Trabajos coding and billing en Harrison, New YorkCrear alertas

Job Description Job Summary Prior Authorization TeemaGroup Full-time In-Office | White Plains, NY, United States Overview: The Prior Authorization & Billing Specialist plays a critical role in ensuring timely access to mental health services by managing insurance authorizations, billing processes, and reimbursement workflows. This position serves as a key liaison between clinical teams, insurance payers, and patients, ensuring services are authorized, accurately billed, and compliant with regulatory and payer requirements. This role is ideal for a detail-oriented professional passionate about supporting behavioral health access through strong administrative and revenue cycle expertise. What you will be doing: Prior Authorization & Utilization Management Obtain and manage prior authorizations for outpatient and inpatient mental health services, including therapy, psychiatry, psychological testing, and intensive programs. Review clinical documentation to ensure medical necessity and payer compliance. Submit authorization requests to insurance companies via portals, phone, or electronic systems. Track authorization approvals, denials, expirations, and extensions; proactively follow up to prevent treatment delays. Communicate authorization status clearly with clinicians, scheduling staff, and leadership. Assist with peer-to-peer reviews and appeals when authorization is denied or partially approved. Billing & Revenue Cycle Support Submit accurate and timely claims for mental health services to commercial, Medicaid, and Medicare payers. Verify insurance eligibility, benefits, and coverage limitations prior to services. Review Explanation of Benefits (EOBs) and remittance advice for accuracy. Identify, research, and resolve claim denials, underpayments, and rejections. Post payments and adjustments accurately when applicable. Maintain compliance with CPT, ICD-10, and modifier guidelines specific to behavioral health billing. Administrative & Compliance Responsibilities Maintain accurate patient authorization and billing records within electronic health record (EHR) and billing systems. Ensure compliance with HIPAA, payer contracts, and internal policies. Collaborate with clinical, administrative, and finance teams to optimize workflows and reduce revenue leakage. Monitor payer requirements, policy changes, and authorization rules related to mental health services. Prepare reports related to authorization turnaround times, denial trends, and billing performance. Perform other related duties as assigned. What you must have: Education and Experience High school diploma or equivalent required; associate or bachelor’s degree in healthcare administration or related field preferred. Minimum of 2 years of experience in prior authorization, utilization review, medical billing, or revenue cycle operations. Experience in mental health or behavioral health services strongly preferred. Knowledge, Skills, and Abilities Strong understanding of prior authorization processes and insurance requirements. Knowledge of behavioral health billing practices, CPT and ICD-10 coding, and payer guidelines. Excellent attention to detail and organizational skills. Ability to manage multiple priorities in a fast-paced environment. Strong written and verbal communication skills, including professional interaction with payers and clinical staff. Ability to work independently while collaborating effectively with a team. Proficiency with EHR systems, billing software, and Microsoft Office applications.

Note : This is an educational program, not a job. Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market. Looking to start a rewarding career path in the healthcare industry? Use Dreambound to find a Medical Billing and Coding program that will prepare you for this high-demand, entry-level role. What does a Medical Billing and Coding Specialist do? A medical billing and coding specialist processes and codes healthcare claims to ensure accurate billing and insurance reimbursement, supporting the financial operations of healthcare facilities. Highlights : • Complete in as short as a few weeks to a few months, • Online and in-person options available, • Payment plans and financial aid may be available for those who qualify Cost : This program is an educational opportunity that requires a financial investment. Cost varies per partner school, but payment plans and / or financial aid may be available to those who qualify. Take the first step towards your new career path today!

Reports To: VP of Finance and Operations Location: Saint Vincent's Westchester Hospital in Harrison, NY Position Summary: The Director of Patient Financial Services Behavioral Health is responsible for the strategic leadership and operational oversight of all patient financial services functions within the behavior health campus of the main hospital. This includes billing, collections, insurance verification, OMH, OASAS, DOH, financial counseling, and revenue cycle optimization. The role ensures compliance with regulatory requirements while maximizing reimbursement and enhancing the patient financial experience. Key Responsibilities: Leadership & Strategy • Provide direction and leadership for all Patient Financial Services (PFS) operations., • Develop and execute strategies to optimize revenue cycle performance and cash flow., • Collaborate with executive leadership on financial planning and organizational goals., • Foster a culture of accountability, continuous improvement, and patient-centered service. Revenue Cycle Management • Oversee end-to-end revenue cycle processes, including:, • Patient registration and insurance verification, • Charge capture and coding coordination, • Billing and claims submission, • Denials management and appeals, • Collections and payment posting, • Monitor key performance indicators (KPIs) such as days in A/R, denial rates, and collection ratios., • Implement best practices to improve efficiency and reduce revenue leakage. Compliance & Regulatory Oversight • Ensure compliance with federal, state, and local regulations, including Medicare/Medicaid guidelines and payer contracts., • Strong Knowledge of OMH, OASAS and DOH guidelines for billing (REQUIRED), • Oversee internal and external audits related to billing and collections Patient Financial Experience • Enhance patient satisfaction by improving transparency, communication, and financial counseling services., • Ensure clear billing practices and accessible financial assistance programs., • Address patient concerns and resolve escalated billing issues. Team Management & Development • Lead, mentor, and develop PFS supervisors and staff., • Establish performance expectations and conduct regular evaluations., • Promote training and professional development initiatives. Technology & Process Improvement • Evaluate and implement revenue cycle technologies and automation tools., • Partner with IT and clinical departments to improve system integration and workflows., • Drive process improvement initiatives using data analytics and benchmarking. QUALIFICATIONS: Education • Bachelor’s degree in Healthcare Administration, Business Administration, Finance, or related field (required), • Master’s degree (MBA, MHA, or related) preferred Experience • 7–10+ years of progressive experience in healthcare revenue cycle or patient financial services, • 3–5+ years in a leadership or director-level role, • Strong Microsoft Excel Skills a Must, • Experience in hospital/health system setting required, • Proficiency with hospital Netsmart and Oracle/ Cerner billing systems, EHR platforms Skills & Competencies • Deep knowledge of revenue cycle operations and payer systems, • Strong analytical and financial management skills, • Expertise in regulatory compliance and healthcare billing practices related to behavioral health guidelines, • Excellent leadership, communication, and interpersonal skills, • Ability to drive change and lead cross-functional initiative Salary Range: $160,000 - $175,000 Full Benefits

Job Description Job Title: Sr. Credentialing Lead Reports to: National Billing Manager Supervises: Credentialing Team Position Summary: The Sr. Credentialing Lead is accountable for the end to end performance, output, and compliance of the credentialing department. This role drives KPI attainment, enforces operational discipline, manages team productivity, and ensures all credentialing pipelines move efficiently from intake through approval. This is a results driven leadership role measured by turnaround times, accuracy, client satisfaction, and adherence to regulatory and internal standards. Key Performance Areas & Key Performance Indicators: Credentialing Operations Management: (30%) • Own and drive all credentialing workflows across clients and payers, • Oversee full lifecycle from intake through approval, • Enforce standardized workflows across all specialists, • Identify bottlenecks and implement process improvements, • Ensure payer specific requirements are met on first submission Data Integrity, Compliance & Credentialing Systems: (10%) • Oversee completion of all EFT, ERA, and EDI enrollments, • Track enrollment status from submission through approval, • Ensure alignment with billing systems and clearinghouse requirements, • Troubleshoot enrollment issues and payer discrepancies, • Maintain accurate records of confirmations and effective dates, • Partner with billing and revenue cycle teams to prevent delays, • Implement tracking systems to eliminate revenue impact from enrollment gaps Team Performance & Productivity Management: (25%) • Manage team output and accountability, • Conduct monthly audits across team members and clients, • Assign and rebalance workloads based on priorities, • Enforce accountability through corrective action plans, • Lead daily and weekly production meetings, • Train, mentor, and develop team members Client Delivery & Satisfaction: (20%) • Ensure consistent service delivery across all accounts, • Lead or oversee client communications, • Provide weekly status reports with actionable insights, • Manage escalations and resolve issues proactively, • Align credentialing timelines with client expectations, • Maintain accurate documentation in Monday.com Communication & SLA Enforcement: (15%) • Maintain strict internal and external communication standards, • Ensure real time documentation of all updates and actions, • Collaborate with billing, coding, and onboarding teams, • Enforce structured communication protocols across the department Minimum Qualifications Education: • Associates Degree required, • Bachelor’s Degree in Healthcare Administration, Business Administration, or related field preferred, • CPCS certification preferred Experience: • Minimum 4+ years in credentialing operations, • 3+ years in leadership or management role, • Experience managing multi client credentialing portfolios, • Strong knowledge of CAQH, NPPES, PECOS, and payer enrollment processes, • Understanding of multi state credentialing requirements, • Strong attention to detail and organizational skills, • Excellent communication and interpersonal skills Competencies Operations Knowledge – Thoroughly understands the operational procedures for his/her position and how they affect or relate to other departments in the company. Serves as an expert for others. Strategic Execution – Capable of translating concepts into detailed plans and managing timelines with discipline and focus. Compliance Knowledge – Extensive understanding of general and department-specific regulations. Serves as a compliance resource for the team. Organization – Maintains control of multiple priorities, builds systems that eliminate scheduling conflicts, and supports seamless daily flow. Teamwork – Able to build morale and group commitments to goals and objectives; Balances team and individual responsibilities; Exhibits objectivity and openness to others’ views; Gives and welcomes feedback; Contributes to building a positive team spirit; Puts success of team above own interests; Supports everyone’s efforts to succeed. Computer Skills – Demonstrates a solid understanding of the technology utilized in his/her position. Consistently looks for ways to use technology to create efficiencies. Able to troubleshoot minor problems. May serve as an expert to others. Physical Requirements The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Physical Strength - Employee must be able to stand and/ or sit for periods of time while waiting on customers. Employee may be required to walk, reach, lift, carry and bend. This job also requires the ability to lift and/or move up to 15 lbs. Occasionally, may need to lift more than 15 lbs. Finger Dexterity - Employee will have to use fingers to make small movements, such as typing, picking up small objects, or pinching fingers together. Talking – The ability to convey information accurately by speaking to customers and other employees. Hearing - Able to hear average or normal conversations and receive ordinary information. Visual Abilities – Specific vision abilities used by the job are close vision, distance vision, peripheral vision, depth perception and ability to adjust focus. Employer reserves the right to change this job description at any time, should business needs arise.

Property Management Assistant | Commercial Office Campus We are seeking a motivated and detail-oriented Property Management Assistant to support the daily operations of a large, multi-building commercial office campus. This is an exciting opportunity to join a dynamic and sophisticated commercial real estate owner/operator. The role offers strong growth potential within a fast-paced commercial real estate environment. What you’ll do: • Serve as the first point of contact for tenant requests via phone, email, and in-person inquiries, • Log, track, and dispatch work orders to the maintenance team using the property management system, • Provide general administrative and office support, including maintaining records, contact lists, filing, ordering supplies, and coordinating mailings, • Assist with property management functions such as tenant move-ins/move-outs, tenant communications, and building events, • Support tenant billing processes, including work order tracking and vendor meter readings for chargebacks, • Support Accounts Receivable functions including delinquency tracking, tenant follow-up, deposit processing, and rent statements, • Assist Accounts Payable by reviewing, coding, and processing invoices with proper documentation, • Support insurance claims tracking and documentation collection, • Perform additional administrative and operational duties as assigned Who You Are: • Bachelor’s degree in a related field or equivalent experience/training required, • 2+ years of commercial property management or related experience, • Strong understanding of leases, lease terms, and critical dates preferred, • Proficiency in Microsoft Office Suite (Excel, Word, Outlook) required, • Experience with MRI or Appfolio software preferred, • Excellent organizational, communication, and customer service skills Salary: $60,0000 - $75,000 base salary + benefits & annual bonus. The above salary range represents Advice's good faith and reasonable estimate of the possible base compensation range at the time of posting and is not reflective of the total compensation package, which may also include benefits, equity and other non-cash incentives. Please send your resume for immediate consideration to: nlipari@adviceny.com If this particular role isn’t the ideal fit, please feel free to forward your resume to the email above to explore other available opportunities. Please also feel free to share this posting with anyone in your network who might be open to learning more. Referrals are always appreciated! Advice Personnel Celebrating 40 years as New York’s trusted boutique executive recruiting & staffing firm

Job Description Determine initial eligibility and benefits for applicant · Determine if any pre-authorization or pre-certification is required under their benefit plan for the SUD related services · Enter authorization tracking received from Chief Clinical & Health Officer in Insync. · For insured patients, Billing Specialist will perform a pre-service eligibility & benefits review including a determination of pre-authorization needs and/or admission notification requirements as applicable prior their 1st appointment. o Will prepare a Financial Agreement for the patient and distribute the agreement to the front desk staff for signature at check-in for their 1st appt. o Will notify the Chief Clinical & Health Officer of any required pre-auth or admission notice prior to the 1st appointment date and will facilitate informing and assisting the clinician with the pre-auth or admit notice process. · Meet in person prior to the first Assessment appointment for financial counseling when after pre-screening the patient that may be eligible for a nominal fee (uninsured-undocumented) or a sliding scale (uninsured-underinsured) agreement. · Review on a daily basis the batch eligibility reports generated in Insync 3-4 business days before their schedule appointment and contact any client that is found to be ineligible at that time so-as-to-be able to: o Obtain new insurance information and perform eligibility/benefit check or; o To facilitate enough time for the client to recertify their Medicaid benefits prior to the date of the scheduled service or Pay out of pocket for the services until recertification application proof has been supplied. o Review Date of Service eligibility report and notify front desk of any clients that are found to be ineligible on their date of service prior to their appointment time. o Perform the review of charges generated by the providers daily to ensure correct coding o Reach out to providers with any questions regarding their coding of services Monitor services date to charges reporting to ensure all services rendered have been submitted for billing within 48 hrs. of service date (business days) Monitor the Millin issue tracker daily and respond and correct information for claims that have been denied · Monitor outstanding AR reporting for unpaid claims, incorrectly paid claims, incorrect balances and rebill/resubmit claims coordinating as appropriate coordinating with the Millin account representative · Generate the appropriate monthly AR reports (to be defined) for management staff · Assist the front desk and clinical staff with any questions they may have related to billing, payment and eligibility as appropriate · Act as resource and mentors all staff and management on billing, coding and related questions that arise. · Assist Chief Clinical & Health Officer regarding any clinical or office related matters that she may request. · Management of the Assessment Tracker to monitor no shows, cancelations and rescheduling of assessments. Company DescriptionWe provide full-service Healthcare Recruitment solutions. We identify, attract, engage, and connect the best possible talent with quality healthcare professionals. We build teams, provide executive recruitment solutions and discover high-performance candidates on behalf of our client partners. Our strength lies in our proven recruitment strategies, leadership in the larger healthcare community (regional and national), and networking.We provide full-service Healthcare Recruitment solutions. We identify, attract, engage, and connect the best possible talent with quality healthcare professionals. We build teams, provide executive recruitment solutions and discover high-performance candidates on behalf of our client partners. Our strength lies in our proven recruitment strategies, leadership in the larger healthcare community (regional and national), and networking.

Job Description Business Analyst Job Description Start Date: Summer 2026 About The Leffell School The Leffell School is a cutting-edge K–12 Jewish independent school serving more than 850 students on two campuses in Westchester County, NY—just 30 minutes north of New York City. We are seeking a detail-oriented and tech-savvy Business Analyst to join our Business Office & HR Team beginning Summer 2026. This is a 100% in-person non-exempt role supporting the school’s daily financial operations. POSITION SUMMARY The Leffell School’s Business Office is seeking a tech-savvy, data-driven professional to join our team as the Business Analyst. This new, entry-level role is perfect for someone who loves analyzing data to tell a story, mastering software tools, and utilizing technology to streamline processes. Reporting to the CFO with a dotted line to the HR Partner, you will be the go-to person for making sure our financial and operational systems run smoothly, while translating raw data into clear information that helps school leadership make smart business decisions. Because you will interact regularly with our teachers and staff, you need to balance your analytical skills with a supportive and welcoming demeanor. CORE RESPONSIBILITIES Payroll Specialist: Own the full payroll lifecycle including managing employee profiles, updating accounts, overseeing withholdings, ensuring profiles remain compliant with local and federal law, and, most importantly, processing each payroll run. ADP Administrator: Act as the main point of contact and administrator for ADP Workforce Now, leading the charge on optimization and utilization of the tool. Benefits Tracking: Maintain our master control document to make sure employee benefits align perfectly with payroll deductions and accounting records, working closely with HR to catch and fix any discrepancies. Full-Cycle Accounts Payable: Take complete ownership of our AP process using Bill.com, handling everything from entering and coding vendor invoices to routing them for approval and processing final payments. Business Analytics: Act as the central point of contact for school-wide data. You will pull, organize, and package information into clear reports that help leadership make informed financial and operational decisions. Employee Customer Support: Serve as a friendly, reliable resource for our faculty and staff, answering their questions and problem solving with care and patience. Strategic Vendor Liaison: Serve as the primary, trusted point of contact for all school vendors and partners; proactively research, troubleshoot, and resolve complex billing discrepancies or payment inquiries with external stakeholders while maintaining strong institutional relationships. REQUIRED QUALIFICATIONS & SKILLS Bachelor’s degree in Business, Finance, Data Analytics, or related field is strongly preferred or 0–2 years of relevant experience; great internships count Proficiency in Microsoft Excel and Google Sheets with strong working knowledge of logical formulas and pivot tables Detail-oriented and organized Self-motivated and ability to take initiative Problem solver Strong people skills Ability to learn and own software tools and have comfort with functioning in a digital-first environment Bonus: familiarity or prior experience with ADP, Bill.com, Blackbaud FE NXT and Sage Intacct Bonus: knowledge and experience working in a nonprofit and/or an educational setting Compensation and Benefits: • Pay Range: $65,000 to $70,000, commensurate with experience to be paid at an hourly rate., • Benefits: Medical, Dental, Vision, 403b, Paid Vacation, Personal/Sick Days and Holidays. In addition, you will have the option to enroll in voluntary benefits like short-term disability and long-term disability.

Job DescriptionBenefits: • 401(k), • Competitive salary Medical Billing HOME HEALTHCARE Specialist /Office Personnel KLS Healthcare KLS Healthcare is seeking an experienced and detail-oriented Medical Billing Specialist to join our growing team of home care professionals. 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 staff duties. Key Responsibilities • Accurately enter charges, payments, and adjustments into the billing system and review batches for accuracy, • Verify patient demographics, insurance coverage, coding, and payment allowances, • Prepare and submit claims and correspondence to insurance carriers and patients for reimbursement, • Respond to telephone inquiries, audits, and written correspondence related to accounts receivable, • Establish payment arrangements with patients as needed, • Maintain organized billing files and documentation, • Track and maintain daily, weekly, and monthly fee collection records, • Perform other office-related duties as assigned Qualifications • Prior experience with third-party insurance billing required, • Strong attention to detail and organizational skills Ability to manage multiple tasks in a fast-paced healthcare environment • Excellent communication and customer service skills, • Knows Medical Billing Codes Compensation Additional Salary Information: The salary range and/or hourly rate listed reflects a good-faith estimate of potential base compensation at the time of posting and may be adjusted in the future. Compensation is determined based on factors such as location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget, and internal equity.

Minimum of 3 years billing experience, coding experience preferred. Ability to work independently, as well as part of a team, and follow-through and handle multiple tasks simultaneously. Ability to perform computer work for extensive periods of time.

Job DescriptionJob Title: Patient Account Representative (Long-Term Temporary) Location: On-site Schedule: 8am-4:30pm/8:30am-5:00pm (Monday-Friday)Pay Rate: $22-24/hr DOE About the Role: We are seeking a detail-oriented Patient Account Representative to join our client's healthcare team on a long-term temporary basis. In this role, you will be responsible for managing patient accounts, processing medical billing, and ensuring accurate insurance claim submissions while providing excellent customer service to our patients.Key Responsibilities: • Process and submit medical insurance claims while ensuring compliance with billing guidelines and regulations, • Verify patient insurance eligibility and benefits, • Review and resolve denied claims through appropriate follow-up and appeals processes, • Communicate with patients regarding their account status, payment options, and insurance-related questions, • Maintain accurate patient records and documentation in the medical billing system, • Collaborate with healthcare providers and insurance companies to resolve billing discrepancies, • Monitor accounts receivable and assist in collections processes, • Generate and analyze billing reports as neededQualifications: Required:, • High school diploma or equivalent, • Either: • Minimum of 1 year medical billing experience • Recent graduation with certification in Medical Billing and Coding, • Strong understanding of medical terminology and insurance billing procedures, • Proficiency in medical billing software and Microsoft Office applications, • Excellent attention to detail and organizational skills, • Strong verbal and written communication abilities, • Ability to maintain patient confidentiality and comply with HIPAA regulationsPreferred:, • Associate's degree in Healthcare Administration or related field, • Experience with electronic health record (EHR) systems, • Knowledge of ICD-10 and CPT coding, • Prior experience in a healthcare setting