Telecommuting jobs in Bloomfield, NJ

Mar 31, 2023

Counsel - Cost Containment Programs & Special Investigations- Remote

Title: High Band 4 Counsel: Senior Contributor Track Cigna Legal Role Summary: This Counsel role will assist in developing and providing strategic legal advice relating to Cigna's cost containment programs, out-of-network strategy, and Special Investigations Unit. This role will be responsible for researching and analyzing legal questions and risks to facilitate the development and presentation of strategic advice and counsel to matrixed partners across the Cigna enterprise, including stakeholders in business, legal, and regulatory roles. Successful candidates will be able to work collaboratively with multiple partners and harmonize objectives; communicate complex concepts and ideas with clarity and precision to legal and non-legal personnel; possess superior listening skills and be open to understanding and synthesizing multiple points of view; and demonstrate an ability to think creatively and strategically to anticipate business needs and mitigate potential risks....

CIGNA Remote * (Bloomfield, NJ, USA)

Mar 31, 2023

Claims Representative - Remote

Claims RepresentativesHelp our customers maintain their health, well-being and sense of security by ensuring medical claims are processed accurately and timely while protecting the confidentiality of our customer's personal health information. Under direct supervision performs duties relating to the claims adjudication process from review of the claim form, verification of eligibility, verification of coordination of benefits with insurance carriers, and finalizing based on the health benefits plan. Technical advice and assistance will be provided by Technical Coaches.ResponsibilitiesReview claim submissions to confirm required documents have been received, verify medical codes, eligibility, other insurance, authorizations, and account benefit plans.Follows established policies and procedures to pay, pend for additional information, or deny claims.Adapt to and positively influence change by accepting feedback with a growth mindset to continuously improve.Follow processes and work...

CIGNA Remote * (Bloomfield, NJ, USA)

Mar 31, 2023

Data Analytics Advisor, Marketing Campaigns - Remote

B2B Marketing Campaign Analytics Advisor Job Description The Campaign Analytics Advisor is responsible for creating end-to-end B2B campaign analytics and measurements solutions (data sourcing, data visualization and advanced analytics) across U.S Commercial Marketing: Broker, acquisition, retention, market conditioning and cross-sell. The Advisor will provide a clear vision for generating omni-channel KPIs, attribution models and actionable insights to prove or disprove business / marketing hypotheses. Responsibilities include : Measurement of all omni-channel campaign performance, provide recommendations to optimize campaign ROI and inform the creation of more personalized and effective programs Develop overall marketing attribution models for measuring marketing's impact on business growth and sales funnel development Partner with marketers to develop business hypothesis and leverage predictive analytics and advanced statistical techniques to drive strategic...

CIGNA Remote * (Bloomfield, NJ, USA)

Mar 31, 2023

Data Analytics Advisor, Marketing Campaigns - Remote

B2B Marketing Campaign Analytics Advisor Job Description The Campaign Analytics Advisor is responsible for creating end-to-end B2B campaign analytics and measurements solutions (data sourcing, data visualization and advanced analytics) across U.S Commercial Marketing: Broker, acquisition, retention, market conditioning and cross-sell. The Advisor will provide a clear vision for generating omni-channel KPIs, attribution models and actionable insights to prove or disprove business / marketing hypotheses. Responsibilities include : Measurement of all omni-channel campaign performance, provide recommendations to optimize campaign ROI and inform the creation of more personalized and effective programs Develop overall marketing attribution models for measuring marketing s impact on business growth and sales funnel development Partner with marketers to develop business hypothesis and leverage predictive analytics and advanced statistical techniques to drive strategic...

The Cigna Group Remote * (Bloomfield, NJ, USA)

Mar 31, 2023

Billing Senior Representative-Remote

Job Description This position coordinates and facilitates insurance billing and collection activities for multiple insurances. Work as a member of a team to ensure reimbursement for physician and ancillary services in an accurate and timely manner. Primary Responsibilities For assigned accounts, will be asked to reconcile account balances, pursue account balances and/or denials by working with payer remits, online tools, payer customer service, and spreadsheets to ensure accurate reimbursement. Submit Appeals and medical reviews as needed. Research payments, denials, and/or accounts to determine under and over payments. Process refunds to various Insurance payers through internal Cigna accounts payable software. Coordinate with team members and other office staff members to ensure correct claims processing. Identify trends in payment and denial issues and communicate with the team and work with internal and external partners to educate and correct the...

The Cigna Group Remote * (Bloomfield, NJ, USA)

Mar 31, 2023

Solution Manager - Evernorth - Remote

The job profile for this position is IT Project Management Senior Advisor, which is a Band 4 Senior Contributor Career Track Role. Excited to grow your career? We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply! Our people make all the difference in our success. The IT Project Manager Senior Advisor will focus on Solution Management for large Portfolio initiatives and aligns to delivering improved affordability and go-to-market profitable growth for the Evernorth Accountable Care Organization. . Prioritizes and drives execution of key strategic themes with business partners and delivery teams. This role will be responsible for defining and supporting the building of desirable, feasible, viable, and sustainable large-scale business solutions that meet customer needs. Those...

The Cigna Group Remote * (Bloomfield, NJ, USA)

Mar 31, 2023

Clinical Program Advisor - Remote - CPC Certification Required (LPN/RN Preferred)

DESCRIPTIONThe Clinical Program Advisor is part of an innovative team who have overall accountability for reimbursement policy creation, maintenance and project support. This individual will partner with many areas including prepay, business operations, and other matrix partners to assist with the implementation of reimbursement policies.DUTIES AND RESPONSIBILITIES* Proficiency with industry medical billing/coding and the ability to clearly explain coding logic including the use of modifiers is a must.* The ideal candidate will demonstrate a thorough knowledge of new code descriptions, the impact of code additions, changes or deletions to policies and associated code edits as well as the ability to review and understand data analysis.* This position is responsible for the identification of reimbursement policy opportunity, researching competitive landscape to stay current on trends, creation of a code edit strategy to align with reimbursement policies and will be the reimbursement...

CIGNA Remote * (Bloomfield, NJ, USA)

Mar 31, 2023

Enrollment/Billing Senior Representative - Evernorth Health Services - Remote

Consumerism Account Specialist (Enrollment/Billing Senior Representative) SUMMARY: Provide client facing support to our current client book of business with focus on implementation and ongoing support for Cigna clients. RESPONSIBILITIES: Facilitate implementation of Consumerism banking processes for new and existing client base including:Facilitating client implementation meetingsCollaborating with client to make appropriate electionsTracking and reporting on all aspects of the client implementation and renewalsUnderstanding clients needs and abilitiesComplete vendor bank structure documents and internal structure requirementsPartner with service teamsEnsure best client/customer experience during implementationAttends client implementation and renewal meetings; provide support and information as needed ADMINISTRATION: Provide ongoing client support as needed including but not limited to:: Ongoing review of employee enrollment, clearing account management, funding, CIP...

CIGNA Remote * (Bloomfield, NJ, USA)

Mar 31, 2023

Inside Sales Representative (Remote)

Kitchen Tune-Up is seeking an Inside Sales Representative. This valued team member handles all customer correspondences. Over the course of your career, there are multiple growth opportunities including but not limited to department management, transferring to other departments or becoming a remodeling consultant within our sales division. Duties and Responsibilities: Make outbound calls as well as receiving inbound Inquiries from potential customers Qualifies new prospects for fit with Kitchen Tune-Up and schedules appointments Make outbound calls to schedule leads Ongoing department meetings and training Follows up on prospective and current customers Maintains all leads in the computer mailing list program Answers incoming phone calls by the third ring Performs any other duties as required. Why Work for Kitchen Tune-Up We are a family owned company so we value consistency, reliability, working hard, and having fun! Rapid growth in the Northern New Jersey...

KITCHEN TUNE-UP Remote * (Bloomfield, NJ, USA)

Mar 31, 2023

Customer Service Intake Representative-Remote-eviCore Mountain Standard Time Zone

**After completion of application, be sure to complete the required assessment to continue in the hiring process.** **Pay Rate: $17/Hour** **Must be available for shifts between 7am-10:30PM MST** As an Intake Representative in eviCore healthcare's Non-Clinical Call Center, you will serve as the main point of contact for inbound callers as you manage their benefits needs from start to finish. This includes processing requests for service, speaking with physicians' offices and sites where the procedures will take place, as well as capturing and entering the necessary demographic and medical information in order to build the case file. You will also provide status updates and serve as a liaison to our clinical staff when needed. Upon joining us, you will attend 6 weeks of in-depth training to help ensure your success here at eviCore healthcare. After training, a mentor and supervisor will guide your performance as you take inbound calls from doctor's offices and/or diagnostic...

The Cigna Group Remote * (Bloomfield, NJ, USA)

Mar 30, 2023

Associate Account Manager - myMatrixx (Remote, Work at Home US)

The job profile for this position is Account Management (Non-IC) Senior Associate, which is a Band 3 senior contributor role.**Excited to grow your career?**We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply! Our people make all the difference in our success.**Job Summary**The myMatrixx Workers' Compensation Associate Account Manager (AAM) will provide support to the Account team of their assigned clients. The AAM will provide client facing support, non-standard reporting, submit client access requests, and assist with benefit set up and project support as requested. The primary focus for the position is executing client-specific operational deliverables, identifying service trends, supporting operational needs and issue resolution. In order to function effectively in the model, the AAM...

The Cigna Group Remote * (Bloomfield, NJ, USA)

Mar 29, 2023

Legal Compliance Operations Analyst- Work from Home- Evicore

The Legal Compliance Operations Analyst is responsible for support of the overall Operations and Operations Centers of Excellence UM quality objectives across all clients, programs, and lines of business. The Legal Compliance Operations Analyst will also provide assistance when contracted health plans report quality related issues that require research, root cause analysis, and process updates in order to reach resolution. This position will lead governance activities surrounding submitted quality issues including process monitoring, bi-weekly alignment sessions, and reporting. This position will maintain confidentiality of all Quality & Operations activities and protected health information (PHI), reports and records in accordance with State and Federal Law, accreditation and industry standards. Other duties as assigned.Duties and Responsibilities:Support the business with governance of identified Legal & Regulatory issues identified both internally and externallyTrack...

CIGNA Remote * (Bloomfield, NJ, USA)

Mar 31, 2023

Data Entry Agent - Work From Home

Are you a customer service agent looking to supplement your current income? Then we have what you want. We're looking for folks in the Customer Service Agent industry who want to earn extra income working from home. Job Requirements Apply at: Here's what you need to get started: You'll need a laptop OR PC/MAC OR Smart device Stable internet connection At least 5 to 10 hours weekly availability Willingness to follow directions to the T Desire to follow through Here's what you'd be doing to make extra money from home Giving your feedback on Fortune 500 companies Sending emails, reviewing products, writing reviews Using your Customer Service skills as needed Apply at: This is an entry-level gig, no experience is required, but we do train so you'll learn what's required to start making money. Apply at:

Camelot Remote * (Newark, NJ, USA)

Mar 31, 2023

Math Instructor - Remote

About Achieve Test Prep We believe our people empower our company and are the reason behind our success. We are the largest test prep company in the United States that specializes in credit-by-exam college degree paths. Most working adults find it challenging to overcome the many obstacles associated with obtaining their college degree via traditional methods. Achieve offers an elearning alternative, helping our customers test out of college credits in less time and for less money through credit-by-exam programs. Essentially, Achieve helps our customers bypass all of the busywork associated with taking traditional college courses, by instead equipping them with the knowledge needed to pass a single test-out exam. While our credit-by-exam programs can shorten the path to a degree at most colleges, the field where we have the greatest impact is the nursing profession. Engaging and developing our people is one of the keys to our success at Achieve! Embracing a work-from-home...

Achieve Test Prep Remote * (Newark, NJ, USA)

Mar 31, 2023

FT Data Verifications Specialist - Work From Home

[Data Entry / Fully Remote] - Anywhere in U.S. / Competitive Pay / Medical, dental & vision / 401K match / PTO - As a Data Verifications Specialist you'll: Verify and validate healthcare professionals' information, including licensure, board certification, education, and training, to ensure accuracy and compliance with industry standards and organizational policies; Maintain and update healthcare professionals' records in the company's database, ensuring that all information is current, accurate, and complete; Collaborate with team members, departments, and external organizations to obtain necessary documentation and information to complete verifications and credentialing processes...Hiring Fast >>

Valenz Health Remote * (Newark, NJ, USA)

Mar 31, 2023

Java Developer - Remote!

Job Description DESCRIPTION: Artech is currently looking for experienced professional for the below position. Job Title: Java Developer Job ID: 22-62014 Location: Remote Duration: 12+ Months (Possible Extension) Job Description: Mandatory Skills At least 8 years of "hands-on" Java developer experience Strong understanding of Object Oriented Design principles, Unit Testing and code quality metrices Programming experience in Java 8 & above, Spring, REST and other related frameworks Prior experience in building enterprise-scale distributed micro-services system Excellent written and verbal communication skill with collaborative mindset Ability to design, architect and drive the development of large features or functionality Strong problem-solving skills Diving into server-side application logic and working on integration with front-end Designing and developing resilient and scalable solutions for any of the hybrid environments (Private cloud -...

Artech LLC Remote * (Secaucus, NJ, USA)

Mar 31, 2023

FT Customer Support Representative - Work From Home

[Customer Service / Remote] - Anywhere in U.S. / Up to $20 per hour - As a Customer Support Rep you'll: Answer inbound calls, emails, and chats, and take required actions to assist the customers; Anticipate customers' potential needs, and determine appropriate response; Provide comprehensive and accurate responses by consulting available resource material and information; Keep required reference materials up-to-date; Problem solve technical issues and escalate issues as appropriate; Develop a deep understanding of the needs of customers, and communicate these needs with the management team...Hiring Fast >>

PhoneBurner Remote * (Maplewood, NJ, USA)

Mar 31, 2023

FT Data Entry Clerk (Driver Enrollment) - Work From Home

[Administrative Assistant / Fully Remote] - Anywhere in U.S. / Competitive Hourly Pay + Paid Training - As a Data Entry Clerk (Driver Enrollment), you'll: Review applications as well as insurance and vehicle registration documents for accuracy and eligibility; Conduct virtual vehicle safety inspections with qualified driver-applicants (training provided); Communicate with delivery professionals via text, chat, and email about the status of their applications; Order driver applicants pre-employment background checks using company software...Hiring Fast >>

GoShare Remote * (Maplewood, NJ, USA)

Mar 30, 2023

Entry Level Customer Service - Work From Home

(DUE TO COVID-19 IN EFFORT TO EMBRACE SOCIAL DISTANCING THE COMPANY OVERVIEW WILL BE CONDUCTED ONLINE VIA ZOOM) We are looking for an individual with great customer service skills for one of the main supplemental benefits companies in the nation for over 65 years! The Company is expanding in our territories and we are in immediate need of dedicated Benefits Representatives with ambitious goals. Responsibilities: Helping customers by providing product and service information Answer customer questions regarding their coverage Develop and maintain a knowledge base of the evolving products and services Regularly review these agreements in an effort to develop a more cost-effective plan Qualifications: Previous experience in customer service, sales, or other related fields Ability to build rapport with clients Ability to prioritize and multitask Positive and professional demeanor Excellent written and verbal communication skills What are we looking for in...

American Income LifeInsurance Remote * (Paterson, NJ, USA)

Mar 31, 2023

NOW HIRING CHHAs & CNAs -CONSISTENT WORK AVAILABLE NOW!- REMOTE ON-BOARDING

Are you a Certified Home Health Aide (CHHA) or Certified Nursing Assistant (CNA) looking for stable and consistent one-on-one patient care in a home setting? BrightStar Care of Westfield and Summit is now hiring caregivers for cases in the following towns: Union, Springfield, Clark, Cranford, Scotch Plains, Westfield, New Providence, Berkeley Heights, New Providence, Mountainside, Kenilworth, Summit. If you are a reliable, caring and professional caregiver with a passion for helping others, please apply today. We offer full support from our friendly office staff, top pay, and a quick and easy remote onboarding process. In addition, we are a family run business and will treat you like part of our family! Pay Rate Range: $14-$25 hourly Shifts Available: Daytime hours M-F, mornings, afternoons & weekends Live-in We offer the benefits you need: Hourly pay rate $14-$25 per hour Paid time off - Up to 3 weeks $300 Bonus for each friend you refer to us Possible...

BrightStar Care - Westfield, NJ Remote * (Union, NJ, USA)

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142 telecommuting jobs found in Bloomfield, NJ