Coding specialist jobs in New York, NYCreate job alerts

Overview Provides clinical leadership to promote increased compliance with a range of quality and cost measures and standards of care. Manages service delivery of inter-professional and para-professional team members working on an individual case or population of cases. Acts as a key resource in providing clinical and operational guidance and support to assigned teams and other staff to achieve and enhance team outcomes. Provides advanced nursing clinical care for patients in accordance with current State and Federal rules and regulations for nurse practitioner's scope of practice and national standards of care. Works under the supervision of the Clinical Director for the Nurse Practitioner Program. What We Provide * Personal and financial wellness programs * Opportunities for professional growth and career advancement * Internal mobility and advancement opportunities * Interdisciplinary network of colleagues through the VNS Health Social Services Community of Professionals What You Will Do * Manages and provides full scope of advanced nursing practice for targeted patient populations. Evaluates patient responses to therapy / interventions. Ensures revision of the inter-professional plan of care as necessary to achieve quality outcomes. * Identifies need for new/revised clinical protocols. Collaborates with physicians and others within the practice to develop protocols and provides training as appropriate. * Manages and provides comprehensive advanced nursing care including physical examination, comprehensive history, screening for physical and/or psychological conditions, emergent interventions, pharmacological and non-pharmacological interventions, ordering treatments and DME, preventative health maintenance activities, care management, referrals, discharge planning, counseling and patient education. Establishes a treatment plan based on clinical findings and. Determines when further evaluation by collaborating physician, specialist or emergency care is warranted. * Collaborates with patients, families, primary care physicians and other team members to provide assessment and care planning. Assesses, plans, and provides intensive and continuous care management across client settings. * Manages and provides clinical services in compliance with standards of Patient-Centered Medical Home standards, meaningful use of medical record data, HEDIS and QARR quality of care measurements. Qualifications Licenses and Certifications: • License and current registration to practice as a Registered Professional Nurse in New York State required, • Certificate (license) and current registration to practice as a Nurse Practitioner in the State of New York, with a specialty in adult health, family health or gerontology required, • Valid driver's license, as determined by operational/regional needs may be required, • Maintains credentialed status with VNS Health Medical Care at Home and associated managed care plans required, • Maintains NPI, Medicaid and Medicare provider numbers preferred, • Maintains a collaborative practice agreement with a physician in compliance with New York State regulations preferred, • Must be certified by ANCC or another accrediting Nurse Practitioner body – in order to bill Medicare and meet credentialing requirements required, • For Psychiatric Nurse Practitioners only:, • Current PMHNP-BC certification required Education: • Master's Degree of Science in Nursing, or other graduate degree from a nurse practitioner educational program registered by the New York State Education Department as qualifying for NP certification (licensure) required, • Current ANCC or AANP certification as an adult, family or geriatric nurse practitioner required, • For Psychiatric Nurse Practitioners only:, • Master's Degree in psychiatric-mental health Nurse Practitioner required, • PhD in psychiatric-mental health Nurse Practitioner preferred Work Experience: • Minimum of two years of experience as a nurse practitioner utilizing full scope of practice preferred, • Clinical home care experience or two years managerial experience preferred, • Demonstrated knowledge of Hedis and QARR quality measures, ICD-10 and CPT coding for reimbursement of services required, • Bilingual skills, as determined by operational needs required Pay Range USD $58.30 - USD $77.72 /Hr. About Us VNS Health is one of the nation’s largest nonprofit home and community-based health care organizations. Innovating in health care for more than 130 years, our commitment to health and well-being is what drives us — we help people live, age and heal where they feel most comfortable, in their own homes, connected to their family and community. On any given day, more than 10,000 VNS Health team members deliver compassionate care, unparalleled expertise and 24/7 solutions and resources to the more than 43,000 “neighbors” who look to us for care. Powered and informed by data analytics that are unmatched in the home and community-health industry, VNS Health offers a full range of health care services, solutions and health plans designed to simplify the health care experience and meet the diverse and complex needs of the communities and people we serve in New York and beyond.

PRIDE Health is seeking a travel nurse RN Clinical Document Improvement Specialist for a travel nursing job in New YOrk, New York. Job Description & Requirements • Specialty: Clinical Document Improvement Specialist, • Discipline: RN, • Start Date: 09/22/2025, • Duration: 13 weeks, • 40 hours per week, • Shift: 8 hours, days, • Employment Type: Travel Position: Chart Review (Special Investigations Unit Clinical ) Hybrid Position Shift: 9am - 5pm Requirements: 5 years of healthcare fraud detection, investigation, or auditing, & In-depth experience and knowledge of coding regulations including ICD-10, CPT, HCPCS, AMA, etc. Job Description • Review medical records to validate clinical and coding assessments, as well as medical coding, and review healthcare claims to determine the accuracy and compliance of billed codes with relevant regulations, standards, policies, and procedures., • Conduct audits of high-risk claims and billing patterns to ensure adherence to healthcare regulations and MetroPlusHealth policy, and detect potential FW.A, • Assist in preparing documentation for audits, recoupments, compliance/legal reviews, and regulatory inquiries., • Collaborate with other SIU team members to evaluate suspected cases of fraudulent activities, such as over-utilization of services, upcoding, and billing for non-medically necessary services. About PRIDE Health PRIDE Health is the minority-owned healthcare recruitment division of Pride Global—an integrated human capital solutions and advisory firm. With our robust and abundant travel nursing and allied health employment options across the U.S., PRIDE Health will allow you to help change the way the world lives and heals as it connects you with the industry’s leading healthcare organizations. Pride Global offers eligible employee’s comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts with preferred vendors. Benefits • Weekly pay, • Holiday Pay, • Guaranteed Hours, • 401k retirement plan, • Cancelation protection, • Referral bonus, • Medical benefits, • Dental benefits, • Vision benefits

Job Overview We are seeking a detail-oriented and knowledgeable Specialist to join our team. The ideal candidate will possess a strong understanding of medical coding, billing, and terminology. This role is essential in ensuring accurate documentation and compliance within our medical office environment. About the Organization We are a fast-growing medical billing organization in the Lake Success area, dedicated to delivering exceptional results for our provider partners. We’re seeking revenue cycle professionals at all levels — whether your expertise is in insurance follow-up, denials recovery, or the broader revenue cycle — who thrive on solving problems and getting claims paid. The Opportunity Join our collaborative team handling surgical and out-of-network claims, appeals, denials, and overall reimbursement recovery. This role is for professionals who don’t just post charges, but who investigate, analyze, and strategize to ensure maximum payment. Key Responsibilities • Analyze EOBs for out-of-network and surgical claims to identify underpayments or denials, • Research payer portals and policies to support appeals, • Use past payment history, CPT code research, and carrier guidelines to build cases for reimbursement, • Initiate insurance calls as needed to confirm claim status or policy details, • Track and follow up on appeals to successful resolution, • At least 3 years of out of network experience within revenue cycle performing insurance follow-up calls investigating medical claims, • Submitting appeals, • Researching denied claims, • Experience processing surgical claims preferred, • Background processing commercial insurance, • Strong portal and system navigation skills, with the ability to quickly adapt to new technology, • Analytical mindset — able to think through a claim from start to finish and decide the next step, • Monday to Friday, 37.5-hour work week, • Choice of shifts: 8:30 a.m. – 5:00 p.m. or 9:00 a.m. – 5:30 p.m.

Job Description Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. What We're Looking For: As a Clinical Documentation Quality Improvement (CDQI) Specialist, you will play a pivotal role in elevating the impact of our medical record documentation. You will conduct daily evaluations and engage in direct communication with providers to enhance documentation clarity, completeness, and overall medical record quality. By ensuring accurate and comprehensive physician documentation, you will be at the forefront of influencing the precision of code assignment, making a tangible difference in the accuracy of healthcare data. Join us in this critical role where your efforts will have a direct and meaningful impact on the quality and effectiveness of patient care. What You Will Do: • Conduct timely, accurate, and complete documentation reviews for selected inpatient records, addressing inadequate or conflicting documentation., • Collaborate with physicians and caregivers to ensure appropriate reimbursement and clinical severity for DRG-based payer patients., • Demonstrate understanding of complications, co-morbidities, severity of illness, risk of mortality, case mix index, secondary diagnoses, and procedure impact on DRG., • Improve coding specificity by educating physicians and caregivers on the importance of clear documentation throughout a patient's stay., • Follow AHA guidelines and coding clinics for accurate coding and required documentation to ensure compliance., • Query physicians regarding missing, unclear, or conflicting health record documentation to obtain necessary details., • Maintain daily production logs for evaluation, tracking cases reviewed, queries placed/responded, etc., • Perform follow-up reviews to confirm recorded points of clarification in the patient's medical record., • Ensure confidentiality of all files, documents, and records., • 3+ years of CDI experience, • 3+ years of clinical experience in an academic medical center, • Registered Nurse license, Bachelor's degree in Nursing, • CCDS or CDIP certification required, • Must pass a CDI skills competency assessment This job is not eligible for employment sponsorship. Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here. Know Your Rights, explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay. At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way. Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, by selecting the 'Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here. Requests for reasonable accommodations will be reviewed on a case-by-case basis. For more information about how we collect and use your data, please review our Privacy Policy.

Job DescriptionPosition Summary At MedReview, our mission is to bring accuracy, accountability, and clinical excellence to healthcare. As such, we are a leading authority in payment integrity solutions including DRG Validation, Cost Outlier and Readmission reviews. We are seeking a registered nurse with experience in clinical validation to work within our coding department. Candidate should be highly motivated, with strong clinical and coding background. This individual must have excellent communication skills and an analytical mindset to achieve and maintain high-level performance in a fast-paced environment. This is a fulltime position (40 hours per week) Monday – Friday. You’ll enjoy the flexibility to telecommute from anywhere within the United States. Training will be conducted virtually from your home. If you are interested in this role with MedReview, please let us know. Here is what we are searching for: Responsibilities: • Perform clinical validation by ensuring diagnosis codes billed by the provider are supported within the medical record, • Must be able to interpret clinical guidelines/criteria and apply to clinical review, • Solid understanding of anatomy and physiology, diagnostic and surgical procedures developed from specialized training and extensive experience with ICD-10-PCS code assignments, • Demonstrates the ability to accurately interpret the medical record, • Writes clear, accurate and concise rationales in support of findings, • Maintains and manages case reviews with a high emphasis on quality, • Demonstrates the ability to work in a high – volume production environment, • Minimum of two years’ experience in clinical validation in a payment integrity setting required, • May consider nurses with inpatient claims auditing experience or case management experience., • Unrestricted Registered Nurse with active RN licensure required, • CCS (Certified Coding Specialist) or CIC (Certified Inpatient Coder) certification preferred, • CCDS or CDIP Certification preferred, • Knowledge of ICD-10 coding, • Basic Knowledge of DRG validation and coding, • High speed internet (100 Mbps per person recommended) with secured WIFI., • A dedicated workspace with minimal interruptions to protect PHI and HIPAA information., • Healthcare that fits your needs - We offer excellent medical, dental, and vision plan options that provide coverage to employees and dependents., • 401(k) with Employer Match - Join the team and we will invest in your future, • Generous Paid Time Off - Accrued PTO starting day one, plus additional days off when you’re not feeling well, to observe holidays., • Wellness - We care about your well-being. From Commuter Benefits to FSAs, we’ve got you covered. Powered by JazzHR aBDzJ1rwvQ

Job Description The Activity Specialist teaches and facilitates a youth centered class tailored to their specific expertise. Candidates with the following expertise are encouraged to apply: Reports To: Program Director, MS 206B Location: MS 206B-2280 Aqueduct Avenue Bronx NY 10468 Hours: 8 - 10 hours / week; Non Exempt, September - June Schedule: Program Hours are Monday - Friday, 2pm - 6pm Salary: $19 / HR - $25 • Dance (All Styles), • Theater/Acting, • Music & Lyricists, • Spoken Word and Poetry, • Graphic Design, • Podcasting, • Art/Animation/Painting, • Chess/Strategy Based Games, • Photography/Videography, • Robotics, • Coding/Computer Programming, • Audio/Sound Engineering, • Fashion and Cosmetology, • Boxing, • Martial Arts, • Cooking/Culinary, • Prepare and develop age, and skill-appropriate curriculum, lesson plans, activities, and special projects that fuse the arts and academic competencies to be reviewed by supervisors before being taught., • Work with program participants to develop their artistic, educational, and leadership potential., • Pre-planning of activity; activities are to provide students with structure, purposeful use of activity and self, including beginning and ending rituals., • Facilitate a variety of scaffolded activities based on students’ interest. Activities should promote teamwork, opportunity for mastery, and emotional and professional growth., • Facilitate purposeful activities in community hour and participate in other staff lead activities as part of the staff team., • Foster a youth development, strength’s-based environment, fostering a sense of belonging, safety, and community to participants., • Engage and facilitate group conversations, tracking and supporting students’ academic success., • Attend and participate in staff meetings., • Must be at least 18 years old., • High School Diploma or GED required., • Experience and/or training relevant to the position required., • Candidates with some college, experience with adolescents and teaching/coaching youth are encouraged to apply., • Flexibility, creativity, and enthusiasm for young people, • Excellent planning, organization and time management skills, • Ability to engage youth, while setting structure and limits in a group setting., • Energetic, motivated self-starter and a team player, • Excellent verbal and written communication skills., • Must have a commitment to work from a strength-based, youth and family development and trauma-informed perspective.

Job Description The Activity Specialist teaches and facilitates a youth centered class tailored to their specific expertise. Candidates with the following expertise are encouraged to apply: Reports To: Program Director, SBAAM Location: South Bronx Academy for Applied Media-778 Forest Avenue Bronx NY, 10456 Hours: 8 - 10 hours / week; Non Exempt, September - June Schedule: Program Hours are Monday - Friday, 2pm - 6pm Salary: $19 / HR - $25 • Dance (All Styles), • Theater/Acting, • Music & Lyricists, • Spoken Word and Poetry, • Graphic Design, • Podcasting, • Art/Animation/Painting, • Chess/Strategy Based Games, • Photography/Videography, • Robotics, • Coding/Computer Programming, • Audio/Sound Engineering, • Fashion and Cosmetology, • Boxing, • Martial Arts, • Cooking/Culinary, • Prepare and develop age, and skill-appropriate curriculum, lesson plans, activities, and special projects that fuse the arts and academic competencies to be reviewed by supervisors before being taught., • Work with program participants to develop their artistic, educational, and leadership potential., • Pre-planning of activity; activities are to provide students with structure, purposeful use of activity and self, including beginning and ending rituals., • Facilitate a variety of scaffolded activities based on students’ interest. Activities should promote teamwork, opportunity for mastery, and emotional and professional growth., • Facilitate purposeful activities in community hour and participate in other staff lead activities as part of the staff team., • Foster a youth development, strength’s-based environment, fostering a sense of belonging, safety, and community to participants., • Engage and facilitate group conversations, tracking and supporting students’ academic success., • Attend and participate in staff meetings., • Must be at least 18 years old., • High School Diploma or GED required., • Experience and/or training relevant to the position required., • Candidates with some college, experience with adolescents and teaching/coaching youth are encouraged to apply., • Flexibility, creativity, and enthusiasm for young people, • Excellent planning, organization and time management skills, • Ability to engage youth, while setting structure and limits in a group setting., • Energetic, motivated self-starter and a team player, • Excellent verbal and written communication skills., • Must have a commitment to work from a strength-based, youth and family development and trauma-informed perspective.

Job Description The Activity Specialist teaches and facilitates a youth centered class tailored to their specific expertise. Candidates with the following expertise are encouraged to apply: Reports To: Program Director Location: Bronx, NY Hours: 8 - 10 hours / week; Non Exempt, September - June Schedule: Program Hours are Monday - Friday, 2pm - 6pm Salary: $19 / HR - $25 • Dance (All Styles), • Theater/Acting, • Music & Lyricists, • Spoken Word and Poetry, • Graphic Design, • Podcasting, • Art/Animation/Painting, • Chess/Strategy Based Games, • Photography/Videography, • Robotics, • Coding/Computer Programming, • Audio/Sound Engineering, • Fashion and Cosmetology, • Boxing, • Martial Arts, • Cooking/Culinary, • Prepare and develop age, and skill-appropriate curriculum, lesson plans, activities, and special projects that fuse the arts and academic competencies to be reviewed by supervisors before being taught., • Work with program participants to develop their artistic, educational, and leadership potential., • Pre-planning of activity; activities are to provide students with structure, purposeful use of activity and self, including beginning and ending rituals., • Facilitate a variety of scaffolded activities based on students’ interest. Activities should promote teamwork, opportunity for mastery, and emotional and professional growth., • Facilitate purposeful activities in community hour and participate in other staff lead activities as part of the staff team., • Foster a youth development, strength’s-based environment, fostering a sense of belonging, safety, and community to participants., • Engage and facilitate group conversations, tracking and supporting students’ academic success., • Attend and participate in staff meetings., • Must be at least 18 years old., • High School Diploma or GED required., • Experience and/or training relevant to the position required., • Candidates with some college, experience with adolescents and teaching/coaching youth are encouraged to apply., • Flexibility, creativity, and enthusiasm for young people, • Excellent planning, organization and time management skills, • Ability to engage youth, while setting structure and limits in a group setting., • Energetic, motivated self-starter and a team player, • Excellent verbal and written communication skills., • Must have a commitment to work from a strength-based, youth and family development and trauma-informed perspective.

Description: Job Overview We are seeking a detail-oriented and knowledgeable Specialist to join our team.The ideal candidate will possess a strong understanding of medical coding, billing, and terminology.This role is essential in ensuring accurate documentation and compliance within our medical off

Position: AS400/RPG Developer Location: Wayne, NJ ( Need Locals / 5 Days Onsite ) Exp Req : 6-10 Yrs Max Duration : Long Term Job Description: Movex with RPG and AS400 ( .net integration server or java without Movex is as well is fine) coding etc., Skills Mandatory : AS/400 , RPGLE/RPG,CL.DBU,SQL,MS-SQL,SSIS,DB2 We are looking for a RPG / AS400 Developer to join our IT team. You will work closely with senior AS400 developers to support, enhance, and integrate applications running on IBM i (AS/400) platform. Responsibilities • Assist in developing, testing, and maintaining RPG programs on the AS/400 (IBM i) platform., • Support senior developers in building integrations with .NET, Java, and web services., • Participate in bug fixing, code reviews, and system enhancements., • Learn and apply best practices in RPG, CL, SQL, and DB2 programming., • Document processes, workflows, and program changes for knowledge sharing., • Provide production support under supervision (monitoring jobs, troubleshooting issues) Regards, Stephen Lead Talent Acquisition Specialist Mobile : +1 470-298-7917 Email :

The Coding Specialist will report to the Manager of Revenue Cycle and Coding and will be responsible for accurately coding professional Radiology and Interventional Radiology services. Strong working knowledge of CPT, ICD-10-CM, and HCPCS Level II coding for professional services; familiarity with I

In this role, the Senior Compliance Specialist will assist the Manager of Professional Billing Compliance in conducting inpatient and outpatient coding, billing and medical record documentation reviews in accordance with Federal, state and local regulations. Keeps abreast of ICD-10, CPT-4, HCPCS, an

Job Description Company Overview: Public Health Solutions (PHS) is a 501(c)3 non-profit community-based organization (CBO) that has existed for 70 years to improve health equity and address health-related social needs (HRSN) for historically underserved marginalized communities. As the largest public health nonprofit serving New York City, we improve health outcomes and help communities thrive by providing services directly to vulnerable families, supporting community-based organizations through our long-standing public-private partnerships, and bridging the gap between healthcare and community services. We focus on a wide range of public health issues including food and nutrition, health insurance, maternal and child health, sexual and reproductive health, tobacco control, and HIV/AIDS. Learn more about our work at healthsolutions.org. PHS administers WholeYouNYC (WYNYC), a coordinated community resource network that builds trustworthy and reliable pathways between healthcare providers, health plans and CBOs providing critical resources in the community that address the social drivers of health. WYNYC brings together over 100 organizations offering various programs – such as food, housing, employment, health insurance, and sexual health services – across all five boroughs. These services and programs make it possible for New Yorkers to live their healthiest lives and ultimately reduce health disparities and advance health equity. To date, our network has already impacted thousands of lives through community partnerships and referrals, generating millions in estimated healthcare savings. New York State (NYS) recently announced the availability of $500M statewide to support Social Care Network (SCN) lead entities responsible for coordinating social care delivery in various regions across the state. Public Health Solutions (PHS) and our WYNYC network were awarded the role of regional SCN for Brooklyn, Manhattan, and Queens. This is a grant-funded position ending March 31, 2027. Position Summary: Under the general supervision of the SCN Billing Supervisor, the Billing Specialist will support critical service provider billing functions for the WholeYouNYC SCN. Primary responsibilities include service delivery invoice review and approval and support for SCN billing issue analysis and troubleshooting. Specifically, the Billing Specialist will: • Review and approve SCN service delivery invoices in Unite Us, troubleshooting issues directly with internal teams and external partners, as needed., • Ensure that SCN service delivery invoices are accurate, timely and compliant with relevant regulations., • Review and approve manual SCN service provider authorization requests., • Support SCN claims submission including exception review, analysis and remediation., • Act as an SCN invoicing, claims and billing subject matter advisor providing input and assistance to supervisor, internal teams and external partners as requested., • Collaborate with other departments to resolve billing-related inquiries, discrepancies and issues., • Provide programmatic support for SCN and service provider payments reconciliation., • Provide insights that inform SCN learnings about billing trends, issues and opportunities. Support the planning and implementation of improvement initiatives., • Participate in network engagement meetings, staff / team meetings, mentoring meetings, planning meetings and others, as needed., • Support special projects as needed, including focused account audits, research, and follow-up., • Other duties as assigned. Qualification and Experience: • High school diploma, GED or equivalent., • Minimum 2 years’ experience in medical billing or related experience., • Working knowledge of medical billing procedures, claims processing, payment posting and reconciliation protocols., • Strong attention to detail with excellent analytical and problem-solving skills., • Ability to work in a fast-paced environment and handle multiple tasks simultaneously while maintaining a high degree of accuracy and efficiency., • Computer skills and the ability to learn and navigate new technology solutions with ease., • Ability to work independently and as part of a team., • Excellent communication (listening, written, oral) skills and ability to communicate effectively in-person, via email and/or phone with partners who work across various sectors. Desired Skills: • Associate’s degree in medical billing or a related field., • Certification in medical billing and coding. Benefits: • Hybrid Work Schedule., • Generous Paid Time Off and Holidays., • An attractive and comprehensive benefits package including Medical, Dental and Vision., • Flexible Spending Accounts and Commuter Benefits., • Company Paid Life Insurance and Disability Coverage., • 403(b) + employer matching and discretionary company contributions., • College Savings Plan., • Ongoing trainings and continuous opportunities for professional growth and development. At PHS, we place immense value on diversity within our teams, understanding that varied backgrounds and experiences significantly enhance our community and propel us toward our goals. If you find you don’t have experience in all the areas listed above, we still encourage you to apply and share your background and experiences in your application. We are eager to discover how your unique perspective can bring positive transformations to our team and help advance our mission of creating healthier, more equitable communities. We look forward to learning more about you! PHS is proud to be an equal opportunity employer and encourages applications from women, people of color, persons with disabilities, LGBTQIA+ individuals, and veterans. Monday - Friday 9am -5pm 35 hours per week

Job Description Overview: Demonstrate competency as a claims resolution specialist for a large-scale multi-specialty/multi-site healthcare organizations in the U.S. • Perform claims resolution or medical billing and appeals or claims denials in Athena within the last two years., • Conduct AR Follow-up both on front end scrubs and back end denials through best practices. Scrub charges for submission and launch appeals via the Athena billing platform., • Review and clear claim edits in the system. Types of edits to be worked include registration, insurance, charge, and related issues for high volume practices., • Demonstrate a detailed understanding of how to read and interpret EOB's and denials from all insurance carriers (including the financial components such as co-pays, deductibles, and co-insurance)., • Possess a thorough knowledge of appeals processing from end to end across all payer categories based on insurance denials., • Differentiate between best practices of appeal, coding review, credentialing review and/or adjustment., • Contact insurance companies and utilize web portal and websites for appeal, eligibility, remittance, and payment information., • Candidate must be able to report and communicate issues and trends., • 3+ years of experience in claims resolution or medical billing., • A minimum of 3 years of documented experience on the Athena billing platform is required., • Working knowledge of CPT, ICD-10, and medical terminology., • Complete understanding of follow-up processes., • Solid background in AR and overall Revenue Cycle policies and procedures., • Experience working in a physician billing environment., • Excellent communication skills., • Proficiency in Microsoft Office Suite, including Word and Excel.

Job Description The Activity Specialist teaches and facilitates a youth centered class tailored to their specific expertise. Candidates with the following expertise are encouraged to apply: Reports To: Program Director, PS/MS 15 & PS 291 Location: 2195 Andrews Avenue Hours: 8 - 10 hours / week; Non Exempt, September - June Schedule: Program Hours are Monday - Friday, 2pm - 6pm Salary: $19 / HR - $25 • Dance (All Styles), • Theater/Acting, • Music & Lyricists, • Spoken Word and Poetry, • Graphic Design, • Podcasting, • Art/Animation/Painting, • Chess/Strategy Based Games, • Photography/Videography, • Robotics, • Coding/Computer Programming, • Audio/Sound Engineering, • Fashion and Cosmetology, • Boxing, • Martial Arts, • Cooking/Culinary, • Prepare and develop age, and skill-appropriate curriculum, lesson plans, activities, and special projects that fuse the arts and academic competencies to be reviewed by supervisors before being taught., • Work with program participants to develop their artistic, educational, and leadership potential., • Pre-planning of activity; activities are to provide students with structure, purposeful use of activity and self, including beginning and ending rituals., • Facilitate a variety of scaffolded activities based on students’ interest. Activities should promote teamwork, opportunity for mastery, and emotional and professional growth., • Facilitate purposeful activities in community hour and participate in other staff lead activities as part of the staff team., • Foster a youth development, strength’s-based environment, fostering a sense of belonging, safety, and community to participants., • Engage and facilitate group conversations, tracking and supporting students’ academic success., • Attend and participate in staff meetings., • Must be at least 18 years old., • High School Diploma or GED required., • Experience and/or training relevant to the position required., • Candidates with some college, experience with adolescents and teaching/coaching youth are encouraged to apply., • Flexibility, creativity, and enthusiasm for young people, • Excellent planning, organization and time management skills, • Ability to engage youth, while setting structure and limits in a group setting., • Energetic, motivated self-starter and a team player, • Excellent verbal and written communication skills., • Must have a commitment to work from a strength-based, youth and family development and trauma-informed perspective.

Job DescriptionBenefits: • 401(k) matching, • Competitive salary, • Dental insurance, • Health insurance, • Paid time off, • Competitive salary based on experience, • On site Health Club, • Health, dental, and vision insurance, • 401(k) with company match, • Paid time off and holidaysJob Summary We are seeking an Accountant Specialist to join our team. In this role, you will be instrumental in managing the companys financial integrity, ensuring compliance, and providing strategic financial insights to management. You will support the accounting department by maintaining accurate records of incoming and outgoing payments, data entry, reconciliations, and other essential accounting tasks. The ideal candidate is highly organized with strong mathematical and problem-solving skills. Some experience in financial preparation and analytics is preferred. Project based or construction accounting a plus. Key Responsibilities • Work with a Global team, • Ensure compliance with tax regulations, internal controls, and audit requirements, • Enter financial data and transactions, • Vendor, Supplier, and Customer Relations, • Process accounts payable and accounts receivable, • Prepare customer invoices, submit to client preferred portals, and follow up for timely payments, • Maintain deferred revenue schedule, • Match bills against purchase orders, obtain approvals, and ensure proper coding in financial system, • Verify the accuracy of transactions that have been entered, • Weekly Bank and credit card reconciliations, • Support financial planning, forecasting, and cash flow management, • Monitor General email accounts and distribute information to appropriate channels, • Analyze financial information and present to management, • Assist in the creation of accounting policies to comply with all rules and regulations, • Maintain up-to-date knowledge of industry trends and developments, • Assist in the month end close process, • Prepare Ad-hoc reports as requestedQualifications, • Bachelors degree in accounting or a related financial field, • Previous experience as an accountant, bookkeeper, or similar position, • 5+ years of accounting experience, ideally in logistics, construction, or infrastructure, • Strong knowledge of construction/project-based accounting and WIP schedules, • High level of accuracy and attention to detail, • Strong Data Entry and Mathematical Skills, • Advanced Excel Skills and QuickBooks Desktop experience preferred, • Excellent attention to detail, time management, organizational, and communication skills, • Ability to meet deadlines and manage multiple priorities in a fast-paced environment, • Excellent problem-solving skills, flexibility, and ability to resolve disputes

Job Description POSITION SUMMARY: The Children’s Rescue Fund (CRF) is seeking a detail-oriented and dependable Accounts Payable (AP) Specialist to join its Finance team. This position plays a vital role in maintaining accurate, timely, and compliant payment processing for vendors, consultants, and staff reimbursements across CRF’s city-funded programs and operations. Reporting directly to the Accounts Payable Manager (AP Manager), the AP Specialist supports the end-to-end accounts payable cycle, ensuring full compliance with internal controls, contract requirements, and nonprofit fiscal best practices. The ideal candidate will thrive in a fast-paced, mission-driven environment and be committed to upholding financial integrity and vendor accountability. QUALIFICATIONS: • Associate’s or Bachelor’s degree in Accounting, Finance, or Business Administration preferred, • Minimum 2 to 3 years of hands-on accounts payable experience, preferably in a nonprofit, governmental, or fund accounting setting, • Strong understanding of internal controls, coding standards, and fund source requirements, • Highly ethically motivated and results-oriented, proven creative problem solver with positive respectful proactiveness, • Must have incredible initiative, the ability to work well under pressure, and the ability to be flexible and work both independently and as part of a team to complete complex projects in a fast-paced environment, • Exhibit high attention to detail and problem-solving skills with the ability to manage competing deadlines in a high-volume environment with accuracy, efficiency, and professionalism, • Capable of working in a dynamic, rapidly changing environment, adapting to multiple and shifting required priorities and collaborating with a wide range of colleagues to deliver expected results, • Utilize demonstrated good judgment, sensitivity, and high discretion in the handling of confidential information, • Superior written and verbal communication skills, coupled with excellent organization and leadership skills, • Proficiency in Blackbaud Financial Edge or equivalent ERP accounting system, • High level of computer proficiency in Word, Excel (advanced level), and the ability to learn new technologies and databases KEY RESPONSIBILITIES: Invoice & Payment Processing • Review, verify, and process all vendor invoices, consultant contracts, and staff reimbursement requests in accordance with CRF policy, • Match invoices to purchase orders and receiving documentation; resolve discrepancies as needed, • Ensure accurate coding of all payables (GL account, fund, program, and project codes) before entry into Blackbaud Financial Edge, • Prepare and execute scheduled payment runs (checks, ACH, or wire) in coordination with the AP Manager and Finance Director Compliance & Documentation • Maintain proper authorization, documentation, and audit trails for all disbursements, • Ensure adherence to CRF’s approval matrix and cost allocation standards, particularly for DHS- and HRA-funded programs, • Maintain accurate and updated vendor files, including 1099 status, W-9s, and payment terms, • Assist in annual 1099 preparation and audit compliance documentation Reconciliation & Month-End Close • Reconcile the AP subledger to the General Ledger on a monthly basis, • Record and assist in tracking accruals and prepaid expenses, • Participate in the month-end and year-end closeout processes in coordination with the broader Finance team Vendor Relations & Internal Coordination • Respond to inquiries from vendors and staff professionally and in a timely manner, • Reconcile vendor statements and resolve payment issues in collaboration with the Procurement team, • Assist with onboarding new vendors and maintaining accurate contact and tax data Team Collaboration • Cross-train with other members of the Finance team and support backup coverage for the AP Manager as needed, • Participate in process improvement initiatives and maintain workflow documentation, • Attend finance or interdepartmental meetings as directed OTHER REQUIREMENTS (including Physical Demands): • Contributes to the overall success of the organization by performing all other duties and responsibilities as assigned by supervisor or designee, and being able to pivot with ever-changing priorities and newly added job-related responsibilities that arise based on business changes, needs, and demands, • May be required to work long hours and a varied schedule, • Travelling throughout various locations in the New York City area, • This is a full-time position with the need to be flexible due to the organization being a 24/7 operation, • Lifting and moving objects weighing up to 30 pounds several times a week, • Climatic issues of temperature variance and ventilation association with resident facility impact delivery of services, • Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions EEO Statement – Children’s Rescue Fund is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, gender identity, sexual orientation or protected veteran status.

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.

Job Description Title: Accounts Payable Specialist Location: Bronx, New York FLSA Classification: Full-time (35 hours), Non-Exempt Role Summary: The Accounts Payable Specialist completes payments and controls expenses by receiving, processing, verifying and reconciling invoices. Collect vendor’s tax information for those that receive 1099. Accounts Payable position requires Skills in Computers, Math, Analytical, Communication and Organizing. Primary Job Responsibilities/Duties: • Match all invoices to purchase order and packing slip., • Review current invoices against vendor’s payment history., • Review all invoices for appropriate documentation and approval prior to payment of multiple sites., • Enter invoice information into QuickBooks and ensure all coding is correct., • Charges expenses to proper accounts and correct program (site) by analyzing invoice/expense reports; recording entries., • File all invoices accordingly by site, vendor and also scan a copy of supporting documents into network system., • Mail out payments to vendors., • Priorities on utilities and process scheduled monthly payment over the phone or online., • Enter all payment information into QuickBooks after setting up electronic payment., • Prepare Reimbursements for employees by receiving and verifying expense reports, • Records need to be maintained in constant audit readiness., • Protects organization's value by keeping all information confidential., • Solve issues regarding accounts payable in a timely and prompt manner., • Prolonged periods of sitting at a desk and working on a computer., • Must be able to lift and carry up to 15 pounds., • Office setting with regular exposure to computer screens and moderate noise levels., • Bachelor’s Degree in Accounting, Finance, Business, or related field with 1-3 years A/P experience., • Associates Degree in Accounting, Finance, Business, or related field with 3-5 years A/P experience., • Knowledge in Quick Books and Accounts Payable module., • TB Testing – with NCS results, • CPR / First Aid preferred, • Occupational Safety and Health Administration (OSHA) Certification preferred, • Able to operate related equipment, tools, and materials used in the facility, • Commitment to the mission of the NAICA, Inc., • Proven ability to work collaboratively well with diverse groups, • Proven ability to handle multiple tasks effectively under pressure, • Strong organizational skills, detail-oriented, and efficient, • Must be able to read, speak, write, and understand English for administrative purposes., • Must pass drug screening to be appointed. NAICA is an equal opportunity employer committed to maintaining a diverse workforce and inclusive work environment. As such, discrimination in any aspect of hiring or employment based upon age, race, creed, color, national origin, sexual orientation, gender identity or expression, religion, military or veteran status, sex, disability (including pregnancy, childbirth, and related medical conditions), or other applicable legally protected characteristics is strictly prohibited. Applicants of all backgrounds and experiences are encouraged to apply. NAICA will consider qualified applicants with criminal histories in a manner consistent with the requirements of applicable federal, state, and local laws, rules, and regulations. NAICA also offers reasonable accommodations as required by applicable federal, state, and/or local laws. Applicants seeking an accommodation for any part of the application or interview process should contact Human Resources by sending an email to with the Subject “Reasonable Accommodation Request.” NAICA Offers a competitive benefits package that includes: • Comprehensive Health, Dental and Vision Benefits for full-time employees, • 403(b) Retirement Savings Plans, • Loan Forgiveness Programs for eligible employees, • Paid Holidays and Vacation, • Paid Time-off, • Vol Life Insurance and AD&D, • Term Life and AD&D insurance, • Long Term Disability, • Employee Assistance Program support (EAP), • Commuter Benefits Program, • Aflac: Short-Term Disability, CA, Accident and Hospital Misrepresentation of your experience, skills, or education, or submission of false/fraudulent information or documentation during the application process may result in the rejection of your application or termination of your employment. At-Will Employment Disclaimer: While we sincerely hope to form a long and mutually beneficial relationship, please note that NAICA is an at-will employer. Under these terms, employment is subject to termination at any time, without notice and with or without cause, at the discretion of the organization.

Job DescriptionLHH Recruitment Solutions is seeking an Accounts Payable Coordinator to work for a not for Profit organization in the Jamaica, Queens area. This will be reporting to the Accounts Payable Director in the Finance Department. You will be working in a team of 5-6 employees. Position Overview Under general supervision, the Accounts Payable Specialist is responsible for completing payments and controlling expenses by receiving, processing, verifying, and reconciling invoices. This role supports the mission and goals by ensuring accurate and timely financial operations. Essential Functions * Analyze and process invoices for payment. * Ensure proper coding aligned with funding sources. * Follow up with vendors and departments regarding check requests and approvals. * Create or update vendor records as needed. * Review, distribute, and replenish weekly/monthly metro cards. * Ensure invoices are approved and supported with necessary documentation. * Resolve discrepancies related to purchase orders, contracts, invoices, or payments. Qualifications * High School Diploma or equivalent. * Minimum 2 years of Accounts Payable experience, preferably in a non-profit setting. * Strong attention to detail and accuracy. * Ability to multitask and meet deadlines. * Proficiency in Microsoft Office Suite and EMR systems. * Familiarity with Baseware or similar AP software. * Ability to maintain confidentiality and work independently. * Experience working with diverse populations. * Strong interpersonal skills and a team-oriented mindset. In Office. 9am-5pm. $24-25 per hour APPLY TODAY. Immediate Opportunity. Pay Details: $24.00 to $25.00 per hour Search managed by: Joy Silva Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable. Equal Opportunity Employer/Veterans/Disabled To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable: • The California Fair Chance Act, • Los Angeles City Fair Chance Ordinance, • Los Angeles County Fair Chance Ordinance for Employers, • San Francisco Fair Chance Ordinance Massachusetts Candidates Only: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Job Description Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. What We're Looking For: As an Inpatient Auditing Specialist, you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, and coding workflow operations reviews. In this role, you will offer meaningful information tailored to exceed customer expectations, actively identifying and presenting solutions for customer issues. This role is fully remote with a flexible schedule, allowing you to help shape the future of healthcare from your own workspace! ** What You Will Do: • Performs Inpatient Facility coding audits according to scope of work, for the purpose of Onboarding, Focused, Service Level Agreements or Other Types of reviews, using appropriate assignment of codes and other coding-related elements using MS DRG or APR DRGs., • Provides rich and concise rationale explaining the reasoning behind any identified changes, including specific references, location of documentation, etc., • Keeps abreast of regulatory changes., • Organizes and prioritizes multiple cases concurrently to ensure optimal workflow and turnaround time, • Provides coder education via the auditing process, • Function in a professional, efficient, and positive manner, • Adhere to the American Health Information Management Association's code of ethics., • Must be customer-service focused and exhibit professionalism, flexibility, dependability, desire to learn, commitment to excellence and commitment to profession., • High complexity of work function and decision making What You Need to Succeed: • 5+ years of facility inpatient coding experience and/or auditing., • CCS (required), RHIA or RHIT preferred, • Maintain 95% DRG accuracy rate, • Benefits for Full-Time employees: Medical, Dental, Vision, 401k Savings Plan w/match, 2 weeks of paid time off, and Paid Holidays, Floating Holidays, • Free CEUs every year, • Stipend provided to assist with education and professional dues (AHIMA/AAPC) If Applicable, • Equipment: monitor, laptop, mouse, headset, and keyboard, • Comprehensive training led by a credentialed professional coding manager This job is not eligible for employment sponsorship. Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here. Know Your Rights, explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay. At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way. Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, by selecting the 'Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here. Requests for reasonable accommodations will be reviewed on a case-by-case basis. For more information about how we collect and use your data, please review our Privacy Policy.

Job DescriptionDescription: Summary of Job The Accounts Specialist will be responsible for a range of general staff accounting tasks but will be primarily responsible for all accounting work associated with processing accounts payable, expense reporting submissions. The Insurance Specialist will be responsible to make sure all insurances are active and covered for the assigned services and will follow up with referral agencies to get coverage and/ or authorizations. Duties and Responsibilities • Keeping track of all payments and expenditures, including payroll, purchase orders, invoices, statements, etc., • Reconciling processed work by verifying entries and comparing system reports to balances, • Maintaining historical records, • Paying employees by verifying expense reports and preparing pay checks, • Paying vendors by scheduling pay checks and ensuring payment is received for outstanding credit; generally responding to all vendor enquiries regarding finance, • Preparing analyses of accounts and producing monthly reports, • Continuing to improve the payment process, • Calculate, post business transactions, process invoices, verify financial data for use in maintaining accounts payable records, and provide other clerical support necessary to pay the obligations of the organization, • Clarify any questionable invoice items, prices or receiving signatures, • Obtain proper information and/or data regarding invoice payments, • Assemble invoices to be completed for payment, • Verify and calculate all extensions and totals on invoices (calculating and taking discounts when applicable),, • Review invoices and requisitions for satisfactory payment approval, • Check vendor files for any previous payments and assign voucher numbers, • Maintain copies of vouchers, invoices or correspondence necessary for files, • Prepare vouchers listing invoice number, date, vendor address, item description, amounts and coding per accounting policies and procedures, • Type periodic reports and other records, • Checking Insurances and following up w/ necessary parties for renewal, • Attend needed meeting / Trainings for the Company Requirements: Knowledge, Skills and Abilities Required • QuickBooks, • Medical Billing, • Excellent computer skills, including Word and Excel in a Microsoft Windows environment., • Effective oral and written communication skills., • General knowledge of various employment laws and practices., • Excellent interpersonal skills., • Skills in database management and record keeping., • Able to exhibit a high level of confidentiality., • Excellent organizational skills., • Must be able to identify and resolve problems in a timely manner., • Must be able to gather and analyze information skillfully., • Comfortable using a computer for various tasks beyond general accounting., • Able to handle supervisory responsibility if necessary., • Understanding of payments, accounting, and budgeting.

Job Description Payroll Specialist $65-75,000 Englewood NJ Established Construction Company is currently seeking a Payroll Specialist to join their team. In this position, you will report directly to the CFO and work closely with field and operations management. If you are an experienced payroll professional with union experience and are seeking a new role, we would love to speak with you! Key Responsibilities • Process weekly/bi-monthly payroll for union and non-union employees, including field and office staff., • Review and verify time sheets, job coding, and cost allocations for accuracy., • Administer payroll and prepare reports in compliance with prevailing wage, union, local, state and federal guidelines., • Prepare and submit union reports, • Maintain accurate payroll records, including new hires, terminations, wage changes, and garnishments., • Respond to employee inquiries regarding payroll, deductions, and union reporting., • Coordinate with CFO and field supervisors on employee status changes, hours worked, and project assignments., • Reconcile payroll accounts and prepare reports for accounting and auditing purposes., • Assist with year-end processing, including W-2s and other payroll-related tax filings., • 3–5 years of payroll experience, preferably in the construction industry with union payroll., • Knowledge of collective bargaining agreements, prevailing wage, and certified payroll reporting., • Proficiency in payroll systems - Sage, or similar construction payroll software preferred, • Strong understanding of federal, state, and local payroll tax laws. NJ/NY a plus, • High attention to detail, accuracy, and confidentiality., • Excellent organizational and communication skills.

Job DescriptionFYZICAL Therapy and Balance Centers, the country's leading health and wellness provider, is looking for a natural-born leader with a passion for making a lasting impact on the healthcare industry to join our growing organization as Office Manager at our Brooklyn, NY, location! In this exciting leadership role, you will enjoy job autonomy with a visionary company that takes non-traditional approaches to healthcare. As part of a champion team, you will be inspired as well as inspire others as you discover together what works best for the practice, community and patients. State-of-the-art technology, cutting-edge tools and unparalleled continuing education will help you advance your skills and grow your Office Manager career. Join a forward-thinking company that is ready to invest in your success! Apply for FYZICAL's Office Manager job opening today! Showcase your leadership skills with the top PT company in the U.S. when you join our outstanding Brooklyn, NY, team as Office Manager! As Office Manager with us, you can be assured that your practice leader is fully invested in you as part of a champion team capable of achieving next-level results. Here, every team member and specialist provides an essential element, leading to the overall success of the facility and, as a result, to your individual success. We provide the most up-to-date technology and tools needed to advance in your position and keep you on the leading edge as you achieve your career goals. Turn your passion for helping others into a lucrative career opportunity. Apply for our Office Manager job opening today!Responsibilities • Manage Business Office operations, • Call Center management, • Billing/Collections management, • Manage and preserve all records/files, • Review and certify rehabilitative services billing/authorizations, • Manage call center, • Oversee billing and collections, • Verify all data, unit charges, billing elements and authorization for rehabilitative services, • Process and maintain all files, medical records and insurance, • Oversee all aspects of Business Office operationRequired SkillsRequired skills & qualifications:, • H.S. graduate or equivalent, • Solid analytical and communication skills, • Highly organized and able to determine priorities, • Able to efficiently manage time, • Basic Microsoft Office software skills, • High school diploma or GED required, • Strong communication and problem-solving skills, • Exceptional time management skills, • Good organizational skills with the ability to prioritize tasks, • Basic knowledge of Microsoft Office applications (i.e. Word, Excel, PowerPoint, Access) Preferred but not required:, • Coding/billing experience, • Medical office training/certified

Job Description ABOUT US New York Edge is the largest provider of after-school and summer camp programs in New York City public schools. Each year, academic programs, including STEM, the arts, sports and wellness, and college access, help 40,000 students develop leadership skills and succeed in school. Working parents count on our programs to provide safe and enriching environments for their children. SUMMARY Extended Day Activity Instructors lead afterschool programming for children and teens at New York Edge after-school program sites. The STEM/Coding activity instructor has a dual reporting role, supporting the curriculum and instruction department team by designing lesson plans and implementing curricula across New York Edge program sites. They will also support the program director by preparing STEM-based activity materials and explaining principles, techniques, and safety procedures to student participants. The primary role of a Coding instructor is to deliver the curriculum engagingly and ultimately be responsible for students' learning to create basic-moderate desktop software, apps, games, and websites. Schedule: Part-Time Monday – Friday 2:00 pm – 6:00 pm (Days/shifts vary depending on site needs) This role requires you to be in person. ESSENTIAL JOB FUNCTIONS * Build strong relationships with and among students * Learn and facilitate STEM curriculum * Must have experience with coding, both tablet and computer-based * Inspire students to have fun while learning code and integrating technology skills * Teach or co-lead daily activities * Establish clear objectives for all lessons, units, and projects and communicate those objectives to students. * Participate in ongoing professional development activities * Prepare materials for daily activities * Adapt teaching methods and instructional materials to meet students' needs and interests. * Support the coordination of program events * Input data and prepare reports * Administer pre and post-assessments and evaluations for student activities QUALITIES WE’RE LOOKING FOR * Demonstrated ability to lead activities with children and teens * Experience in coding, content knowledge, and applications * Creativity * Must have excellent communication, organizational, and time management skills * Experience working with children and/or teens * Ability to multitask and manage workflow in a fast-paced environment * Ability to establish and maintain effective working relationships with program staff, school personnel, parents * Sensitive to social-emotional needs and characteristics of students * Self-starter who takes initiative * Flexibility, reliability, and sound judgment * Other duties as assigned REQUIREMENTS * High School Diploma or equivalent * Must be at least 18 years of age * AA or BA in progress in computer programming, engineering, education, or similar related degrees are highly preferred * Experience working or volunteering with youth in a classroom, after-school, or community-based environment preferred. * May be required to walk up and down stairs. * May have to lift or move objects/materials as needed. * Work is permitted mostly within a New York City Public School but may be required to interact with community-at-large during trips or events. Specialists will be required to report to the school building and interact with staff, students, parents, and school administration. At the time of offer and acceptance, the job requires safety and security clearances through the Department of Education and the Department of Health. To apply, please visit our website at newyorkedge.org/careers. New York Edge is an Equal Opportunity/Affirmative Action Employer. Disclaimer: The statements herein are intended to describe the general nature and level of work the employee performs in this position. These statements are not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required of a person in this position..

Job Description Robotics Activity Specialist for Elementary/Middle School Program, Elmhurst-Fall 2025 (Part-Time Position) South Asian Youth Action (SAYA) South Asian Youth Action (SAYA) is committed to providing its employees opportunities for growth in a supportive community environment. As an Activity Specialist, you will receive access to external opportunities and have considerable autonomy in designing and implementing new projects and curricula. With a school-day schedule and a generous benefits package, SAYA provides its employees a healthy work-life balance in a fast-growing youth development nonprofit. SAYA: Belong. Grow. Thrive. Organization Description: South Asian Youth Action (SAYA) is an inclusive, South Asian-focused 501(c)3 youth development organization. Through our innovative, holistic approach, we work toward educational equity by providing opportunities and resources to less privileged New York City youth, ensuring they are empowered academically, emotionally, and socially to become engaged community members. Established in 1996, SAYA provides valuable life skills and holistic, impactful programming to underserved New York City youth. As one of the first South Asian organizations created in the United States, SAYA is the only organization of its kind in the NYC metropolitan area providing inclusive and secular comprehensive youth development services while centering our community’s experiences. Today, SAYA provides programming at eight elementary, middle, and high schools in Queens and Brooklyn, along with our Elmhurst-based community center - serving a growing number of youths across all sites each year. A key tenet of our work is cultivating vital social and emotional learning (SEL) skills such as belonging, confidence, and self-efficacy through intentionally designed, research-based curricula. Across our organization, services tailored for different age groups include leadership and identity development, academic support that bridges learning gaps, comprehensive college preparation, and activities that nurture creativity and build positive peer connections. Position Summary: The Activity Specialist will teach the principles, functions, and programming of Robotics to middle school-aged after-school participants. SAYA seeks candidates who are highly knowledgeable and skilled in programming and robotics and that feel comfortable preparing the youth for a Robotics competition. Reports to: Program Director Compensation: $30-$45 an hour, commensurate with experience and qualifications. This is an in-person position. Responsibilities: • Supervise all activities to ensure the health, safety and well-being of program participants., • Develop lesson plans of age-appropriate activities and themes that will support the development of social-emotional learning competencies, seek to build skills and encourage collaboration., • Facilitate purposeful activities that foster the development of new skills in youth in an engaging, creative and responsive manner., • Manage classroom and maintain positive learning environment., • Build positive relationships with youth and adults and serve as a role model with respect to demeanor, communication and overall attitude., • Ensure proper care of all spaces and materials, organize room and report any misused or damaged materials to the Program Director., • Complete and submit in a timely manner all program reports relative to this position, including but not limited to: supply request, lesson plans, incident reports, attendance, and timesheets., • Assist Program Coordinator with ordering and maintaining equipment and/or supplies., • Actively participate in training sessions, designated meetings and special events. Qualifications: • Bachelor’s Degree preferred., • Minimum of 2 years of academic preparation in coding/programming or Robotics, or equivalent training., • Knowledge and understanding of youth development, after school and public education., • Demonstrated ability to work collaboratively and manage multiple priorities, people and projects effectively., • Experience in providing individualized and group instruction to meet the needs of youth with various level of skills., • Experience designing and teaching courses to ensure youth success and supports youth-centered learning., • Knowledge and experience with coding VEX and LEGO Robotics Key Competencies Ideal candidate will excel in the following areas: • Communication: The candidate will have the ability to communicate effectively with a broad range of people including youth, teachers, school administrations, parents, and other staff. They will be able to work as part of a team with the school community and other SAYA programs. They will be able to consider situations from multiple perspectives in order to avoid and manage conflict., • Flexibility: The candidate will be comfortable adapting to changing circumstances. They will be able to work with youth of various cultural and socioeconomic backgrounds. SAYA is an Equal Opportunity Employer.

Job Description Allied Digestive Health is one of the largest integrated networks of gastroenterology care centers in the nation with over 200 providers and 60 locations throughout New Jersey and New York. As a fast-growing physician-led organization, our dynamic structure encourages physician input and decision-making, while simultaneously offering operational support. Our dedicated, compassionate team of providers prioritize personalized treatment plans for patients that deliver the highest quality of care. All of our doctors are board-certified in gastroenterology and hepatology. Several of them serve as chief of gastroenterology at nearby hospitals, and a number of them have been recognized as top-quality physicians in publications, including but not limited to: Best Doctors in America and Top Doctors New Jersey, and US News Health – US News & World Report. We are excited to announce that we are looking for a Full-Time, Revenue Cycle Manager that will cover our Onsite Practices and Onsite Main Office for all New York Metropolitan and Long Island area. The Revenue Cycle Manager responsibilities are: • Under the direction of the VP of Revenue Cycle, the RCM Specialist-NY is responsible for billing operations within the territory designated as the New York market., • Focus will be in coordinating RCM department resources to ensure an efficient and effective revenue cycle., • This includes accuracy of data collection at time of visit, charge capture, payment posting, reconciliation and mitigating issues related to accounts receivable., • Success will be determined by the candidate’s ability to leverage their knowledge of standard billing practices, effective collaboration with the RCM department, effective communication with the care centers, and use of good judgement. The Revenue Cycle Manager must have the following qualifications and/or experience: • Minimum of Associate's Degree required, • Licenses/Certifications: Must have at least one of the following credentials: CCA (Certified Coding Associate), CPC-A (Certified Professional Coder - Apprentice), or any American Health Information Management Association (AHIMA) coding credential, or any American Academy of Professional Coders (AAPC) coding credential., • Proficient in AthenaOne Practice Management System preferred, • Experience with Power BI preferred, • Proficient in Microsoft Office programs including Word, Excel, and PowerPoint., • Proficient in medical practice operations including billing, coding, medical terminology., • Experience with training and coaching in a business environment preferred. We offer a competitive base salary, generous benefits, including: Medical, Dental, Vision, Life Insurance, Voluntary, Time-Off Benefits, EAP, 401K and Commuter Benefits. Job Type: Full-time

Job Description Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. What We're Looking For: As a Profee Auditing Specialist, you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, and coding workflow operations reviews. In this role, you will offer meaningful information tailored to exceed customer expectations, actively identifying and presenting solutions for customer issues. This role is fully remote with a flexible schedule, allowing you to help shape the future of healthcare from your own workspace! What You Will Do: • Performs Professional Fee coding audits of medical records and abstracts using ICD-10-CM, CPT, HCPCS, and modifiers and appropriate coding references for accurate coding assignment., • Provides rich and concise rationale explaining the reasoning behind any identified changes, including specific references, location of documentation, etc, • Keeps abreast of regulatory changes, • Organizes and prioritizes multiple cases concurrently to ensure departmental workflow and case resolution, • Provides coder education via the auditing process, • Function in a professional, efficient and positive manner, • Adhere to the American Health Information Management Association (AHIMA)'s code of ethics, • Must be customer-service focused and exhibit professionalism, flexibility, dependability, desire to learn, commitment to excellence and commitment to profession, • High complexity of work function and decision making, • Strong organizational, teamwork, and leadership skills What You Need to Succeed: • 5+ years of Professional Fee coding and/or auditing, • CPC (required), • CPMA (preferred), • Maintain 95% accuracy rate, • Experience with various software including Epic, Cerner, and other prevalent EMRs What We Offer: • Benefits for Full-Time employees: Medical, Dental, Vision, 401k Savings Plan w/match, 2 weeks of paid time off, and Paid Holidays, Floating Holidays, • Free CEUs every year, • Stipend provided to assist with education and professional dues (AHIMA/AAPC) If Applicable, • Equipment: monitor, laptop, mouse, headset, and keyboard, • Comprehensive training led by a credentialed professional coding manager, • Exceptional service-style management and mentorship (we're in this together!) Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role. The estimated base pay range per hour for this role is: $35 - $45 an Hour Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role. The estimated base pay range per hour for this role is:$35—$45 USD To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion. This job is not eligible for employment sponsorship. Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here. Know Your Rights, explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay. At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way. Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, by selecting the 'Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here. Requests for reasonable accommodations will be reviewed on a case-by-case basis. For more information about how we collect and use your data, please review our Privacy Policy.

Job Description Hi, we're Oscar. We're hiring a SIU Coding Auditor to join our SIU team. Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family. About the role The Senior Specialist works in the Special Investigation Unit to support in assessing trends and patterns in FWA across the healthcare industry using deep coding knowledge to prevent and recoup inappropriately paid claims. The Specialist Investigation Unit runs and coordinates activities across Oscar to reduce the incidence and impact of fraud, waste, and/or abuse ("FWA") on all our operations. You will report to the Manager, SIU Coding Audit. Work Location: Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission. If you live within commutable distance to our New York City office (in Hudson Square), our Tempe office (off the 101 at University Dr), or our Los Angeles office (in Marina Del Rey), you will be expected to come into the office at least two days each week. Otherwise, this is a remote / work-from-home role. You must reside in one of the following states: Alabama, Arizona, Arkansas, California, Colorado, Connecticut, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, Washington, or Washington, D.C. Note, this list of states is subject to change. #LI-Remote Pay Transparency: The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $63,200 - $82,950 per year. The base pay for this role in all other locations is: $56,880 - $74,655 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, and annual performance bonuses. Responsibilities • Develop a depth of expertise on CPT, HCPCS, and ICD-10 Coding guidelines and other insurance billing submission requirements., • Perform complex audits of assigned medical records and claims on both a prepayment and post payment basis to determine accuracy of claims submitted to Oscar., • Document findings including reference to sources used to support decision making and in a way that can be easily understood by non clinicians or coders., • Create audit report findings, tools, and reference guide that can be used by other team members to communicate findings or more effectively perform similar reviews., • Help draft written communications to providers to convey audit findings., • Participate in educational calls with providers., • Help train new team members., • Develop and document processes to improve the effectiveness of the team., • Compliance with all applicable laws and regulations, • Other duties as assignedQualifications, • 2+ years of coding or auditing experience across multiple specialties is required, • Bachelor's degree or 4+ years of work experience, • Certified Professional Coder (CPC), Certified Inpatient Coder (CIC), Certified Outpatient Coder (COC) designation or similar certification, • Experience working in production-based environment, • Experience of both outpatient and inpatient auditingBonus Points, • Certified Professional Medical Auditor (CPMA), • Additional certification applicable to this work such as Certified Fraud Examiner (CFE), Accredited Healthcare Fraud Investigator (AHFI), Certified AML [Anti-Money Laundering] and Fraud Professional (CAFP), other coding certifications or similar, • Knowledge of applicable fraud statutes and regulations, and of federal guidelines on recoupments and other anti-FWA activity, • Demonstrated experience translating technical jargon to non-technical end users., • Experience working in health insurance specifically with claims processing, billing, reimbursement, or provider contracting., • Experience with HIPAA, data privacy, and/or data security processes At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives. Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements. Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team () to make the need for an accommodation known. Artificial Intelligence (AI) Guidelines: Please see our AI Guidelines for the acceptable use of artificial intelligence during the interview process at Oscar. California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Notice to Job Applicants.

Job DescriptionSalary: $60k - $65k MAC Products, one of the premier mass transit and utilities manufacturers in the North Jersey area, is currently looking for an Accounts Receivable / Payroll Specialist to join the team. This is a multifaceted role and this individual will be responsible for handling payroll, accounts receivable and HR, all in a paperless environment. The Specialist will wear many hats that include but are not limited to onboarding candidates, working with the Union as MAC works with the Local 3 Union, helping implement a new third-party HR platform / software, and running payroll for not just MAC Products but two additional companies under the same ownership. Qualifications: • Bachelors degree in Human Resources, Accounting, or a related certification, • 5+ years of experience in an accounts receivable role, • Experience with ADP Workforce Now, • Intermediate Knowledge of Microsoft Excel, Word, and Outlook, • Strong communication and interpersonal skills, • Attention to detail and proven ability to follow standard operating procedures., • Processing weekly hourly payroll, • Maintaining accurate and current data in the employee system and records, • Keeping records of personnel transactions such as hires, promotions, terminations, and employee attendance tracking, • Handle unemployment claims, garnishments, and inquiries from the Department of Labor, • Interacting with employees regarding payroll information and questions, • Entry of payroll within ADP Workforce Now, time clocks and badge administration Compliance & Record-Keeping • Support HR audits, OSHA compliance reporting, and annual postings., • Assist with full-cycle recruitment, including job postings, applicant tracking, and interview coordination., • Support benefits administration, including employee enrollments, changes, and inquiries., • Provide support in addressing employee concerns and workplace issues., • Daily invoice processing, • Reconcile the cash receipts received from customers and ensure they are accurately recorded within the accounting system, • Maintain accounts receivable records to ensure aging is up to date, credits and collections are applied, and differences are resolved, • Assist the accounts payable team to verify and process invoices, ensuring proper coding and authorization, • Assist with ad hoc analysis and reporting to support the Controller and other members of the accounting team, • Perform other related duties and participate in special projects as assigned Job Type: Full-time Pay: $60,000.00 - $65,000.00 per year Benefits: • 401(k), • 401(k) matching, • Dental insurance, • Flexible spending account, • Health insurance, • Life insurance, • Paid time off, • Vision insurance Schedule: • Onsite Monday - Friday

Job Description Hi, we're Oscar. We're hiring a Senior Specialist to join our Risk Adjustment team. Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family. About the role The Senior Specialist, Risk Adjustment for Medicare Advantage (MA) and Affordable Care Act (ACA) lines of business will work closely with management to meet communicated individual and departmental goals, deadlines set forth by Centers for Medicare & Medicaid Services (CMS) and Health and Human Services (HHS), and be active and engaged in establishing Risk Adjustment processes. You will report to the Associate Director, Risk Adjustment. Work Location: Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission. If you live within commutable distance to our New York City office (in Hudson Square), our Tempe office (off the 101 at University Dr), or our Los Angeles office (in Marina Del Rey), you will be expected to come into the office at least two days each week. Otherwise, this is a remote / work-from-home role. You must reside in one of the following states: Alabama, Arizona, Arkansas, California, Colorado, Connecticut, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, Washington, or Washington, D.C. Note, this list of states is subject to change. #LI-Remote Pay Transparency: The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $72,800 - $95,550 a year. The base pay for this role in all other locations is: $65,520 - $85,995 a year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, and annual performance bonuses. Responsibilities • Responsible for daily operations pertaining to Risk Adjustment including but not limited to: medical record reviews to report ICD-10-CM diagnosis codes for ACA and MA lines of business, potential CMS audits and medical record retrieval efforts., • Maintain compliance with national standards and coding practices set by the ICD-10-CM coding guidelines for accuracy, as well as compliance with Risk adjustment production standards., • Participate in CMS audits of Risk Adjustment activities, including but not limited to Risk Adjustment Data Validation audits., • Develop relationships with key individuals to foster an increased understanding of the Risk Adjustment process., • Support in the identification of document improvement opportunities for provider education in both MA and ACA line of business., • Identify process improvements to enhance medical encounter review efficiency., • Compliance with all applicable laws and regulations, • Other duties as assignedQualifications, • Bachelor's degree in a relevant field of study or commensurate work experience., • Certified professional coder (CPC), • 2+ year(s) retrospective risk adjustment coding experience.Bonus points, • Certified Risk Adjustment Coder (CRC) or similar certification, • Experience coding in a variety of different Electronic Medical Record (EMR) systems.Travel At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives. Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements. Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team () to make the need for an accommodation known. Artificial Intelligence (AI) Guidelines: Please see our AI Guidelines for the acceptable use of artificial intelligence during the interview process at Oscar. California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Notice to Job Applicants.

Job Description Position Description Harlem United is the parent company for Upper Room AIDS Ministry (URAM). URAM provides the healthcare services from the Federally Qualified Health Center located in the heart of Harlem. We provide Primary Care, Specialty Care, Dental Care and Wellness Care to those seeking diagnosis and treatment. All employees of URAM are responsible to perform their job practicing good risk management, quality assurance, and delivering excellent patient experience. Under the supervision of the Medical Director and in accordance with established policies and procedures, the Physician delivers compassionate, high quality comprehensive primary care to homeless, underserved, chronically ill populations including those with diagnoses of HIV, Hepatitis C, SUD, Diabetes, Heart Disease and other comorbidities. This role includes 80% direct patient care and 20% administrative time. The schedule is 9 AM to 5 PM (4 days a week) and 11 -7 (one day per week). Phone call only. Essential Duties and Responsibilities Essential duties and responsibilities include, but are not limited to, the following: • Provides Primary Care, routine and acute care, for both scheduled, same day and walk in appointments, • Maintains a professional demeanor, including demonstration of sound moral and ethical character, compassion, adherence to all agency standards for dress and decorum, • Initiation of treatment and management of chronic illnesses including, but not limited to, HIV infection, asthma, bronchitis, diabetes, lipid disorders, and hypertension, • Generates appropriate referrals to ancillary and specialty services, • Maintains documentation according to standards of the agency and regulatory agencies, • Initiation/ changes in treatment, • Referrals to specialty services, or social-based services, • Ensure timely prescription writing, order, progress notes, and referrals, • Follows prescribing practices according to agency policy and state regulations, • May administer medication according to the same procedures and protocols applied to the nursing staff, • Performs routine diagnostic and therapeutic procedures according to accepted practice standards, • Interpretation of laboratory studies and follow-up on consultation reports, • Provide health education and counseling during visits, • If family medicine trained, the physician is expected to care for patients of all ages, • Documents and locks progress notes within 72 hours of client encounter, • Documents clinical activities and information, • Demonstrate proficiency in use of electronic medical record, • Complies with productivity expectations under the direction of the Medical Director, • Adheres to regulatory guidelines in regards to compliance, ie, Coding practices., • Attends patient care related meetings, as necessary, including but not limited to morning huddles, case conferences., • Manages coordination of care for individual clients by working with available resources both internal and external to the agency, • Provide clinical supervision to Advanced Practice Clinicians (PA and NP) as assigned by the Medical Director, • Provide phone on-call coverage on a rotating schedule, • Cover one evening (weekly) or one Saturday clinic (monthly), • Participates in assigned shifts with the mobile/street medicine., • Participates in CQI activities, • Participate in required clinic meetings, • Attends conferences and community-based activities, including advocacy efforts to eliminate homelessness, HIV and disparities in care as designated by the Medical Director or designee, • Medical Doctor licensed to practice in the State of New York, • Board certified OR board eligible in internal medicine or family medicine, • Achieve and maintain HIV specialist status (preferred), • Accumulate a minimum of 10 specific HIV CME credits throughout the year and a total of 25 credits total per year In addition to the above-listed job responsibilities and educational requirements, the Ideal candidate for this position possesses most or all of the following: • Bilingual preferred (English/Spanish or English/French), • Experience in caring for people living with HIV, populations with experiences of homelessness, substance use disorders, and mental illness., • Experience in caring for people living with HIV, populations with experiences of homelessness, substance use disorders, and mental illness., • Experience in caring for immigrant communities, • Desire and ability to work as part of an interdisciplinary team dedicated to the delivery of high-quality and compassionate care., • Strong problem-solving skills and ability to work independently with in-person supervision., • Proficient in use of electronic medical record systems and other technology required for use in the delivery of care, • Positive interpersonal skills with staff, clients, and others, • Willingness to work off hours on special projects as reasonably dictated by the medical director, • Salary Range: $210,000 to $225,000, • Continue Medical Education time and allowance, • Health Center is qualified for Public Service Loan Forgiveness and loan repayment under the National Health Service Corps, • 27 Days Paid Time Off, • 98 Hours Sick Time, • Medical, Dental, and Vision coverage, • Additional ancillary benefits

Job Description Physician Billing Specialist - Remote (#R10187) Location: Remote (East Meadow, NY) Employment Type: Full-Time Hourly Rate: $27.79 per hour About Greenlife Healthcare Staffing: Greenlife Healthcare Staffing is a leading nationwide recruitment agency dedicated to connecting healthcare professionals with top-tier opportunities. We partner with hospitals, clinics, nursing homes, multi-specialty groups, and private practices to match talented individuals with roles that align with their skills and career goals. Position Overview: Nassau University Medical Center is a 530-bed tertiary care teaching hospital and the region’s only Level I Trauma Center, serving as a vital safety net for Nassau County. Located in East Meadow, NY, NUMC delivers high-quality, compassionate care across a full spectrum of medical specialties and maintains strong academic affiliations with leading medical schools. The Physician Billing Specialist handles claim submission, payment posting, denial management, and AR resolution for assigned physician service lines. Key Responsibilities: • Review and process claims for accuracy and compliance with payer requirements., • Post and reconcile remittances., • Research and resolve claim denials., • Maintain compliance with CMS, state, and payer-specific billing guidelines. Qualifications: • Education: High school diploma, • Certification: CPC or equivalent billing/coding certification preferred., • Experience: Minimum 3 years’ experience in physician billing for specialties such as radiology, emergency medicine, orthopedics, or mental health., • Technical Skills: Strong understanding of CPT, ICD-10, and HCPCS coding., • Soft Skills:, • Coding accuracy, • Collaborative feedback delivery Why Join Us? • Competitive Compensation: $27.79/hour, • Work Schedule: Full-time (40 hrs/wk), • Professional Growth: Master complex billing for high-acuity specialties, • Impactful Work: Advance your career while supporting a Level I Trauma Center.

Job Description InfuCare Rx is a leading home infusion provider accredited by URAC and ACHC offering a specialized approach to caring for patients in need of IV therapy and specialty pharmacy services in the homecare setting. We have created an ethical, team oriented, and quality work environment for our employees that cultivates achievement and success. Job Summary: As a Revenue Cycle Specialist, you'll take charge of multiple facets of the pharmacy/infusion reimbursement process as you interact with insurance companies and patients to ensure accurate payment. You will have the experience of investigating irregularities and resolving problems when unforeseen roadblocks arise. This is a great opportunity for an experienced professional with a track record of filing claims, billing, appeals, reviews, customer service, problem resolution and overall revenue cycle management. With InfuCare Rx experiencing rapid growth, you'll join a fluid and evolving environment that will challenge your ability to adapt but will also reward you with ample opportunities while streamlining and improving processes. Candidates will be considered who have at least 2 years of infusion billing experience, have great customer service skills, the ability to learn/adapt, and who are excellent problem solvers. They will have the ability to lead, own the process, and be results oriented. Responsibilities and Duties: • Prepare and submit clean claims to assigned insurance companies, either electronically or by paper., • Follow up on all unpaid claims in a timely manner and prepare appeal or corrected claims to ensure payment., • Claims Submission to Medicare: preparing and submitting claims to Medicare using the appropriate coding and documentation., • Staying updated on Medicare regulations and policies to ensure compliance for billing., • Interacting with management, patients, and Medicare representatives to resolve issues., • Review EOBs and act appropriately., • Timely Receivables-Revenue Management and reporting., • Submit write-off requests; identify bad debt as necessary., • Identify all roadblocks which potentially could delay claims payment and be ready to discuss solutions with management., • Bill payor plus patient responsibility amounts accurately and in a timely manner., • Handle phone interaction with patients and insurance companies regarding billing and statement questions., • Interpret Contracts/Maintain Payor customer service relationships in order to produce accurate claims, validate reimbursement, and keep A/R to company standards., • Provide excellent customer service., • other duties as assigned" under job duties/responsibilities Skills/Abilities/Work Experience • Must have Home infusion experience, • Minimum of 5 years in Medicare billing required, • Strong knowledge of government insurance plans, managed care plans, HMO/PPOs, and patient billing, • Accurate and detail-oriented including ability to work under pressure., • Experience with Microsoft Office (Word/Excel)., • Communicates clearly and effectively in both oral and written communications., • Proven problem-solving and critical thinking skills., • Hands-on experience with a computerized billing system., • Experience with CPR+ Infusion Pharmacy software for billing highly preferred., • Ability to self-motivate and effectively solve complex problems through internal/external interaction., • Knowledgeable in Medicare and Medicaid guidelines for home infusion therapy., • Knowledge of infusion billing for commercial and Medicaid payers., • Working knowledge of infusion CPT, HCPCS and ICD-10 codes., • Electronic claim filing, • Medical Billing compliance proficiency Physical Demands: Required to stand, walk, sit, talk, and hear; required to use hands to operate vehicles and office equipment; must be able to occasionally lift and/or move up to 25 lbs; specific vision requirements for this job include: close, distance and peripheral vision, and the ability to adjust focus, reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position without compromising patient care. InfuCare Rx is an equal opportunity employer. All employment decisions are made without regard to race, color, religion, national origin, military status, marital status, citizenship/immigration status, sex (including pregnancy and relation conditions, sexual orientation, or gender identity), age (40 and older), disability, genetic information (including employer requests for, or purchase use, or disclosure of genetic tests, genetic services, or family medical history), retaliation for filing a charge, reasonably opposing discrimination, or participating in a discrimination lawsuit, investigation, or proceeding. Background checks and drug screens are part of our hiring process. Affirmative Action/Equal Opportunity Employer, Minority/Female/Disabled/Veteran. Click here to view our Drug Testing Policy

Job Description We are looking for an experienced Accounts Payable Specialist to join our team in Teaneck, New Jersey. This is a long-term contract position ideal for someone with strong organizational skills and a keen eye for detail. The role involves managing critical financial processes and ensuring the accurate handling of invoices and payments. Responsibilities: • Process, review, and verify invoices to ensure proper coding and accuracy., • Manage payments through Automated Clearing House (ACH) and check runs., • Reconcile accounts payable transactions and resolve discrepancies as needed., • Ensure all financial records are maintained and compliant with company policies., • Collaborate with vendors and internal teams to address payment inquiries., • Monitor and maintain accounts payable aging reports to track outstanding balances., • Assist in month-end closing processes related to accounts payable., • Conduct regular audits of invoices and payment records to uphold accuracy., • Support process improvements to enhance efficiency within the accounts payable function., • Proven experience in accounts payable or a similar financial role., • Proficiency in coding invoices and managing account coding., • Familiarity with Automated Clearing House (ACH) payment processing., • Strong ability to execute check runs and handle payment procedures., • Excellent attention to detail and organizational skills., • Effective communication skills for vendor and team collaboration., • Knowledge of accounting software and financial systems., • Ability to handle multiple tasks and meet deadlines in a fast-paced environment.

Job Description ENGLEWOOD ORTHOPEDIC ASSOCIATES JOB DESCRIPTION Department: Billing Title: Medical Biller Location: Englewood Cliffs Supervision Received: Reports to Team Lead Englewood Orthopedic Associates is currently recruiting a Full-Time Medical Biller Individuals must be experienced in medical billing, and initiate & monitor prior authorizations. Candidate Qualifications and Position Responsibilities: • The Medical Billing Specialist applying must have 2 or more solid years of medical billing and authorization experience., • Performs ongoing prospective coding and documentation chart reviews for physician services to ensure that the coding supports the services billed., • The candidate should have excellent oral and writing skills., • Proven experience in insurance verification and obtaining authorizations for office and hospital procedures, • Preparing, reviewing, and submitting claims, • Researching and appealing denied claims, • Ability to multi-task, efficient, while providing high standards of customer service., • Provide account and billing information to patients, explain to patients the reason for their balance., • Other duties as assigned., • Preferred Orthopedic experience but not required, • Preferred Certified Professional Coder (CPC) Typical Physical Demand: Involves sitting for prolonged periods of time. Englewood Orthopedic Associates is an Equal Opportunity Employer. Job Type: Full-time Benefits: • 401(k), • Dental insurance, • Flexible spending account, • Health insurance, • Life insurance, • Paid time off, • Vision insurance Schedule: • 8 hour shift, • Monday to Friday Ability to Commute: • Englewood Cliffs, NJ 07632 (Required)

Job DescriptionDescription: • Work closely with sales reps, account managers, internal partners, and insurance carriers in managing our broker and client relationships., • Gain knowledge of insurance products including but not limited to: dental, life, disability, vision, accident, critical illness and medical., • Provide prompt, efficient, high-quality service to our broker partners and clients., • Manage customer service box for incoming service requests., • Basic platform maintenance (Divisions/Contact/Salary Updates), • Basic coding enrollments/special enrollments, • Set up scheduled reports for groups, • Send Ben Admin reports (payroll deduction/plan enrollment/plan comparison), • Correcting plan administrator mistakes in Ben Admin platform, • Support the Renewal Specialist for reporting and system updates, • Routing Billing inquiries/information about bills to correct parties, • Billing updates/research into billing discrepancy reports, • Policy exception requests for retro premium, • Gathering information from the broker for group termination requests and submitting to carriers, • Commissions questions, • Includes attached Northeast AM role progressionRequirements: Required, Knowledge, Skills and Abilities: • Must be able to work in a fast-paced environment., • The ideal candidate will be comfortable with all methods of communication: in person, phone and email., • Must have the ability to learn quickly., • The candidate has a sense of urgency and takes pride in their work., • Must be comfortable in a team environment., • Insurance carrier experience is not required but preferred, • Self-motivated and goal oriented, • Strong organizational, time management and follow-through skills, • Highly proficient in the basic of Microsoft Excel and Word, • Excellent communication skills both written and verbal, • Undergraduate degree (Preferred, but not required), • Desire to continually learn new products and services

Job Description Lead Patient Advocate Specialist - Remote ChasmTeam is partnering with a growing national company, to build a team that provides real benefits to patients! We are seeking hard working, self starters who enjoy a challenge as we work together to help patients. The Lead Patient Advocate plays a critical role in identifying, educating, and enrolling eligible hospital patients into the Health Insurance Premium Payment (HIPP) Program. You'll clearly explain program details, gather required documentation, and serve as a compassionate, professional advocate throughout each step of the enrollment process. The Lead Patient Advocate will be part of our newly established Implementation “SWAT” Team, working closely with clients to ensure the rapid, effective, and seamless rollout of patient support initiatives. This role will serve as a key partner to clients, helping them navigate implementation challenges and ensuring a high-quality patient experience. This role demands mission-driven advocacy, proactive problem-solving, empathetic communication, and resilience—all while balancing compassion with an urgency to ensure patients receive timely support. By facilitating employer-sponsored health insurance coverage, the Patient Helper Program helps medically complex Medicaid beneficiaries access comprehensive care. We’re looking for driven individuals with a “can-do” spirit, unwavering perseverance, and the capacity to support diverse patient populations navigating complex healthcare systems. Key Responsibilities Patient Engagement & Advocacy • Educate patients and families in a clear, compassionate, and culturally sensitive manner about the HIPP program., • Assess family dynamics and adapt communication style to effectively meet their needs., • Obtain necessary authorizations and documentation from patients/families., • Foster trust with patients while maintaining appropriate professional boundaries., • Accurately collect all essential data for HIPP applications (e.g., employer information, insurance details)., • Employ proactive problem-solving to overcome barriers and ensure timely, accurate submissions., • Collaborate seamlessly with the Patient Financial Assistance team to finalize enrollments., • Clarify how employer-provided health insurance works in coordination with Medicaid., • Verify and update ongoing patient eligibility for HIPP to maintain continuity., • Utilize CRM/case management system to manage referrals and patient records., • Upload, scan, and securely transmit required documentation., • Record patient interactions meticulously in compliance with privacy and legal standards., • Represent the organization as the onsite contact at the hospital., • Establish and maintain collaborative relationships with hospital staff, state agency personnel, and community partners., • High school diploma or GED and completion of formal training in customer service, patient services, healthcare administration, social services, or case management., • Foundational knowledge of healthcare terminology and insurance processes gained via coursework or certification., • Associate’s or Bachelor’s degree in Social Work, Healthcare Administration, Public Health, or related field., • Training in motivational interviewing, trauma-informed care, or medical billing/coding., • Continuing education in Medicaid/Medicare eligibility, health equity, or patient advocacy., • Three-Five years’ experience in patient-facing roles within a healthcare setting. Technical Skills-Preferred • Proficiency with CRM or case management systems., • Knowledge of Medicaid/Medicare eligibility and benefits coordination., • Ability to interpret medical billing and insurance documents., • Active listening and empathetic communication., • De-escalation tactics for emotionally distressed patients., • Cultural awareness and sensitivity in communication., • Mission-Driven Advocacy – Consistently puts patient needs first., • Ego Resilience – Thrives amid adversity and changing demands., • Empathy – Provides compassionate support while ensuring professionalism., • Urgency – Balances speed and sensitivity in patient interactions., • Detail Orientation – Ensures accuracy and completeness in documentation., • Cultural Competence – Demonstrates respect and understanding of diverse experiences., • Adaptability – Successfully operates in evolving policy and procedural environments. Why Join Us? As a Lead Patient Advocate, you’ll make a real difference—helping patients navigate complex health and insurance systems, securing critical benefits, and enabling focus on healing and well-being. Join a mission-driven, supportive team where your work matters and your growth is encouraged. Full benefits offered including Health, Dental, Vision, 401(k) with company match, STD/LTD, Life Insurance and more.

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 DescriptionFYZICAL Therapy and Balance Centers, the country's leading health and wellness provider, is looking for a natural-born leader with a passion for making a lasting impact on the healthcare industry to join our growing organization as Office Manager at our Wyckoff, NJ, location! In this exciting leadership role, you will enjoy job autonomy with a visionary company that takes non-traditional approaches to healthcare. As part of a champion team, you will be inspired as well as inspire others as you discover together what works best for the practice, community and patients. State-of-the-art technology, cutting-edge tools and unparalleled continuing education will help you advance your skills and grow your Office Manager career. Join a forward-thinking company that is ready to invest in your success! Apply for FYZICAL's Office Manager job opening today! Showcase your leadership skills with the top PT company in the U.S. when you join our outstanding Wyckoff, NJ, team as Office Manager! As Office Manager with us, you can be assured that your practice leader is fully invested in you as part of a champion team capable of achieving next-level results. Here, every team member and specialist provides an essential element, leading to the overall success of the facility and, as a result, to your individual success. We provide the most up-to-date technology and tools needed to advance in your position and keep you on the leading edge as you achieve your career goals. Turn your passion for helping others into a lucrative career opportunity. Apply for our Office Manager job opening today!Responsibilities • Manage Business Office operations, • Call Center management, • Billing/Collections management, • Manage and preserve all records/files, • Review and certify rehabilitative services billing/authorizations, • Manage call center, • Oversee billing and collections, • Verify all data, unit charges, billing elements and authorization for rehabilitative services, • Process and maintain all files, medical records and insurance, • Oversee all aspects of Business Office operationRequired SkillsRequired skills & qualifications:, • H.S. graduate or equivalent, • Solid analytical and communication skills, • Highly organized and able to determine priorities, • Able to efficiently manage time, • Basic Microsoft Office software skills, • Strong communication and problem-solving skills, • Exceptional time management skills, • Good organizational skills with the ability to prioritize tasks, • Basic knowledge of Microsoft Office applications (i.e. Word, Excel, PowerPoint, Access) Preferred but not required:, • Coding/billing experience, • Medical office training/certified, • Sales experience

Job DescriptionDescription: Job Title: Medical Billing Specialist Salary: $25-$30 per hour Supervisor: Director of Behavioral Health Services Department: Behavioral Health Services FLSA Status: Full Time – Exempt ========================================================================================== GENERAL DESCRIPTION: The Medical Billing Specialist coordinates with the Authorization & Payroll Specialist and Director of Behavioral Health Services to ensure all CFTSS and HCBS services are billed and adjudicated in accordance with the New York State Department of Health (NYSDOH) and federal regulations. The Medical Billing Specialist can work independently and efficiently under pressure. They conduct follow-up correspondence to resolve open and denied claims via email or on the phone. The Medical Billing Specialist may act as a liaison between MDPYFS and the MMCPs (Medicaid Managed Care Plans) that insure the clients on the Behavioral Health Services Department’s roster. They keep records organized and can complete tasks quickly and efficiently, in order of highest priority. MAJOR DUTIES AND RESPONSIBILITIES: • Verify clients’ eligibility weekly., • Maintain updated billing profiles for all clients in the clearinghouse database., • Report service provision overutilization including but not limited to fraud, waste, and abuse., • Process, correct, and rebill claims for adjudication using ICD-10 codes if necessary., • Audit Explanations of Payments (EOP) from MMCPs., • Reconcile incoming payments., • Resolve denied and underpaid claims via the dispute, appeal, or grievance process., • Liaise between NYS Medicaid programs and MMCPs., • Ensure ongoing communication with the Director of Behavioral Health Services regarding the escalation of service-impacting issues., • Develop and implement process improvement initiatives., • Perform ongoing independent research related to changes in industry standards., • Attend quarterly Department meetings to provide necessary feedback. EDUCATION: • At least two (2) years of administrative experience, • Excellent organizational, problem-solving, and time-management skills, • Detail-oriented and able to multitask, • Strong oral and written communication skills Section 424-A of the New York Social Services Law requires an authorized agency to inquire whether a candidate for employment with child-caring responsibilities has been the subject of a child abuse and maltreatment report. • Credential Verification, • Medical and Physical clearance, which includes TB screening, • State Central Registry (SCR) Clearance, • Staff Exclusion List (SEL), • Justice Center Background Check, • Mandated Reporter, • Trauma Informed Care, • Lasallian Culture of Care, • This is an in-person position., • The number of days will vary based on the agreed work schedule. The hours of work are up to forty (40) hours per week. This position may require long hours and occasional weekend work as the job demands. PHYSICAL REQUIREMENT: • Lifting requirement of 50 Lbs., • Ability to meet physical requirements of the position when performing the following: standing, walking, sitting, bending, stooping, squatting, kneeling, and climbing. Requirements: QUALIFICATIONS: EDUCATION: Bachelor’s Degree EXPERIENCE: At least two (2) years of administrative or supervisory experience At least two (2) years of medical billing experience Familiarity with billing and coding terminology REQUIRED SKILLS AND ABILITIES: Highly organized and detail-oriented Business Acumen Effective oral and written communication skills Consultation Relationship management Time management Data input Ability to communicate effectively with stakeholders Understanding and incorporation of the Lasallian Culture of Care as a work philosophy Ability to work varying hours as needed Proficient computer skills (Microsoft Word & Excel) Excellent problem-solving capability and ability to meet multiple deadlines under pressure ACTIVE CERTIFICATIONS: Mandated Reporter Lasallian Culture of Care (LCC) Required training as delineated by the oversight agency and or MDPYFS SUPERVISORY RESPONSIBILITY: This position may serve as a consultant and mentor in the agency. EXPECTED HOURS OF WORK: The number of days will vary based on the agreed work schedule. The hours of work are up to forty (40) hours per week. This position may require long hours and occasional weekend work as the job demands. BACKGROUND VERIFICATION and CLEARANCE: Section 424-A of the New York Social Services Law requires an authorized agency to inquire whether a candidate for employment with child-caring responsibilities has been the subject of a child abuse and maltreatment report. Credential Verification Medical and Physical clearance, which includes TB screening State Central Registry (SCR) Clearance Staff Exclusion List (SEL) Justice Center Background Check Required training as delineated by the oversight agency and or MDPYFS Reference Verification PHYSICAL REQUIREMENT: Lifting requirement of 50 Lbs. Ability to meet physical requirements of the position when performing the following: standing, walking, sitting, bending, stooping, squatting, kneeling, and climbing.

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 Description Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. What We're Looking For: As an Outpatient Auditing Specialist, you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, and coding workflow operations reviews. In this role, you will offer meaningful information tailored to exceed customer expectations, actively identifying and presenting solutions for customer issues. This role is fully remote with a flexible schedule, allowing you to help shape the future of healthcare from your own workspace! Preferred: Candidate needs a strong skill set in SDS, ED, Observation and I&I What You Will Do: • Performs Outpatient Facility coding audits of medical records and abstracts using ICD-10-CM, CPT, HCPCS, and modifiers and appropriate coding references for accurate coding assignment, • Provides rich and concise rationale explaining the reasoning behind any identified changes, including specific references, location of documentation, etc, • Keeps abreast of regulatory changes, • Organizes and prioritizes multiple cases concurrently to ensure departmental workflow and case resolution, • Provides coder education via the auditing process, • Function in a professional, efficient and positive manner, • Adhere to the American Health Information Management Association (AHIMA)'s code of ethics, • Must be customer-service focused and exhibit professionalism, flexibility, dependability, desire to learn, commitment to excellence and commitment to profession, • High complexity of work function and decision making What You Need to Succeed: • 5+ years of outpatient facility coding experience and/or auditing, • CCS (required), RHIA or RHIT preferred, • Maintains 95% accuracy rate, • Benefits for Full-Time employees: Medical, Dental, Vision, 401k Savings Plan w/match, 2 weeks of paid time off, and Paid Holidays, Floating Holidays, • Free CEUs every year, • Stipend provided to assist with education and professional dues (AHIMA/AAPC) If Applicable, • Equipment: monitor, laptop, mouse, headset, and keyboard, • Comprehensive training led by a credentialed professional coding manager, • Exceptional service-style management and mentorship (we're in this together!) Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role. The estimated base pay range per hour for this role is: $35 - $45 an Hour Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role. The estimated base pay range per hour for this role is:$35—$45 USD To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion. This job is not eligible for employment sponsorship. Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here. Know Your Rights, explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay. At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way. Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, by selecting the 'Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here. Requests for reasonable accommodations will be reviewed on a case-by-case basis. For more information about how we collect and use your data, please review our Privacy Policy.

PRIDE Health is seeking a travel nurse RN Clinical Document Improvement Specialist for a travel nursing job in New YOrk, New York. • Specialty: Clinical Document Improvement Specialist, • Discipline: RN, • Start Date: 09/22/2025, • Duration: 13 weeks, • 40 hours per week, • Shift: 8 hours, days, • Employment Type: Travel Position: Chart Review (Special Investigations Unit Clinical ) Hybrid Position Shift: 9am - 5pm Requirements: 5 years of healthcare fraud detection, investigation, or auditing, & In-depth experience and knowledge of coding regulations including ICD-10, CPT, HCPCS, AMA, etc. Job Description • Review medical records to validate clinical and coding assessments, as well as medical coding, and review healthcare claims to determine the accuracy and compliance of billed codes with relevant regulations, standards, policies, and procedures., • Conduct audits of high-risk claims and billing patterns to ensure adherence to healthcare regulations and MetroPlusHealth policy, and detect potential FW.A, • Assist in preparing documentation for audits, recoupments, compliance/legal reviews, and regulatory inquiries., • Collaborate with other SIU team members to evaluate suspected cases of fraudulent activities, such as over-utilization of services, upcoding, and billing for non-medically necessary services. PRIDE Health is the minority-owned healthcare recruitment division of Pride Global—an integrated human capital solutions and advisory firm. With our robust and abundant travel nursing and allied health employment options across the U.S., PRIDE Health will allow you to help change the way the world lives and heals as it connects you with the industry’s leading healthcare organizations. Pride Global offers eligible employee’s comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts with preferred vendors. • Weekly pay, • Holiday Pay, • Guaranteed Hours, • 401k retirement plan, • Cancelation protection, • Referral bonus, • Medical benefits, • Dental benefits, • Vision benefits

Job DescriptionDescription: Company Overview Collabrios delivers purpose-built software solutions that unify the entire care journey. By combining deep industry expertise with cutting-edge technology, we empower care providers to streamline operations while delivering exceptional care. From PACE programs to government agencies, our integrated technology infrastructure supports the full spectrum of care delivery. Job Overview We are seeking a detail-oriented Senior Accounting Specialist to oversee accounting functions within a TPA setting. This role involves managing A/R adjustments, month-end closing, and financial reporting while supporting client financial audits and ensuring data accuracy. The ideal candidate will bring strong analytical skills, attention to detail, and a collaborative approach to working with cross-functional teams. . Key Responsibilities • A/R Adjustments: Post Medicare, Medicaid, and Private A/R adjustments based on received adjustment forms., • Client Reporting: Prepare monthly client expense reports by specialty type, ensuring data accuracy and timely delivery., • Reinsurance Support: Assist in producing reinsurance reports and other financial analyses for clients and management., • GL Review: Review and verify GL coding accuracy, addressing discrepancies with TPA leadership., • Audit Participation: Participate in client financial audit calls, providing necessary financial data and insights., • Policy & Procedure Development: Support the development and maintenance of departmental policies and procedures to ensure consistency and compliance. Required: • 1–3 years of experience in accounting within a health plan, insurance company, or TPA environment., • At least one year of accounting-related experience, with exposure to A/R and A/P processes., • Proficiency in Microsoft Office applications, particularly Excel, and familiarity with financial reporting tools., • Strong analytical skills and attention to detail., • Effective communication skills, with the ability to explain financial data clearly to both technical and non-technical stakeholders., • Experience in a client-facing accounting role, particularly in the healthcare or TPA sector., • Knowledge of HIPAA regulations and data privacy best practices., • Previous involvement in financial audits or preparing audit documentation., • A connected, virtual-first culture with a collaborative, mission-driven team, • Competitive health benefits, including medical, dental, and vision coverage, • 401(k) with company contribution, • Generous paid time off, including 15 PTO days, 2 floating holidays, and 6 sick days, • Flexibility and trust—we empower our team to manage their schedules and work in ways that support their lives, • Opportunities for learning, mentorship, and professional development

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 DescriptionAP/AR Support Specialist Roles and Responsibilities: • Daily, as vendor invoices are received through email, Code vendor invoices showing both expense account coding and related Sales Order number., • Enter Vendor Invoice data into SAGE Intacct accounting system., • Monthly, reconcile invoices entered to vendor statements., • Daily, enter customer payments received into SAGE Intacct accounting system, matching payment amounts and outstanding invoice amounts., • Investigate and resolve any discrepancies., • Keep Chief Accountant fully informed as to the status of all open items. Role Qualifications: • 3 years of experience in an accounts payable and receivable role or related field, • Strong attention to detail and accuracy, • Excellent organizational and time management skills, • Proficient in Excel and experience with any accounting software, • Good communication and interpersonal skills Preferred/Nice to Have: • Experience with SAGE Intacct, • Experience with Salesforce GKqSVBvPgr

Job DescriptionSalary: Billing Specialist Location:127 Pine Street, Montclair, New Jersey 07042 Job Type:Full-Time/Exempt Reports To:Chief Executive Officer/Chief Financial Officer Job Summary This position is responsible for ensuring the accurate and timely processing of patient claims, insurance reimbursements, and financial records. The ideal candidate will have experience in healthcare billing, insurance verification, and compliance with medical billing regulations. Key Responsibilities • Prepare and submit insurance claims for treatment services rendered., • Verify patient insurance coverage and eligibility before service delivery., • Ensure accurate coding and documentation for billing compliance., • Process and track payments from insurance providers, patients, and third-party payers., • Reconcile accounts, identify discrepancies, and follow up on outstanding balances., • Communicate with insurance companies to resolve denied or delayed claims., • Maintain patient financial records, ensuring confidentiality and accuracy., • Assist patients and families with billing inquiries and payment arrangements., • Stay up to date with healthcare billing regulations, including Medicaid, Medicare, and private insurance policies., • Associate or bachelors degree in accounting, Finance, Healthcare Administration, or a related field., • Minimum of 2 years of experience in medical billing, preferably in a behavioral health or treatment center setting., • Knowledge of insurance claim processes, CPT and ICD-10 coding, and HIPAA regulations., • Experience with electronic billing systems and medical billing software., • Strong analytical skills and attention to detail., • Excellent communication and customer service skills., • Competitive salary based on experience., • Health, dental, and vision insurance., • Paid time off and holidays., • Professional development and training opportunities., • A supportive and mission-driven work environment.