Trabajos coding and billing en Plainview, New YorkCrear alertas

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

Job Description Billings Analyst Melville, NY | Onsite Job Overview: We are seeking an Accounts Receivable Analyst to manage the issuance of customer invoices with accuracy, timeliness, and consistency. This role is crucial for maintaining the integrity of our accounts receivable ledger and ensuring that financial commitments are met promptly while fostering strong customer relationships. Key Responsibilities: • Accurately process customer invoices, ensuring proper coding, billing terms, and tax calculations., • Prepare and execute billing runs, conducting analysis to verify accuracy., • Maintain and reconcile the accounts receivable ledger, assisting with month-end closing activities., • Address customer inquiries and concerns, collaborating with other departments to resolve any issues., • Keep customer files and documentation organized and compliant with company policies., • Contribute to the development and implementation of improved procedures for the accounts receivable cycle., • Provide necessary documentation for audits and assist with ad hoc financial analysis as needed. Qualifications: • Bachelor’s degree in Accounting, Finance, or a related field., • 1 to 3 years of experience in accounts receivable or general accounting., • Proficient in billing and accounting software., • Strong numerical skills and keen attention to detail., • Excellent organizational, time management, and problem-solving abilities., • Ability to work independently as well as collaboratively within a team.

Job Description PRIOR AUTHORIZATION SPECIALIST WHO WE’RE LOOKING FOR Spectrum Vision Partners (“SVP”) and OCLI Vision (“OCLI”) work together to provide world class eye care to our patients to improve lives. SVP, the management services team, supports OCLI vision, one of the largest multi-specialty ophthalmology networks in the U.S. Our unique model and collaborative culture differentiate us in the marketplace and in our service to our patients. We build our culture one hire at a time, and we focus on building great teams and keeping our employees happy. We promote from within and offer fantastic benefits and PTO! THE OPPORTUNITY AT HAND We’re looking for an enthusiastic and detail-oriented person to join our team as a Prior Authorization Specialist. Our Prior Authorization Specialist is responsible for accurately identifying retinal injectable patients. This includes counseling and registering patients, confirming patient eligibility, and obtaining pre-authorizations for upcoming retinal injection appointments. You’ll play a vital role in the patients’ experience with OCLI. OUR EXPECTATIONS OF YOU • Review appointments to confirm that correct injections are booked in appropriate timeframe., • Follow up on status of patient copay assistance., • Confirm the results of Benefits Investigation (BI) and entering pertinent information into patient chart., • Confirming status of patient eligibility and approval for copayment assistance., • Maintain proper inventory., • Assist with tracking patients who have been approved and have copayment assistance cards and applying funds to charges within PM system., • Other duties may be assigned as needed. WHAT YOU'LL NEED TO SUCCEED • You have a High school diploma or equivalent, • You have a minimum of Two years experience in medical office; billing and collections experience preferred, • Ophthalmic Coding Specialist certification is a plus, • You have excellent communication and follow up skills, • You're organized, detail oriented and can easily multi-task, • You have an understanding of Medical billing, coding, and insurances, • You're a team player WHO WE ARE Our globally recognized healthcare team is comprised of some of the top minds in ocular medicine. Our senior management team has a combined 200 years of eye industry experience collaborating with some of the most recognized practices in the nation. While our providers have the expertise to diagnose and treat complex ocular, oculoplastic, and retinal conditions, we’re also uniquely qualified to provide care for our patients from childhood though adulthood. We build relationships with our patients that last a lifetime. With nearly 1,400 employees, we support over 50 clinic locations, five state-licensed ambulatory surgery centers, and over 110 surgeons, doctors, and other medical professionals. Our brands include OCLI Vision, Island Eye Surgi-center, New Vision Cataract Center, AIO, and others. At Spectrum Vision Partners we know that cultivating diversity and fostering an inclusive work environment is critical to our impact and success. We create an environment where no individual is advantaged or disadvantaged because of their background. We offer equal opportunity employment regardless of race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability status, age, marital status, or protected veteran status. With a commitment to maintaining a bias-free environment in which harassment is prohibited, we respect cultural diversity and comply with the laws of the places in which we operate. We expect our business partners, suppliers, clients, and all of our team members to uphold these commitments.

Job Description We are seeking a Medical Credentialer to join our team! You will work alongside other medical professionals to provide exceptional care to providers. We are looking for a qualified Medical Credentialing expert, or will train reliable hard worker with below attributes, to oversee all credentialing Daily. Must be extremely detail oriented and organized. Able to identify problems within the past credentialing documents and resolve them. Must be able work in a fast paced environment and be able to multitask. Must have a strong, pleasant telephone personality for heavy contact with clients and insurance companies. Our office is in Syosset. Qualifications: • Previous experience in medical credentialing, • Ability to build rapport with client and insurance reps., • Excellent written and verbal communication skills, • Ability to thrive in fast-paced environment., • Familiarity with Excel Company DescriptionP.M. Medical Billing Corp has been provided full service ophthalmology billing to providers for over 20 years. Our staff consists of certified ophthalmology technicians as well as certified ophthalmology coders for optimum ophthalmological knowledge. We have brought to our clients dramatically increase revenue and low denial rates. We provide: Full service billing to ophthalmologists Primary insurance billing Secondary insurance billing Tertiary insurance billing Certified ophthalmology technicians Certified ophthalmology coders Old A/R collections and clean up Correct coding Timely follow up Forensic billing Guidelines for insurance companies and specialtiesP.M. Medical Billing Corp has been provided full service ophthalmology billing to providers for over 20 years. Our staff consists of certified ophthalmology technicians as well as certified ophthalmology coders for optimum ophthalmological knowledge. We have brought to our clients dramatically increase revenue and low denial rates.\r\n\r\nWe provide:\r\n\r\nFull service billing to ophthalmologists\r\nPrimary insurance billing\r\nSecondary insurance billing\r\nTertiary insurance billing\r\nCertified ophthalmology technicians\r\nCertified ophthalmology coders\r\nOld A/R collections and clean up\r\nCorrect coding\r\nTimely follow up\r\nForensic billing\r\nGuidelines for insurance companies and specialties

Job Description WHO WE’RE LOOKING FOR Spectrum Vision Partners (“SVP”) and OCLI Vision (“OCLI”) work together to provide world class eye care to our patients to improve lives. SVP, the management services team, supports OCLI vision, one of the largest multi-specialty ophthalmology networks in the U.S. Our unique model and collaborative culture differentiate us in the marketplace and in our service to our patients. We build our culture one hire at a time. We want to build a great team that helps us focus on delivering exceptional eye care: the kind of team people want to be a part of, and the kind of team our patients can’t live without. We want to learn more about you and the kind of team culture you can help us create. We’re interested in your relevant skills and what you can do. We’re even more interested in your positive attitude and flexible mindset! THE OPPORTUNITY AT HAND The Manager, Compliance Audit oversees, monitors, audits and conducts education activity for clinical services related to billing activity across the enterprise in accordance with the Compliance Program. You’ll ensure accurate and complete documentation, real-time monitoring, regulatory based education, and corrective action plans. You’ll ensure ongoing compliance with federal and state regulations and provide guidance and tools to assist departments in developing monitoring programs. You’ll serve as a front-line resource to our clinics and be their role model for ethical behavior and will promote an awareness and understanding of the corporate compliance program. OUR EXPECTATIONS OF YOU Identify trends in revenue cycle activities, including payments, denials, billing, coding and/or documentation errors and recommend action plans to address deficiencies Conduct prospective and retrospective compliance documentation audits. Designs tools and methodologies for conducting audits. Tracks and trend result of audits. Track and analyze physician coding patterns and documentation. Prepares and presents reports on audit results, and maintains adequate documentation related to such and maintains integrity of the documentation whether in paper or electronic format Prepare written reports summarizing billing compliance investigations/inquiries, for review, and approval Develop, prepare and present reports related to billing trends, corrective actions, and compliance metrics Perform routine and special compliance audit and monitoring as deemed necessary, including but not limited to, the management sanction/exclusion screening, OMIG, CMS, and OIG compliance, and payer compliance Participate in the development and implementation of the annual compliance risk assessment and work plan as it relates to coding, billing, documentation initiatives Manage Specialist, Billing Compliance Audit Reviews the implementation of corrective action plans. Identifies trends in billing, coding and documentation errors and recommends corrective action plans. Monitors implementation and effectiveness of corrective action plans Develops compliance policies and procedures related to billing, workflows and training materials, and orients and trains employees and providers on such Stays abreast of industry developments pertaining to billing compliance, including OIG, OMIG, CMS WHAT YOU’LL NEED TO SUCCEED Bachelor's Degree or equivalent combination of education and related experience (10 years) Must have 5+ years of experience in medical coding and 3+ years of auditing experience Must have at least 2 years of experience in compliance department Must have at least 2+ years of experience managing staff Must be detail oriented and skilled at Microsoft Office Suite of products Ability to prioritize and plan work independently with strong project management skills Knowledge of Fraud Waste and Abuse Laws Proficiency in auditing providers and auditors and conducting education feedback sessions. Proficiency in identifying regulatory source for documentation guidance. Must be analytical, trustworthy, and be a strong team player Certified Professional Coder Certificate (CPC) required Certifications in healthcare compliance and/or health care privacy, preferred WHO WE ARE Our globally recognized healthcare team is comprised of some of the top minds in ocular medicine. Our senior management team has a combined 200 years of eye industry experience collaborating with some of the most recognized practices in the nation. While our providers have the expertise to diagnose and treat complex ocular, oculoplastic, and retinal conditions, we’re also uniquely qualified to provide care for our patients from childhood though adulthood. We build relationships with our patients that last a lifetime With nearly 1,400 employees, we support over 50 clinic locations, five state-licensed ambulatory surgery centers, and over 110 surgeons, doctors, and other medical professionals. Our brands include OCLI Vision, Island Eye Surgi-center, New Vision Cataract Center, AIO, and others. At Spectrum Vision Partners we know that cultivating diversity and fostering an inclusive work environment is critical to our impact and success. We create an environment where no individual is advantaged or disadvantaged because of their background. We offer equal opportunity employment regardless of race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability status, age, marital status, or protected veteran status. With a commitment to maintaining a bias-free environment in which harassment is prohibited, we respect cultural diversity and comply with the laws of the places in which we operate. We expect our business partners, suppliers, clients, and all of our team members to uphold these commitments.

Ensure compliance with healthcare billing and coding standards.

Job Description WHO WE’RE LOOKING FOR Spectrum Vision Partners (“SVP”) and OCLI Vision (“OCLI”) work together to provide world class eye care to our patients to improve lives. SVP, the management services team, supports OCLI vision, one of the largest multi-specialty ophthalmology networks in the U.S. Our unique model and collaborative culture differentiate us in the marketplace and in our service to our patients. We build our culture one hire at a time, and we focus on building great teams and keeping our employees happy. We promote from within and offer fantastic medical, dental and vision benefits and have a generous PTO and 401k match! We want to learn more about you and the kind of team culture you can help us create. We’re interested in your relevant skills and what you can do. We’re even more interested in your positive attitude and flexible mindset! THE OPPORTUNITY AT HAND We are seeking a detail-oriented and passionate Clinical Trainer to join our team. You will be responsible for developing and delivering comprehensive training programs on computer systems, including but not limited to NextGen, Clearwave, Rivet and 4PC. The trainer will ensure that Medical Receptionist and Surgical Coordination staff are proficient in using these systems to optimize billing, coding, patient check-in, and overall revenue cycle processes to deliver outstanding customer service to our patients. OUR EXPECTATIONS OF YOU • You will educate staff on industry best practices to optimize performance and customer service, • You will train staff on standard processes and protocols to ensure consistency and compliance, • You will develop and teach efficient workflows tailored to ophthalmic practices, • You will ensure all training materials are up to date with the latest system updates and healthcare regulations, • Train staff on billing documentation and best practices, • Conduct comprehensive training sessions and offer post training support to staff, • Provide comprehensive training to new staff and entities on systems and workflows, • Ensure smooth onboarding and integration into existing processes, • Lead in-person and virtual training sessions for healthcare staff, focusing on ophthalmic practices and manage the training calendar, • Ensure timely communication and scheduling of training events, • Collaborate with business leaders to research, develop, and maintain manuals and documentation of procedures, training programs, and support materials, • Continuously improve and maintain abstraction workflows to enhance efficiency and accuracy, • Track enrollment and attendance in training classes to ensure optimal participation and engagement WHAT YOU'LL NEED TO SUCCEED • You have a Bachelor's degree in Healthcare Administration, Information Systems, or a related field, • You have 3+ years of experience in systems training, preferably with NextGen and Clearwave, • You have strong knowledge of NextGen and Clearwave RCM systems, • You have thorough knowledge of CPT coding, ICD-9 coding, and government and other third-party payor requirements and policies, with an emphasis in ophthalmology, • You have excellent communication and presentation skills and are able to easily create engaging and effective training materials, • You are proficient in e-learning platforms and virtual training tools, • You aren’t just detail oriented – You’re meticulous when it comes to training content and delivery, • You’re adaptable, supportive and approachable, and can tailor your style to your audience WHO WE ARE Our globally recognized healthcare team is comprised of some of the top minds in ocular medicine. Our senior management team has a combined 200 years of eye industry experience collaborating with some of the most recognized practices in the nation. While our providers have the expertise to diagnose and treat complex ocular, oculoplastic, and retinal conditions, we’re also uniquely qualified to provide care for our patients from childhood through adulthood. We build relationships with our patients that last a lifetime. With nearly 1,400 employees, we support over 50 clinic locations, five state-licensed ambulatory surgery centers, and over 110 surgeons, doctors, and other medical professionals. Our brands include OCLI Vision, Island Eye Surgi-Center, New Vision Cataract Center, AIO, and others. At Spectrum Vision Partners we know that cultivating diversity and fostering an inclusive work environment is critical to our impact and success. We create an environment where no individual is advantaged or disadvantaged because of their background. We offer equal opportunity employment regardless of race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability status, age, marital status, or protected veteran status. With a commitment to maintaining a bias-free environment in which harassment is prohibited, we respect cultural diversity and comply with the laws of the places in which we operate. We expect our business partners, suppliers, clients, and all of our team members to uphold these commitments.

Job Description Primary Care Physician Compensation: $205K-$225K pr/yr Job Type: Full Time, Monday - Friday. Day shift. Time split between 2 locations. Our client a well established FQHC in Nassau County, NY is seeking a dedicated and skilled Primary Care Physician to add to there team. Responsibilities: • Provide comprehensive assessment, diagnosis, and treatment for a range of conditions in a general practice setting., • Order, interpret, and act on diagnostic tests and imaging., • Prescribe medications, administer treatments, and provide immunizations., • Educate patients and families on treatment plans, preventive care, and healthy lifestyle practices., • Refer patients to specialists as needed and coordinate follow-up care., • Maintain accurate and timely medical documentation, including appropriate coding., • Participate in peer reviews, clinical education, quality improvement initiatives, and continuing education., • Ensure compliance with regulatory standards and billing practices., • Participate in on-call and emergency coverage as needed., • Retirement: 403(b) with 3% matching, • Insurance: Medical, prescription, dental, life, AD&D, malpractice (occurrence-based), • Time Off: Generous PTO (vacation, sick, holiday, CME), • Holds a Medical Degree (MD) from an accredited school, • Currently licensed and registered as a physician with New York State, • Board Certified or Board Eligible in a recognized medical specialty, • Serving both school-age and adult populations, • Ability to travel between 2 locations, • A passion for working with individuals with intellectual and developmental disabilities, • Preferably enrolled in Medicaid Salary: The posted range is not a guarantee. The actual salary will be based on qualifications, experience, and education and could fall outside of this range. Contact us for more information. If you're excited about the potential of this role, we’d love to hear from you!

Job Description Our firm is looking for an experienced legal billing specialist to join our team. Ideal candidate will have 2+ years of experience managing billing processes in a defense litigation law firm ensuring compliance with client guidelines. • Familiarity with Task Based management system for coding legal expenses; experience submitting invoices through third-party electronic billing portals; complying with client fee structures and billing guidelines; proficient in drafting, editing and finalizing monthly pre-bills for review; resolving discrepancies, accelerating collection; maintaining confidentiality regarding all client and firm financial matters. Experience the Aderant a plus. Company DescriptionCongdon, Flaherty & O’Callaghan (CFO) is recognized as one of the premier litigation firms in the New York Metropolitan area. We provide clients with all appropriate options relative to settlement, trial, or alternative dispute resolution. Our clients are then put in the best position to make the correct decisions throughout the course of their lawsuit. At all stages of the legal process, we are committed to providing our clients with exceptional, efficient, and cost-effective representation, with a focus on achieving the best possible result. Founded in 1977 by Alan E. Congdon, CFO has grown substantially to a staff of 22 attorneys, 18 support professionals, and 4 skilled paralegals. Throughout our history, CFO has focused primarily on defense litigation. We work with companies in the insurance industry to handle all phases of civil and commercial litigation in both the Federal and State Courts of New York.Congdon, Flaherty & O’Callaghan (CFO) is recognized as one of the premier litigation firms in the New York Metropolitan area.\r\nWe provide clients with all appropriate options relative to settlement, trial, or alternative dispute resolution. Our clients are then put in the best position to make the correct decisions throughout the course of their lawsuit.\r\n\r\nAt all stages of the legal process, we are committed to providing our clients with exceptional, efficient, and cost-effective representation, with a focus on achieving the best possible result.\r\n\r\nFounded in 1977 by Alan E. Congdon, CFO has grown substantially to a staff of 22 attorneys, 18 support professionals, and 4 skilled paralegals.\r\n\r\nThroughout our history, CFO has focused primarily on defense litigation. We work with companies in the insurance industry to handle all phases of civil and commercial litigation in both the Federal and State Courts of New York.

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., • 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 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 As a Coding Reviewer, you will be responsible for the general coding validation and verification and preparation of independent dispute resolution reviews from external state and federal agencies in accordance with reporting requirements. Duties include but are not limited to: • Confirm and verify submitted codes for DRG validation., • Apply national coding standards and regulations to the claims and clinical data., • Provide subject matter input and support agency-wide projects., • Other duties as assigned. This position requires working on-site at the Jericho, NY office. Qualifications: • Excellent interpersonal and communication skills, both written and verbal., • Ability to relate effectively with technical, medical, analytical and administrative personnel., • Proficiency in EHR applications, office technology, and Microsoft applications including Word, Excel, and PowerPoint., • Being able to handle sensitive and confidential information., • Ability to work in a team environment and independently. Education & Experience: • Licensed Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or Certified Coding Specialist (CCS)/ Certified Coding Specialist Physician (CCS-P) required., • Technical knowledge of coding and DRG validation with CPT, HCPCS experience and ICD-10 certification required, • Bachelor’s degree in healthcare administration or health information management preferred., • Minimum of two (2) years of experience abstracting and coding of outpatient medical records for billing., • Some experience in utilization reviews preferred. The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. The annualized salary range for this position is $65,000.00 – $70,000.00. Actual salary range and/or hourly rate depends on a variety of factors including experience, education, credentials, location, and budget. The salary range listed does not include other forms of compensation or benefits. IPRO is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or military status.

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 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