Medical Claims Specialist
7 days ago
About Us
We are Brighton Health Plan Solutions, a leading healthcare administrator dedicated to simplifying the administration of benefits.
Our mission is to provide exceptional service to our members, physicians, and hospitals while controlling costs and elevating health outcomes.
We achieve this through innovative technology and a solutions-oriented approach.
Salary and Benefits
- Competitive annual salary of $42,705
- A comprehensive benefits package, including medical, dental, and vision insurance
- Retirement savings plan
- Flexible paid time off policy
Job Requirements
We are seeking a Customer Service Representative to join our team. As a representative, you will be responsible for assisting members, physicians, and hospitals with their healthcare needs.
You will listen attentively to customer needs and concerns, demonstrate empathy, and offer solutions. You will also confirm customer understanding of the solution and provide additional education as needed.
Essential Skills
- Strong communication and interpersonal skills
- Ability to work in a fast-paced environment
- Knowledge of basic computer skills
- Intermediate knowledge of Microsoft Office and email writing
-
Medical Insurance Claims Specialist
2 weeks ago
Melville, New York, United States The Bachrach Group Full timeJob OverviewEstimated Salary: $55,000 - $65,000 per year.Responsibilities:Ensure timely and quality follow-up on billed accounts to obtain claim status.Analyze insurance EOBs/Remittance and verify payments are in accordance with contracted rates.Process timely refunds via payments or claim corrections and voids.We are seeking a highly skilled Medical...
-
Melville, New York, United States Government Employees Insurance Company Full timeAs a Claims Service Specialist at GEICO, you'll play a vital role in helping policyholders navigate the claims process. With our paid, industry-leading training, you'll learn the ins and outs of claim handling and be equipped to assist customers during their most challenging moments.**Estimated Annual Salary:** $52,000-$64,000In this hybrid role, you'll...
-
Claims Expert with Machine Learning Expertise
4 weeks ago
Melville, New York, United States AmTrust Financial Full timeJob TitleCareer Opportunity for Senior Claims Data ScientistAbout UsAmTrust Financial Services Inc. is a multinational property and casualty insurer specializing in coverage for small to mid-sized businesses. We strive to create a diverse and inclusive culture where thoughts and ideas of all employees are appreciated and respected.Salary and BenefitsThe...
-
Medical Insurance Specialist
1 week ago
Melville, New York, United States The Bachrach Group Full timeJob DescriptionWe are seeking an experienced Medical Insurance Representative to join our team at The Bachrach Group LTD. This is a direct hire opportunity for a candidate with prior experience in hospitals or professional billing.Experience in claims processing, payer regulations, and insurance billing rules.Excellent analytical and communication skills.The...
-
Certification and Claims Processor
1 month ago
Melville, New York, United States GetixHealth Full timeDescription:This Certification and Claims Processor position at GetixHealth requires attention to detail and strong organizational skills. You will be responsible for maintaining accurate patient records, retrieving and forwarding medical records, and processing electronic payments. In addition, you will communicate with patients and hospital staff to ensure...
-
Melville, New York, United States The Bachrach Group Full timeJob DescriptionThe Bachrach Group LTD. is a national leader in staffing and executive search. We are seeking an experienced Insurance Billing Specialist 3rd Party Representative to join our team.About the Role:Perform follow-up of third-party balance due accounts.Contact third-party payers via website portals, telephone, and/or correspondence.Analyze...
-
Medical Training Specialist
1 week ago
Melville, New York, United States Ladgov Corporation Full timeJob Title: Medical Training SpecialistWe are seeking a skilled Medical Training Specialist to join our team at Ladgov Corporation. The successful candidate will be responsible for conducting monthly face-to-face training sessions to obtain and renew certifications in Adult CPR/AED/First Aid. This is a part-time position, ideal for individuals with experience...
-
Medical Coding Specialist
2 weeks ago
Melville, New York, United States The Goodkind Group Full timeJob OverviewThe Goodkind Group seeks a skilled Medical Coding Specialist to join our team. As a key member of our revenue cycle department, you will play a critical role in ensuring the accuracy and efficiency of our medical coding processes.Key Responsibilities:* Analyze provider documentation to assign diagnoses, procedures, modifiers, dates of service,...
-
Medical Billing Coordinator
1 week ago
Melville, New York, United States The Bachrach Group Full timeAbout the RoleThe Bachrach Group LTD. is seeking a highly motivated Medical Billing Coordinator to join our team. As a Medical Billing Coordinator, you will be responsible for coordinating the medical billing process, ensuring timely and accurate submission of claims, and resolving any issues that may arise.This is an excellent opportunity for individuals...
-
Credit and Collections Specialist
2 weeks ago
Melville, New York, United States The Bachrach Group Full timeJob OverviewWe are seeking an experienced Credit and Collections Specialist to join our team at The Bachrach Group LTD. As a key member of our revenue cycle team, you will play a critical role in managing patient accounts and ensuring timely payment.About the Role:Manage a high-volume portfolio of patient accounts, prioritizing and resolving credit issues in...
-
Medical Billing Specialist
3 weeks ago
Melville, New York, United States Northwell Health Full timeJob OverviewWe are seeking a highly skilled Medical Billing Specialist to join our team at Northwell Health. As a key member of our revenue cycle team, you will play a critical role in ensuring the financial stability and growth of our organization.Estimated Salary: $60,000 - $80,000 per year
-
Medical Training Specialist
4 weeks ago
Melville, New York, United States Ladgov Corporation Full timeJob Title: Medical Training SpecialistLocation: Newport, RIJob Type: Part-TimeEstimated Salary: $55,000 - $65,000 per yearAbout the Role:We are seeking a skilled Medical Training Specialist to conduct monthly face-to-face training sessions for Adult CPR/AED/First Aid certifications.Key Responsibilities:Deliver engaging and interactive instruction using...
-
Hybrid Customer Support Specialist
3 weeks ago
Melville, New York, United States GetixHealth Full timeJob Overview">We are seeking a highly motivated and detail-oriented Hybrid Customer Support Specialist to join our team at GetixHealth. This is a full-time position that requires excellent communication and problem-solving skills.">Responsibilities:">">Maintain accurate records and documents for patients and eligibility programs.">Analyze and distribute...
-
Healthcare Billing Specialist
1 month ago
Melville, New York, United States Catholic Health Service Full timeAbout Catholic HealthCatholic Health is a leading health and human services agency in Long Island, employing over 16,000 staff members across six acute care hospitals, three nursing homes, a home health service, hospice, and a network of physician practices.We prioritize compassionate care and evidence-based practice to deliver exceptional patient outcomes....
-
Medical Equipment Specialist
1 week ago
Melville, New York, United States Crothall Healthcare Full timeJob OverviewCrothall Healthcare, a leading provider of specialized support services to the healthcare industry, is seeking a skilled Medical Equipment Specialist to join our team. As a key member of our Field Service Team, you will be responsible for performing planned maintenance and electrical safety inspections on patient care equipment in compliance with...
-
Commercial Insurance Specialist
4 weeks ago
Melville, New York, United States The Hartford Full timeResponsibilitiesAs a Client Service Executive, you will be responsible for:Supporting profitable growth and retention of accounts;Understanding account needs and developing customized service offerings;Negotiating and coordinating services between internal teams and external partners;Resolving claim issues promptly via engagement with internal service...
-
Forensic Accounting Specialist
1 month ago
Melville, New York, United States MDD Forensic Accountants Full timeAbout MDD Forensic AccountantsEstablished in 1933, MDD is a leading global forensic accounting firm specializing in economic damage quantification calculations. With a presence in over 40 offices across five continents, MDD offers unparalleled resources to assist clients with their forensic accounting needs.We are seeking a skilled Staff Accountant to join...
-
High-Level Accounting Specialist
1 month ago
Melville, New York, United States MDD Forensic Accountants Full timeJob OverviewMDD Forensic Accountants is a leading global forensic accounting firm specializing in economic damage quantification.We are seeking a highly skilled Senior Accountant to join our team in Melville, New York.About the RoleThis is a Full Time, Salary position that reports to Partners and offers a competitive benefits package including paid vacation...
-
Commercial Insurance Data Insights Leader
1 week ago
Melville, New York, United States AmTrust Financial Full timeSenior Claims Data Scientist PositionWe are seeking an experienced Commercial Insurance Data Insights Leader to join our growing Data Science & AI Team at AmTrust Financial Services Inc., a multinational property and casualty insurer specializing in coverage for small to mid-sized businesses.Estimated Salary: $120,000 - $160,000 per yearAbout the RoleThis is...
-
Insurance Claims Advocate
6 days ago
Melville, New York, United States North American Partners In Anesthesia Full timeJob OverviewThe Patient Advocate I plays a vital role in ensuring patient satisfaction by providing clear and concise information about their billing and insurance options. This role involves handling inbound and outbound calls, analyzing EOB documents, and collaborating with other departments to resolve patient inquiries promptly.ResponsibilitiesEfficiently...