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Appeals Coordinator
Jobs · Brighton Health Plan Solutions · New York, NYAbout The Role Brighton Health Plan Solutions (BHPS) is seeking an experienced Appeals Coordinator skilled in investigating and resolving grievances, provider payment disputes and medical appeals submitted by our members and providers. Responsi...9 hours ago on The ResumatorTools -
Intake Coordinator
Jobs · Brighton Health Plan Solutions · New York, NYAbout the Role Brighton Health Plans Solution is looking for an Intake Coordinator with prior experience in a similar role with good multitasking and communication skills. You will be utilizing your knowledge of medical terminology, medical spe...6 days ago on The ResumatorTools -
Claims Examiner
Insurance · Brighton Health Plan Solutions · Westbury, NYAbout The Role Brighton Health Plan Solutions (BHPS) is seeking an experienced Healthcare Claims Examiner skilled in the interpretation of Hospital and Ancillary contracts, Medical Policies and Payment procedures as well as capable of manually pr...2 weeks ago on The ResumatorTools -
Customer Service Representative
Customer Service · Brighton Health Plan Solutions · Melville, NYAbout The Role MagnaCare is seeking Customer Service Representatives to assist members, physicians, hospitals, and other healthcare providers with member benefits, eligibility, claims inquiry, claim reconsiderations and appeals. This job descri...3 weeks ago on The ResumatorTools -
Workers Compensation Nurse Case Reviewer
Healthcare · Brighton Health Plan Solutions · New York, NYAbout The Role Brighton Health Plan Solutions (BHPS) provides Utilization Review/Medical and Case Management services for Group Health and Workers’ Compensation and other Casualty clients. The Workers’ Compensation Nurse Case Reviewer collabora...3 weeks ago on The ResumatorTools -
Customer Service Representative
Customer Service · Brighton Health Plan Solutions · New York, NYAbout The Role The Customer Service Representative assists members, physicians, hospitals, revenue agencies and other healthcare providers with member benefits, eligibility, claims inquiry, claim reconsiderations and appeals. The Customer Servi...4 weeks ago on The ResumatorTools -
Enterprise Business Analyst- Product & Technology
Jobs · Brighton Health Plan Solutions · Westbury, NYAbout The Role We are seeking a passionate, results-oriented Sr. Business Analyst in the healthcare payer domain with Multi-employer Trust or Health Plan administration of self-funded client who excels in client interactions, and can collaborate e...Over 4 weeks ago on The ResumatorTools