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JOB TITLE: Outpatient CPD Coder GENERAL RESPONSIBILITIES: Responsible for the general coding validation and verification and preparation of independent dispute resolution reviews from external state and federal agencies in accordance with reporting requirements. This position is on onsite role with potential opportunity for some remote work after successful completion of training/introductory period. DUTIES: • Validate and verify submitted codes for DRG validation., • Apply national coding standards and regulations to the claims and clinical data., • Provide subject matter input and support agency-wide projects., • Other duties as assigned. SCHEDULE: Monday-Friday 8am-5:30pm (40 hours a week) LOCATION: remote (can sit anywhere in the US but must be able to work EST hours) PAY: $30-36/hr DURATION: long term open ended contract (includes benefits, sick time, 401k, weekly pay) QUALIFICATIONS: • Excellent interpersonal and communication (written and verbal) skills with the ability to successfully communicate and interact with all internal and external parties., • The ability to relate effectively with medical, technical, analytical and administrative personnel., • The ability to work independently, as well as in a team environment., • Proficient in the use of standard EHR applications, office technology and Microsoft applications including Word, Excel, and PowerPoint., • Ability to handle sensitive and confidential information., • Licensed Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or Certified Coding Specialist (CCS)/ Certified Coding Specialist Physician (CCS-P) required., • Technical knowledge of coding and DRG validation with CPT, HCPCS experience and ICD-10 certification required., • Minimum of two (2) years of experience abstracting and coding of outpatient medical records for billing. EDUCATION & EXPERIENCE: • Licensed Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or Certified Coding Specialist (CCS)/ Certified Coding Specialist Physician (CCS-P) required., • Bachelor’s Degree in healthcare administration or Health Information Management preferred (Associate's degree at minimum), • Technical knowledge of coding and DRG validation with CPT, HCPCS experience and ICD-10 certification required., • Minimum of two (2) years of experience abstracting and coding of outpatient medical records for billing., • Experience in utilization reviews preferred.

Flexible Schedule - M-F 7AM-4PM CST / Medical-Dental-Vision / PTO / 401k Matching - As an AR Follow Up Specialist, you will: Monitor and manage outstanding accounts receivable; Follow up with insurance companies on unpaid or denied claims; Resolve billing issues and discrepancies; Conduct thorough

Competitive Pay / Comprehensive Benefits Package (healthcare-PTO-Retirement) - As a Accounts Receivable Specialist [FT - Work From Home], you will: Manage and maintain accurate accounts receivable records, including processing payments, resolving billing discrepancies, and following up on outstandin

Competitive benefits / Paid Time Off / Employee Discounts - As a Accounts Receivable Specialist, you will: manage and maintain accurate customer accounts; process customer payments and refunds in a timely manner; ensure timely follow-up on outstanding invoices and resolve any billing discrepancies;

Up to $65k-yr / Employer Paid Medical-Dental-Vision / Flexible PTO / Paid Cell Phone + Home Office Allowance - As a Accounts Payable Specialist (FT - Work From Home), you will: Process and review invoices for accuracy and completeness; Coordinate with vendors to resolve any billing discrepancies; En

Early Intervention Billing Specialist.Details about this opportunity:.Medical, Dental, and Vision Insurance.Flexible Spending and Health Savings Accounts.Professional Development Assistance.Long-Term & Short-Term Disability Insurance.Review submitted attendance, session notes and provider invoices f

JOB TITLE: DRG/CPD Coder OVERVIEW: Seeking Coders to join the DRG Review team. These coders are working with NY Medicaid to review high cost claims and may be up to multimillion dollar claims. The target background is a medical coder with a strong DRG background. Candidates should have inpatient experience or open to someone with outpatient or a blend. Coder will be receiving claims that have already been decided and then it is up to them to review the claim and the decision and then be able to write a summary explaining why they are upholding or overturning the decision and be able to quote the chart or the coding guidelines to substantiate. Coder will be handling anywhere from 10-12 claims a day, depending on the complexity of the claim. DUTIES: • Validate and verify submitted codes for DRG validation., • Apply national coding standards and regulations to the claims and clinical data., • Provide subject matter input and support agency-wide projects., • Other duties as assigned. SCHEDULE: Monday-Friday 8am-5:30pm (40 hours a week) LOCATION: remote (can sit anywhere in the US but must be able to work EST hours) PAY: $30-38/hr DURATION: long term open ended contract (includes benefits, sick time, 401k, weekly pay) QUALIFICATIONS: • Excellent interpersonal and communication (written and verbal) skills with the ability to successfully communicate and interact with all internal and external parties., • The ability to relate effectively with medical, technical, analytical and administrative personnel., • The ability to work independently, as well as in a team environment., • Proficient in the use of standard EHR applications, office technology and Microsoft applications including Word, Excel, and PowerPoint., • Ability to handle sensitive and confidential information., • Licensed Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or Certified Coding Specialist (CCS)/ Certified Coding Specialist Physician (CCS-P) required., • Technical knowledge of coding and DRG validation with CPT, HCPCS experience and ICD-10 certification required., • Minimum of two (2) years of experience abstracting and coding of outpatient medical records for billing. EDUCATION & EXPERIENCE: • Licensed Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or Certified Coding Specialist (CCS)/ Certified Coding Specialist Physician (CCS-P) required., • Bachelor’s Degree in healthcare administration or Health Information Management preferred (Associate's degree at minimum), • Technical knowledge of coding and DRG validation with CPT, HCPCS experience and ICD-10 certification required., • Minimum of two (2) years of experience abstracting and coding of outpatient medical records for billing., • Experience in utilization reviews preferred.

Billing Specialist School-Based Services (Westbury, Ny). Billing Specialist School-Based Services (Westbury, NY).

Upbeat, professional, reliable individual who enjoys multi-tasking, learning, and acquiring new skillsets.

Medical Billing HOME HEALTHCARE Specialist /Office Personnel.KLS Healthcare is seeking an experienced and detail-oriented.This role is responsible for managing billing, collections, and third-party reimbursement processes while ensuring accuracy and compliance, and is NOT limited to regular office s

Medical Billing Specialist /Office Personnel. KLS Healthcare is seeking an experienced and detail-oriented Medical Billing Specialist to join our growing team. This role is responsible for managing billing, collections, and third-party reimbursement processes while ensuring accuracy and compliance,

Job Description Claims Specialist As the Claims Specialist, you will coordinate activities critical to the successful completion of clinical reviews projects. You will support programs by monitoring requests, liaising with clinical partners, managing provider and contractor interactions, tracking deliverables and deadlines, and develop project frameworks to support interdisciplinary and interagency communications. Duties include by are not limited to: • Monitor appeal/dispute status and communication received on client portals., • Conduct initial eligibility reviews and recommend course of action to internal team and department management., • Track and assign cases using commercial off-the-shelf and custom software applications., • Monitor and measure key performance indicators., • Identify barriers and roadblocks in work processes, recommend solutions to solve problems, and execute approved solutions., • Routinely present case/project status in huddles and scrums while using an agile, iterative approach to implementation and data presentation., • Schedule regular team status meetings and record decisions (e.g., assigned tasks and next steps)., • Prepare billing invoices at conclusion of cases, submit to the Finance department, and liaise with accounting to track and trend payments. QUALIFICATIONS: • Knowledge and experience with collaborative project management software, electronic documents, and design., • Ability to problem solve and work collaboratively with peers, medical, analytical, and administrative support staff., • Excellent written and verbal skills including phone manner., • Ability to work independently with little supervision., • Ability and desire to be flexible, innovative, and creative while multi-tasking., • Ability to meet deadlines in time sensitive environment. EDUCATION & EXPERIENCE: • Bachelors or advanced degree in healthcare, business, management digital studies or related field AND 2 years of collaborative project support, required. • OR- • Associates degree in related field AND 3 years of collaborative project support, required. The salary range 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 for this position is $55,000.00 - $65,000.00. Actual salary and/or hourly rate depends on a variety of factors including experience, education, credentials, location, and budget. The salary range 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, age, disability, protected veteran status or military status.

Job Description National privately owned growing presence is seeking an experienced, self-starter to join our growing team as Senior Payroll & Benefits Specialist based in our Long Island, NY office. Responsibilities: • Process weekly payroll for approximately 200 employees for multiple entities in multiple states and company entities., • Administer and coach managers on procedures for timesheets and accuracy, • Enter data into spreadsheets and ADP Workforce Now database, • Resolve any discrepancies surrounding payroll or benefits billing issues, • Process payroll changes (new hires, terminations, garnishments, direct deposit, locality, benefits, salary adjustments, 401k, expenses, etc.), • Review and audit quarterly and year-end payroll reports in a proactive process, • Administer all I-9 requirements for new hires, • Proactively ensure payroll and tax administration and compliance (state regulations, payroll taxes, benefits requirements), • Perform minor reconciliations on payroll and all benefits (401k, FSA, Transit accounts, Medical plans), • Perform administrative support to finance team and HR Director, • Handle benefits enrollments, changes and terminations via required insurance portals and ADP WFN., • Prepare weekly 401(k) and FSA Account reports and funding requirements, • ·Process background checks for newly hired staff, • Ad hoc projects and report as directed, • Complete employee benefits and payroll related forms and verifications, as required, • Assist with employee inquiries in a timely manner, • Administer Worker Compensation claims process and administration requirements as required, • Process COBRA events as required, • Assist with organization of construction certifications, and job specific training and tracking requirements., • Assist with all HR filings requirements (EEO-1, 1095-C, Worker compensation reporting)., • Assist with annual Open Enrollment for all entities and HR company initiatives., • Ensure employee records are properly documented, securely stored, and accessible for audits or reporting as needed. · Proficiency in Excel and MS Office applications. · Must have proficiency with ADP Workforce Now – Minimum of 4 years’ experience required. · Strong organizational, prioritization and time management skills · Proven ability to work effectively in a team environment with various level of associates. · Effective planning and priority setting. · Ability to manage several complex projects simultaneously while working under pressure to meet deadlines. · Excellent written/verbal communication skills · Excellent attention to detail · Strong problem-solving abilities and self-starter capabilities · Must have ability and desire to work with a high level of precision & professionalism. · Fluency in Spanish preferred Experience & Education: · Minimum 8 years of payroll processing and HR benefits administration experience required in a fast-paced private organization. · Bachelor’s degree required

Job Description Who We Are: At Community Mainstreaming, our mission is to support individuals with developmental disabilities in living fulfilling, independent lives. Through our comprehensive services, we promote inclusion and empower those we serve to thrive within their communities. We are driven by compassion, innovation, and a strong commitment to making a difference. Learn more about our impactful work at communitymainstreaming.org Overview: The Benefits Specialist is responsible for administering and managing all employee benefits programs and leave of absence processes. This includes health, dental, vision, life and disability insurance, retirement plans, and wellness initiatives, as well as federal, state, and employer-sponsored leaves such as FMLA, Paid Family Leave (PFL), Workers' Compensation, and Disability. This role ensures compliance with applicable laws and policies and provides excellent service to employees throughout their benefits and leave experiences. Why You’ll Love Working with Us: A supportive, inclusive team culture where your contributions make a real difference. The chance to work for an organization that transforms lives and empowers individuals with developmental disabilities. Opportunities for career advancement and professional development. Minimum Qualifications: • Associate or bachelor’s degree in human resources, business administration, or related field is preferred, • 2+ years of experience in benefits and/or leave of absence administration., • Familiarity with FMLA, PFL, ADA, Workers’ Compensation, and disability programs., • Knowledge of relevant employment laws and benefits regulations., • Experience with HRIS and benefits systems (ADP)., • Strong communication, problem-solving, and customer service skills., • Ability to maintain confidentiality and manage sensitive information., • 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: Employer sponsored, • Tuition Assistance, • Section 125 Flexible Spending Program, • 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 40 hours of personal time per calendar year. Pay: $55,000 - $60,000/year What You Will Do: Benefits Administration • Serve as the primary point of contact for employee questions regarding eligibility, coverage and provision for our health, dental, vision, life, disability insurance, and retirement benefits., • Coordinate benefits enrollment for new hires and process changes due to qualifying life events., • Facilitate annual open enrollment, including preparation of materials, vendor coordination, and employee education., • Maintain accurate benefit records in HRIS and benefit systems; ensure timely updates., • Responsible for all billing and reconciliation of benefit invoices and resolve billing discrepancies with carriers and finance., • Ensure compliance with ERISA, COBRA, HIPAA, ACA, and other benefits-related regulations., • Distribute mandatory notices and benefit plan documents., • Manage all aspects of employee leaves of absence, including FMLA, Paid Family Leave (PFL), Workers' Compensation, Short-Term Disability (STD), and Long-Term Disability (LTD)., • Communicate leave eligibility, required documentation, and timelines to employees., • Coordinate with third-party administrators, insurance carriers, and internal departments (e.g., payroll) to ensure timely processing of leave claims and pay., • Track leave usage and maintain accurate records of employee status and return-to-work dates., • Ensure compliance with federal, state, and local leave laws and organizational policies. Work Hours/Schedule: Full-time, Monday – Friday, 9 AM – 5 PM Community Mainstreaming Associates is an equal opportunity employer. Monday - Friday, 9:00 am to 5:00 pm

Job Description P.M. Medical Billing, the original and largest National Ophthalmology Billing Company is once again hiring! We are a full-service medical billing firm specializing in Ophthalmology, providing clients all over the country with the most expert knowledge and service. We welcome you to join the original, fastest-growing and most successful national Ophthalmology specific medical Billing Company.Our rapid and continuous growth with multiple clients in every state has necessitated our need to hire enthusiastic, knowledgeable and dependable billers and assistants to help us bring our doctors excellent service. Our company has been in business over twenty years and longer than any other Ophthalmology Billing Company.We need to hire full time medical billers who are experienced preferably in Ophthalmology, however we will consider other specialties. Candidate must have a strong work ethic, able to multitask and is professional on the phone with insurance companies, patients and clients. Must be fast and accurate entering information on the computer. Our office is relaxed and friendly with multiple opportunities for growth. Our hours are full time but we can be flexible.Experience in any of the following software a plus: Office Mate, ADS, Allscripts, Sammy, Centricity, MDIntellus, Office Ally, Medics, Ifa, Carecloud, Advanced MD, Nextech,Revolution, MD Office, Dr. Chrono, Apex, Medware, Medcomp, Management Plus, Compulink. Please send resume for immediate consideration! Company DescriptionP.M. Medical Billing Corp has been provided full service ophthalmology billing to providers for over 20 years. Our staff consists of certified ophthalmology technicians as well as certified ophthalmology coders for optimum ophthalmological knowledge. We have brought to our clients dramatically increase revenue and low denial rates. We provide: Full service billing to ophthalmologists Primary insurance billing Secondary insurance billing Tertiary insurance billing Certified ophthalmology technicians Certified ophthalmology coders Old A/R collections and clean up Correct coding Timely follow up Forensic billing Guidelines for insurance companies and specialtiesP.M. Medical Billing Corp has been provided full service ophthalmology billing to providers for over 20 years. Our staff consists of certified ophthalmology technicians as well as certified ophthalmology coders for optimum ophthalmological knowledge. We have brought to our clients dramatically increase revenue and low denial rates.\r\n\r\nWe provide:\r\n\r\nFull service billing to ophthalmologists\r\nPrimary insurance billing\r\nSecondary insurance billing\r\nTertiary insurance billing\r\nCertified ophthalmology technicians\r\nCertified ophthalmology coders\r\nOld A/R collections and clean up\r\nCorrect coding\r\nTimely follow up\r\nForensic billing\r\nGuidelines for insurance companies and specialties

Job Description As a Verification Specialist, you will tackle a wide variety of interesting challenges, and uncover key insights that will drive positive outcomes for our patients. Manhattan Restorative Health Sciences (MRHS) is New York’s leading group of award-winning medical centers specializing in advanced `body and mind’ treatment plans and the development of related clinical research. MHRS employs a range of nationally renowned physicians and specialists to perform minimally-invasive procedures for our patients, including Pain Management, Advanced Interventional Treatments, Regenerative Medicine, and Integrative Wellness Therapies. We focus on the complex interplay between mental and physical symptoms, developing innovative treatment plans that promote longevity and offer our patients superior restorative health outcomes. Responsibilities: ● Verification and pre-authorization of major medical insurances, workman's comp, and no-fault cases. ● Obtains proper insurance information, insurance cards, and identification. ● Update folders and patients charts with detailed and accurate information including In and Out of Network coverage. ● Practices confidentiality and privacy protocols in accordance with Office policies and HIPAA requirements. ● Coordinates with authorization and billing departments to ensure accuracy and efficiency with all related processes. ● Can identify all appointments and procedures for assigned departments that require authorization by monitoring the schedules, system reports, and dashboards. ● Can identify the referral and authorization requirements of the patients' insurance plans by using various on-line resources according to department workflows. ● Can verify insurance eligibility and benefits, and updates the patient's insurance information as necessary. ● Can complete referrals and prior authorizations in a timely manner according to department guidelines and workflows. ● Can ensure that appropriate and accurate information is entered into the patient account. ● Can respond timely and collaborates effectively with the Reimbursement Department teams to limit denials and ensure proper reimbursement. ● Can collaborate with team members to meet department deadlines and benchmarks. Requirements: ● 2+ years experience with medical verifications and authorizations ● Knowledge of insurance carrier guidelines, clinical policies, and state guidelines pertaining to referrals and prior authorization. ● Workman's comp, no-fault, and major medical insurance experience required. ● Demonstrate complete system knowledge, ability to run reports document and manage referrals and authorizations, move correspondence, resolve eligibility and authorization hold, and other system tasks within the user's security access. ● Demonstrate the ability to request, prepare, and recognize the documentation required to support the medical necessity for the service being authorized. ● Demonstrate the ability to use the electronic tools and systems available to organize and process the daily work. ● Possess excellent interpersonal skills, outgoing and personable. ● Ability to thrive in a fast-paced environment. ● Excellent written and verbal communication skills. ● Methodical and detail-oriented ● Possess pleasant and personable telephone demeanor. ● Well-spoken and written English. All qualified applicants will receive consideration for employment without regard to age, sex, sexual orientation, gender identity, national origin, race, color, religion, disability or protected veteran status, or any other legally protected basis, in accordance with applicable laws. For more information, visit MRHSclinics.com Company DescriptionOur team of world class, award-winning physicians and specialists are driven to develop innovative 'body and mind' treatment plans for our patients, and to advance impactful medical research for all.Our team of world class, award-winning physicians and specialists are driven to develop innovative 'body and mind' treatment plans for our patients, and to advance impactful medical research for all.

Job Description JOB DEFINITION: The Clinical Services Specialist I will provide community-based therapeutic intervention for individuals who are experiencing mental health, substance use or co-occurring disorders, and will provide community-based treatment services using evidence-based, trauma-informed, and person-centered practices. EDUCATIONAL REQUIREMENTS: Master's level education in social work or related field (i.e., MSW or MHC). Application for and maintenance of highest-level professional licensure upon eligibility required. EXPERIENCE REQUIRED: • One to three years' experience with mental health and substance use disorders is required; experience providing care in a community setting is preferred. DUTIES AND RESPONSIBILITIES: • Conduct clinical visits in a community environment to assess safety and explore readiness for and motivation related to treatment for mental health, substance use and co-occurring disorders., • Conduct a comprehensive assessment in order to determine the most appropriate level of care for diagnosis and generate appropriate referrals., • Partners with clients to create and update treatment plans that are reflective of individual choices and preferences and promote appropriate expectations of behavioral health treatment., • Use Evidence-Based Practices, standardized screening tools and clinical judgement to assess for risk to self, others or property as the result of behavioral health concerns and to deliver mobile clinical substance use services in the home and community., • Establishes and maintains appropriate and timely clinical case records, including but not limited to: treatment plans, treatment plan reviews, progress notes, coordination of care activities, documenting appropriate therapeutic interventions with each client to the Agency, funding, licensing and billing authorities., • Regularly assess progress in treatment and strengthen client understanding of resources for discharge planning and termination processes., • Implements appropriate crisis intervention and stabilization services when needed to prevent or manage decomposition and maintain safe community living., • Assist clients in understanding the importance of cooperation with fee and insurance responsibilities, and resolution of psychological and financial obstacles to payment., • Utilizes and understands the value of supervision to increase practice skills, promote improved services for clients, and preserve accountability to the Agency., • Participate in data collection and reporting as needed., • Act as a liaison between the Agency and the community it serves; represent the agency and promote its programs in a professional and knowledgeable manner at various community events, trainings, and forums as needed., • Participate in clinical team meetings and support additional team members, including peer specialists., • Complete trainings as required or requested by the agency or governing entities., • Perform any other support and follow up functions appropriate to the role and scope of a Social Worker in accordance with Agency standards., • Facilitate sharing of data with the individuals to whom it applies to facilitate partnered decision-making and to keep clients informed of progress, • Complete QI Training during onboarding and participate in QI refresher training as needed., • Ability to cultivate a culture of inclusion for all employees that respects their individual strengths, views and experiences. A Culture that makes better decisions, drives innovation, and delivers better business results., • Adherence to all safety protocols and procedures to ensure a safe working environment for all employees. Demonstrate a commitment to maintaining a safe work environment by following established safety guidelines., • Health and Safety Awareness: Include any relevant knowledge or experience regarding health and safety protocols to ensure a safe work environment for all employees. We offer an attractive and competitive benefits package for full time employees which includes but not limited to: • Medical, • Dental, • Vision, • $0 Deductible Platinum Plus Medical Insurance Plan - 90% Employer Provided Benefit, • Flexible Spending Account, • 403(b) retirement plan, • Long Term and Short Term Disability, • Legal Plan, • Dependent Care Expense Account, • Life Insurance/Supplemental Life Insurance, • Pet Insurance, • HRA, • Training programs including a Mentorship program, • Employees may be eligible for Federal/Public Student Loan Forgiveness, • Career growth and Promotional opportunities If interested please apply via this ad or fax your resume to HR DIRECTOR, CAROL OTERO at 516-396-0553. CN Guidance & Counseling Services, inspires and catalyzes recovery for people living with mental health and substance use conditions through innovative and person-centered integrated clinical treatment, counseling, housing, and support services. • Awarded Newsday/Dan papers Top Long Island Work Place 2019-2025, 7 years in a row., • Every job and every team at our agency plays a role in helping other Long Islanders live healthy and fulfilling lives.

Job Description Registered Nurse – Revenue Cycle Specialist - Jericho, NY (#R10257) Location: Jericho, New York Employment Type: Full-Time Hourly Rate: $55.00/hour 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: The RN supports billing, reimbursement accuracy, payer policies, and medical necessity review. Why Join Us? • Competitive Compensation: $55.00/hour, • Work Schedule: Full-time, Monday–Friday, • Comprehensive Benefits: Comprehensive benefits package, • Professional Growth: Bridge clinical nursing and revenue cycle management, • Job qualifications & certifications:, • Active RN license, • Experience in billing, reimbursement, or utilization review, • Knowledge of payer policies and CMS guidelines, • Ideal for nurses experienced with payer interactions and billing processes., • Skills:, • Strong communication skills, • Ability to interpret policies and coverage criteria, • Review medical records for medical necessity and coverage, • Support appeals and pre-authorization processes, • Interpret clinical data for revenue cycle teams, • Liaise with payers to resolve disputes Greenlife Healthcare Staffing - Empowering Healthcare Professionals, Enriching Lives.

Job DescriptionDescription: Why you’ll want to work at nimble! This is a great opportunity to join a well-established and market-leading brand serving a high-growth end market while gaining valuable experience working closely with Executive leadership. As an organization, we are in high-growth mode through acquisition with a laser focus on positive culture building! Who we are: nimble solutions is a leading provider of revenue cycle management solutions for ambulatory surgery centers (ASCs), surgical clinics, surgical hospitals, and anesthesia groups. Our tech-enabled solutions allow surgical organizations to streamline their revenue cycle processes, reduce administrative burden, and improve financial outcomes. Join more than 1,100 surgical organizations that trust nimble solutions and its advisors to bring deep insights and actionable intelligence to maximize their revenue cycle. We are currently seeking a Revenue Cycle Specialist with a great work ethic to manage the revenue cycle process, including pre-submission review, claim submission, and follow-up. Under the direction of the Billing Manager, this role will be instrumental in ensuring timely claim submission, follow-up with payers, and handling billing discrepancies. This position requires well-rounded knowledge of the revenue cycle process while maintaining compliance with industry regulations. Key Responsibilities: Responsibilities include insurance verification, reviewing submitted claims for accuracy and completeness, investigating and resolving claim denials by analyzing documentation and using appropriate CPT and ICD-10 codes. In this role, you will work on insurance appeals and corrected claim information and work closely with providers, coders, and administrative staff to ensure accurate documentation and billing. You will provide timely billing and reimbursement for services while maintaining compliance with industry regulations. This position requires the ability to utilize and navigate through all available portals for claim information. You will be responsible for tracking and documenting follow-up activities to ensure completion of work and provide updates regularly. The ideal candidate must be detail-oriented, organized, and capable of navigating the complexities of healthcare billing and insurance systems to optimize revenue flow. Requirements: Qualifications and Skills required: • High School diploma or equivalent, • Minimum 3 years of medical billing experience, • Out-of-network billing experience strongly preferred, • Strong communication and interpersonal skills, • Excellent attention to detail and organizational skills, • Must be flexible and adaptable to various work environments, • Must be computer proficient

Job DescriptionBenefits: • 401(k) matching, • Bonus based on performance We look forward to incorporating your energy and marketing perspective into our team as we build success together. RESPONSIBILITIES: • Establish customer relationships and follow up with customers, as needed., • Provide prompt, accurate, and friendly customer service. Service can include responding to inquiries regarding insurance availability, eligibility, coverages, policy changes, transfers, claim submissions and billing clarification., • Use a customer-focused, needs-based review process to educate customers about insurance options., • Use exemplary communication to efficiently meet the needs of customers while promoting the development of our business.QUALIFICATIONS:, • Dedicated to customer service, • Able to obtain a Life/Health License, • Able to achieve mutually agreed upon marketing goals, • Interested in marketing products and services based on customer needsBENEFITS:, • Salary plus commission/bonus, • Paid time off (vacation and personal/sick days), • Health benefits, • Profit sharing, • Growth potential/Opportunity for advancement within my office

Job Description Job Description: Who We Are: At Community Mainstreaming, our mission is to support individuals with developmental disabilities in living fulfilling, independent lives. Through our comprehensive services, we promote inclusion and empower those we serve to thrive within their communities. We are driven by compassion, innovation, and a strong commitment to making a difference. Learn more about our impactful work at communitymainstreaming.org Overview: The Benefits Specialist is responsible for administering and managing all employee benefits programs and leave of absence processes. This includes health, dental, vision, life and disability insurance, retirement plans, and wellness initiatives, as well as federal, state, and employer-sponsored leaves such as FMLA, Paid Family Leave (PFL), Workers' Compensation, and Disability. This role ensures compliance with applicable laws and policies and provides excellent service to employees throughout their benefits and leave experiences. Why You’ll Love Working with Us: A supportive, inclusive team culture where your contributions make a real difference. The chance to work for an organization that transforms lives and empowers individuals with developmental disabilities. Opportunities for career advancement and professional development. Minimum Qualifications: • Associate or bachelor’s degree in human resources, business administration, or related field is preferred, • 2+ years of experience in benefits and/or leave of absence administration., • Familiarity with FMLA, PFL, ADA, Workers’ Compensation, and disability programs., • Knowledge of relevant employment laws and benefits regulations., • Experience with HRIS and benefits systems (ADP)., • Strong communication, problem-solving, and customer service skills., • Ability to maintain confidentiality and manage sensitive information., • 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: Employer sponsored, • Tuition Assistance, • Section 125 Flexible Spending Program, • 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 40 hours of personal time per calendar year. Pay: $55,000 - $60,000/year What You Will Do: Benefits Administration • Serve as the primary point of contact for employee questions regarding eligibility, coverage and provision for our health, dental, vision, life, disability insurance, and retirement benefits., • Coordinate benefits enrollment for new hires and process changes due to qualifying life events., • Facilitate annual open enrollment, including preparation of materials, vendor coordination, and employee education., • Maintain accurate benefit records in HRIS and benefit systems; ensure timely updates., • Responsible for all billing and reconciliation of benefit invoices and resolve billing discrepancies with carriers and finance., • Ensure compliance with ERISA, COBRA, HIPAA, ACA, and other benefits-related regulations., • Distribute mandatory notices and benefit plan documents., • Manage all aspects of employee leaves of absence, including FMLA, Paid Family Leave (PFL), Workers' Compensation, Short-Term Disability (STD), and Long-Term Disability (LTD)., • Communicate leave eligibility, required documentation, and timelines to employees., • Coordinate with third-party administrators, insurance carriers, and internal departments (e.g., payroll) to ensure timely processing of leave claims and pay., • Track leave usage and maintain accurate records of employee status and return-to-work dates., • Ensure compliance with federal, state, and local leave laws and organizational policies. Work Hours/Schedule: Full-time, Monday – Friday, 9 AM – 5 PM _ Community Mainstreaming Associates is an equal opportunity employer._ Monday - Friday, 9:00 am to 5:00 pm Job Type: Full-time Work Location: In person

Job DescriptionBenefits: • 401(k) matching, • Bonus based on performance, • Competitive salary, • Health insurance, • Opportunity for advancement, • Paid time off Make a Difference. Build Relationships. Grow Your Career. Are you motivated by helping others while also driven by results? As a Customer Retention Specialist in our expanding insurance agency, youll become a go-to resource clients rely on for guidance, support, and protection. This role blends relationship-based service with sales opportunitiesoffering a fulfilling, well-rounded career path in a high-demand industry. Whether youre answering coverage questions, assisting with policy updates, or introducing solutions that enhance protection, youll strengthen customer confidence and contribute to our agencys success. If youre dependable, positive, and ready to make an impactwe want to hear from you. Key Responsibilities • Deliver outstanding service through phone, email, and in-person interactions, • Assist clients with billing inquiries, coverage updates, and claims follow-up, • Identify and recommend insurance products that align with customer needs, • Build rapport that encourages trust and long-term loyalty, • Support client retention through proactive renewals and policy reviews, • Partner with team members to ensure a seamless customer experience What Were Looking For • Excellent communication, organization, and problem-solving abilities, • Customer service or sales experience preferred (but not required), • Comfort engaging in consultative, sales-focused conversations, • A calm, friendly, and solutions-oriented approach under pressure, • Willingness to obtain required insurance licensestraining and guidance provided What We Offer • Competitive base pay with commission and performance bonuses, • Comprehensive training and supportive mentorship, • Clear opportunities for growth and career advancement, • A collaborative culture focused on success and development If youre ready to build a career where service and sales work hand-in-hand, apply today and start growing with us!

Job Description As a Coding Reviewer, you will be responsible for the general coding validation and verification and preparation of independent dispute resolution reviews from external state and federal agencies in accordance with reporting requirements. Duties include but are not limited to: • Confirm and verify submitted codes for DRG validation., • Apply national coding standards and regulations to the claims and clinical data., • Provide subject matter input and support agency-wide projects., • Other duties as assigned. This position requires working on-site at the Jericho, NY office. Qualifications: • Excellent interpersonal and communication skills, both written and verbal., • Ability to relate effectively with technical, medical, analytical and administrative personnel., • Proficiency in EHR applications, office technology, and Microsoft applications including Word, Excel, and PowerPoint., • Being able to handle sensitive and confidential information., • Ability to work in a team environment and independently. Education & Experience: • Licensed Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or Certified Coding Specialist (CCS)/ Certified Coding Specialist Physician (CCS-P) required., • Technical knowledge of coding and DRG validation with CPT, HCPCS experience and ICD-10 certification required, • Bachelor’s degree in healthcare administration or health information management preferred., • Minimum of two (2) years of experience abstracting and coding of outpatient medical records for billing., • Some experience in utilization reviews preferred. 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 annualized salary range for this position is $65,000.00 – $70,000.00. Actual salary range and/or hourly rate depends on a variety of factors including experience, education, credentials, location, and budget. The salary range 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 DescriptionCompany Description About Patient Funding Alternatives (PFA) At Patient Funding Alternatives (PFA), we remove the barriers that keep Medicaid-eligible and medically underserved individuals from getting the care they deserve. We partner with hospitals and health systems across the country to help patients secure coverage through employer-sponsored insurance — simplifying the process, protecting patients, and strengthening hospital outcomes. As the only organization in the U.S. offering a full Premium Assistance Enrollment service supported by dedicated Patient Advocates within partner hospitals, we make access to coverage easier, faster, and more compassionate. PFA is growing rapidly nationwide, and our success is built on people who care deeply about helping others. We believe our employees are our most valuable resource, and we’re committed to maintaining a healthy work/life balance within a culture grounded in empathy, teamwork, and respect. If you’re passionate about guiding patients through complex healthcare systems, advocating for fairness, and making a measurable impact every day — PFA is where you belong. Job Description The Patient Advocate Specialist plays a critical role in identifying, educating, and enrolling eligible hospital patients into the Health Insurance Premium Payment (HIPP) Program. This is a full-time, 5-day-per-week on-site role based at Cohen Children's Medical Center - Northwell Health, where you’ll work directly with patients and hospital partners.You'll clearly explain program details, gather required documentation, and serve as a compassionate, professional advocate throughout each step of the enrollment process. This role demands mission-driven advocacy, proactive problem-solving, empathetic communication, and resilience—all while balancing compassion with an urgency to ensure patients receive timely support. By facilitating employer-sponsored health insurance coverage, the Patient Helper Program helps medically complex Medicaid beneficiaries access comprehensive care. We’re looking for driven individuals with a “can-do” spirit, unwavering perseverance, and the capacity to support diverse patient populations navigating complex healthcare systems. Key Responsibilities Patient Engagement & Advocacy • Educate patients and families in a clear, compassionate, and culturally sensitive manner about the HIPP program., • Assess family dynamics and adapt communication style to effectively meet their needs., • Obtain necessary authorizations and documentation from patients/families., • Foster trust with patients while maintaining appropriate professional boundaries., • Accurately collect all essential data for HIPP applications (e.g., employer information, insurance details)., • Employ proactive problem-solving to overcome barriers and ensure timely, accurate submissions., • Collaborate seamlessly with the Patient Financial Assistance (PFA) team to finalize enrollments., • Clarify how employer-provided health insurance works in coordination with Medicaid., • Verify and update ongoing patient eligibility for HIPP to maintain continuity., • Utilize PFA’s CRM/case management system to manage referrals and patient records., • Upload, scan, and securely transmit required documentation., • Record patient interactions meticulously in compliance with privacy and legal standards., • Represent PFA as the onsite contact at the hospital., • Establish and maintain collaborative relationships with hospital staff, state agency personnel, and community partners., • Always uphold the organization’s values with ethical integrity and professionalism. Qualifications Required Qualifications • High school diploma or GED and completion of formal training in customer service, patient services, healthcare administration, social services, or case management., • Foundational knowledge of healthcare terminology and insurance processes gained via coursework or certification., • Ability to pass hospital credentialing, including vaccinations and drug/alcohol screening., • Associate’s or Bachelor’s degree in Social Work, Healthcare Administration, Public Health, or related field., • Training in motivational interviewing, trauma-informed care, or medical billing/coding., • Continuing education in Medicaid/Medicare eligibility, health equity, or patient advocacy. Technical Skills-Preferred • Proficiency with CRM or case management systems., • Knowledge of Medicaid/Medicare eligibility and benefits coordination., • Ability to interpret medical billing and insurance documents., • Active listening and empathetic communication., • De-escalation tactics for emotionally distressed patients., • Cultural awareness and sensitivity in communication., • Mission-Driven Advocacy – Consistently puts patient needs first., • Ego Resilience – Thrives amid adversity and changing demands., • Empathy – Provides compassionate support while ensuring professionalism., • Urgency – Balances speed and sensitivity in patient interactions., • Detail Orientation – Ensures accuracy and completeness in documentation., • Cultural Competence – Demonstrates respect and understanding of diverse experiences., • Adaptability – Successfully operates in evolving policy and procedural environments. Additional Information Our Benefits – Supporting You Inside and Out At Patient Funding Alternatives, we know that caring for others starts with caring for our own people. That’s why we offer a comprehensive, industry-leading benefits package designed to support your health, your future, and your wellbeing. Our team members enjoy medical, dental, and vision coverage through UnitedHealthcare and Guardian, employer-paid life and disability insurance, and a 401(k) plan with company match. We also invest in your wellness — with up to $100 annual reimbursement for fitness, mindfulness, and wellness activities, plus access to mental health tools like the Calm Health app and a 24/7 Employee Assistance Program. From flexible spending accounts to nationwide fitness programs and virtual care, PFA is committed to helping you stay healthy, balanced, and thriving — at work and beyond.

Job Description Billing Specialist – School-Based Services (Westbury, NY) Details about this opportunity: • Full-Time, • Compensation $19.00-$23.00/hourly, • Westbury, NY, • Monday-Friday, 9am-5pm. Flexible What we have to offer YOU: Family of Kidz Full Time offerings include: • Generous Paid Time Off, • Medical, Dental, and Vision Insurance, • 401(k), • Flexible Spending and Health Savings Accounts, • Life Insurance, • Employee Assistance Program, • Referral Program, • Professional Development Assistance, • Pet Insurance, • Long-Term & Short-Term Disability Insurance, • Team Building Events Responsibilities: • Review submitted attendance, session notes and provider invoices for compliance., • Assist providers with billing problems and system issues., • Help create District invoices and correspond with districts., • Apply payments on a weekly basis and reconcile cash accounts, • Follow up with Districts for Aging Receivables; Collections, • Assist with District Contracts/Addendums/Request for Proposals, • Any ad hoc projects/reports About You: If you have these attributes: • Sterling values, high integrity, strong work ethic, • Excellent oral and written communication skills, • Must be detailed oriented, • Strong attitude with numbers, • Excellent interpersonal and customer service skills, • Exposure to the practice of maintaining a high level of confidentiality, • Excellent time management/organizational skills, • Ability to function well in a high-paced environment And this background: • Associates or bachelor's preferred., • Knowledge of Special Education is a plus., • Billing experience is a must., • Must be proficient in Microsoft Office with a focus on Excel., • Ability to multi-task in a fast-paced environment., • 2-3 years billing experience in School Age billing preferred Then we are looking forward to receiving your resume! Why Join our Family? Since 1998, Family of Kidz has brought together highly qualified teams of professionals who work diligently to help children with special needs, from birth to adulthood. Our focus is on establishing a strong understanding of each child's needs and teaching them skills that lead to greater independence and an enhanced quality of life. Family of Kidz provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

Job Description Join Our Team! At DSI, we have over 40 years of sales enablement and customized business solution experience, providing enhanced value that delivers results for our clients and partners. We're on the lookout for passionate individuals eager to make their mark in sales and customer service. Our exciting and rewarding work environment offers you the opportunity to grow with us and make a significant impact. Job Overview The Retail Support Specialist (RSS) delivers hands-on, frontline support to AT&T customers inside high-traffic national retail environments. In this role, you will engage directly with customers and retail partners to resolve account, billing, device, and service concerns; often in fast-paced, high-volume situations. Success in this role requires strong communication skills, emotional resilience, comfort with technology, and the ability to remain calm, accurate, and professional in a dynamic retail setting. Key Responsibilities: Customer Support • Provide professional, friendly, and solution-focused support to AT&T customers inside national retail locations., • Resolve inquiries related to billing, account updates, plan changes, device support, and service concerns., • Troubleshoot wireless devices, network issues, and feature functionality., • Act as the AT&T subject-matter expert for retail employees and third-party labor partners., • Serve as the primary AT&T representative for these partners, leading in-store support for retail escalations., • This role is performed in a retail environment and requires standing, walking, and engaging on the sales floor for up to 8 hours per day., • Ability to work flexible schedules, including evenings, weekends, and holidays, based on business needs., • Navigate multiple systems simultaneously while engaging with customers in real time., • Document all interactions thoroughly and accurately., • Adhere to company policies, compliance requirements, and privacy standards., • Meet or exceed performance metrics, including quality, efficiency, and customer satisfaction scores., • Execute and maintain approved planograms for mobile devices and signage, • Maintain inventory accuracy for display devices and fixtures, • Work closely with cross-functional teams such as technical support, billing, fraud, customer care, and escalation agents., • Share insights on recurring issues to improve processes and customer experience., • Maintain a positive, professional demeanor during all interactions. Requirements Required Skills & Qualifications • Strong customer service and communication skills., • Ability to handle high-stress or escalated situations with professionalism., • Proficient in multitasking and navigating complex systems., • Detail-oriented with strong problem-solving abilities., • Experience in wireless communications, retail customer service, or technical support, • Competitive starting pay of $26 per hour!, • Comprehensive training and development programs, • A supportive and engaging team environment, • Medical, Dental, Vision, and Life insurance are available on the first day of the month following your first day of employment – no extended waiting period!, • 401k Plan with employer matching after one year of employment, • Paid vacation, personal/sick days, and bereavement time after 90 days, • Employee Profit Sharing Program, • 50% AT&T wireless discount, • Paid training, • Advancement opportunities, we prefer to promote from within!