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Who We Are: We are a team of motivated, engaged, and exceptionally talented self-starters, willing to roll up our sleeves and do what is necessary to get the job done. If you are interested in joining this dynamic team and have a passion to learn, develop, and want your experience to make an immediate impact, please apply. To find out more about us, please visit our website: www.lipower.org What We Offer: We offer an environment of continuous development and growth with a thriving company culture, exceptional colleagues, and exceptional benefits. Our benefit package includes: ❖ Hybrid work options available and flexible hours ❖ Excellent health insurance ❖ No employee cost for dental and vision insurance ❖ Paid holidays and generous paid time off ❖ Professional development opportunities ❖ Educational assistance opportunities ❖ Multiple retirement plan options with company contribution ❖ Short-term and long-term disability coverage ❖ Flexible spending account with company contribution ❖ Life Insurance ❖ 529 College Savings Program ❖ $300 Wellness Reimbursement What You’ll Do At LIPA: The Secretary to the Board of Trustees and Records Access Officer plays a critical dual role within LIPA serving as administrative lead to the Board ensuring effective governance practices and acting as LIPA’s designated Records Access Officer responsible for compliance with New York’s Freedom of Information Law (FOIL) and other record requests. As Secretary, this position acts as a liaison between the Trustees, the Chief Executive Officer, and senior leadership and coordinates correspondence between the Board and external stakeholders under the direction of the Deputy General Counsel and in collaboration with the Corporate Affairs department. This role requires demonstrated experience in governance, public sector compliance, and records management, with the ability to operate independently while supporting executive leadership and the Board of Trustees. Essential Job Functions include: Board Governance and Administration ❖Counsels the Board of Trustees on matters of corporate governance, and compliance with the Public Authorities Law, State Administrative Procedure Act, Public Officers Law, Open Meetings Law, and other applicable statutes. ❖ Coordinates, prepares, and distributes agendas, Board materials, briefing documents, resolutions, and other reports for Board and committee meetings and ensures timely distribution of relevant information. ❖ Leads and coordinates all Trustee briefings and public meetings of the Board and its committees. ❖ Develops and oversees policies and procedures to promote Board effectiveness, including annual assessments and implementation of improvements. ❖ Manages Board correspondence and responds to requests from the Chair, Trustees, government officials, and members of the public. ❖ Leads the orientation, training, and development of Trustees to ensure knowledge of fiduciary duties, LIPA’s purpose and vision, and electric industry and governance practices. ❖ Ensures accurate preservation of corporate records. ❖ Maintains the official seal of the Authority, attests to signatures, and issues certificates under seal when required. ❖ Reviews, researches, analyzes, and makes recommendations regarding Board Policies, incorporating governance best practices from peer public authorities, agencies, and public power organizations. ❖ Researches and recommends new or revised Board policies to ensure compliance with applicable state laws, Public Service Commission orders, and guidance from the New York State Authority Budget Office. ❖ Translates Board strategic objectives into clear, actionable Board policies that provide direction to staff and define governance parameters. ❖ Applies leading governance practices to enhance Board effectiveness, transparency, and accountability. Records Management ❖ As Records Access Officer, manages and reviews the classification of records and files in accordance with LIPA’s document retention policy. ❖ Manages LIPA’s compliance with the substance and timing requirements of applicable public records access laws (such as FOIL) by working with LIPA’s paralegal to coordinate, process, and respond to requests for records. ❖ Reviews potentially responsive documents, applies legal exemptions, and redacts sensitive information consistent with FOIL. ❖ Drafts initial FOIL responses and responses to any subsequent appeals of FOIL determinations. ❖ Leads and manages the quality assurance/quality control (QA/QC) process for all FOIL responses to ensure accuracy, consistency, and compliance with legal requirements. What We Need: ❖ Bachelor’s degree ❖ Minimum of seven (7) to ten (10) years of progressively responsible experience in legal, corporate governance, public administration, or records management, preferably within a public authority, electric utility, or governmental entity. ❖ Substantive knowledge of FOIL, New York State Public Authorities Law, State Administrative Procedure Act, Public Officers Law, and Open Meetings Law, and Personal Privacy Protection Act. ❖ Strong understanding of governance frameworks and best practices for New York State public authorities, electric utilities, or comparable entities. ❖ Excellent written and verbal communication skills for corresponding with the Board, staff, and external stakeholders. ❖ High degree of judgment, discretion, tact, and diplomacy in dealing with highly sensitive information and varied stakeholders (Trustees, government officials, staff, and the public). ❖ Ability to review complex documents and determine which records are subject to disclosure under FOIL. ❖ Strong attention to detail for managing large volumes of records. ❖ Exceptional organizational and time-management skills with the ability to handle sensitive and complex matters under tight deadlines. ❖ Strong problem-solving and analytical ability, with the capability to identify governance risks and propose practical solutions. ❖ Demonstrated ability to synthesize legal, regulatory, and governance requirements into practical policies and operational guidance. Preferred Qualifications: ❖ Juris Doctor (J.D.) from an accredited law school ❖ Experience working with or advising boards of directors/trustees ❖ Experience with records management Salary Range: ❖ $144,000 - $176,000 How You Can Apply: Interested parties should submit their cover letter and resume to Gary Martens, Director, H Salary Range: ❖ $144,000 - $176,000 How You Can Apply: Interested parties should submit their cover letter and resume to Gary Martens, Director, Human Resources and Administration, at 2026BoardSecretary@lipower.org LIPA is an equal opportunity employer. All people with disabilities are encouraged to apply. If you require reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please direct your inquiries to Gary Martens, Director, Human Resources and Administration.

If the idea of getting paid to voice your opinions, test products, and contribute to market innovation appeals to you - and you're looking for flexible, work from home opportunities — this is your chance!. Most research studies are conducted remotely from home, though some may be in-person.

If the idea of getting paid to voice your opinions, test products, and contribute to market innovation appeals to you - and you're looking for flexible, work from home opportunities — this is your chance!. Most research studies are conducted remotely from home, though some may be in-person.

If the idea of getting paid to voice your opinions, test products, and contribute to market innovation appeals to you - and you're looking for flexible, work at home part-time opportunities — this is your chance!.

No admin virtual assistant experience required. Apply now and see if you qualify. If the idea of getting paid to voice your opinions, test products, and contribute to market innovation appeals to you - and you're looking for flexible, work from home opportunities — this is your chance!.

If the idea of getting paid to voice your opinions, test products, and contribute to market innovation appeals to you - and you're looking for flexible, work from home part time opportunities — this is your chance!. Most research studies are conducted remotely from home, though some may be in-pers

If the idea of getting paid to voice your opinions, test products, and contribute to market innovation appeals to you - and you're looking for flexible, work at home part-time opportunities — this is your chance!.

Most research studies are conducted remotely at home, though some may be in-person. Ideal for those seeking work at home entry level online jobs. If the idea of getting paid to voice your opinions, test products, and contribute to market innovation appeals to you - and you're looking for flexible, w

If the idea of getting paid to voice your opinions, test products, and contribute to market innovation appeals to you - and you're looking for flexible, work from home part time opportunities — this is your chance!. Most research studies are conducted remotely from home, though some may be in-pers

A description of the business units can be found at: https://www.Position(s) are to be filled in following area(s): Independent Office of Appeals.This job is open to current permanent IRS competitive service employees in The Independent Office of Appeals business units.Review the additional informat

Job Title/h2pCH Utilization and Appeals Data Assistant/ph2Job Description/h2pThe CH Utilization and Appeals Data Assistant provides support to the CH Utilization and Appeals Department. Coordinates physician schedules/liliAssists with UM/Appeals as needed/liliProvides support for ongoing projects as

Catholic Health Job Opportunity.Catholic Health is one of Long Island's finest health and human services agencies.Our health system has over 16,000 employees, six acute care hospitals, three nursing homes, a home health service, hospice and a network of physician practices across the island.At Catho

Job Title/h2pVacancies will be filled in the following specialty areas: Independent Office of Appeals - Examination Appeals/ppThe following are the duties of this position at the full working level:/pulliHolds conferences and negotiates issues with taxpayers/representative to resolve tax disputes in

Job Description The Program Support Coordinator will be responsible for the clerical and/or data support functions of the review departments. This individual interacts with staff of assigned hospitals regarding notification of monitoring dates and review determination notifications sent to hospitals. Duties include but are not limited to: • Responsible for the clerical/data functions for an assigned group of hospitals., • Sort sample selection and provide notification of monitoring dates to hospitals., • Forward and track monitoring forms and information sent to hospitals for IPRO staff to utilize., • Conduct support review tasks as required - i.e. request charts, set up charts and forms for PRA/MRA and PC review, send and receive charts to review and physician consultants, send out pre-denial/final determinations and appeals, maintain files and hospital logs, prepare copies for distribution/mailing for retrospective reviews, cost outliers and special studies., • Responsible for typing physician consultant responses such as approved or denied cases at all levels when necessary as well as proofing of typing., • Screen telephone calls from hospitals for retrospective areas, cost outliers, special studies, PASRR and IPRA., • Maintain files and records of the department or of assigned/designated hospitals., • Assist team members to maintain adequate flow of department responsibilities., • Maintain consistent emphasis on customer satisfaction both internal and external to maintain a working quality system and continued improvement. This position requires working on-site at the Jericho, NY office. QUALIFICATIONS: • Computer proficiency with excellent typing skills. Basic knowledge of data entry functions., • Knowledge of correct grammar. Familiarity with medical terminology is preferred., • Good communication skills (written and verbal) with a professional telephone etiquette and demeanor., • Good interpersonal skills with the ability to interact with various levels of internal and external customers., • Good time management skills with the ability to prioritize work and work independently., • Ability to lift a minimum of 25 lbs. EDUCATION & EXPERIENCE: • High School Graduate or equivalent, required. Some college or secretarial school (with a focus on medical terminology), preferred., • Two years of related experience. The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. The hourly range for this position is $20.24-$21.24. Actual salary range and/or hourly rate depends on a variety of factors including experience, education, credentials, location, and budget. The salary range and/or hourly rate listed does not include other forms of compensation or benefits. IPRO is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or military status, or any other category protected under applicable law.

Job Description Our Ideal Medical Billing Specialist: Are you detailed oriented and enjoy meeting deadlines? Have great time management and organization skills? Love solving problems? Do you feel a sense of accomplishment when completing tasks and meeting goals? Want to work for a company that has a strong mission of helping children with special needs? Interested? If this sounds like you, please apply today! Founded in 1995, Achieve Beyond nationally meets the needs of children by providing the highest quality of pediatric therapy and autism services. Our providers and administrative staff are dedicated to our mission of helping children and families, and we are looking for smart, innovative, and driven candidates to join our team. Achieve Beyond is centered around our culture of collaboration and support to ensure our services are of the highest quality and adhere to our strong ethical standards. Job Summary: Responsible for collection of all insurance and private pay payments from start of service to discharge/termination. Essential Duties and Responsibilities: • Review and resubmit denied claims by calling insurance companies to have claims reprocessed., • Review, reconcile and follow up on claims which are incorrectly paid., • Contacts insurance companies with major issues to ensure accuracy of billing for maximum payment., • Prepare insurance letters of appeals as necessary, attaching medical documentation, referrals, prior authorizations, etc., • Documents notes in patient's accounts, • Identify refunds, provides supporting documentation, completes refund forms and submits to supervisor, • Communicate effectively via phone & in person with carriers, patients, staff and management, • Coverage for billing department during vacancies, • Collection of Patient Balances, • Other duties as assigned by manager Education and/or Work Experience Requirements: • Two to five years of experience working in health care billing., • Knowledge of Insurance rules, regulations and compliance guidelines., • Ability to interpret CPT/HCPC/ICD-10 books. Our Mission: At Achieve Beyond: We believe that all children have potential. We are guided by the mission to support children with special needs to Achieve Beyond their current abilities. We are always striving for continuous improvement by setting goals and measuring performance. It is the reason we will succeed together. Qualifications and Other Requirements: • Medical Insurance Experience Required, • Experience handling a heavy claim volume, • Excellent interpersonal skills, • Ability to multitask and respond quickly to concerns, • Quick learner, • Strong knowledge of MS Office, Outlook and Excel, • Ability to work overtime when needed Physical Requirements: • Occasionally ascends/descends stairs going to, while at, or leaving work location or facilities, • Occasionally moving and/or lifting objects at work weighing up to 10 pounds., • Must be able to remain in a stationary position for prolonged periods of time up to 90% of the workday working on a computer/electronic device., • The ability to observe details at close range (within a few feet of the observer)., • The ability to communicate information and ideas so others will understand. Must be able to exchange accurate information in these situations. Benefits Include: • Comprehensive medical, dental, and vision coverage, and 401 (k) with employer match, • Short- and long-term disability coverage, as well as life, flex spending, and commuter benefits, • Paid time off, sick time, and holiday pay, • Various Employee Discounts on Entertainment and Equipment, • Educational reimbursement and referral bonuses, • Structured initial training, • Monthly administrative events and so much more! Compensation: Full time hourly $25-30. Hours: Monday-Friday 9:00am-5:30pm and overtime as needed.

Job Description Who We Are: Community Mainstreaming is a non-profit human service agency dedicated to providing services that help individuals with intellectual and developmental disabilities lead meaningful, productive lives within their community. Learn more about our impactful work at communitymainstreaming.org. Overview: The Benefits and Entitlements Specialist is responsible for assisting individuals in the residential program with securing, managing, and maintaining all benefits and entitlements for which they qualify. This role involves developing and maintaining relationships with HRA and Social Security team members to provide effective advocacy. The specialist will ensure that individuals’ funds are properly managed and disbursed, and will serve as a resource to individuals, families, and staff on best practices for safeguarding financial resources. Minimum Qualifications: • Bachelor’s degree in human services field such as Social Work, Sociology, Rehabilitation Counseling, or Psychology (preferred), • Strong knowledge of federal, state, and local benefits systems, including HRA and Social Security services, • Minimum of 2 years of experience in case management or advocacy within the OPWDD support system, • Highly organized and detail-oriented, with excellent record-keeping skills, • Proficient in Microsoft Office Suite and electronic health record (EHR) management systems, • Ability to travel to HRA offices as required Generous Benefits: • Medical Benefits: Generous employer contribution; eligibility begins the first day of the month following 60 days of employment., • Dental Benefits: Employer-paid., • Vision Plan., • Accident Insurance., • Critical Illness Insurance., • Pet Insurance., • Identity Theft & Fraud Protection., • Legal Services., • 403(B) Retirement Plan: Organization match of up to 5%., • Life Insurance: 100% employer-paid, coverage of 1x annual salary., • Tuition Assistance., • Section 125 Flexible Spending Program., • Voluntary Life Insurance and Long-Term Disability Benefits. Paid Time Off: • Up to 80 hours of vacation during the first calendar year of employment. Employees accrue an additional 8 vacation hours each subsequent calendar year, up to a maximum of 120 hours., • Up to 48 hours of personal time per calendar year., • 9 paid holidays. As a non-profit organization, we offer employees the opportunity to qualify for Public Service Loan Forgiveness. Join our team and make a positive impact in the community while benefiting from this valuable financial relief. Pay: $65,000/year What You Will Do: • Ensure that all eligible individuals have accurate and complete applications submitted for benefits and entitlements (e.g., Social Security, Medicaid, SNAP) within 30 days of admission or when there is a change in benefit eligibility (such as DACA status)., • Complete recertification and renewal documentation and ensure timely submission and follow-up to prevent any disruption in benefit eligibility or payments., • Develop and maintain working relationships with community service providers such as the SSA, Medicaid offices, and care coordination managers., • Request and represent individuals in fair hearings for denied or lapsed benefits, with the goal of reinstating benefits through effective appeals and timely documentation., • Report any demographic or employment changes to the appropriate agencies promptly to prevent benefit interruptions and ensure accurate recordkeeping., • Attend HRA and OPWDD trainings regularly to stay informed about new policies and changes in eligibility requirements., • Submit monthly reports to the Accounting and Residential departments regarding the tracking of benefits and entitlements or any changes., • Facilitate team meetings and case conferences to resolve entitlement issues, address changes in benefit programs or eligibility, and improve internal communication and document sharing., • Conduct training sessions on entitlements for individuals and agency team members as needed., • Participate in agency family information seminars related to benefits and entitlements., • Attend other meetings as requested and collaborate as part of the service delivery team., • Ensure that benefits and entitlements information is accurately maintained in the agency’s electronic health records system. Work Location: Westbury, NY (Nassau County) Work Hours/Schedule: Full-time, 40 hours per week. Monday through Friday, 9:00 AM to 5:00 PM. Community Mainstreaming Associates is an equal opportunity employer.

Job Description We are looking for a Insurance A/R Follow-up representative to join our team; this position is located in Melville, NY. Responsibilities: • Physician Billing experience., • Knowledge of Medicare/Medicaid Governmental Benefits & Regulations., • Strong knowledge of Medical Insurance Coverage’s., • Submit Primary/Secondary Insurance and Follow-up on same., • Verifying accuracy of patient insurance and demographic information., • Perform follow-up on all outstanding accounts assigned in accordance with established policies and procedures., • Place Out Bound Calls To Insurance for Status of Outstanding Claims., • Analyze Remittance/Explanation of Benefits., • Submit Appeals for Denials and/or underpayments., • Determine Patient Responsibility., • Verify Insurance Coverage, Contact Guarantor Regarding Insurance Discrepancies., • Follow guideline for MSPQ (Medicare Secondary Payer Questionnaire) Processing., • Strong communication, documentation, follows up, analytical and computer skill sets., • Familiarity with the Hospital’s Epic System. Ability to accurately update patient accounts, update insurance information, initiate insurance billing,, • Performs other job-related duties, as required and assigned. Requirements: • 1-2 Years prior Physician Billing experience, including carrier follow-up., • Knowledge of EPIC, preferred., • Knowledge of HIPAA., • Excellent written and oral communication skills., • Computer literate., • Ability to prioritize and multi-task with strong organizational and analytical skills., • Ability to work independently on assigned tasks, and accept direction., • Participation in all educational activities, seminars, and webinars. Company DescriptionAs an effort to keep pace with healthcare trends MediSys Management, LLC/FRR Recovery, Inc is committed to providing a comprehensive benefits package to its employees which includes...Medical, Dental, Vision, Flexible Spending Programs, 401K, Paid Holidays, Paid time off, Educational Assistance and many more.As an effort to keep pace with healthcare trends MediSys Management, LLC/FRR Recovery, Inc is committed to providing a comprehensive benefits package to its employees which includes...Medical, Dental, Vision, Flexible Spending Programs, 401K, Paid Holidays, Paid time off, Educational Assistance and many more.

Job DescriptionAbout The Role The Medical Director will be responsible in providing support to our commercial and worker’s compensation self-funded clients seeking cost effective resolution of their member’s claims. Your interest and help leading and developing our team and maturing the program only makes the opportunity more rewarding. We have been in business for 25 years and leading by example you will help create a culture focused on service, support of quality healthcare service, and medical cost containment for the benefit of our clients and their members. Primary Responsibilities • Creates and updates medical policies and procedures in conjunction with associate medical directors and other clinical staff and assures consistency and compliance with generally accepted medical standards and guidelines., • Provides clinical support for all areas of Clinical Services., • Review medical files and make coverage and medical necessity determinations using good judgement combined with 3rd party and proprietary medical guidelines., • Identify, critique, and utilize criteria and resources such as national, state, and professional association guidelines and peer reviewed literature to support sound and objective decision making and rationales in reviews., • Advises team nurses on appropriateness of care and services through the care continuum including hospitals, skilled nursing facilities, and home care to ensure quality, cost-efficiency and continuity of care; Informs the UR Nurse of certification decisions within appropriate time frames as guided by URAC, ERISA or state regulations., • Supports training of the nurses and coordinator to improve their knowledge, independence, and understanding., • Serves as medical expert for care management and population health; reviews and evaluates cases with review nurses; ensures medical care provided meets the standards for acceptable medical care., • Reviews and resolves retro reviews, appeals and grievances related to medical quality of care and actively participates in the functioning of the plan’s grievance and appeals processes., • Along with the nurse supervisor and manager identify opportunities for improvement and collaborate to enhance team performance., • Makes appropriate outreach to community and academic based treating providers wanting to discuss cases., • Interacts telephonically and personally with employees/departments in order to maintain effective communication and support for and among departments, as well as a positive work atmosphere., • Opportunity to interact with sales and account management supporting client needs., • Collaborates with other departments i.e. Member Services, Provider Services, Claims and Contracting, to improve performance., • Attends departmental committees as assigned., • Performs other duties as required by the business., • Maintain proper credentialing and state licenses and any special certifications or requirements necessary to perform the job.Essential Qualifications, • Board certified with an excellent understanding of the utilization and case management process., • 3 years’ experience working in a managed care environment supporting utilization management and case review with medical necessity determinations., • Case management and / or Population Health Management desirable., • 3 + years of prior clinical practice in either an office or hospital-based setting with boards from any of a wide range of Internal Medicine specialties so long as you are self-motivated to stay up to date on a broad range of medical services using resources such as mcg guidelines, specialty society guidelines, Up-To-Date and other resources to analyze existing cases., • Specialty training in addition to a first board certification highly desirable., • Current, unrestricted clinical license(s)., • Board certification by American Board of Medical specialties or American Board of Osteopathic Specialties, in Internal Medicine or Pediatrics or a subspecialty of Internal Medicine or Pediatrics, is required for MD or DO reviewer., • Ability to communicate clearly and concisely, both verbally and in writing., • Knowledge of evidence-based medical guidelines (nationally recognized standards of health care), utilization management, quality improvement and other medical management functions., • Good interpersonal and communication skills to support the team approach., • Ability to work proficiently on a computer and knowledge of basic programs. About At Brighton Health Plan Solutions, LLC, our people are committed to the improvement of how healthcare is accessed and delivered. When you join our team, you’ll become part of a diverse and welcoming culture focused on encouragement, respect and increasing diversity, inclusion, and a sense of belonging at every level. Here, you’ll be encouraged to bring your authentic self to work with all your unique abilities. Brighton Health Plan Solutions partners with self-insured employers, Taft-Hartley Trusts, health systems, providers as well as other TPAs, and enables them to solve the problems facing today’s healthcare with our flexible and cutting-edge third-party administration services. Our unique perspective stems from decades of health plan management expertise, our proprietary provider networks, and innovative technology platform. As a healthcare enablement company, we unlock opportunities that provide clients with the customizable tools they need to enhance the member experience, improve health outcomes, and achieve their healthcare goals and objectives. Together with our trusted partners, we are transforming the health plan experience with the promise of turning today’s challenges into tomorrow’s solutions. Come be a part of the Brightest Ideas in Healthcare™. Company Mission Transform the health plan experience – how health care is accessed and delivered – by bringing outstanding products and services to our partners. Company Vision Redefine health care quality and value by aligning the incentives of our partners in powerful and unique ways. DEI Purpose Statement At BHPS, we encourage all team members to bring your authentic selves to work with all your unique abilities. We respect how you experience the world and welcome you to bring the fullness of your lived experience into the workplace. We are building, nurturing, and embracing a culture focused on increasing diversity, inclusion and a sense of belonging at every level. Annual Salary Range: $200,000-$235,000 -bonus eligible The salary range and/or hourly rate listed is a good faith determination that may be offered to a successful applicant for this position at the time of the posting of an advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable by law including but not limited to location, years of relevant experience, education, credentials, skills, budget and internal equity. *We are an Equal Opportunity Employer JOB ALERT FRAUD: We have become aware of scams from individuals, organizations, and internet sites claiming to represent Brighton Health Plan Solutions in recruitment activities in return for disclosing financial information. Our hiring process does not include text-based conversations or interviews and never requires payment or fees from job applicants. All of our career opportunities are regularly published and updated brighonthps.com Careers section. If you have already provided your personal information, please report it to your local authorities. Any fraudulent activity should be reported to: recruiting@brightonhps.com Powered by JazzHR zFF9s2Wbxk

Job Description JOB DESCRIPTION This leader will direct the management of state, federal and private Independent Review Organization (IRO) operations within the Federal & State Healthcare Assessment Division (FSHCA), consistent with IPRO's Strategic Plan and Corporate Goals. This individual will provide clinical &/or claims, managerial and industry expertise and assist the VP and Associate VP with business development for federal, state and private lines of business, including the introduction of new software solutions, products and services, staffing and proposal responses. This individual will provide leadership across both Corporate Programs Departments managing multiple client contracts, including primary NY, KY, PA state associated contracts, Veterans Affairs and Abu Dhabi contracts. • Provide hands-on program guidance and support to IRO Directors. This includes monitoring daily performance metrics, contract deliverables oversight, staff assignments and leadership coverage., • Manage program budgets and oversee staff development, training, and communication plans., • Provide subject matter expertise and adaptive leadership to ensure the completion of current, and the implementation of new project activities., • Support proposal writing and the creation of technical documents., • Coordinate with Directors to maintain department training records, ensure cross-training of all staff and compliance with URAC / ISO training and audit requirements., • Promote and maintain ISO/URAC standard and participate in/prepare reports for audits., • Advise the department on complaints/non-conformities in compliance with QA/QC policies and compliance with QMS Reporting., • Other activities, as may be deemed necessary. This position is office based at our Jericho, NY office QUALIFICATIONS: Demonstrated knowledge of IRO activities including provider, MCO and patient appeals processes. Knowledge and experience with collaborative project management software, electronic documents, and design. Must be a problem solver with strong communication skills Ability to work independently with little supervision. Must be a multi-tasker, flexible and innovative, and able to meet deadlines EDUCATION & EXPERIENCE: • Must be a Licensed Registered Nurse (in any state), • Must be a graduate of a school of Nursing program, • Bachelors of Science in Nursing required, • Master's strongly preferred, • 5 years of Supervisory/leadership experience required The salary range and/or hourly rate listed does not include other forms of compensation or benefits. IPRO is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or military status.

Area 9 has primary responsibility for the largest cases in Appeals, generally Large Corporate Compliance Program Cases (LCC) and Industry Cases (IC) with multiple complex tax issues with over $10 million dollars in dispute. Leads several teams that work cases and coaches individual employees in the

Job Description Job Summary: We are seeking a detail-oriented surgical Biller and Coder with proven experience to lead the daily operations of our billing and coding department at our Babylon office. The ideal candidate will have strong leadership skills, a deep understanding of surgical billing and coding processes, and the ability to ensure accuracy, compliance, and efficiency across the department. Key Responsibilities Manage the end-to-end billing lifecycle for surgical and non-surgical services, from charge entry and claim submission through final resolution Ensure timely and accurate submission of claims, medical records, and operative reports through payer and insurance portals Monitor, analyze, and resolve claim denials, underpayments, and payment delays, including proactive follow-up to ensure timely reimbursement Initiate, track, and manage reconsiderations, disputes, and first- and second-level appeals in accordance with payer guidelines Perform consistent claim status follow-up to drive claims to resolution and minimize aging accounts receivable Review and validate operative reports and clinical documentation to ensure coding accuracy, completeness, and compliance Assign and oversee accurate CPT, ICD-10-CM, including appropriate modifier usage per CMS and payer rules Conduct regular coding and billing audits to ensure compliance, reduce errors, and protect revenue integrity Collaborate closely with providers, coders, and clinical staff to clarify documentation requirements and resolve complex coding or billing scenarios Serve as a subject matter expert and escalation point for complex billing, coding, and payer-related issues Be a self-starter, and flexibility and willingness to learn to use new EHR medical systems a must. Qualifications: • 3–5+ years of experience in surgical billing and coding. Neurosurgical experience a plus., • Strong knowledge of CPT, ICD-10, and HCPCS coding, • Strong computer skills and knowledge of basic applications like Excel, Office, Google workspace., • Familiarity with payer guidelines, claims management, and reimbursement processes, • Excellent organizational, leadership, and communication skills, • High level of professionalism, discretion, and attention to detail, • Familiarity with EMR systems like Athena practice and eclinical a plus., • Familiarity with Saas cloud EHR billing systems like advancedM, preferred. Benefits: • 401(k), • Dental insurance, • Health insurance, • Paid time off, • Vision insurance Work Location: Hybrid, Babylon

Job DescriptionJob DescriptionThe Medical Director is responsible for providing final clinical overview and signed authorization of medical appeal decisions. The physician will direct the oversight of the physician panel, provide input in decision on credentialing and specialty recruiting and work closely with multiple departments who manage appeals operations. Oversight will include: • Providing clinical input on decision complaints, • Consulting with individual physicians on decisions and concerns, • Reviewing each decision with care to ensure that the case has been reviewed by the appropriate specialty match, • Providing hands on program guidance and support to directors, including reporting metrics and contract deliverables, • Coordination to maintain compliance with URAC/ISO training requirements This position is remote and can be based anywhere in the U.S. - Role is 32 hours per week - Friday - Monday QUALIFICATIONS • Must hold a current, active, and unrestricted professional license in the U.S. in a recognized discipline, • Maintain licensure in good standing with no active sanctions or disciplinary restrictions, • Must be a strong problem solver that works collaboratively with peers and other staff, • Ability to work independently with minimal supervision and as part of a team., • Must be able to meet deadlines in a time sensitive environment including off hours coverage EDUCATION & EXPERIENCE • Medical Degree as DO or MD, • Board Certification in an identified specialty, • 5+ years of post licensure clinical experience in direct patient care The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. The salary range and/or hourly rate listed does not include other forms of compensation or benefits. IPRO is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or military status, or any other category protected under applicable law.

Job Description Office Located in Rockville Centre, Nassau County, New York Landlord/Tenant firm seeks law graduate for entry level position. Busy Landlord/Tenant practice in Brooklyn, Bronx, Queens and Manhattan. 50% of the job is practicing administrative law before the Division of Housing & Community Renewal; 50% litigation with Court appearances. Firm is willing to train. Opportunity for frequent court appearances, strong writing skills a must. Responsibilities • Communicating with clients to learn about their legal needs and concerns and providing them with advice., • Developing strategies to resolve cases favorably and cost-effectively for clients., • Explaining legal options to clients and bringing possible outcomes or threats to their attention., • Building relationships with clients based on trust., • Developing arguments and representing clients in housing court proceedings., • Preparing legal documents, such as contracts, dispositions, and pleadings, accurately and in a timely manner., • Staying informed about current legislation, especially concerning housing law., • Finding ethical solutions to legal matters. Attorney Requirements: • Bachelor's degree in a related field., • Juris Doctor degree from an American Bar Association accredited law school., • Passage of, of intention to sit for the New York Bar Exam., • Commitment to abiding by local, state, and federal laws and behaving ethically., • Ability to work independently or with a team of attorneys to develop case strategies., • Strong critical thinking, interpersonal, public speaking skills., • Ability to negotiate, research, and communicate verbally and in writing effectively., • Adaptability and attention to detail. Writing sample required. List salary desired. Office is located in Nassau County-- 2 blocks from train station Company DescriptionFounded in 2004, Sidrane, Schwartz-Sidrane, Perinbasekar & Littman, LLP is a full-service real estate law firm practicing in the areas of landlord-tenant law, administrative law and transactional law, predominantly, in New York City (Brooklyn, Bronx, Manhattan and Queens). Our law firm deals with all types of litigation and disputes that affect landlords. Our practice ranges from administrative law to appeals.Founded in 2004, Sidrane, Schwartz-Sidrane, Perinbasekar & Littman, LLP is a full-service real estate law firm practicing in the areas of landlord-tenant law, administrative law and transactional law, predominantly, in New York City (Brooklyn, Bronx, Manhattan and Queens). Our law firm deals with all types of litigation and disputes that affect landlords. Our practice ranges from administrative law to appeals.

Job DescriptionAbout Us: At Agility Billing Services, we are dedicated to providing exceptional care and service in the orthopedic and pain management field. We are seeking a skilled and motivated Accounts Receivable Team Lead for commercial claims to join our team. The ideal candidate will have significant experience in collections, medical billing, and a strong understanding of commercial insurance carriers and Medicare. Position Overview: We are seeking a Medical Biller to join our team and support billing and collections for a busy surgical practice. The ideal candidate will have experience in medical claims follow-up, with a strong understanding of commercial and Medicare insurance plans and out-of-network billing. Prior experience in orthopedic, spine, or pain management services is highly preferred.Qualifications: • Working knowledge of commercial and Medicare insurance, including plan guidelines, • Experience with out-of-network billing processes; understanding of the IDR process and appeals is a plus, • Ability to review EOBs, denials, and payer communications to ensure timely appeals and maximize revenue capture • Serve as an escalation point for complex, high-dollar, or unresolved commercial and Medicare claims from the AR team, • Excellent communication skills, particularly when working with insurance representatives and internal teams, • Proficient in ICD-10, CPT, and modifier usage, • Experience billing for orthopedic, spine, or pain management services is preferred but not required, • Strong problem-solving and organizational skills, • Self-motivated with the ability to work independently and meet deadlinesKey Responsibilities:, • Monitor, review, and follow up on outstanding commercial and Medicare claims, providing advanced support and serving as an escalation resource for unresolved, unpaid, or underpaid claims to ensure timely reimbursement, • Review, appeal, and resolve complex claim denials or payment discrepancies, including escalated issues from the AR team, using payer portals and payer communications, • Maintain up-to-date knowledge of payer policies (including LCDs), billing regulations, and coding guidelines, • Collaborate with clinical and administrative teams to ensure accurate documentation and billing practices, • Maintain organized and detailed records of claim activity, account status, and insurance correspondenceEducation and Experience:, • High school diploma or equivalent required, • Medical billing or coding certification is a plus Benefits: • Competitive compensation based on experience, skills, and growth potential, • Opportunities for professional development and advancement in a specialty billing role, • Supportive, team-oriented work environment, • Hybrid position available after a 90-day probationary period Powered by JazzHR hFCvBVGm5c

Job Description Office Located in Rockville Centre, Nassau County, New York Landlord/Tenant firm seeks admitted associate with 1 to 3 years experience. Busy Landlord/Tenant practice in Brooklyn, Bronx, Queens and Manhattan. 50% of the job is practicing administrative law before the Division of Housing & Community Renewal; 50% litigation with Court appearances. Firm is willing to train. Opportunity for frequent court appearances, strong writing skills a must. Responsibilities • Communicating with clients to learn about their legal needs and concerns and providing them with advice., • Developing strategies to resolve cases favorably and cost-effectively for clients., • Explaining legal options to clients and bringing possible outcomes or threats to their attention., • Building relationships with clients based on trust., • Developing arguments and representing clients in housing court proceedings., • Preparing legal documents, such as contracts, dispositions, and pleadings, accurately and in a timely manner., • Staying informed about current legislation, especially concerning housing law., • Finding ethical solutions to legal matters. Attorney Requirements: • Bachelor's degree in a related field., • Juris Doctor degree from an American Bar Association accredited law school., • Admission to the bar in the state in which you intend to practice., • Commitment to abiding by local, state, and federal laws and behaving ethically., • Ability to work independently or with a team of attorneys to develop case strategies., • Strong critical thinking, interpersonal, public speaking skills., • Ability to negotiate, research, and communicate verbally and in writing effectively., • Adaptability and attention to detail. Writing sample required. List salary desired. Office is located in Nassau County-- 2 blocks from train station Company DescriptionFounded in 2004, Sidrane, Schwartz-Sidrane, Perinbasekar & Littman, LLP is a full-service real estate law firm practicing in the areas of landlord-tenant law, administrative law and transactional law, predominantly, in New York City (Brooklyn, Bronx, Manhattan and Queens). Our law firm deals with all types of litigation and disputes that affect landlords. Our practice ranges from administrative law to appeals.Founded in 2004, Sidrane, Schwartz-Sidrane, Perinbasekar & Littman, LLP is a full-service real estate law firm practicing in the areas of landlord-tenant law, administrative law and transactional law, predominantly, in New York City (Brooklyn, Bronx, Manhattan and Queens). Our law firm deals with all types of litigation and disputes that affect landlords. Our practice ranges from administrative law to appeals.

Job Description Office Located in Rockville Centre, Nassau County, New York Landlord/Tenant firm seeks admitted associate with 1 to 3 years experience. Busy Landlord/Tenant practice in Brooklyn, Bronx, Queens and Manhattan. 50% of the job is practicing administrative law before the Division of Housing & Community Renewal; 50% litigation with Court appearances. Firm is willing to train. Opportunity for frequent court appearances, strong writing skills a must. Responsibilities • Communicating with clients to learn about their legal needs and concerns and providing them with advice., • Developing strategies to resolve cases favorably and cost-effectively for clients., • Explaining legal options to clients and bringing possible outcomes or threats to their attention., • Building relationships with clients based on trust., • Developing arguments and representing clients in housing court proceedings., • Preparing legal documents, such as contracts, dispositions, and pleadings, accurately and in a timely manner., • Staying informed about current legislation, especially concerning housing law., • Finding ethical solutions to legal matters. Attorney Requirements: • Bachelor's degree in a related field., • Juris Doctor degree from an American Bar Association accredited law school., • Admission to the bar in the state in which you intend to practice., • Commitment to abiding by local, state, and federal laws and behaving ethically., • Ability to work independently or with a team of attorneys to develop case strategies., • Strong critical thinking, interpersonal, public speaking skills., • Ability to negotiate, research, and communicate verbally and in writing effectively., • Adaptability and attention to detail. Writing sample required. List salary desired. Office is located in Nassau County-- 2 blocks from train station Company DescriptionFounded in 2004, Sidrane, Schwartz-Sidrane, Perinbasekar & Littman, LLP is a full-service real estate law firm practicing in the areas of landlord-tenant law, administrative law and transactional law, predominantly, in New York City (Brooklyn, Bronx, Manhattan and Queens). Our law firm deals with all types of litigation and disputes that affect landlords. Our practice ranges from administrative law to appeals.Founded in 2004, Sidrane, Schwartz-Sidrane, Perinbasekar & Littman, LLP is a full-service real estate law firm practicing in the areas of landlord-tenant law, administrative law and transactional law, predominantly, in New York City (Brooklyn, Bronx, Manhattan and Queens). Our law firm deals with all types of litigation and disputes that affect landlords. Our practice ranges from administrative law to appeals.

Job DescriptionSummary: The Litigation Attorney serves as a strategic legal leader responsible for managing and resolving complex, high-exposure insurance matters, with a primary focus on long-tail liabilities such as asbestos, pollution, and abuse/molestation-related coverage issues. This role requires career focused, deep expertise in asbestos primarily, insurance coverage analysis and/or insurance defense, strong financial and strategic judgment, and the ability to manage sophisticated litigation portfolios. The position partners closely with internal leadership, reinsurance, finance, and external counsel to drive timely, commercially reasonable resolutions while protecting policyholder and affiliate interests. What You’ll Do: • Develop and execute litigation and resolution strategies for complex, high-exposure insurance matters and categories of claims., • Lead coverage analysis and defense strategy for long-tail liabilities, including asbestos (primary focus), pollution, and sex-trafficking/molestation claims., • Provide legal counsel on novel theories of liability, thin-fact claims, and matters with outsized exposure risk., • Define and implement resolution plans informed by legal, financial, and actuarial analysis., • Oversee and manage outside counsel, including litigation strategy, budgets, and performance., • Coordinate discovery, motion practice, trial strategy, appeals, and settlement efforts., • Prepare high-quality reports analyzing facts, policy language, legal exposure, risk, and recommended strategy., • Partner with internal stakeholders across claims, reinsurance, finance, and executive leadership., • Ensure consistency in company positions across similar claim types and emerging trends., • Track legal developments and advise leadership on impacts to existing and future exposures., • Represent the organization externally, including coordination with co-carriers and other partners.Experience You’ll Need:, • Juris Doctor from an accredited law school., • Licensed to practice law in any U.S. state or the District of Columbia., • 5+ years of asbestos, insurance coverage and/or insurance defense litigation experience; ~10 years strongly preferred., • Demonstrated experience with long-tail liabilities, with asbestos coverage analysis as the top priority. (Extensive Asbestos is a must), • Experience with pollution and abuse/molestation or sex-trafficking-related claims strongly preferred., • Proven ability to manage complex, high-exposure litigation portfolios., • Strong legal writing, strategic judgment, and stakeholder communication skills., • Experience directing outside counsel and managing litigation budgets., • Financial or actuarial exposure analysis experience is a plus., • CPCU coursework or financial training preferred.Why Join:, • Senior-level role with meaningful influence on high-stakes litigation outcomes., • Opportunity to specialize in complex long-tail insurance exposures., • Flexible remote or hybrid work model based on location., • Competitive compensation with bonus potential., • Collaborative, high-integrity culture focused on disciplined strategy and continuous improvement.

Provides in-depth expertise and analysis on various tax issues, practices, and trends, and top-level advice related to short- and long-range program policies, strategies, and objectives for Appeals, to promote and facilitate the implementation of Servicewide priorities and policies and to ensure con

Job Description Registered Nurse Clinical Reviewer / IDR – Jericho, NY (#25154D) • Location: Jericho, NY, • Employment Type: Full-time, • Hourly Rate: $60/hr (based on experience) About Greenlife Healthcare Staffing: Greenlife Healthcare Staffing is a leading nationwide recruitment agency dedicated to connecting healthcare professionals with top-tier opportunities. We partner with hospitals, clinics, nursing homes, multi-specialty groups, and private practices to match talented individuals with roles that align with their skills and career goals. Position Overview: Greenlife Healthcare Staffing is currently seeking a Registered Nurse Clinical Reviewer / IDR to fill an opening with a Non-profit organization located in Jericho, New York. This role is ideal for an experienced RN with a utilization review or appeals background who thrives in a collaborative, independent, and deadline-driven environment. Why Join Us? • Competitive Compensation: Earn a competitive rate of $60 per hour based on experience., • Comprehensive Benefits:, • 1 Week of Paid Vacation based on accruals after 3 months of employment (2 weeks of Paid Vacation with accrual starting your second year of employment), • 6 Major Paid Holidays per year (after 3 months of employment), • 5 Sick Days (40 Hours) subject to the provisions of NYS Paid Sick Leave Act, • License Reimbursement after 1 year of employment, • Health insurance is subject to plan eligibility requirements, • 401(k) Matching eligibility after 1 year of employment, • Benefits from Paychex, such as Payactiv, • GLHS is a great company to work for: 93% retention of employees 2 years+, Google reviews, great company culture, etc., • Work Schedule: Full-time position., • Professional Growth: Gain valuable experience in independent dispute resolution (IDR), medical-legal review, and appeals within a supportive non-profit setting., • Impactful Work: Contribute to a mission-driven organization dedicated to improving patient outcomes through fair, evidence-based clinical determinations. Qualifications: • Education: Baccalaureate degree in Nursing or graduate of an approved Registered Professional Nurses training program., • Licensure: Must be licensed as a Registered Professional Nurse in New York State., • Experience:, • 1–3 years of experience in utilization review and/or appeals background required., • Must have at least 3 years of experience in Med-Legal review setting., • Technical Skills: Knowledge and experience with electronic medical records (EMR)., • Soft Skills:, • Ability to oversee, problem-solve, and work collaboratively with peers, medical, analytical, and administrative support staff., • Excellent written and verbal communication skills., • Ability to work independently with little supervision., • Ability and desire to be flexible, innovative, and creative., • Ability to meet deadlines in a time-sensitive environment. Key Responsibilities: • Conduct reviews up to and including the appeal level. This includes chart screens, compiling regulatory guidance, researching insurer requirements, completing electronic worksheets, and preparing final determinations., • Act as a resource for the administrative and clinical staff in training, problem-solving, and clarifying determinations. Will provide technical assistance and conduct/participate in staff huddles., • Participate in collaborative training., • Other activities as may be deemed necessary. Greenlife Healthcare Staffing - Empowering Healthcare Professionals, Enriching Lives

Job Description Registered Nurse Clinical Reviewer / IDR – Jericho, NY (#25154D) • Location: Jericho, NY, • Employment Type: Full-time, • Hourly Rate: $60/hr (based on experience) About Greenlife Healthcare Staffing: Greenlife Healthcare Staffing is a leading nationwide recruitment agency dedicated to connecting healthcare professionals with top-tier opportunities. We partner with hospitals, clinics, nursing homes, multi-specialty groups, and private practices to match talented individuals with roles that align with their skills and career goals. Position Overview: Greenlife Healthcare Staffing is currently seeking a Registered Nurse Clinical Reviewer / IDR to fill an opening with a Non-profit organization located in Jericho, New York. This role is ideal for an experienced RN with a utilization review or appeals background who thrives in a collaborative, independent, and deadline-driven environment. Why Join Us? • Competitive Compensation: Earn a competitive rate of $60 per hour based on experience., • Comprehensive Benefits:, • 1 Week of Paid Vacation based on accruals after 3 months of employment (2 weeks of Paid Vacation with accrual starting your second year of employment), • 6 Major Paid Holidays per year (after 3 months of employment), • 5 Sick Days (40 Hours) subject to the provisions of NYS Paid Sick Leave Act, • License Reimbursement after 1 year of employment, • Health insurance is subject to plan eligibility requirements, • 401(k) Matching eligibility after 1 year of employment, • Benefits from Paychex, such as Payactiv, • GLHS is a great company to work for: 93% retention of employees 2 years+, Google reviews, great company culture, etc., • Work Schedule: Full-time position., • Professional Growth: Gain valuable experience in independent dispute resolution (IDR), medical-legal review, and appeals within a supportive non-profit setting., • Impactful Work: Contribute to a mission-driven organization dedicated to improving patient outcomes through fair, evidence-based clinical determinations. Qualifications: • Education: Baccalaureate degree in Nursing or graduate of an approved Registered Professional Nurses training program., • Licensure: Must be licensed as a Registered Professional Nurse in New York State., • Experience:, • 1–3 years of experience in utilization review and/or appeals background required., • Must have at least 3 years of experience in Med-Legal review setting., • Technical Skills: Knowledge and experience with electronic medical records (EMR)., • Soft Skills:, • Ability to oversee, problem-solve, and work collaboratively with peers, medical, analytical, and administrative support staff., • Excellent written and verbal communication skills., • Ability to work independently with little supervision., • Ability and desire to be flexible, innovative, and creative., • Ability to meet deadlines in a time-sensitive environment. Key Responsibilities: • Conduct reviews up to and including the appeal level. This includes chart screens, compiling regulatory guidance, researching insurer requirements, completing electronic worksheets, and preparing final determinations., • Act as a resource for the administrative and clinical staff in training, problem-solving, and clarifying determinations. Will provide technical assistance and conduct/participate in staff huddles., • Participate in collaborative training., • Other activities as may be deemed necessary. Greenlife Healthcare Staffing - Empowering Healthcare Professionals, Enriching Lives

If the idea of getting paid to voice your opinions, test products, and contribute to market innovation appeals to you - and you're looking for flexible, work from home opportunities — this is your chance!.

Experienced Medical Receptionist - Front Desk, Mineola, Long Island.For Premier Private Ophthalmology Office in Mineola, Long Island (11501), adjacent to Long Island Railroad, Mineola Station and NYU Winthrop University Hospital with affiliated practice in the NYC, East Village (close to Stuyvesant

Meadowbrook Dentistry is a digital smile design clinic located in Plainview, Long Island, NY, specializing in cosmetic, restorative, and family dentistry.Our practice offers a range of services including veneers, Invisalign, and dental implants to help patients achieve healthy and beautiful smiles.W

This role requires the ability to work lawfully in the U.Does this sound like you? If so, consider starting your career at Spectrum as a professional Customer Service Representative on our billing team.At Spectrum, we keep our customers connected by delivering Internet, Voice, and Video solutions to

ALDI is looking for enthusiastic part-time cashiers and stockers.As a cashier, you’ll provide friendly, efficient checkout service, while as a stocker, you’ll help keep shelves stocked and organized to ensure a great shopping experience.Each role plays an important part in maintaining smooth sto

Seeking participants for Focus Group and market research studies.Work part-time from home and earn up to $750 per week.Register to see if you are eligible.Administrative Assistant admin experience not required.Remote Work From Home Administrative Assistant Admin - Part Time Market Research Panelists

Seeking participants for Focus Group and market research studies.Work part-time from home and earn up to $750 per week.Register to see if you are eligible.Data Entry experience not required.Remote Work From Home Data Entry Clerk - Part Time Market Research Panelists Our company is seeking individual