Top 196 Claims representative Jobs in White Plains, 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
Assistant Insurance Fund Services Representative
State of New York - Insurance Fund, State —White Plains, NY
- $57,413 - $69,061 a year
- Email
- Background check
- Mid-level
- Associate's degree
8d
Patient Accounts Representative
St.Vincent's Hospital Westchester —Harrison, NY
- $22.00 - $23.25 an hour
- Entry level
Quick Apply
Insurance Follow-up Representative
Catholic Health —Melville, NY
- $24 - $31 an hour
- Remote
- Mid-level
- 3 years
- High school diploma or GED
- Health insurance
- Tuition reimbursement
Claims - Field Claims Representative
The Cincinnati Insurance Companies —Yonkers, NY
- $60,500 - $108,000 a year
- Day shift
- Mid-level
- Driver's License
- Bachelor's degree
- Paid time off
- 401(k) matching
Remote Customer Service/Sales Representative
Agent Alliance —Stamford, CT
- $65,000 - $70,000 a year
- Full-time
- Remote
- Entry level
- Paid training
- Health insurance
Quick Apply
Health Operations Claims Specialist
Building Service 32BJ Benefit Funds —New York, NY
- $73,000 - $78,000 a year
- Full-time
- Research
- Mid-level
- High school diploma or GED
Quick Apply
14d
Patient Service Representatives - Ossining
Open Door Family Medical Center —Port Chester, NY
- $20 - $22 an hour
- Spanish
- Customer service
- English
- Health insurance
- Dental insurance
Quick Apply
Member Services Representative
SVCMC Inc —New York, NY
- $27.47 - $30.22 an hour
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Basic math
- Commuter assistance
- Paid holidays
Quick Apply
Managed Care Analyst
White Plains Hospital —White Plains, NY
- $69,257 - $103,907 a year
- Full-time
- Microsoft Excel
- Hospital
- Mid-level
Referral & Authorization Representative
Westchester Community Health Center —Mount Vernon, NY
- $35,000 - $36,000 a year
- Full-time
- Background check
- Mid-level
- Data entry
- Health insurance
- Dental insurance
Quick Apply
8d
Customer Service Representative - State Farm Agent Team Member
Zubin Sinor - State Farm Agent —Mamaroneck, NY
- $50,000 - $70,000 a year
- Full-time
- Office
- Communication skills
- Entry level
- Dental insurance
- Paid time off
Quick Apply
Customer Relations Representative - State Farm Agent Team Member
Johan Hernandez - State Farm Agent —White Plains, NY
- $50,000 - $80,000 a year
- Full-time
- Spanish
- Office
- Communication skills
- Health insurance
- 401(k)
Quick Apply
Customer Service Representative - State Farm Agent Team Member
Jim Bryan - State Farm Agent —Tarrytown, NY
- $39,000 - $75,000 a year
- Full-time
- Office
- Communication skills
- Entry level
- Health insurance
- Paid time off
Quick Apply
Health Insurance Biller, Bureau of Revenue
Agency DEPT OF HEALTH/MENTAL HYGIENE —Queens, NY
- $74,079 - $78,470 a year
- Full-time
- Writing skills
- Mid-level
- Office
- Wellness program
- Health insurance
Jr. Dental Patient AR Lead
MYRIAD SYSTEMS INC —White Plains, NY
- $27 - $30 an hour
- Full-time
- Sales
- Computer literacy
- Mid-level
Quick Apply
Union Customer Service Representative
Graybar Electric Company, Inc. —Garden City, NY
- $25 an hour
- Full-time
- High school diploma or GED
- Associate's degree
- 2 years
Quick Apply
Patient Financial Services Associate
Spire Orthopedic Partners —Stamford, CT
- $24 - $30 an hour
- Full-time
- Computer literacy
- HIPAA
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
9d
Associate Collector
Byram Healthcare Centers Inc —White Plains, NY
- $19 - $20 an hour
- Full-time
- ERP systems
- Medical terminology
- Communication skills
- Paid parental leave
- Disability insurance
Quick Apply
Customer Service Representative - State Farm Agent Team Member
Consuelo Santiago-Martinez - State Farm Agent —Bronxville, NY
- $45,000 - $65,000 a year
- Full-time
- Spanish
- Office
- Children
- Paid time off
- Opportunities for advancement
Quick Apply

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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

claims representative jobs in white plains, ny

Accounts Representative - Part-Time

Assistant Insurance Fund Services Representative

Patient Accounts Representative

Insurance Follow-up Representative

Claims - Field Claims Representative

Remote Customer Service/Sales Representative

Health Operations Claims Specialist

Patient Service Representatives - Ossining

Member Services Representative

Managed Care Analyst

Referral & Authorization Representative

Customer Service Representative - State Farm Agent Team Member

Customer Relations Representative - State Farm Agent Team Member

Customer Service Representative - State Farm Agent Team Member

Health Insurance Biller, Bureau of Revenue

Jr. Dental Patient AR Lead

Union Customer Service Representative

Patient Financial Services Associate

Associate Collector

Customer Service Representative - State Farm Agent Team Member

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