On-Site Clinical Ops Specialist - Claims & PA
Empirx-Health-4
EmpiRx Health is seeking a Clinical Operations Specialist to provide administrative and operational support to adjudication and clinical review teams in Montvale, NJ. The role emphasizes accurate processing of overrides and prior authorizations to ensure timely service and compliance. The ideal candidate brings a minimum of 5 years in pharmacy, with at least 2 years in claims adjudication and 2 in prior authorization, strong Microsoft Office skills, and a proven ability to manage multiple #J-18808-Ljbffr Empirx-Health-4
$50.89k - $63.61k
...Clinical Operations Specialist EmpiRx Health is the leading clinically-driven pharmacy benefits management... ...accurate and timely processing of claims overrides and prior authorizations (... ...capabilities. Must be able to work on-site five days per week. Shift...WebsiteClaimsWork at officeMonday to FridayShift work- ...Clinical Imaging Specialist Integrated Resources, Inc., is led by a seasoned team with combined decades in the industry. We deliver strategic... ...Review tumor assessment sections of Patient Profiles from site CRF data and provide feedback to Data Management for site queries...Website
$17 - $18.15 per hour
..., and candidates must be able to work on-site at Ardent - Pascack Valley in Westwood... ...are searching for the next Patient Access Specialist champion. This role is responsible for... ...billing processes to assist with a clean claim rate. Responsible for accurately screening...WebsiteClaimsWork at office$2,100 per week
...Post-Anesthesia Care Unit (PACU) / Pre-Post Op Location: Westwood, NJ Agency:... ...Ensure patient safety and adherence to clinical protocols About job.com Enhancing Healthcare... ...401K Program ~ Clinical support from on-site Clinical Director Requirements...WebsiteWeekly payFull timeContract workLocal areaImmediate startFlexible hoursShift workDay shift- ...network of sales offices, manufacturing sites, and R&D centers, primarily located in the... ...Specialty Products.POSITION SUMMARY:The Benefits Specialist is responsible for administering employee... ...hire benefit enrollmentHandle employee claims, disputes, and eligibility questions,...WebsiteClaimsWork at officeLocal areaWorldwide
$100k - $175k
...strong earning potential. Location: Montvale, NJ. Primarily on-site for attorneys building experience, with increasing hybrid or... ...initial consultation through resolution. Evaluate potential claims and develop litigation strategies. Draft complaints, motions,...WebsiteClaimsRemote workFlexible hours- A leading claims adjusting firm in New York seeks Independent Insurance Claims Adjusters. Ideal candidates are Licensed Adjusters with claims handling experience. The role offers flexible working conditions and extensive training to help you excel. Join a dynamic industry...WebsiteClaimsFlexible hours
$20.24 - $21.24 per hour
...build a schedule that works for you and explore new roles using our Claim a Shift platform. Learn more. As an Unarmed Patrol Officer in a... ...staff, and vendors by carrying out security-related procedures, site-specific policies, and emergency response activities as...WebsiteClaimsPart timeLocal areaShift work$20.25 - $21.25 per hour
...is designed to provide reliable, consistent hours at an assigned site with the flexibility for you to earn more by picking-up... ...This assignment requires a six (6) month commitment. Earn More, Claim-A-Shift Program: In addition to your fixed shift, you may pick-...WebsiteClaimsFull timePart timeLocal areaFlexible hoursShift work$17.43 - $18.43 per hour
...build a schedule that works for you and explore new roles using our Claim a Shift platform. Learn more: aus.com/earnmore. As an Unarmed... ..., visitors, patients, and/or contractors by carrying out site-specific security-related procedures, policies, and emergency response...WebsiteClaimsPart timeFor contractorsWork at officeLocal areaShift work$17.65 - $18.65 per hour
...is designed to provide reliable, consistent hours at an assigned site with the flexibility for you to earn more by picking-up... ...This assignment requires a six (6) month commitment. Earn More, Claim-A-Shift Program: In addition to your fixed shift, you may pick-up...WebsiteClaimsFull timePart timeLocal areaFlexible hoursShift work$180k - $220k
...Jersey, and we have a broad network of sales offices, manufacturing sites, and R&D centers, primarily located in the U.S. and Europe. The... ..., complaint resolution, competitive product analysis, claims support, customer requests, and commercialization milestones; communicate...WebsiteClaimsWork at officeWorldwide- ...Posting DescriptionPosition SummaryThe ML Ops Engineer II at Boston Children’s Hospital... ...the robust integration of data science into clinical and administrative processes. Key... ...40 Pay Range$93537.6-$149656 AnnualOffice/Site LocationWestwoodJob Posting CategoryAdministrationRemote...WebsiteTemporary workRemote work
$20 per hour
...is designed to provide reliable, consistent hours at an assigned site with the flexibility for you to earn more by picking-up... ...This assignment requires a six (6) month commitment. Earn More, Claim-A-Shift Program: In addition to your fixed shift, you may pick-...WebsiteClaimsFull timePart timeWork at officeLocal areaFlexible hoursShift work- ...Adapts methodologies as needed for areas related to the core clinical laboratory. Conducts clinical testing, maintains laboratory instrumentation... ...for scientific integrity and clinical accuracy of all claims and communications made concerning specific PAS products...ClaimsPermanent employmentTemporary work
$72.8k - $95.7k
The Procera Complete Clinical Specialist has specialized expertise in evaluating complex and routine dental prosthetic cases and plays a key role... ...and duties assigned by Team Lead, Group Manager or Senior Site Leadership. Follow all SOPs to ensure compliance to the FDA...WebsiteContract workImmediate start- ...Relationships in innovation, assortment, pricing, programming, shelving and claims management. Demonstrate accountability and responsibility for... ...appropriate records, manage and access company SharePoint Sites, share files on company platforms, and drive and manage client...WebsiteClaimsWork at officeFlexible hoursShift work
- ...all professional services rendered. Prepare and review reports, claims, and correspondences. Ensure that records and documentation are... ...Qualifications: Previous experience of at least 2 years as a PA Ability to establish a healthy rapport with patients and their...ClaimsHourly payFull timePart timeWork at office
$60k - $74k
...Day Responsibilities Include Specialist will be responsible for developing... ...Review and approve Co-op claims Work with Quick Lane on Search... ...pricing (Indoor/Outdoor) Conduct on-site training as needed Ensure... ...and Sales Performance review Op code usage and submission Work...WebsiteClaims$17 - $18.15 per hour
..., and candidates must be able to work on-site at Ardent - Pascack Valley in Westwood, NJ... ...searching for the next Patient Access Specialist champion. This role is responsible for performing... ...billing processes to assist with a clean claim rate. Responsible for accurately...WebsiteClaimsFull timeWork at officeLocal areaRemote workShift work- ...Job Description Job Description Claims Operations Specialist EmpiRx Health is the leading clinically-driven pharmacy benefits management company. As the pioneer... ...application in healthcare. Work Environment: Fully On-Site in Orlando, FL (5 Days per Week) Benefits and...WebsiteClaimsTemporary workWork at officeRemote workFlexible hours
- ...continuously improving enterprise‑wide safety programs across a multi‑site portfolio of retail, restaurant, and fueling operations. The... ...carriers on general liability and workers’ compensation claims. Support legal proceedings including depositions as required....WebsiteClaimsFor contractorsLocal area
- ..., pricing, promotional programming, shelving, distribution, and claims management. Present new products, promotional programs, category... ..., and sales reporting. Manage and access company SharePoint sites, customer portals, client portals, and other internal platforms...WebsiteClaimsWork at officeFlexible hoursShift work
$20 per hour
...manager-assigned shifts and those you pick up through our Earn More, Claim-A-Shift self-scheduling program. Shifts, days, locations, and... ...NJ , you’ll expand your skillset, gain exposure to a variety of sites, and position yourself for advancement within the company. This...WebsiteClaimsWork at officeLocal areaFlexible hoursShift workNight shift$17 - $18.15 per hour
...Patient Access Specialist Ensemble is a leading provider of technology-enabled revenue cycle... ..., and candidates must be able to work on-site at Ardent - Pascack Valley in Westwood,... ...billing processes to assist with a clean claim rate. Responsible for accurately screening...WebsiteClaimsWork at officeLocal areaRemote work$88.8k - $93.6k
...in navigating the healthcare system from claims resolution to finding doctors. Responsibilities... ...principles and best practices Strong clinical skills, including efficient diagnosis and... ..., MA, ME, NJ, NM, NYC, OR, Philadelphia (PA), RI, San Francisco (CA), and WI should...WebsiteClaimsWork experience placementInternshipSeasonal workWork at officeLocal areaWork from homeRelocationRelocation packageFlexible hoursShift workNight shift- ...management Familiarity with pharmacy pricing, rebate analytics, claims data, or PBM operations Scrum Master, PMP, Certified... ...in-person position in Woodcliff Lake, New Jersey . Regular on-site attendance is an essential requirement of the role. Compliance...WebsiteClaimsFull timeWork experience placementWork at officeImmediate startVisa sponsorshipWork visa
- ...results-driven solutions. Role Description This is a full-time, on-site Paralegal role based in Teaneck, NJ. The Paralegal will be... ...and medical providers, sending letters of representation and tort claim notices, regularly communicating with clients regarding treatment...WebsiteClaimsFull time
- ...legal team in Lodi, New Jersey. Location 72 Essex Street, Lodi, NJ (Fully On-Site) Primary Responsibilities Conduct file review and provide comprehensive legal analysis of workers’ compensation claims. Perform extensive legal research and draft client correspondence,...WebsiteClaimsFull timeWork at office
- ...patients’ homes. If you’re an experienced NP or PA who values autonomy, meaningful patient... ...and solves problems, adheres to all clinical and safety standards, protocols, and performance... ...Type: Part Time Work Place Type: On‑site Category: Nurse Practitioners & Physician...WebsitePart timeVisa sponsorshipWork visaFlexible hoursShift workNight shiftAfternoon shift
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