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- ...Health in Montvale, NJ, is seeking a Clinical Operations Specialist to provide administrative and operational... ..., ensuring accurate processing of claims overrides and prior authorizations,... ...service excellence. This full‑time, on‑site role requires 5+ years of pharmacy...WebsiteClaimsFull timeWork at office
$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- ...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... ...pathways for new products, ingredients, technologies, and claims.Provide strategic regulatory guidance throughout product development...WebsiteClaimsWorldwide
$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...WebsiteClaimsWork at office- ...a Medical Biller to manage billing processes for out-of-network claims. The ideal candidate will handle submissions to insurance companies... ...software, and a proven work ethic. This is a full-time on-site position offering benefits like health insurance and a flexible...WebsiteClaimsFull timeFlexible hours
$19.75 - $22 per hour
...payors, and regulators achieve the best clinical outcomes. The Front End Coordinator is... ...stemming from electronically filed medical claims to insurance companies that are unable to... ...Follows OSHA regulations, RadNet, and site protocols, policies, and procedures. Follows...WebsiteClaimsHourly payWork at officeLocal area- ...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
- ...through to verified completion. • Ability to work full-time on-site at our Woodcliff Lake, New Jersey office. Additional &... ...strategic account management • Pharmacy pricing, rebate analytics, claims data, or PBM operations • Executive-level client relationship...WebsiteClaimsFull timeWork at office
$100k - $175k
...potential. \n \n \n Location: Montvale, NJ. Primarily on-site for attorneys building experience, with increasing hybrid or remote... ...consultation through resolution. \n Evaluate potential claims and develop litigation strategies. \n Draft complaints, motions...WebsiteClaimsRemote workFlexible hours- ...associates, please click here. Overview The Oncology Clinical Data Specialist must review the data for use by the Montefiore Cancer Program... ...to ensure that data regarding incidence of cancer by primary site, trends, morphology, stage at diagnosis, survival rate,...Website
- 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
- ...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
- IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW! Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjuster? This is your chance to join a thriving industry with endless opportunities for growth...WebsiteClaims
$20.25 - $21.25 per hour
...build a schedule that works for you and explore new roles using our Claim a Shift platform. As an unarmed Patrol Officer at a financial... ...institution by carrying out security-related procedures, site-specific policies, and emergency response activities when appropriate...WebsiteClaimsPart timeLocal areaShift work$18.9 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 a Front Desk... ..., and employees by carrying out security-related procedures, site-specific policies, and when appropriate, emergency response activities...WebsiteClaimsPart timeWork at officeLocal areaShift work$18.9 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 timeWork at officeLocal areaFlexible hoursShift work- ...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
$103k - $147.14k
...Job Description Job Description Job Description Clinical Formulary Specialist EmpiRx Health is the leading clinically-driven pharmacy... ...Protocol updates, revisions and translation into electronic PA (ePA) on an ongoing basis. Review quarterly P&T Committee...Work at office- ...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 timeWork at officeLocal areaFlexible hoursShift work
$21 per day
...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 timeWork at officeLocal areaFlexible hoursShift work- ...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
$20 - $24 per hour
...our team. This position will begin training on site full-time in either Glen Rock, NJ and will transition... ...software and initiate billing processWork with clinic staff to resolve patient authorization issuesReview existing claims in billing software and follow up on...WebsiteClaimsHourly payFull timeRemote work$26 per hour
...seeking a detail-oriented and analytical Back charge & Return/Claims Specialist to manage builder account claims, Return Authorizations (RA),... ...inbound delay, installation errors, or builder-side site issues). Claims Processing & Financial Recovery: Execute formal...WebsiteClaimsContract workTemporary workInternshipWork at office$17 - $18.15 per hour
## Associate Specialist, Patient AccessApply: Westwood, NJ: Ardent - Pascack Valley: Part time... ..., 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...WebsiteClaimsPart timeWork at officeLocal areaRemote work$55k - $85k
...Be an essential part of helping injured clients navigate the claims process from day one. Work alongside an experienced legal team... ...Paramus, NJ or Bloomfield, NJ - This is a full-time, 100% on-site position where you'll work closely with attorneys and clients in...WebsiteClaimsFull timeWork at office$100k - $120k
...Controller (Small Company) Location: Paramus, NJ Area | On-Site, 5 Days per Week Base Salary: $100,000–$120,000 + Discretionary... ...purchase order discrepancies. Prepare vendor debit notes and claims with the appropriate supporting documentation, and follow up on...WebsiteClaimsFull timeWork at office$63k - $73k
Career Opportunities: A/R Deductions Specialist (628) Do you love snacks? Are you looking to... ...-volume customer deductions, trade spend claims, and compliance chargebacks. You will play... ...New Jersey The role requires working on-site: Monday thru Friday. Work remotely once per...WebsiteClaimsSummer workCasual workWork at officeImmediate startRemote workMonday to FridayWeekend work- ...Responsibilities You will be responsible for scheduling on-site surveys and providing risk control reports to insurance industry... ...in commercial insurance, real estate, inspection, construction, claim, loss control, underwriting, and/or fire and safety...WebsiteClaimsFor contractorsWork at officeLocal areaWork from home
- Oncology Clinical Pharmacy Specialist - Northern New Jersey (On-Site) Where Precision Meets Purpose: Transform Lives Through Clinical Research Are You Ready to Make an Impact? Do you excel at interpreting complex treatment protocols and translating them into safe, effective...WebsiteWork at officeImmediate startFlexible hoursShift work
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