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Seeking an Operations Manager - Certified Medical Coder to work onsite in Garden City, NY for a rapidly growing healthcare facility. Operations Manager will plan, organize and manage the day to day operations of the hospital’s Health Information Management Department, including all units within HIM, while effectively coordinating, managing, and improving the daily, weekly, and monthly departmental activities. The Operations Manager is responsible for the effective operation and works closely together with the Coding Manager and Director of HIM. The position requires a hands-on immersive management approach to ensure compliance with internal and external policies governing the clinical documentation and health information management processes. Requires financial acumen focus to maximize staff performance, customer satisfaction, and integrity of the legal medical record and coding/reimbursement. Responsibilities: • Evaluates the impact of innovations and changes in programs, policies, and procedures for HIM operations. Designs and implements systems and methods to improve data integrity, workflows and processes. Identifies, assesses, and resolves issues impacting HIM operations, coding, documentation, and revenue cycle processes., • In collaboration with the Director of HIM, plans, coordinates and evaluates staff activities and workflow in the areas of Documentation Management, Release of Information, Systems and Mater Patient Index (MPI) Integrity, and Clinical Documentation Improvement (CDI)., • Has direct responsible for hiring, orientation, training and in-service regarding hospital organization, mission, management, policies, and procedures. Oversees compliance with all hospital initiatives. Reviews, audits, monitors, and maintains productivity and accuracy reports., • Collaborates with the HIM Coding Manager to maintain acceptable accounts receivables associated with un-coded charts (DNFB), and team member productivity and accuracy according to industry standards., • Participates and leads process and performance improvement and in conjunction with the director and coding manager ensures the coding compliance program. Develops and coordinates educational and training programs as guided/instructed by the director., • Conducts and oversees coding audit efforts and coordinates monitoring of chart analysis. Reports noncompliance issues detected through auditing and monitoring, the nature of corrective action plans, and the results of follow-up audits to the directors of hospital and the compliance officer., • Participates in the reviews of claim denials and rejections pertaining to coding and/or support of medical necessity, when necessary, implements corrective action plan (such as educational programs) to prevent similar denials and rejections from recurring., • Oversees Release of Information compliance., • Interacts with a variety of people who impact the success of HIM operations, and functions as a facilitator, liaison, and/or motivator., • Assess educational needs and process improvement via team member shadowing and weekly one-on-one with individual team members., • Bachelor's Degree required, • CPC and CCS or CIC coding certification required, • RHIT, RHIA preferred., • Minimum of five years progressive healthcare management and business administration, and knowledge of ICD-10-PCS, CPT/HCPCS with claims processing and data management responsibilities a plus., • Process Improvement experience required., • Excellent oral and written communication skills.

Job Description Ready to put your accounting knowledge into practice? We're searching for a sharp and motivated college student to join our team as a Part-Time Accounting Intern at our Melville, NY office. This is your chance to gain hands-on experience and see your classroom theories translate into real-world results. What you'll own: Reconciling ledgers to ensure financial accuracy. Assisting with the accounts receivable cycle. Conducting detailed claims audits. Reviewing and processing expense reports. You're a perfect fit if you: ✅ Are a local college student majoring in Accounting or Finance. ✅ Have a solid grasp of debits and credits. ✅ Possess strong skills in Microsoft Excel. ✅ Are eager to learn and contribute 15-18 hours per week. This is a fantastic opportunity to build your resume and launch your career with practical, valuable experience.

Job Description Who We Are: St. John’s Episcopal Hospital is the only hospital providing emergency and ambulatory care to the densely populated, culturally and economically diverse, and medically underserved populations of the Rockaways and Five Towns in southern Queens County and southwestern Nassau County, New York. Celebrating over 110 years of community care, the 257-bed facility provides people of all faiths with comprehensive preventive, diagnostic treatment and rehabilitative services, regardless of ability to pay. Come Grow With Us! Type: Full-Time Shift: Days Hours: 7:00 AM - 3:30 PM Pay: $100,000 - $115,000 Job Description: The Coding Manager will plan, organize, and manage the day to day operations of the hospital coding team (Inpatient and Outpatient). The Coding Manager is responsible for the professional development of the coding staff and assisting management with providing a hospital-wide educational program to support coders in continued coding and documentation education; performs quality assurance reviews of inpatient and outpatient records to assess and report on the effectiveness of training programs and quality of coders; works with the HIM Operations Manager to provide in-service training and feedback to coding staff regularly, including coding changes and updates. He/She effectively collaborates with HIM and Patient Financial Services Management on the implementation of coding edits and ensures that accurate, coded data exists for optimal reimbursement by the organization, and coordinates all quality and compliance monitoring of assignments for hospital technical services. In addition, the HIM Coding Manager will have direct responsibilities for maintaining Discharge Not Final Billed (DNFB) within established thresholds, based on volumes and staffing resources, and responsibility for scheduling time and attendance, productivity, and quality. Responsibilities: • Evaluate the impact of innovations and changes in programs, policies, and procedures for the coding unit., • Design and implement systems and methods to improve data integrity and coding compliance, • Identify, assess, and resolve issues impacting coding, documentation, and revenue cycle process, • Monitor and maintain acceptable accounts receivables associated with un-coded charts (DFNB), and team member productivity and accuracy according to industry standards., • Oversee and monitor the coding compliance program, • Develop and coordinate educational and training programs such as appropriate documentation and accurate coding to all appropriate staff, including coding staff, physicians, billing staff, and ancillary departments., • Ensure the appropriate dissemination and communication or regulatory, policy, and guideline changes in collaboration with HIM Management., • Conduct and oversee coding audit efforts and coordinate monitoring of coding accuracy and documentation adequacy., • Report noncompliance issues detected through auditing and monitoring, the nature of corrective action plans, and the results of follow-up audits to the directors of hospital and the compliance officer., • Review claim denials and rejections pertaining to coding and/or support of medical necessity, when necessary, implement corrective action plan to prevent similar denials and rejections from recurring., • Interact with a variety of people who impact the success of coding compliance program, and function as facilitator, liaison, and/or motivator., • Assess educational needs and process improvement via team member shadowing and weekly on-on-one meetings with individual coders., • Bachelor's Degree required, • CPC and CCS or CIC coding certification required, • RHIT, RHIA preferred, • Minimum of 5 years progressive coding or coding review experience in ICD-10-CM and CPT/HCPCS with claims processing and data management responsibilities a plus, • Excellent oral and written communication skills

Job Description Who We Are: St. John’s Episcopal Hospital is the only hospital providing emergency and ambulatory care to the densely populated, culturally and economically diverse, and medically underserved populations of the Rockaways and Five Towns in southern Queens County and southwestern Nassau County, New York. Celebrating over 110 years of community care, the 257-bed facility provides people of all faiths with comprehensive preventive, diagnostic treatment and rehabilitative services, regardless of ability to pay. Come Grow With Us! Type: Full-Time (75 hours biweekly) Shift: Days Hours: 8:00 AM - 4:30 PM in our Garden City Office Pay: $37.54 - $39.26 per hour Job Summary: The Revenue Cycle Underpayment Specialist is responsible for the thorough review, research, and ultimate resolution of denials and underpayments by government, commercial, and client payers. The Specialist will also follow up on any unpaid or underpaid aging claims and determine needed action. The core daily functions will be the resolution of denied and/or underpaid claims, which includes researching accounts, analyzing EOBs, and interacting with insurance companies and government payers. The Specialist must demonstrate high-level problem solving skills to perform root cause analysis on denied and underpaid accounts and extrapolate those causes across large volumes identified as denial trends for assigned accounts. This position requires the ability to evaluate complex account issues and communicate effectively to support the organizational goals for specific key performance indicators as they relate to denials and underpayments management. Responsibilities: • Analyze and research reasons for denials or underpayments on each account assigned, • Contact third party payors and patient when necessary to the denials recovery process, • Utilize electronic hospital systems to track correspondence, document follow up/appeals activities, and to confirm receipt and determination of denials appeals, • Understand payor contracts, state/national guidelines, and contract management system, • Make necessary adjustments to patient demographic, insurance, and account balance information, • Associate Degree required, Bachelor's degree preferred, • Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) required within 1 year of hire, • Strong knowledge of ICD-10, CPT-4, and/or HCPCS coding systems, • 3-5 years experience working in a hospital acute care setting/revenue cycle, reimbursement, managed care, or related consulting with a focus on billing, • 2-3 years experience focused on denials and underpayments hospital claims resolution, • Experience working with multiple hospital systems and payer portals, and analyzing healthcare claims, • Understanding of governmental and third-party payer authorization, claim submission, and reimbursement guidelines, • Strong PC skills including word processing and spreadsheets

Job DescriptionBenefits: • 401(k), • Free uniforms, • Competitive Compensation, • Great Work Environment Responsibilities • Assist with processing insurance claims through both private insurance and Medicaid/Medicare, • Note and process all necessary forms from the insurance, • Assist patients in navigating the billing and insurance landscape, including collecting all necessary forms and signatures, • Work with doctors offices and hospitals to obtain charge information and billing details, • Enter all billing and payment information into the system properly and without errors, • Follow up with clients and payments, as needed, • Answer phones, assist clients with questions, take messages, and screen calls, • Maintains the highest level of confidentialityQualifications, • Strong customer service skills, • Previous experience with medical coding or billing desired, • Strong organization skills, • Excellent attention to detail

Job Description JOB TITLE: Inside Sales Representative T1 EMPLOYER: Sherwood Lumber Corporation DEPARTMENT: Sales REPORTS TO: Inside Specialty Manager EFFECTIVE DATE: 8/1/2024 SUMMARY: We are seeking a highly motivated Inside Sales Representative to join our team in the Exterior Building Division. The Inside Sales Representative will be responsible for order entry and associated tasks, Claims and Credits management, and handling phone calls and customer service-related tasks. This position reports directly to the Inside Sales Manager (ISM). DUTIES AND RESPONSIBILITIES: • Order Entry and Associated Tasks:, • Accurately enter sales orders into the system with attention to detail and order specifications., • Coordinate with customers, suppliers, and internal departments to ensure timely order processing and delivery., • Address any order-related inquiries or issues promptly and professionally., • Generate and review order reports to ensure accuracy and completeness., • Claims and Credits Management:, • Assist customers with claims and credits processes, ensuring proper documentation and resolution., • Collaborate with the Claims and Credits department to investigate and resolve customer complaints or product issues., • Provide exceptional customer support throughout the claims and credits process., • Phone Handling and Customer Service:, • Answer incoming calls and provide professional and courteous assistance to customers., • Address customer inquiries, product information requests, product samples, and order status updates., • Resolve customer issues or redirect them to the appropriate department for further assistance., • Build and maintain positive relationships with customers to enhance satisfaction and promote repeat business., • Performs other related duties as assigned by management. SUPERVISORY RESPONSIBILITIES: • 1-2 years of experience in a sales or administrative role., • Excellent communication, organizational, and problem-solving skills., • Ability to multitask and prioritize tasks effectively., • Proficiency in Microsoft Office Suite and experience with CRM software., • Must be a self-starter and proactive., • Ability to multi-task in a fast-paced environment., • Ability to work closely with peers on team orientated goals., • Continually required to stand., • Continually required to walk., • Frequently required to sit., • While performing the duties of this job, the noise level in the work environment is usually moderate; loud., • The employee must occasionally lift and/or move up to 10 pounds. The above is intended to describe the general content of and requirements for the performance of this job. It is not to be construed as an exhaustive statement of duties, responsibilities or physical requirements. Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Job DescriptionAbout The Role MagnaCare provides Utilization Review/ Case Management/ Medical Management/Claims Review services to its clients. Care Coordinators facilitate care management and utilization review by performing data collection & data entry, and effectively communicating with Nurse Case Reviewers/Managers, employers and claimants in regard to claimants’ workers’ compensation cases. Provide claims processing for the Workers’ Compensation and No-Fault lines of business. The successful candidate will be afforded an opportunity to help further structure this team. This team is a critical component to the delivery of quality healthcare services. Primary Responsibilities • Collect data from claimant representative, physician, or hospital; verify claimant case status and provider network status., • Set up cases in system in accordance with departmental workflows, policies and procedures., • Assist Nurse Case Reviewers with non-clinical issues tasks such as requesting clinical information from providers, obtaining necessary forms, and confirming work status., • Enter required case demographics and transcribe clinical information, • Handle incoming group phone calls and interact with employers, employees, physicians and insurance adjusters to gather information about medical status, and/or type of care needed in a timely manner., • Schedule medical appointments for members with in-network facilities and providers and coordinate/verify member attendance at the appointment., • Maintain and update all activity trackers within designated timeframes., • Verify and ensure the accuracy of claimant cases; create, scan, fax, mail, and upload correspondence and documentation as needed., • Follow established quality assurance standards and all policies and procedures., • Report and document any concerns, complaints and/or issues with direct supervisor., • Demonstrates a kind, caring, sympathetic and positive attitude with all customers and fellow employees., • Perform Ad-Hoc projects and support departmental initiatives as needed.Essential Qualifications, • Superior oral and written communication skills., • Strong PC skills (Excel is a must)., • Excellent organizational skills., • Ability to maintain professional demeanor under pressure., • Ability to work independently and as a team player., • Minimum of one years’ experience in the medical field., • Bachelor's degree or equivalent experience., • Bilingual preferred but not required., • Previous experience in case management handling insurance claims a plus., • Strong skills in medical record review., • Familiarity with medical terminology. 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 of 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 of 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. *We are an Equal Opportunity Employer Annual Salary Range: $40,000-$50,000 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. Powered by JazzHR 44sUde8sxX

The Claims Processing Specialist will play a crucial role in the administration of the Statutory Claims department. The Claims Processing Specialist will collaborate with various business functions and contribute to the overall efficiency and effectiveness of the claims process. Perform outreach to

ARM will serve as the key contact and lead for access and reimbursement support-related matters and is responsible for being the local market access expert on payer policy coverage, multi-channel acquisition pathways, billing and coding, claims processing, reimbursement, and integration of manufactu

Job Description Join Platinum Resources Inc, a thriving company committed to delivering exceptional service to our valued clients. Located in the heart of Garden City, New York, we are seeking a Licensed Commercial Lines Insurance Broker to join our vibrant team. This on-site position requires an individual who is friendly, proactive, and dedicated to meeting our clients' unique insurance needs. As a trusted broker, you will be at the forefront of client interactions, providing expert advice and personalized service. We pride ourselves on creating a supportive and welcoming environment where your contributions are recognized and celebrated. If you are passionate about helping people and are ready to take on a dynamic role with new challenges, we would love to hear from you. Become a key player in a company that values integrity and professionalism. Apply today and embark on a rewarding career journey with Platinum Resources Inc. Benefits Annual Base Salary Based on Experience Career Growth Opportunities Work from Home Flexible Schedule Dental Insurance Vision Insurance Tuition Reimbursement Hands on Training Responsibilities • Client Interaction: Establish and maintain effective relationships with clients, ensuring a high level of customer satisfaction., • Policy Management: Assist clients with inquiries, policy changes, and claims processing in a timely and efficient manner., • Advisory Role: Provide expert guidance on personal or commercial insurance options best suited to meet clients' needs., • Sales Execution: Identify and capitalize on sales opportunities to increase insurance portfolio and cross-sell insurance products., • Documentation: Ensure all client interactions are recorded accurately in the CRM system, maintaining detailed and organized records., • Licensing: Must possess an active NY State Property & Casualty License., • Experience: Proven experience in personal or commercial lines insurance brokerage., • Communication Skills: Excellent verbal and written communication skills are essential., • Attention to Detail: Ability to meticulously review and manage policy information., • Problem Solving: Strong analytical skills to address client inquiries and resolve issues promptly., • Customer Service: Commitment to providing high-quality service and building strong client relationships., • Team Collaboration: Ability to work harmoniously within a team, contributing to a positive work environment., • Adaptability: Flexibility in working with diverse clientele and adjusting to changing insurance market trends.

Job Description Job Description: NICRIS Capital Co. is seeking a Licensed Customer Service Representative(CSR) to work in their Plainview office supporting an Insurance Agency affiliate. The CSR is an integral part of the daily agency operation and will be working with the Supervising Agent and Producers. In addition to core administrative functions the CSR will be expected to coordinate daily office functions, greet visiting clients and assist with prospect inquiries. Responsibilities: • Participate in the insurance sales process thorough cross selling, endorsement processing and telemarketing., • Address client needs and concerns via phone, email, mail, and social media., • Approach potential clients through traditional outreach efforts such as by organizing mailings or phone solicitation introducing the Agency and the sales team., • Assist policyholders to initiate or settle claims., • Contact customers to obtain and verify appointments., • Greet customers warmly and ascertain problem or reason for calling. · Multi lingual, ability to converse in Spanish ++ · NYS Licensed P&C or Personal Lines · Advanced computer skills for applications that focus around social media and business productivity tools(i.e. MS Excel, Word, Power Point) · Organized and detail oriented · Prior experience with Salesforce or other CRM systems · College Degree or in process of obtaining preferred For more information or to see if this is an opportunity for you please email HR at Nicriscapital dot com with a copy of your resume or visit . Company DescriptionNICRIS Capital Co. Inc, focuses on investing and developing businesses that serve local communities and where it can leverage its expertise in preparing businesses for aggressive growth and realignment. With a concentration on building from the ground up, the firm’s Principal also has over 3 decades in business management and financial services consulting. This unique skillset positions NICRIS Capital across a broad spectrum of opportunities that adapt to a wide array of both public and private companies including local businesses.NICRIS Capital Co. Inc, focuses on investing and developing businesses that serve local communities and where it can leverage its expertise in preparing businesses for aggressive growth and realignment. With a concentration on building from the ground up, the firm’s Principal also has over 3 decades in business management and financial services consulting. This unique skillset positions NICRIS Capital across a broad spectrum of opportunities that adapt to a wide array of both public and private companies including local businesses.

Job Description JOB TITLE: Sales Coordinator EMPLOYER: Sherwood Lumber Corporation DEPARTMENT: Sales REPORTS TO: Inside Specialty Manager EFFECTIVE DATE: 4/1/2023 SUMMARY: We are seeking a highly motivated Inside Sales Representative to join our team in the Exterior Building Division. The Inside Sales Representative will be responsible for order entry and associated tasks, Claims and Credits management, inventory management, and handling phone calls and customer service-related tasks. This position reports directly to the Inside Sales Manager (ISM). DUTIES AND RESPONSIBILITIES: • Order Entry and Associated Tasks:, • Accurately enter sales orders into the system with attention to detail and order specifications., • Coordinate with customers, suppliers, and internal departments to ensure timely order processing and delivery., • Address any order-related inquiries or issues promptly and professionally., • Generate and review order reports to ensure accuracy and completeness., • Claims and Credits Management:, • Assist customers with claims and credits processes, ensuring proper documentation and resolution., • Collaborate with the Claims and Credits department to investigate and resolve customer complaints or product issues., • Maintain accurate records of claims and credits transactions and communicate updates to relevant stakeholders., • Provide exceptional customer support throughout the claims and credits process., • Inventory Management:, • Monitor inventory levels and ensure product availability for timely order fulfillment., • Collaborate with the purchasing team to replenish inventory based on demand and sales forecasts., • Perform regular inventory counts and reconcile any discrepancies., • Coordinate with the warehouse team to ensure accurate tracking and organization of inventory., • Phone Handling and Customer Service:, • Answer incoming calls and provide professional and courteous assistance to customers., • Address customer inquiries, product information requests, and order status updates., • Resolve customer issues or redirect them to the appropriate department for further assistance., • Build and maintain positive relationships with customers to enhance satisfaction and promote repeat business., • Performs other related duties as assigned by management. SUPERVISORY RESPONSIBILITIES: • This job has no supervisory responsibilities. QUALIFICATIONS: • Bachelor's degree in business, finance, or a related field., • 1-2 years of experience in a sales or administrative role., • Excellent communication, organizational, and problem-solving skills., • Ability to multitask and prioritize tasks effectively., • Proficiency in Microsoft Office Suite and experience with CRM software., • Must be a self-starter and proactive., • Ability to multi-task in a fast-paced environment., • Ability to work closely with peers on team orientated goals., • Continually required to stand., • Continually required to walk., • Frequently required to sit., • While performing the duties of this job, the noise level in the work environment is usually moderate; loud., • The employee must occasionally lift and/or move up to 10 pounds. The above is intended to describe the general content of and requirements for the performance of this job. It is not to be construed as an exhaustive statement of duties, responsibilities or physical requirements. Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Job DescriptionGarden City, New York or Manhattan, New York Salary range: $50,000 - $65,000 The Reg E Intake Team Representative serves as the initial point of contact for CFPB Regulation E claims reporting within Apple Bank’s Claims Intake department and is responsible for guiding the client/caller through the claim process. The individual in this role will be responsible for being fully compliant with Reg E and its processes to successfully capture verbal claims and track all aspects of claim processing. The Representative provides support to both Apple Bank clients and internal staff regarding claim processing and card issuance/cancellations, as well as all aspects of the process. The incumbent also researches debit card transactions when necessary and provides excellent customer services while complying with regulations and established internal policies and procedures. ESSENTIAL DUTIES & RESPONSIBILITIES • Receive consumer ATM, ACH and debit card claims in accordance with the CFPB Regulation E requirements and internal Bank procedures., • Interface with clients by handling inquiries related to electronic payments., • Provide support to Bank clients and support personnel regarding claim processing and card issuance/cancellation., • Collaborate and assist in the investigation and processing of debit card, ATM fraud, and ATM shortage claims in full compliance with CFPB Regulation E requirements and internal Bank procedures., • Perform other duties as requested. SKILLS, EDUCATION & EXPERIENCE • High School diploma or GED required., • 2-4 years of banking experience, call center background helpful., • Familiarity with Reg E, the Visa system and Visa rules a plus but not required., • Thorough knowledge of Apple Bank policies, procedures, products and services., • Working knowledge of bank systems required with an emphasis on our core system and Excel., • Excellent communication skills (verbal + written); emphasis on phone skills and excellent customer service., • Able to work independently and show sound judgement in problem resolution and make decisions that comply with bank policies and procedures., • Time management skills required., • May include nights and weekends. Visa sponsorship not available. We are an equal opportunity employer and do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, disability, military and/or veteran status, or any other Federal or State legally-protected classes.

The Claims Processing Specialist will play a crucial role in the administration of the Statutory Claims department. The Claims Processing Specialist will collaborate with various business functions and contribute to the overall efficiency and effectiveness of the claims process. This position involv

Job Purpose The Clerical Biller is responsible for Workers Comp & No Fault EDI charge capture and claim submission. Duties and Responsibilities • Reviews referrals to ensure that all charges for each date of service have been captured, • Where appropriate, completes charge corrections into billing system based off office documentation, • Meets and maintains daily productivity and quality standards established in departmental policies, • Adheres to the policies and procedures established for the client/team, • Verify and ensure that the patients demographics are properly entered in the host system, correcting errors when necessary and verifying that proper authorizations are entered, • Perform special projects and other duties as needed, • Ability to analyze, identify and resolve issues which may be causing payer payment delays, • Act cooperatively and courteously with patients, visitors, co-workers, management and clients, • Maintain confidentiality at all times, • Maintain a professional attitude, • Other duties as assigned by the management team, • High school diploma or equivalent required, • Previous experience in Hospital/Facility or Physician billing: preferred, • Experience with EPIC preferred., • Basic knowledge of healthcare claims submissions and processing including: ICD-10, CPT, and HCPC codes, LCD guidelines, rejections, clearinghouse, as well as 1500 forms, • Knowledge of various types of insurance plans, CPT, ICD-10, billing guidelines, • Clerical or Administrative experience is preferred., • Ability to work well individually and in a team environment, • Strong communication skills/oral and written, • Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear., • Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress., • Work Environment: The noise level in the work environment is usually minimal. Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law. #CB

Job DescriptionNassau County law firm has an opportunity for a Human Resources Generalist responsible for all the daily human resources functions for the firm, including Payroll recruitment, compliance, employee relations, and benefits administration. Call Center experience supporting a commissioned sales force helpful.Responsibilities • Manage and process ADP Workforce Now HR and payroll for salaried and hourly employees, • Conduct recruitment and onboarding, • Ensure the organization's compliance with local, state and federal regulations, • Maintain and revise the company’s handbook on policies and procedures, • Communicate policies and procedures to the staff, • Respond to internal and external employee relations issues, • Manage and track all PTO leave for employees, • Implement and manage the annual company benefit review process, • Facilitate annual benefits open enrollment, • Enroll new hires & new participants in all benefit plans. Terminate employee benefit participation as necessary, • Perform 401(k) Plan administration including quarterly enrollment, bi-weekly contribution and loan repayment processing, approving loans and withdrawals and year-end plan compliance, • Review all monthly HR, Payroll and Health Insurance related invoices, • Manage and process FMLA, Paid Family Leave, Short Term Disability, and Workers Compensation., • Manage and process all unemployment claims, wage garnishments, mandated health insurance requests, employment and wage verifications, and employment record requests.Qualifications:, • Strong customer service mentality, • Two to three years of HR Generalist experience, • Two to three years ADP Workforce Now Payroll processing experience, • Two to three years of Recruiting experience, • Knowledge of a broad range of human resource strategies and practices, including compensation, performance management, safety, hiring and employee relations; able to apply these strategies and practices in compliance with employment regulations, • Must have Strong knowledge of Federal and NY employment laws and regulations, • Working knowledge, understanding, and practical application of employment laws and HR practices, • Ability to manage multiple projects simultaneously, • High degree of confidentiality, integrity and sound judgment., • Bachelors Degree

Job Description EPIC Physician Billing Analyst Hicksville, NY Must be a US Citizen or Green Card holder • System Configuration and Maintenance:, • Configure and customize the Epic Professional Billing application to meet the specific business needs and workflows of the organization., • Maintain the Resolute Professional Billing module to manage charges, benefit engines, and workflows with external collection agencies., • Perform ongoing maintenance and updates to Epic applications., • Build and test system changes, presenting them to end-users and migrating them to production., • Workflow Analysis and Optimization:, • Analyze existing financial workflows and identify opportunities for improvement and optimization., • Design and implement leading practice workflows to enhance efficiency and effectiveness., • Collaborate with various stakeholders, including IT, finance, and end-users, to ensure the Epic system aligns with business operations., • Support and Troubleshooting:, • Act as the primary support contact for Epic Professional Billing application end-users., • Provide support to end-users on the Epic EMR system, including integrating revenue cycle processes such as maintaining claim scrubbers and payment processors., • Troubleshoot system errors and resolve issues related to billing, claims, and reimbursement., • Provide on-call support on a rotating basis., • Training and Education:, • Participate in training and educate end-users on the Epic Professional Billing application and related workflows., • Develop and document internal procedures for using Epic and other applications., • Compliance and Updates:, • Stay current with Epic technologies, obtain and maintain necessary Epic certifications., • Ensure compliance with industry standards and regulations, such as transitioning between different claim formats (e.g., X12 4010 to 5010) and coding systems (e.g., ICD-9 to ICD-10)., • Education and Certification:, • Bachelors Degree, preferably in Computer Science, Information Technology, Computer Engineering, or a related field., • Certified in Epic Professional Billing., • Technical Skills:, • Expertise in Epic's Professional Billing module, including charge router, workqueue configuration, collection agency workflows, statement processing, benefit engine, and estimates., • Experience with system configuration and troubleshooting tools., • Proficiency with Microsoft Office Suite (Word, Project, Excel, Visio, and PowerPoint)., • Healthcare Industry Knowledge:, • Strong understanding of healthcare revenue cycle processes, medical billing codes, and insurance procedures., • Familiarity with the differences between professional billing and hospital billing., • Knowledge of medical coding systems like CPT and ICD-10., • Soft Skills:, • Strong interpersonal relationship skills and effective communication skills (both oral and written)., • Analytical thinking and problem-solving abilities., • Attention to detail and accuracy., • Self-motivated and a team player. Required Knowledge, Skills, and Abilities: (Companies ATS Questions): 1. Do you have a Bachelors Degree, preferably in Computer Science, Information Technology, Computer Engineering, or a related field., 2. Do you have Certified in Epic Professional Billing., 3. Do you have 3+ years of experience and expertise in Epic's Professional Billing module, including charge router, work queue configuration, collection agency workflows, statement processing, benefit engine, and estimates., 4. Do you have Experience with system configuration and troubleshooting tools., 5. Do you have Strong understanding of healthcare revenue cycle processes, medical billing codes, and insurance procedures., 6. Do you have Familiarity with the differences between professional billing and hospital billing., 7. Do you have Knowledge of medical coding systems like CPT and ICD-10., 8. Must be a US Citizen or Green Card holder.

Job Description Job Summary An Epic Physician Billing Analyst is responsible for the configuration, maintenance, and optimization of the Epic Professional Billing module within a healthcare organization. This role is vital for ensuring accurate patient billing, claims processing, and reimbursement for services provided by individual healthcare providers such as doctors and therapists. This position requires being onsite five days per week during training. After training, the role transitions to a hybrid schedule with Mondays, Tuesdays, and Fridays onsite in Hicksville or Garden City, NY. Responsibilities • Configure and customize the Epic Professional Billing application to meet business needs and workflows, • Maintain and support the Resolute Professional Billing module, including charges, benefit engines, and collection agency workflows, • Perform ongoing system maintenance, updates, and testing of system changes before migrating to production, • Analyze financial workflows and recommend process improvements to increase efficiency, • Collaborate with IT, finance, and operational stakeholders to align Epic workflows with business needs, • Serve as the primary support contact for Epic Professional Billing end-users, including troubleshooting billing and reimbursement issues, • Provide training, education, and procedural documentation for system users, • Bachelors Degree in Computer Science, Information Technology, Computer Engineering, or a related field, • Current certification in Epic Professional Billing, • Minimum 3 years of hands-on experience with Epic Professional Billing, including charge router, work queue configuration, collection agency workflows, statement processing, benefit engine, and estimates, • Proficiency with Microsoft Office Suite (Word, Project, Excel, Visio, PowerPoint), • Strong knowledge of healthcare revenue cycle processes, medical billing codes, and insurance procedures, • Familiarity with professional billing vs. hospital billing differences, • Knowledge of CPT and ICD-10 coding systems, • Excellent communication, analytical, and problem-solving skills, • Medical, Dental, and Vision (BCBS), • 401(k) retirement plan, • Flexible Spending Account (FSA), • Tuition reimbursement, • Paid time off, 9 paid holidays, and 12 sick days

Job Description Onsite Epic Billing Analyst to work in Hicksville, NY onsite. An Epic Billing Analyst is a healthcare IT professional specializing in the Epic electronic health record (EHR) system, focusing specifically on billing and revenue cycle functions. Must be Epic certified with experience with revenue cycle processes, clinical workflows, data analysis and training. Key responsibilities • System Configuration and Optimization: Configure and maintain Epic's Resolute Professional Billing or Hospital Billing module to manage charges, benefit engines, claims, and payment processors., • Workflow Analysis and Improvement: Analyze workflows, data collection, and report details to identify areas for improvement and implement application solutions., • Support and Troubleshooting: Act as a primary support contact for end-users, resolving application issues and providing technical assistance., • Implementation and Upgrades: Lead or participate in the implementation of new systems or features, support system upgrades, and ensure compliance with industry standards (e.g., ICD-10)., • Collaboration and Communication: Liaise between the IT department, billing office, finance, and other stakeholders to tailor systems to meet organizational needs., • Testing and Documentation: Design, build, test, and document system changes and workflows., • Reporting and Data Analysis: Develop and generate reports to extract and analyze healthcare data., • Training: Collaborate with trainers on application changes and new features to develop training materials and strategies., • Technical Expertise: Deep knowledge of Epic's Resolute Professional Billing or Hospital Billing modules, including charge router, work queue configuration, collection agency workflows, statement processing, and claims processing operations., • Analytical and Problem-Solving Skills: Ability to analyze complex issues, troubleshoot problems, identify root causes, and develop effective solutions., • Communication Skills: Excellent verbal and written communication skills to interact professionally with diverse stakeholders, including IT teams, clinicians, billing staff, and vendors., • Project Management Skills: Ability to lead meetings, prioritize tasks, resolve conflicts, maintain issue lists, and manage project plans., • Attention to Detail: Meticulous approach to documentation, system configuration, and data integrity., • Education: Bachelor's degree in Information Technology, Information Systems, Healthcare Informatics, or a related field is typically required. An Associate's degree with equivalent work experience may also be considered., • Experience: Minimum of 2-3 years of experience in supporting healthcare information systems, particularly in a hospital billing environment, is required. Experience with Epic or similar healthcare applications is beneficial., • Certification: Epic certification in relevant modules, such as Resolute Hospital Billing (HB) or Professional Billing (PB). Obtaining certification within a certain timeframe (e.g., six months of employment) may also be a requirement., • An Epic Billing Analyst position can be an entry point into various healthcare IT careers., • Experienced analysts can advance to roles like Epic Project Manager, Clinical Informatics Specialist, or even Chief Information Officer (CIO) positions.

Job DescriptionDescription of the role: South Shore Kia, a reputable automotive dealership in Copiague, New York, is seeking an experienced Automotive Biller to join our team. As an Automotive Biller, you will play a vital role in ensuring the accurate and efficient processing of automotive sales and service paperwork. The successful candidate will have a strong attention to detail, excellent organizational skills, and a solid understanding of automotive dealership operations. Responsibilities: • Process automotive sales and service paperwork with a high level of accuracy and efficiency, • Prepare and submit documentation for vehicle registrations, title transfers, and insurance claims, • Verify and reconcile deals, ensuring all necessary documents are complete and accurate, • Communicate with customers, vendors, and internal staff to resolve any billing-related issues or discrepancies, • Maintain organized records and files for all vehicle transactionsRequirements:, • Prior experience as an Automotive Biller or similar role within an automotive dealership is perferred, • Strong knowledge of automotive sales and service paperwork, • Proficiency in relevant software applications, such as dealership management systems, • Excellent attention to detail and organizational skills, • Ability to work independently and meet deadlines in a fast-paced environment, • Excellent communication and interpersonal skillsAvailable Benefits:, • Competitive compensation package ranging from $40,000 to $55,000 per year, • Health, dental, and vision insurance, • 401(k) retirement plan with company match, • Paid time off and holidays

Job Description Job Description: • An Epic Physician Billing Analyst (also known as an Epic Professional Billing Analyst) is responsible for the configuration, maintenance, and optimization of the Epic Professional Billing module within a healthcare organization., • System Configuration and Maintenance:, • Configure and customize the Epic Professional Billing application to meet the specific business needs and workflows of the organization., • Maintain the Resolute Professional Billing module to manage charges, benefit engines, and workflows with external collection agencies., • Perform ongoing maintenance and updates to Epic applications., • Build and test system changes, presenting them to end-users and migrating them to production., • Workflow Analysis and Optimization:, • Analyze existing financial workflows and identify opportunities for improvement and optimization., • Design and implement leading practice workflows to enhance efficiency and effectiveness., • Collaborate with various stakeholders, including IT, finance, and end-users, to ensure the Epic system aligns with business operations., • Support and Troubleshooting:, • Act as the primary support contact for Epic Professional Billing application end-users., • Provide support to end-users on the Epic EMR system, including integrating revenue cycle processes such as maintaining claim scrubbers and payment processors., • Troubleshoot system errors and resolve issues related to billing, claims, and reimbursement., • Provide on-call support on a rotating basis., • Training and Education:, • Participate in training and educate end-users on the Epic Professional Billing application and related workflows., • Develop and document internal procedures for using Epic and other applications., • Compliance and Updates:, • Stay current with Epic technologies, obtain and maintain necessary Epic certifications., • Ensure compliance with industry standards and regulations, such as transitioning between different claim formats (e.g., X12 4010 to 5010) and coding systems (e.g., ICD-9 to ICD-10)., • Education and Certification:, • Bachelors Degree, preferably in Computer Science, Information Technology, Computer Engineering, or a related field., • Certified in Epic Professional Billing., • Technical Skills:, • Expertise in Epic's Professional Billing module, including charge router, workqueue configuration, collection agency workflows, statement processing, benefit engine, and estimates., • Experience with system configuration and troubleshooting tools., • Proficiency with Microsoft Office Suite (Word, Project, Excel, Visio, and PowerPoint)., • Healthcare Industry Knowledge:, • Strong understanding of healthcare revenue cycle processes, medical billing codes, and insurance procedures., • Familiarity with the differences between professional billing and hospital billing., • Knowledge of medical coding systems like CPT and ICD-10., • Soft Skills:, • Strong interpersonal relationship skills and effective communication skills (both oral and written)., • Analytical thinking and problem-solving abilities., • Attention to detail and accuracy., • Self-motivated and a team player.

Job Description Are you an experienced Epic Professional Billing Analyst looking to make an impact in healthcare IT? We are seeking a skilled EPIC Physician Billing Analyst to join our team in Hicksville, NY (moving to Garden City, NY). In this role, you'll configure, maintain, and optimize the Epic Professional Billing (Resolute PB) module to ensure accurate billing, claims processing, and reimbursement for physician and provider services. This position requires 5 days onsite during training, then transitions to a hybrid schedule: Mondays, Tuesdays, and Fridays in-office. Key Responsibilities • Configure, customize, and maintain the Epic Professional Billing module (Resolute PB)., • Manage charges, benefit engines, workqueues, collection agency workflows, and statement processing., • Analyze and improve revenue cycle workflows to optimize efficiency and compliance., • Act as the primary Epic PB support contact for end-users, troubleshooting billing and claims issues., • Provide end-user training and education on Epic PB features and workflows., • Maintain compliance with Epic updates, coding standards (CPT, ICD-10), and claim formats (X12 4010 to 5010)., • Bachelor's Degree in Computer Science, IT, Computer Engineering, or related field., • Epic Professional Billing Certification required., • 3+ years of hands-on Epic PB experience including charge router, workqueue configuration, benefit engine, and estimates., • Strong knowledge of healthcare revenue cycle, medical billing codes, CPT, ICD-10, and insurance procedures., • Proficiency in system configuration and troubleshooting tools., • Excellent communication, problem-solving, and analytical skills., • Experience with both professional billing and hospital billing workflows., • Ability to collaborate with IT, finance, and clinical staff to improve billing processes., • Medical, Dental, and Vision Insurance (BCBS), • 401(k) Retirement Plan, • Flexible Spending Account (FSA), • Tuition Reimbursement Program, • Location: Hicksville, NY (transitioning to Garden City, NY), • Schedule: Onsite during training, then hybrid (3 days in office), • Interview Process: On-site interview with the President and the VP/CFO

Job Description Job Description: • An Epic Physician Billing Analyst (also known as an Epic Professional Billing Analyst) is responsible for the configuration, maintenance, and optimization of the Epic Professional Billing module within a healthcare organization., • This role is vital for ensuring accurate patient billing, claims processing, and reimbursement for services provided by individual healthcare providers, such as doctors or therapists. Key Responsibilities: • System Configuration and Maintenance:, • Configure and customize the Epic Professional Billing application to meet the specific business needs and workflows of the organization., • Maintain the Resolute Professional Billing module to manage charges, benefit engines, and workflows with external collection agencies., • Perform ongoing maintenance and updates to Epic applications., • Build and test system changes, presenting them to end-users and migrating them to production., • Workflow Analysis and Optimization:, • Analyze existing financial workflows and identify opportunities for improvement and optimization., • Design and implement leading practice workflows to enhance efficiency and effectiveness., • Collaborate with various stakeholders, including IT, finance, and end-users, to ensure the Epic system aligns with business operations., • Support and Troubleshooting:, • Act as the primary support contact for Epic Professional Billing application end-users., • Provide support to end-users on the Epic EMR system, including integrating revenue cycle processes such as maintaining claim scrubbers and payment processors., • Troubleshoot system errors and resolve issues related to billing, claims, and reimbursement., • Provide on-call support on a rotating basis., • Training and Education:, • Participate in training and educate end-users on the Epic Professional Billing application and related workflows., • Develop and document internal procedures for using Epic and other applications., • Compliance and Updates:, • Stay current with Epic technologies, obtain and maintain necessary Epic certifications., • Ensure compliance with industry standards and regulations, such as transitioning between different claim formats (e.g., X12 4010 to 5010) and coding systems (e.g., ICD-9 to ICD-10)., • Review and assess the impact of changes and enhancements with each new Epic release and make recommendations for the best course of action. Essential skills and qualifications: Skills: EPIC, Epic Physician Billing Analyst, Epic Professional Billing Analyst, Billing Analyst, Epic's Professional Billing Module, Charge Router, Workqueue Configuration, Collection Agency Workflows, Statement Processing, Benefit Engine, Estimates, Configuration, Troubleshooting, X12 4010 to 5010, ICD-9, ICD-10, CPT, Healthcare Revenue Cycle Processes, Medical Billing Codes, Insurance Procedures • Education and Certification:, • Bachelor’s Degree, preferably in Computer Science, Information Technology, Computer Engineering, or a related field., • Certified in Epic Professional Billing., • Technical Skills:, • Expertise in Epic's Professional Billing module, including charge router, workqueue configuration, collection agency workflows, statement processing, benefit engine, and estimates., • Experience with system configuration and troubleshooting tools., • Proficiency with Microsoft Office Suite (Word, Project, Excel, Visio, and PowerPoint)., • Healthcare Industry Knowledge:, • Strong understanding of healthcare revenue cycle processes, medical billing codes, and insurance procedures., • Familiarity with the differences between professional billing and hospital billing., • Knowledge of medical coding systems like CPT and ICD-10., • Soft Skills:, • Strong interpersonal relationship skills and effective communication skills (both oral and written)., • Analytical thinking and problem-solving abilities., • Attention to detail and accuracy. Powered by JazzHR AAunIkfnaB

Job DescriptionBenefits: • 401(k), • Dental insurance, • Health insurance, • Paid time off, • Tuition assistance, • Vision insurance, • An Epic Physician Billing Analyst (also known as an Epic Professional Billing Analyst) is responsible for the configuration, maintenance, and optimization of the Epic Professional Billing module within a healthcare organization., • System Configuration and Maintenance:, • Configure and customize the Epic Professional Billing application to meet the specific business needs and workflows of the organization., • Maintain the Resolute Professional Billing module to manage charges, benefit engines, and workflows with external collection agencies., • Perform ongoing maintenance and updates to Epic applications., • Build and test system changes, presenting them to end-users and migrating them to production., • Workflow Analysis and Optimization:, • Analyze existing financial workflows and identify opportunities for improvement and optimization., • Design and implement leading practice workflows to enhance efficiency and effectiveness., • Collaborate with various stakeholders, including IT, finance, and end-users, to ensure the Epic system aligns with business operations., • Support and Troubleshooting:, • Act as the primary support contact for Epic Professional Billing application end-users., • Provide support to end-users on the Epic EMR system, including integrating revenue cycle processes such as maintaining claim scrubbers and payment processors., • Troubleshoot system errors and resolve issues related to billing, claims, and reimbursement., • Provide on-call support on a rotating basis., • Training and Education:, • Participate in training and educate end-users on the Epic Professional Billing application and related workflows., • Develop and document internal procedures for using Epic and other applications., • Compliance and Updates:, • Stay current with Epic technologies, obtain and maintain necessary Epic certifications., • Ensure compliance with industry standards and regulations, such as transitioning between different claim formats (e.g., X12 4010 to 5010) and coding systems (e.g., ICD-9 to ICD-10)., • Education and Certification:, • Bachelors Degree, preferably in Computer Science, Information Technology, Computer Engineering, or a related field., • Certified in Epic Professional Billing., • Technical Skills:, • Expertise in Epic's Professional Billing module, including charge router, workqueue configuration, collection agency workflows, statement processing, benefit engine, and estimates., • Experience with system configuration and troubleshooting tools., • Proficiency with Microsoft Office Suite (Word, Project, Excel, Visio, and PowerPoint)., • Healthcare Industry Knowledge:, • Strong understanding of healthcare revenue cycle processes, medical billing codes, and insurance procedures., • Familiarity with the differences between professional billing and hospital billing., • Knowledge of medical coding systems like CPT and ICD-10., • Soft Skills:, • Strong interpersonal relationship skills and effective communication skills (both oral and written)., • Analytical thinking and problem-solving abilities., • Attention to detail and accuracy., • Self-motivated and a team player Flexible work from home options available.

Job Description ONSITE Epic Physician Billing Analyst needed to work for a rapidly growing medical company in Hicksville, NY. An Epic Physician Billing Analyst (also known as an Epic Professional Billing Analyst) is responsible for the configuration, maintenance, and optimization of the Epic Professional Billing module within a healthcare organization. This role is vital for ensuring accurate patient billing, claims processing, and reimbursement for services provided by individual healthcare providers, such as doctors or therapists. Qualified candidates will have Bachelor's degree, Epic Certification in Professional Billing, strong knowledge/experience with healthcare revenue cycle processes and training. THIS POSITION IS ONSITE 5 DAYS! Key responsibilities: • Configuration and Maintenance:, • Configure and customize the Epic Professional Billing application to meet the specific business needs and workflows of the organization., • Maintain the Resolute Professional Billing module to manage charges, benefit engines, and workflows with external collection agencies., • Perform ongoing maintenance and updates to Epic applications., • Build and test system changes, presenting them to end-users and migrating them to production., • Workflow Analysis and Optimization:, • Analyze existing financial workflows and identify opportunities for improvement and optimization., • Design and implement leading practice workflows to enhance efficiency and effectiveness., • Collaborate with various stakeholders, including IT, finance, and end-users, to ensure the Epic system aligns with business operations., • Support and Troubleshooting:, • Act as the primary support contact for Epic Professional Billing application end-users., • Provide support to end-users on the Epic EMR system, including integrating revenue cycle processes such as maintaining claim scrubbers and payment processors., • Troubleshoot system errors and resolve issues related to billing, claims, and reimbursement., • Provide on-call support on a rotating basis., • Training and Education:, • Participate in training and educate end-users on the Epic Professional Billing application and related workflows., • Develop and document internal procedures for using Epic and other applications., • Compliance and Updates:, • Stay current with Epic technologies, obtain and maintain necessary Epic certifications., • Ensure compliance with industry standards and regulations, such as transitioning between different claim formats (e.g., X12 4010 to 5010) and coding systems (e.g., ICD-9 to ICD-10)., • Education and Certification:, • Bachelor’s Degree, preferably in Computer Science, Information Technology, Computer Engineering, or a related field., • Certified in Epic Professional Billing., • Technical Skills:, • Expertise in Epic's Professional Billing module, including charge router, workqueue configuration, collection agency workflows, statement processing, benefit engine, and estimates., • Experience with system configuration and troubleshooting tools., • Proficiency with Microsoft Office Suite (Word, Project, Excel, Visio, and PowerPoint)., • Healthcare Industry Knowledge:, • Strong understanding of healthcare revenue cycle processes, medical billing codes, and insurance procedures., • Familiarity with the differences between professional billing and hospital billing., • Knowledge of medical coding systems like CPT and ICD-10., • Soft Skills:, • Strong interpersonal relationship skills and effective communication skills (both oral and written)., • Analytical thinking and problem-solving abilities., • Attention to detail and accuracy., • Self-motivated and a team player., • MUST WORK ONSITE

Job Description The Epic Physician Billing Analyst is responsible for configuring, maintaining, and optimizing the Epic Professional Billing module to ensure accurate patient billing, claims processing, and reimbursement. Key Responsibilities: * Configure and maintain Epic Professional Billing workflows, charge routers, and benefit engines. * Analyze and optimize revenue cycle workflows in collaboration with IT, finance, and clinical teams. * Provide end-user support, troubleshooting billing/claims issues, and maintaining claim scrubbers and payment processors. * Train and educate staff, develop documentation, and ensure compliance with billing standards and regulations. * Stay current with Epic updates, certifications, and industry changes in billing/coding systems. Qualifications: * Bachelor's degree in IT, Computer Science, or related field. * Epic Professional Billing Certification required. * Expertise in Epic billing configuration, workqueues, and collection workflows. * Strong knowledge of healthcare revenue cycle, medical billing codes, and insurance processes. * Excellent communication, analytical, and problem-solving skills.

Job Description Job Description: • An Epic Physician Billing Analyst (also known as an Epic Professional Billing Analyst) is responsible for the configuration, maintenance, and optimization of the Epic Professional Billing module within a healthcare organization., • This role is vital for ensuring accurate patient billing, claims processing, and reimbursement for services provided by individual healthcare providers, such as doctors or therapists. Key Responsibilities: • System Configuration and Maintenance:, • Configure and customize the Epic Professional Billing application to meet the specific business needs and workflows of the organization., • Maintain the Resolute Professional Billing module to manage charges, benefit engines, and workflows with external collection agencies., • Perform ongoing maintenance and updates to Epic applications., • Build and test system changes, presenting them to end-users and migrating them to production., • Workflow Analysis and Optimization:, • Analyze existing financial workflows and identify opportunities for improvement and optimization., • Design and implement leading practice workflows to enhance efficiency and effectiveness., • Collaborate with various stakeholders, including IT, finance, and end-users, to ensure the Epic system aligns with business operations., • Support and Troubleshooting:, • Act as the primary support contact for Epic Professional Billing application end-users., • Provide support to end-users on the Epic EMR system, including integrating revenue cycle processes such as maintaining claim scrubbers and payment processors., • Troubleshoot system errors and resolve issues related to billing, claims, and reimbursement., • Provide on-call support on a rotating basis., • Training and Education:, • Participate in training and educate end-users on the Epic Professional Billing application and related workflows., • Develop and document internal procedures for using Epic and other applications., • Compliance and Updates:, • Stay current with Epic technologies, obtain and maintain necessary Epic certifications., • Ensure compliance with industry standards and regulations, such as transitioning between different claim formats (e.g., X12 4010 to 5010) and coding systems (e.g., ICD-9 to ICD-10)., • Review and assess the impact of changes and enhancements with each new Epic release and make recommendations for the best course of action. Essential skills and qualifications: • Education and Certification:, • Bachelors Degree, preferably in Computer Science, Information Technology, Computer Engineering, or a related field., • Certified in Epic Professional Billing., • Technical Skills:, • Expertise in Epic's Professional Billing module, including charge router, workqueue configuration, collection agency workflows, statement processing, benefit engine, and estimates., • Experience with system configuration and troubleshooting tools., • Proficiency with Microsoft Office Suite (Word, Project, Excel, Visio, and PowerPoint)., • Healthcare Industry Knowledge:, • Strong understanding of healthcare revenue cycle processes, medical billing codes, and insurance procedures., • Familiarity with the differences between professional billing and hospital billing., • Knowledge of medical coding systems like CPT and ICD-10., • Soft Skills:, • Strong interpersonal relationship skills and effective communication skills (both oral and written)., • Analytical thinking and problem-solving abilities., • Attention to detail and accuracy., • Self-motivated and a team player., • Additional Information, • Highly prefer someone local to the Hicksville, Garden City NY area no relocation package and interview is in-person/onsite, • Benefits:, • Medical, Dental, Vision BCBS, • 401k, • FSA, • Tuition reimbursement, • PTO, 9 paid holidays, 12 sick days

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