Medical Claims Team Lead: Quality & Compliance
$83k - $107kPlymouth Rock Assurance
Plymouth Rock Assurance in Port Reading seeks a Claims Team Lead – Medical Management to oversee a team of medical professionals while ensuring compliance and quality standards. This role involves monitoring workflows and regulations, developing procedures, and managing day-to-day operations. The ideal candidate will have over 5 years of medical claim experience, possess strong leadership skills, and an understanding of New Jersey regulations. The salary ranges from $83,000 to $107,000 annually. #J-18808-Ljbffr Plymouth Rock Assurance
$83k - $107k
RadNet, Inc. is looking for a Claims Team Lead - Medical Management to work in Port Reading, New Jersey. This role involves overseeing... ...of medical professionals, ensuring department quality assurance, and managing compliance standards. The ideal candidate should have over 5...MedicalClaims$83k - $107k
The Claims Team Lead - Medical Management, is responsible for assisting with the oversight of a team... ...Lead will be responsible for department Quality Assurance, production, and workflow... ...Supervisor and Nursing Team Lead to ensure compliance standards are met. RESPONSIBILITIES...MedicalClaims$83k - $107k
The Claims Team Lead - Medical Management, is responsible for assisting with the oversight of a team... ...Management will be responsible for department Quality Assurance, production, and workflow... ...and Nursing Team Lead to ensure compliance standards are met. Responsibilities...MedicalClaims- Accu Reference Medical Lab in Linden, NJ is seeking a Medical Biller / Team Lead to oversee daily billing operations for diverse payers. You will guide a team, ensuring accurate claim submissions and resolving denials efficiently. The ideal candidate possesses a strong...MedicalClaimsFull time
- Medical Biller / Team Lead Location: Linden, NJ. Employment: Full-time, on-site. Responsibilities Oversee... ...daily billing operations, including claim creation, submission, follow-up, and... ..., including ICD-10 and related compliance practices. Previous experience in a...MedicalClaimsFull timeWork at office
$89k - $147k
...at one of the world’s leading financial services institutions... ...the right way. The Team Lead, Short-Term... ...Absence and Paid Leave Claims will deliver benefit experiences... .... Ensure team is in compliance with their obligations... ...at every level. Medical, dental, vision, life insurance...MedicalClaimsTemporary workPart time- Prudential Ins Co of America is seeking a Head of Stop Loss Claims to spearhead the claims organization and drive strategic leadership... ...will have over 10 years in group insurance claims, focusing on medical stop loss, with strong leadership and technical expertise. A...MedicalClaims
$24 - $27 per hour
...Overview The Quality Assurance Auditor will... ...requirements and compliance plans, and to assess... ...collaborate with the QA team and cross-... ...pharmacy on-line claims processing systems... ...system capabilities to lead the organization... ...childbirth or related medical conditions),...MedicalClaimsHourly payAfternoon shift- A leading financial services company is seeking a Disability Claims Specialist to join their team in Newark, NJ. In this role, you'll support optimal claims handling, ensuring accurate... ...benefits include competitive salaries, medical plans, and employee development programs....MedicalClaimsRemote job
$50k - $60k
...administrative workload. Our team ensures timely and... ...dismissal. Summary The Claim Discovery Specialist... ...eligibility, and ensuring compliance with court-ordered... ...liability, personal injury, or medical malpractice matters,... ...Fact Sheet Management Quality Assurance & Compliance...MedicalClaimsFull timeWork at officeMonday to FridayFlexible hours- ...be responsible for leading and supporting one... ...trials, ensuring compliance with timelines and... ...with the study core team leading to... ...accuracy in clinical claims and messaging Responsible... ...to provide quality deliverables while... ...MEDDEV) Clinical/medical background a + Experience...MedicalClaimsFor contractorsInterim roleLocal area
- ...to excellence. Summary Leads and executes procurements... ...specialists on the team. Coordinates review of... ...changes, disputes and claims in accordance with Federal... ...contract performance and compliance with terms and... ...Family Health Insurance – Medical, Prescription, Dental,...MedicalClaimsContract workFor contractorsWork experience placementWork at officeFlexible hours
- ...Professional Coder (CPC) Lead/Provider Liaison A... ...delivering only the best quality talent, the first time... ...the Network Management team. Responsibilities:... ...documentation against submitted claims diagnosis codes and... ...model Mastery of medical coding best practices Project...MedicalClaimsContract workImmediate start
$204.25k - $312k
Introduction Axtria is a leading global provider of cloud software and... ...building and leading a lean team of deep domain experts in pharma... ...commercial space, including Medical Affairs, Omnichannel & Customer... ...commercial data ecosystems(claims, Rx, CRM, digital, field, medical...MedicalClaimsHourly pay- ...job, it’s a chance to lead change, drive progress,... ...about protecting water quality and the environment and... ...develop multidisciplinary teams. Supervise senior... ...reviews and resolution of claims. Ensure the best technology... ..., which includes medical, dental, vision, short...MedicalClaimsContract workTemporary workLocal area
- ...Insurance Services, LLC is seeking a Claims Consultant (Public Entity) in New... ...with carriers, TPAs and internal teams to ensure timely resolution and high-quality service. The role emphasizes... ...education, claims support across medical and life programs, and proactive service...MedicalClaims
- ...subcontractor agreements, contractor compliance (M/W/S/DBE), and claims. Provides risk management support, guidance, and training to internal teams to ensure compliance, mitigate exposure... ...Employer. Benefits We provide medical, dental and vision on the first day of...MedicalClaimsContract workFor contractorsFor subcontractorNight shift
$27 - $32 per hour
...Advance Your Career in Insurance Claims with Allied Universal Compliance and Investigation Services. Allied Universal... ...and surveillance investigators. Our team is committed to innovation and... ...Underwriter (CPCU) BENEFITS: Medical, dental, vision, basic life, AD&D,...MedicalClaimsWork at officeLocal area- ...career path in the healthcare industry? Use Dreambound to find a Medical Billing and Coding program that will prepare you for this high-... ...billing and coding specialist processes and codes healthcare claims to ensure accurate billing and insurance reimbursement, supporting...MedicalClaims
- ...protects revenue integrity, supports clean claims, and ensures compliance while coordinating effectively with patients, payers, and internal teams in alignment with the organization's... ...to prevent missed administration of medication. Provides timely notification to...MedicalClaimsTemporary work
$70k - $80k
...Trustpoint.One is partnering with a growing legal team to identify a Senior Single-Event Manager... ...all phases of single-event injury claims, from initial intake through settlement... ...a candidate with strong personal injury, medical malpractice, or insurance defense experience...MedicalClaimsPermanent employmentFull timeWork at officeMonday to Friday$22 per hour
...minimum requirements , our recruitment team will respond within 48 business... ...administrative responsibilities , ensuring high-quality care, regulatory compliance, and a safe, supportive home... ...residents with personal care and medical needs Ensure the safety, dignity,...MedicalHourly payFull timeContract workWork at officeShift work$77.4k - $110.3k
...our Analytical Chemistry team in our state‑of‑the‑art... ...conclusions and claims, and has a deep drive to... ...the highest standards in quality and safety. A Day in the... ...to ensure good quality, compliance, and safety Quickly... ...Competitive Benefits Package (Medical, Dental, Vision, 401K,...MedicalClaimsPermanent employmentFull timeWork experience placementSummer workWork at officeFlexible hours- ...representing clients in a variety of case claims, including auto injuries, slip and fall... ...catastrophic injuries, premise liability, medical malpractice, child & birth injury, motorcycle... ...Supervise and provide direction to a team of staff members Evaluate the merits of a...MedicalClaims
$102.04k - $120.05k
...Responsibilities Represent SAIF and its insureds at hearings and other claim‑related proceedings, including trials. Mediate or negotiate to... ..., and procedures. Prepare and conduct depositions of lay and medical witnesses and doctor conferences when applicable. Attend...MedicalClaimsFull timeWork from home$120.97k
...video and find out why our team loves to work here! ( Join... ...projects, ensuring consistency, quality, and compliance with internal standards.... ...• Design-Build Experience: Lead or support the design-build... ...conditions, childbirth and related medical conditions, sexual...MedicalH1b- A leading insurance provider in Port Reading, NJ, is seeking an Administrative Claims Specialist responsible for managing lawsuit information and medical claims in a fast-paced environment. Candidates should... ...role involves data entry, compliance review, and customer...MedicalClaims
$75 - $90 per hour
...A bit about us: A leading urgent care and occupational... ...to providing high-quality healthcare services.... ...with employers to ensure compliance with occupational... ...treatment plans in electronic medical records. Complete... ...workers' compensation claims and occupational...MedicalClaimsHourly payLocal area$18 - $20 per hour
...Shift Lead Pay Range: $18 - $20/hour The Shift Lead... ...excellent guest service and food quality while ensuring compliance with policies, procedures,... ...service. Treats all team members with respect and dignity... ...20/hour Benefits: Medical, Dental, Vision, & 401k for...MedicalLocal areaShift workWeekend work- ..., is looking for a dedicated professional to lead the Trauma Performance Improvement (PI) program. You will manage compliance with ACS-COT and NJDOH standards, assisting in... ...improvement. We provide comprehensive medical benefits and professional development opportunities...Medical
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