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claims in Newark

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  1. Technical Systems Analyst - 15254

    6 Months Right to Hire Scope of Work: The Reporting Analyst position will be responsible responding to heavy volumes of adhoc reporting requests within the GI IT IMBI Centralized Triage Area.    Responsibilities: Responsible for analyzing business requests and detailing specific requests. This position requires a very specific level of detailing that will need to be documented for each request. In addition this person will be responsible for ensuring that there is solid alignment between ...

  2. Property Damage Claims Inspectors

    We are seeking highly motivated individuals for our growing public adjusting firm. Here's what we do: . Advise and assist property owners with the preparation and presentation of insurance damage (new and re-open) claims . Advocate for the property owner, to the insurance company . Accurately report a claim, in order to avoid denials . Accurately report damages . Accurately inspect the property . People person is a plus                

  3. Senior Claims Adjudicator- US Life

    As a Member of the Claims team you will be accountable for ensuring that all claims are adjudicated and administered according to state and provincial law and regulation and in a fair, ethical and efficient manner. Key Responsibilitites/Accountabilities Adjudicate various types of complex claims  including Life, Critical Illness, Terminal Illness and Disability.  This includes identifying, collecting and reviewing all relevant information needed to determine the claim ligitimacy and eligibility ...

  4. Property Damage Consultant

    Are you currently unemployed right now and staring at a mountain of debt? Do you see the writing on the wall that there is no future in your current dead end job or industry? Were you enrolled in college, but you or your parents' financial situation took a turn for the worse, and now you need to take a semester off? Are you a recent college graduate who is finding the harsh reality that after a substantial investment into your education, you are not able to find any jobs besides fast food or retail? ...

  5. Customer Service Representative

    Hello,   My name is Katelynn and I represent The Fountain Group.  We are a national staffing firm and are currently seeking a Customer Service Representative  for a prominent client of ours. This position is located in Princeton, NJ. Details for the positions are as follows:   Job Description:   Acts as a liaison between client operational groups and internal functions Answers product-related questions, traces lost and delayed shipments, interpret and clarify customer orders for the shipping ...

  6. Civil/Structural or Mechanical Engineer

      The Judge Group is lookingfor a structural engineer with a P.E. and 10 to 15 years of experience in design/evaluation and insurance related claim investigation work. The individual must have good communication skills and broad design experience including computer analysis and detailing of concrete and/or steel framed structures. In addition there will be small design projects and occasional large design projects; along with assist the staff in performing forensic investigations for insurance ...

  7. Adult Nurse Practitioner

      Full or Part Time Employment Nurse Practitioner Description NP position immediately available in an medically integrated facility located in Montclair, NJ.  This NP will provide professional medical direction, oversight and direct patient care for the facility. Competitive Salary.  No nights, no on-call and no weekends. The NP needs to: •    Be licensed to practice in the state of NJ •    Present their record of practice (i.e. insurance history or claims of malpractice) •    Be open ...

  8. Customer Service Representative

    We seek an experienced Customer Service Representative. The position will be located at Caswell-Massey headquarters in Edison, NJ.   Daily Responsibilities Include: Maintain all email correspondence; including but not limited to “info” and “order status”. Respond to Hot Leads Answer Phones Data Entry to include consumer orders, maintain customer profiles, and style maintenance: extended Info area, pricing and back order dates in MOM. Catalog Lead Processing UPS Void Labels UPS Claims ...

  9. Observational Database Senior Programmer

     Novartis is recruiting for an Observational Database Senior Programmer role. The position will be located in East Hanover, NJ.  A global healthcare leader, Novartis has one of the most exciting product pipelines in the industry today. A pipeline of innovative medicines brought to life by diverse, talented, performance driven people. All of which makes us one of the most rewarding employers in our field. We're committed to peak performance, improving the quality of life, and embracing and leveraging ...

  10. Body Damage Manager

    Avis Budget Group, Inc. is a leading global provider of vehicle rental services, both through its Avis and Budget brands, which have more than 10,000 rental locations in approximately 175 countries around the world, and through its Zipcar brand, which is the world's leading car sharing network, with more than 775,000 members. Avis Budget Group operates most of its car rental offices in North America, Europe and Australia directly, and operates primarily through licensees in other parts of the world ...

  11. Claims Management Specialist - Northern or Central NJ

    Manage all aspects of multi-line claims generated by assigned group of agents including claim examination, investigation, determination of coverage, liability, compensability, subrogation, etc., adjustments, litigation and settlements within limit of assigned authority levels. All job duties and responsibilities must be carried out in compliance with applicable legal and regulatory requirements. RESPONSIBILITIES: Receive claim assignments from assigned agents, verify applicability of coverage. ...

  12. Customer Support Consultant

    About us 3Shape A/S is a Danish company specializing in the development and marketing of 3D scanners and CAM/CAM software solutions for the use, creation, processing, analysis and management of high quality 3D data.       Working at 3Shape   Become part of an interna-tional success, financially as well as product wise. As an employee, you have plenty of room to both make a difference and fulfil personal ambitions in a very knowledge intensive and challenging environment. 3Shape Technology ...

  13. Director Financial Planning & Analysis ( FP&A)

    Overall management responsibility for the financial planning, budgeting, and forecasting processes for the company. This position is a key member of the CFO’s staff, responsible for developing and leading processes to support data-driven strategic decisions for the business. Essential Duties and Responsibilities Direct all aspects of company’s expense reporting and annual planning and budgeting processes. Oversee monthly performance reporting, including preparation and analysis of earnings ...

  14. Project Manager

    A growing international reinsurance/insurance services company with offices located in the USA, UK, Bermuda, India, and Australia requires a Project Manager based in one of our Jersey City office. Assumes project management responsibilities on some assignments. In this capacity, Manage smaller technology projects to ensure projects are delivered on time within agreed budget and to agreed quality standards. Working with the Project Management Office, manage projects following our Project ...

  15. Bilingual Medicare Sales Assistant

    SPANISH/ENGLISH BILINGUAL MEDICARE SALES AND SERVICE ASSISTANT Under general supervision, this position is responsible for selling and servicing all Medicare prospects and in-force customers with their product needs. This position REQUIRES fluent bilingual Spanish/English reading, writing, and speaking skills. It is expected that the team member in this position will provide an exemplary customer experience by asking the customer questions to determine their needs and engaging the customer with ...

  16. Passenger Agents - Part Time (EWR) (Newark International Airport) -

    MUST SPEAK SECOND LANGUAGE   Comply with the Location’s attendance/tardiness standards. Computerized check-in of passengers for international and domestic travel. Designate seat assignments. Verify documentation for international and domestic flights. Ensure correct boarding passes are provided to each passenger for the assigned charter flight. Verify ticket and seat reservations. Match manifest to on-board count Assist with various governmental agency requirements. Connect and disconnect ...

  17. Medical Billing & Coding Specialist

    Review patient medical records and assign codes to diagnoses and procedures performed so the facility can bill insurance and other third party payers as well as patient Coordinate with medical providers to get charge information as needed. Review all claims before claim release Conduct internal audits to ensure accuracy Attach required documentation to claims for processing payments and requests any missing information from medical providers needed for billing purposes. Verify and complete ...

  18. Medical Collection Specialist (copy 2)

    The Medical Reimbursement Specialist position focuses on the accurate and timely resolution of both insurance and patient claims. This includes, but is not limited to revenue collection, pre-certifications, denials and appeal filings. Communicating with insurance carriers, physicians, patients and management to achieve resolution of issues and expedite claims payment is vital in this position. Job Responsibilities: Responsible for the proper and timely processing of multi-specialty claims and ...

  19. Head/Lead Biller for Pain Management Practice

     In Network Interventional Pain Management Practice looking for Lead Biller to head Billing Department. Description: Seeking motivated individual to manage and streamline the daily billing/coding/revenue cycle, working in collaboration with practitioners and staff. Two years billing/coding experience required. Familiarity with Microsoft Word and Microsoft Excel required. Experience with with in-network billing, surgical center experience, workers comp and PIP.Strong attention to detail is a must. ...

  20. HVAC Service / Installation Manager

    Established, local General Contracting Company currently seeking a Service / Installation Manager to lead our HVAC/R operations within the organization, maximizing return on investment by optimizing Service / Installation Department processes. Grow profitable service labor sales and exercises disciplined expense control. Attracts, retains, and effectively engages department personnel. Responsibilities: *Develop, communicate, enforces and monitor effective Service / Installation Department processes ...

  21. Revenue Integrity Analyst

    Description: Performs a technical review along with the department manager or CDM representative of each departmental CDM. The specific tasks for this process include the following for all payors: a)Gathers all pertinent CDM files and Revenue and Usage reports b)Review all CPT and HCPCS codes for accuracy, validity and relationship to each departmental charge description number; c)Review all procedure and service descriptions for accuracy and clinical appropriateness; d)Review all revenue codes ...

  22. Outside Property Adjuster

    The Outside Property Adjuster is responsible for analyzing first reports to determine the nature of the loss, coverage provided, and the scope of damage. They will promptly and properly develop the file to provide accurate and timely investigation and loss analysis, maintain an active diary and monitor diary to achieve timely development of file. The Outside Property Adjuster will push for timely disposition of the claim and recognize and pursue recovery where possible while adhering to all statutory ...

  23. Pain Management Collections Specialist

    This position is responsible for the proper and timely processing of claims and payments, specifically in the pain management area. This includes, but is not limited to revenue collection, denials and appeal filings. Communicating with insurance carriers, physicians, patients and management to achieve resolution of issues and expedite claims payment is vital in this position. Job Responsibilities: Responsible for the proper and timely processing of multi-specialty claims and payments from state ...

  24. Business Office Assistant/Cash Applications Coordinator

    Established multi-specialty medical rehabilitation practice has an immediate opening for a Full-Time Business Office Assistant/Cash Application Coordinator.   This position will be responsible for performing a variety of administrative duties including assisting Billing Manager and billing/collections employees and assist with the day to day processing of all deposits and postings to individual accounts.   Responsibilities Include: Daily deposits and posting of payments and cash receipts from ...