A Newark, New Jersey International
Staffing & Professional Services
Company

– Bachelor?s degree in Computer Science, Software Engineering, MIS, or related field- 5+ years of experience building and supporting enterprise-scale data platforms on AWS- Strong hands-on programming skills in Python and SQL, with working knowledge of Shell scripting- Experience designing and implementing cloud-based data architectures, including data lakes and warehouses- Proficiency with core AWS services- S3, Glue, Redshift, Lambda. – Experience developing and orchestrating data pipelines using ETL/ELT frameworks- Familiarity with serverless architectures and modern data processing approaches (e.g., Spark/EMR)Understanding of data modeling, big data concepts, and cloud-native design patternsWe are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global’s Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.

Insight Global?s client is seeking a detail-oriented Claims Analyst to support a growing plastic and reconstructive surgery practice in Red Bank, NJ. This individual will join a high-volume medical billing and revenue cycle team, focusing on insurance claim resolution, denials, AR follow-up, and collections, with a primary focus on out-of-network claims, including those governed by the No Surprises Act (NSA).This person will be responsible for working outstanding insurance claims, troubleshooting denials, reviewing EOBs, following up with payers, and helping resolve aged receivables across out-of-network claims. The ideal candidate has strong medical collections experience, understands how to read and interpret EOBs, and can confidently work claims from identification through resolution, particularly within OON and NSA-related workflows.Day-to-Day Responsibilities-Work a blend of AR follow-up, denials management, and medical collections based on daily claim volume, aging, and dollar amount.-Review, interpret, and troubleshoot EOBs to identify claim issues, underpayments, denials, missing documentation, coding-related concerns, and payer-specific requirements.-Follow up with insurance carriers through payer portals and phone calls to resolve outstanding claims and expedite payment.-Primarily manage out-of-network claims, including claims impacted by No Surprises Act timelines, regulations, and payer requirements.-Prioritize aged receivables and high-dollar accounts while maintaining accurate documentation and claim notes.-Review denials related to medical records requests, EDI rejections, coding issues, and payer processing rules.-Partner with internal team members and trainers to ensure claims are worked accurately and consistently within department standards.-Maintain patient and company confidentiality while ensuring all documentation is clear, accurate, and up to date.Compensation:$25 to $27 per hour.Benefits:-Medical, Dental, Vision, Life, HSA and Long-Term Disability insurance-401k and Profit sharing-Paid Time Off-Contribution to Health Benefits-Company Discounts on Products & ServicesWe are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global’s Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.

Insight Global’s client is seeking a detail-oriented Prior Authorization Specialist to support a growing plastic and reconstructive surgery practice in Red Bank, NJ. This role is heavily focused on true prior authorization work, including initiating authorizations, tracking pending cases, following up with payers, supporting denial workflows, and ensuring documentation is complete and accurate for downstream billing and collections teams.This person will support assigned physicians, manage authorization timelines tied to patient procedures, and work closely with surgical coordinators, providers, insurance carriers, and internal teams to help ensure services are approved prior to being performed. The ideal candidate is organized, proactive, timeline-driven, and comfortable working in a fast-paced healthcare environment where follow-through and attention to detail are critical.Day-to-Day Responsibilities-Initiate, track, and follow up on prior authorizations for scheduled procedures and medical services.-Manage authorization work for assigned physicians, typically supporting approximately four doctors and initiating an average of three new authorizations per day, with the remainder of the workload focused on follow-ups, pending cases, audits, and documentation updates.-Use insurance payer portals such as Availity and Navinet to verify benefits, submit authorization requests, check status updates, and document payer responses.-Review patient insurance coverage and ensure all supporting documentation, medical records, and required forms are complete prior to submission.-Follow up on pending authorizations based on urgency and procedure timing, with consistent updates to spreadsheets, notes, and internal tracking tools.-Communicate authorization status, payer requirements, denials, trends, and urgent issues to surgical coordinators, physicians, and internal staff.-Support denial workflows by notifying surgical coordinators, helping coordinate peer-to-peer reviews, tracking determinations, and assisting with appeal submissions when needed.-Maintain clear, accurate, standardized documentation of all payer communications, provider interactions, follow-ups, and case updates.-Prioritize cases based on patient procedure dates and urgency, including last-minute pending cases that may require strong ownership and follow-through.-Maintain HIPAA compliance and protect patient and company confidentiality at all times.Compensation:$22 to $25 per hour. Benefits: -Medical, Dental, Vision, Life, HSA and Long-Term Disability insurance-401k and Profit sharing-Paid Time Off-Contribution to Health Benefits-Company Discounts on Products & ServicesWe are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global’s Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.