollment & Credentialing Representative
Weill Cornell Medicine —New York, NY
- $36.76 - $42.25 an hour
- Microsoft Word
- Microsoft Access
- Mid-level
1d
Revenue Cycle AI Operations Analyst
Hospital for Special Surgery —New York, NY
- $72,000 - $109,500 a year
- Full-time
- Mid-level
- Mentoring
Manager, Hospital Claims
1199SEIU Family of Funds —New York, NY
- $104,500 - $130,600 a year
- Full-time
- Microsoft Word
- Microsoft Excel
- Inventory management
8d
Receptionist - Wellness Clinic
Reglow Wellness —Levittown, NY
- $18 - $22 an hour
- Part-time
- Administrative experience
- Clinic
- US work authorization
Quick Apply
2d
Senior Patient Account Representative
Northwell Health —Melville, NY
- $44,450 - $69,340 a year
- Full-time
- HIPAA
- Mid-level
- 3 years
10d
Front Desk Receptionist
Southshore Dental —New Hyde Park, NY
- $20 - $30 an hour
- Full-time
- Dental office
- 5 years
- US work authorization
- Employee discount
Quick Apply
3d
Epic Denials Management Operator
Deloitte —Jericho, NY
- $70,000 - $90,000 a year
- Full-time
- Microsoft Excel
- Mid-level
- Bachelor's degree

I want to receive the latest job alert for medical claims processing in uniondale ny

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

medical claims processing jobs near uniondale ny

Network Specialist jobs in New York, NY

Revenue Cycle Specialist jobs in New York, NY

Enrollment Eligibility Representative jobs in New York, NY

Account Representative jobs in Jericho, NY

Medical Biller jobs in Flushing, NY

Dental Receptionist jobs in Merrick, NY

Senior Patient Accounts Representative jobs in Melville, NY

Treatment Coordinator jobs in New York, NY

Utility Manager jobs in New York, NY

Dental Receptionist jobs in Hicksville, NY

Front Desk Receptionist jobs in New Hyde Park, NY

Care Coordinator jobs in Brooklyn, NY

Receptionist jobs in Levittown, NY

Biller jobs in Brooklyn, NY

Hospital Manager jobs in New York, NY

Network Specialist jobs in San Antonio, TX

Network Specialist jobs in Suffolk, VA

Network Specialist jobs in Rockland County, NY

Family Healthcare Network jobs in Porterville, CA

Inspira Health Network jobs in Mullica Hill, NJ

Accounts Representative - Part-Time

Network Recovery Services, Inc.
Jericho, NY

Quick Apply

Job Details

Part-time
$34.30 - $40.55 an hour

Benefits

Paid training
Work from home
Opportunities for advancement

Qualifications

Microsoft Word
Microsoft Excel
Microsoft Outlook
Presentation software
Spreadsheets
Patient management software
High school diploma or GED
ICD-9
HCPCS
Insurance medical billing
Electronic health record (EHR) management for billing and coding
Patient billing
Medical billing account reconciliation
Patient interaction
Epic

Full Job Description

Position Summary

Under general supervision, responsible for a variety of office/clerical tasks relating to hospital accounts; contacting patients and responsible parties, investigating account status, and assisting patients with any questions regarding their bill.

Essential Job Duties

· Responsible for obtaining and verifying insurance coverage by interviewing patients, families, and employers and by verifying coverage with insurance companies. Ensure that notifications, authorizations, pre-certifications are made, when appropriate.

· Assist self-pay patients in obtaining coverage for hospitalization, e.g., Medical applications, COBRA regulations. Secure promise of payments for patient for all non-covered services.

· Ensure that all patients are categorized correctly with regard to financial class, insurance company code, etc. Work with medical areas, e.g., Patient Case Management, physician’s offices, to ensure that requested clinical information is supplied timely.

· Receive and process information required submitting a third party bill. Ensure that bills are complete and comprehensive, e.g. correct form for ID numbers, comprehensives of hospital charges, validity of CPT-4, ICD-9, and HCPCS codes. Ensure that billing amounts are correct with regard to case payers, managed care providers with contracts, DRG’s day and cost outliners, implantable, exempt services, carve-outs, type of contract, services under NYPHRM, services under HCRA, etc.

· Obtain and submit all attachments, as required, such as biopsy reports, ambulance call reports, medical records, CMNs, Tao’s.

· For electronic claims: maintain up-to-date knowledge with respect to electronic claim submission software and the various payers edits. Review and monitor all billing exception reports for correction/re-submission. Ensure that all claims are submitted in the accepted timeframe.

· Review and take appropriate action on account representative’s respective portion of trial balance. If a self-pay patient, call patient for further insurance information and /or to secure payment or arrange payment plan.

· Resolve all credit balances by requesting refund to patient, insurance company, or make appropriate allowance transaction. Recommend further action, i.e. collection and/or legal after departmental collection policies have been exhausted.

· Respond to and investigate all patient inquiries involving financial issues; direct patients to appropriate parties to respond to clinical issues.

· Call insurance companies to secure payment. Take appropriate action upon denial or request for further information. Interface with Medical Records Department/physicians office/clinical area for requested information. Make claims corrections in accordance with compliance policies, payer regulations, and/or legal policies. Review exception reports received from remittance processing area and take appropriate action.

· Process all Medicare, Medicaid, and Blue Cross-payments for all participating hospitals through electronic remittance processing software. Post all checks and lockbox remittances manually.

· Prepare daily reconciliation of all remittances and checks posted to ensure that all payments and adjustments are done accurately and agree to deposits posted to general ledger.

· Review each payment for compliance to rules for carrier; post appropriate allowances. Refer all cases that have been paid incorrectly to the insurance follow-up unit. Make appropriate refund requests when overpayments have been identified.

· Ensure that payment posting is kept up-to-date.

· If assigned to Emergency Paramedics department, may assist in the research and preparation of statistical reports.

· If assigned to Emergency Paramedics department, may monitor entries of 911 call data by dispatchers. Reconcile all dispatch entries with documentation. Investigate, correct, and report discrepancies between data input and documentation. Review documentation for compliance with department policy and report any incidents of non-compliance.

· Performs other job related duties as assigned.

Required Criteria

High School Diploma or GED
Exceptional communication skills – verbal and written
Computer and systems competency in the following areas: working knowledge of health systems and interfaces, Microsoft Word, Microsoft Excel, Microsoft Outlook, Microsoft PowerPoint and electronic health records (Epic Preferred)
One year related experience

Benefit Conditions:

Only full-time employees eligible

Paid Training:

Typical end time:

9 PM

Typical start time:

5 PM

Work Remotely

Remote (one day in office or for training as needed)

Job Type: Part-time

Pay: $34.30 - $40.55 per hour

Benefits:

Opportunities for advancement
Paid training
Work from home

People with a criminal record are encouraged to apply

Work Location: Hybrid remote in Jericho, NY 11753

Quick Apply

Refine Your Search

medical claims processing jobs in uniondale ny

Accounts Representative - Part-Time

Specialist, Provider Network Administration - Remote

Bilingual English/Russian Home Care Coordinator

Dental Assistant/Receptionist

Dental Office Biller

DENTAL* Treatment Coordinator for Modern Dental Office in FiDi/Manhattan

Senior Manager, Utilization Management

Experienced Medical Office Professional (in-person at the Tenafly, N.J. office)

Billing/ Data Entry Pharmacy Techician

Medical Coder and Biller

Dental Receptionist

Senior Medical Claims Specialist

Hospital Billing and Follow Up Representative

Enrollment & Credentialing Representative

Revenue Cycle AI Operations Analyst

Manager, Hospital Claims

Receptionist - Wellness Clinic

Senior Patient Account Representative

Front Desk Receptionist

Epic Denials Management Operator

I want to receive the latest job alert for medical claims processing in uniondale ny

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected