Net 2 Source Inc. is an award-winning total workforce solutions company recognized by Staffing Industry Analysts for our accelerated growth of 300% in the last 3 years with over 5500+ employees globally, with over 30+ locations in the US and global operations in 32 countries. We believe in providing staffing solutions to address the current talent gap – Right Talent – Right Time – Right Place – Right Price and acting as a Career Coach to our consultants.
Role: Health Claim Examiner - New York Claims adjudicate Licensed (Remote)
Duration:- 6 months+ Contract
Work Location: Remote
Pay Rate: $28/hr. on W2
Pay Cycle: Weekly
In this role, you will review, evaluate, and process medical claims submitted by healthcare providers or policyholders to ensure accuracy and compliance with insurance policies and for New York policies, adherence to State regulations.
Responsibilities
• Claim & Appeals processing according to standard work & SOP
• Validation of information entered by indexer
• Verify coverage; evaluate eligibility and process payment/denial based on policy coverage
• Ensure claims adhere to specific insurance plan rules, state and federal regulations, and coding guidelines
Qualifications we seek in you!
Minimum Qualifications
• Licensed with the State of New York to adjudicate health claims according to State protocols and regulations.
• Proven experience in Supplemental Health or Group Insurance Operations and Claims backend operations.
• 2+ years of Employee benefits supplemental or group health claim adjudication experience
Regards,
Prashant Singh
Sr. Account Manager - Enterprise Business
Net2Source Inc.
Direct # (201) 285-5087 | Board # (201) 340-8700 Ext. 509 | Fax: (201) 221-8131
Office: 270 Davidson Ave, Suite 704, Somerset, NJ 08873
LinkedIn: -singh-b1b23526
Job Description Major, Lindsey & Africas client is seeking a detail-oriented and technically proficient Interim Compliance Analyst to support their compliance operations during a critical engagement period. This role is ideal for someone with a strong foundation in...
...and external collaborators to drive newsletter sign-ups through SEO, partnerships, and social media. Continuously test, measure,... ...evolutions. LOCATION & WORKING STYLE Location: This is a fully remote position. Work from anywhere while connecting with colleagues...
...are looking to add some new members to our family to operate our bus charters. Full time and part time available!!! Pay Range $2... ...a sign-on bonus of up to $2,000 when you join our team of drivers! Stop by our offices M-F, 8am to 5pm (or submit through Indeed...
...rehabilitation unitMinimum of 20 hours per weekProvide leadership and clinical oversight for a multidisciplinary rehab teamEnsure compliance with CMS, The Joint Commission, and organizational standardsResponsibilities:Collaborate with Program Director and therapy staffDevelop care...
...the precautions to avoid accidents. Good Driving Record. No DUI convictions past fifeteen (15) years. Preferred- Commercial Driver's License (CDL) Required Class B with Passenger Endorsement and Air Brakes Ability to work nights, weekends and holiday periods...