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12 results for Claims Processor Administrative And Customer Support in New York, NY

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We are offering a short term contract employment opportunity for a Claims Examiner-Lost Time in New Haven, Connecticut. This role primarily functions in the insurance industry and involves handling all aspects of workers compensation lost time claims. The successful candidate will be expected to maintain strong customer relations throughout the process, from setup to case closure.

Responsibilities:
• Handling all components of workers compensation lost time claims, from initiation to closure, maintaining strong customer relations throughout.
• Thoroughly reviewing claim and policy information to establish a basis for investigation.
• Conducting comprehensive investigations, obtaining facts and statements from insured claimants and medical providers.
• Evaluating facts gathered through investigations to determine the compensability of the claim.
• Informing insureds, claimants, and attorneys of claim denials, when applicable.
• Preparing reports on investigations, settlements, denials of claims, and evaluations of involved parties.
• Administering statutory medical and indemnity benefits in a timely manner throughout the life of the claim.
• Setting reserves for medical, indemnity, and expenses within authority limits and recommending reserve changes to Team Leader.
• Regularly reviewing claim status and making recommendations to Team Leader to discuss problems and remedial actions.
• Working with attorneys to manage hearings and litigation.
• Directing vendors, nurse case managers, and rehabilitation managers on medical management and return to work initiatives.
• Complying with customer service requests, including special claims handling procedures, file status notes, and claim reviews.
• Filing workers compensation forms and electronic data with states to ensure compliance with statutory regulations.
• Maximizing recovery opportunities by referring appropriate claims to subrogation and securing necessary information.
• Collaborating with in-house Technical Assistants, Special Investigators, Nurse Consultants, Telephonic Case Managers, and Team Supervisors to exceed customer's expectations for exceptional claims handling service.

• Proficient in Customer Service
• Strong Communication skills
• Understanding of Procedures and Policies
• Knowledge of Compliance and Quality standards
• Experience in Human Resources (HR) Administration
• Familiarity with Insurance industry
• Ability to create and deliver Presentations
• Knowledge about Time management
• Understanding of Medical Coverage and Benefit Functions
• Demonstrated Leadership Skills
• Experience working with Vendors
• Familiarity with Claim Administration
• Understanding of Regulation in the insurance sector
• Experience with Expense Reporting and Financial Notes
• Excellent Time Management skills
• Knowledge of Consumer Electronics
• Ability to work in a Team
• Proficiency in Microsoft Office Suites
• Experience in Litigation
• Familiarity with HealthCare.gov
• Ability to Ensure Compliance

Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles. Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app and get 1-tap apply, notifications of AI-matched jobs, and much more. All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information. © 2025 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking “Apply Now,” you’re agreeing to Robert Half’s Terms of Use.

12 results for Claims Processor Administrative And Customer Support in New York, NY

Claims Examiner-Lost Time We are offering a short term contract employment opportunity for a Claims Examiner-Lost Time in New Haven, Connecticut. This role primarily functions in the insurance industry and involves handling all aspects of workers compensation lost time claims. The successful candidate will be expected to maintain strong customer relations throughout the process, from setup to case closure. Responsibilities: • Handling all components of workers compensation lost time claims, from initiation to closure, maintaining strong customer relations throughout. • Thoroughly reviewing claim and policy information to establish a basis for investigation. • Conducting comprehensive investigations, obtaining facts and statements from insured claimants and medical providers. • Evaluating facts gathered through investigations to determine the compensability of the claim. • Informing insureds, claimants, and attorneys of claim denials, when applicable. • Preparing reports on investigations, settlements, denials of claims, and evaluations of involved parties. • Administering statutory medical and indemnity benefits in a timely manner throughout the life of the claim. • Setting reserves for medical, indemnity, and expenses within authority limits and recommending reserve changes to Team Leader. • Regularly reviewing claim status and making recommendations to Team Leader to discuss problems and remedial actions. • Working with attorneys to manage hearings and litigation. • Directing vendors, nurse case managers, and rehabilitation managers on medical management and return to work initiatives. • Complying with customer service requests, including special claims handling procedures, file status notes, and claim reviews. • Filing workers compensation forms and electronic data with states to ensure compliance with statutory regulations. • Maximizing recovery opportunities by referring appropriate claims to subrogation and securing necessary information. • Collaborating with in-house Technical Assistants, Special Investigators, Nurse Consultants, Telephonic Case Managers, and Team Supervisors to exceed customer's expectations for exceptional claims handling service.

Billing Analyst Our client is seeking a Billing Specialist. This role is responsible for preparing client invoices. The ideal candidate will be detail-oriented, highly organized, and capable of navigating complex billing systems and client interactions. Key Responsibilities: Billing & Invoicing<ul><li>Monitor client Purchase Order and invoicing portals (e.g., Ariba) for required actions.</li><li>Process projects for draft review and collaborate with account teams.</li><li>Generate client invoices and deposit/prepay reports for large-scale projects.</li><li>Create credit memorandums and quarterly storage bills.</li><li>Acquire Experian credit reports for new/prepay clients.</li><li>Address and resolve billing discrepancies, overpayments, and customer claims.</li><li>Close and archive completed projects.</li></ul>Collections & Communication<ul><li>Handle client payment issues and aging reports.</li><li>Make collection calls and send follow-up emails.</li><li>Respond promptly to A/R inquiries and assist with internal and external audits.</li><li>Assist with month-end reconciliation and special financial projects.</li></ul>

Legal Billing Clerk We are on the lookout for an adept Legal Billing Clerk to be part of our client's team situated in NEW YORK, New York. The role primarily involves managing customer applications, maintaining precise customer records, and addressing customer inquiries. Moreover, it extends to monitoring customer accounts and taking necessary actions. This role is integral to our operations in the Legal industry. Responsibilities:• Efficiently handle electronic billing processes.• Maintain and update computerized billing records accurately.• Process customer credit applications with precision and speed.• Monitor and manage customer accounts, initiating appropriate actions as required.• Apply legal billing procedures and practices effectively.• Use accounting software systems for various tasks.• Maintain precise records of customer credit.• Use Juris software for legal billing purposes.• Address and resolve customer inquiries promptly and professionally. If this person is you, please apply today!

Medical Biller/Collections Specialist We are in search of a Medical Biller/Collections Specialist to join our team in the healthcare industry, located in East Brunswick, New Jersey. As a Medical Biller/Collections Specialist, you will be tasked with handling all aspects of patient billing, including managing account balances and processing insurance claims. This role offers a long term contract employment opportunity. Responsibilities:• Efficiently process and submit patient claims to insurance companies.• Oversee patient account balances and ensure timely payments.• Conduct follow-ups with insurance companies for unpaid or rejected claims.• Implement collections procedures for overdue accounts, including communicating with patients and establishing payment plans.• Maintain discretion and confidentiality when handling patient information, adhering to HIPAA regulations.• Collaborate with insurance companies, healthcare providers, and patients to rectify any discrepancies or errors.• Regularly audit and report to ensure billing and collection procedures comply with regulatory requirements.• Assist in the development and update of billing and collections policies to optimize efficiency and revenue.

Business Analyst We are in the process of expanding our team in Short Hills, New Jersey, United States and have an opening for a Business Analyst. This role involves extensive engagement in the industry, with a focus on capital markets. The selected candidate will be part of a dynamic work environment, offering an exciting opportunity to help shape our business processes and systems. Responsibilities: • Engage in the analysis of business processes, performing gap analysis to identify areas for improvement. • Utilize tools like Atlassian Jira, CRM, Microsoft Excel, and Microsoft Word to facilitate business process functions. • Develop comprehensive Business Requirement Documents to guide the development team. • Implement Agile Scrum methodologies to ensure efficient project execution. • Participate in A/B testing processes to validate the effectiveness of business strategies. • Manage claim administration activities, ensuring timely and accurate processing. • Interact with the engineering and architecture teams to discuss and resolve project issues. • Participate in meetings with the CTO and the team to provide updates and receive feedback. • Occasionally travel to other office locations for onboarding and other necessary activities.

Medical Billing Specialist We are offering a long term contract employment opportunity for a Medical Billing Specialist in Flemington, New Jersey, in the Healthcare, Hospitals, and Social Assistance industry. The successful candidate will be responsible for processing patient billing, maintaining accurate records, and handling inquiries related to medical billing. Responsibilities: • Accurately process patient billing requests and claims in line with established guidelines. • Utilize Allscripts, Cerner Technologies, Dynamic Data Exchange (DDE), EHR SYSTEM, and Epaces in day-to-day operations. • Maintain accurate records of patient accounts receivable (AR) and ensure timely follow-up. • Handle appeals and claim administration, ensuring all issues are resolved promptly and accurately. • Perform benefit and billing functions, ensuring all procedures are correctly billed and benefits are properly applied. • Monitor patient accounts, taking appropriate actions in cases of discrepancies or issues. • Maintain up-to-date knowledge of billing guidelines and compliance standards. • Resolve patient inquiries related to medical billing, providing clear and accurate information. • Collaborate with other healthcare professionals to ensure seamless and efficient billing operations.

Billing Clerk We are seeking a proficient Billing Clerk to become a part of our team located in Northern Monmouth County, New Jersey. Responsibilities:• Input customer data accurately into Excel spreadsheets• Facilitate efficient processing of customer credit applications• Manage and maintain accurate customer credit records• Monitor customer accounts and take necessary actions as required• Address customer inquiries in a timely and detail oriented manner• Apply advanced knowledge of Microsoft Excel in daily tasks.

Billing Coordinator We are offering an exciting opportunity located in the Lawrenceville, New Jersey area. The role involves a Billing Coordinator who will play a central role in managing customer billing processes, maintaining relationships across departments, and meeting strict deadlines. Responsibilities:• Efficiently handle customer billing processes using industry-specific techniques• Utilize strong communication skills to build and maintain relationships across various divisions• Adhere to strict deadlines and manage tasks effectively• Utilize strong Excel skills and familiarity with NetSuite and other proprietary software for accounting functions• Monitor and verify fees for trades through the Options Clearing Corporation as part of the billing process• Maintain accurate customer credit records and process credit applications accurately• Handle accounting functions including Accounts Payable (AP) and Accounts Receivable (AR)• Adapt to the use of various accounting software systems and EHR SYSTEM• Efficiently manage tasks related to the 'About Time' and 'Epic Software'• Handle customer inquiries and answering inbound calls effectively.

Medical Biller • Follows up on an average of no fewer than twenty-five (25) insurance claims per day.• Under the direction of the AR - Revenue Cycle Manager, the AR Escalator will engage in the follow-up of patients’ claims that have been submitted to third party payors but have not been fully adjudicated and/or denied.• Expected to adhere to quality and quantity standards of the practice as well as industry mandated guidelines and regulations. • Perform other duties as required

Controller We are offering an exciting opportunity for a Controller based in Whitehouse, New Jersey. As a Controller, you will be responsible for managing accounts receivable, accounts payable, cash management, financial management, financial analysis, budgeting, and payroll processing. Responsibilities: • Oversee the process of monthly invoicing and manage collections of Accounts Receivable • Handle vendor records, record invoices, process payments, and gather necessary compliance documents in terms of Accounts Payable • Oversee bank accounts, manage fund transfers, deposits, and reconciliations • Carry out monthly reconciliations, closing, and financial statement reporting • Conduct monthly forecasts and perform financial statement analysis • Prepare the annual budget • Administer payroll processing, including updates, benefits, and 401K plan administration • Handle unemployment claims, garnishments, and government compliance surveys • Process employment verification, track PTO, and administer employee benefits.

Billing Clerk We are seeking a detail-oriented and proactive Billing Specialist for a contract or contract-to-hire role in the retail industry located in White Plains, NY. As a Billing Specialist, you will be a vital part of the team, ensuring timely and accurate processing of invoices, addressing billing inquiries, and maintaining thorough financial records. This role offers an excellent opportunity to contribute to a dynamic work environment and grow professionally.Key Responsibilities:<ul><li>Efficiently process and code invoices in the billing system with accuracy.</li><li>Manage and maintain meticulous records for customer credits and accounts.</li><li>Respond promptly to internal and external invoice payment inquiries.</li><li>Monitor, identify, and escalate billing or payment issues to management as needed.</li><li>Document procedures, deadlines, and communications to ensure organization and clarity.</li><li>Participate in company and department-specific projects and initiatives for process improvement.</li><li>Perform data entry and maintain an orderly filing and record-keeping system.</li><li>Independently prioritize workload and meet project deadlines.</li><li>Address and resolve billing-related concerns in a timely and professional manner.</li></ul>

Medical Billing Specialist Robert Half is seeking Medical Billing Specialist in the Somerset County, NJ area. As a Medical Billing Specialist, you will handle billing procedures for home, health, and hospice care, and work closely with the central scheduling department. If you have 1+ years of Medical Billing experience and are looking to grow your career, this might be the opportunity for you! Responsibilities:• Execute billing operations for home, health, and hospice care services.• Collaborate with the central scheduling department to ensure seamless billing processes.• Utilize software to manage and update billing information.• Handle authorizations related to billing efficiently.• Monitor customer accounts and take necessary action as needed.• Maintain accurate and up-to-date records of customer credit applications.• Process customer credit applications accurately and efficiently.• Resolve customer inquiries related to billing in a timely manner.