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

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

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

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

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

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

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

Job DescriptionBenefits: • 401(k), • Dental insurance, • Health insurance, • Paid time off, • Tuition assistance Location: Hicksville, NY (initially onsite during training), transitioning to Garden City, NY Schedule: Onsite five days per week during training. After training, hybrid schedule with in-office work required Mondays, Tuesdays, and Fridays. Visa Sponsorship Eligibility: Not available. Candidates must be U.S. Citizens or Green Card holders. Compensation: $121,000 $150,000 annually, based on experience. Employment Type: Full-time, permanent role An Epic Physician Billing Analyst (also known as an Epic Professional Billing Analyst) is responsible for the configuration, maintenance, and optimization of the Epic Professional Billing module within a healthcare organization. • System Configuration and Maintenance:, • Configure and customize the Epic Professional Billing application to meet the specific business needs and workflows of the organization., • Maintain the Resolute Professional Billing module to manage charges, benefit engines, and workflows with external collection agencies., • Perform ongoing maintenance and updates to Epic applications., • Build and test system changes, presenting them to end-users and migrating them to production., • Workflow Analysis and Optimization:, • Analyze existing financial workflows and identify opportunities for improvement and optimization., • Design and implement leading practice workflows to enhance efficiency and effectiveness., • Collaborate with various stakeholders, including IT, finance, and end-users, to ensure the Epic system aligns with business operations., • Support and Troubleshooting:, • Act as the primary support contact for Epic Professional Billing application end-users., • Provide support to end-users on the Epic EMR system, including integrating revenue cycle processes such as maintaining claim scrubbers and payment processors., • Troubleshoot system errors and resolve issues related to billing, claims, and reimbursement., • Provide on-call support on a rotating basis., • Training and Education:, • Participate in training and educate end-users on the Epic Professional Billing application and related workflows., • Develop and document internal procedures for using Epic and other applications., • Compliance and Updates:, • Stay current with Epic technologies, obtain and maintain necessary Epic certifications., • Ensure compliance with industry standards and regulations, such as transitioning between different claim formats (e.g., X12 4010 to 5010) and coding systems (e.g., ICD-9 to ICD-10)., • Education and Certification:, • Bachelors Degree, preferably in Computer Science, Information Technology, Computer Engineering, or a related field., • Certified in Epic Professional Billing., • Technical Skills:, • Expertise in Epic's Professional Billing module, including charge router, workqueue configuration, collection agency workflows, statement processing, benefit engine, and estimates., • Experience with system configuration and troubleshooting tools., • Proficiency with Microsoft Office Suite (Word, Project, Excel, Visio, and PowerPoint)., • Healthcare Industry Knowledge:, • Strong understanding of healthcare revenue cycle processes, medical billing codes, and insurance procedures., • Familiarity with the differences between professional billing and hospital billing., • Knowledge of medical coding systems like CPT and ICD-10., • Soft Skills:, • Strong interpersonal relationship skills and effective communication skills (both oral and written)., • Analytical thinking and problem-solving abilities., • Attention to detail and accuracy., • Self-motivated and a team player Flexible work from home options available.

AP Executive Staffing is hiring a Medical Billing Specialist for our customer, a multi-specialty practice with multiple locations throughout the Western New York region. Offering flexible working hours and full remote work, candidates must reside in New York State in order to make periodic visits to the office. This direct hire role is part of a Billing team that manages the full lifecycle of medical claims from charge entry and claim submission to payment posting, denial management, and patient billing. Duties and Responsibilities • Track claim status using payer portals and billing software; resolve rejections and denials., • Prepare and submit appeals, including documentation and provider narratives., • Identify and report trends in denials, underpayments, and billing errors., • Generate and review reports, including aging summaries and outstanding claims., • Verify insurance coverage, benefits, and prior authorizations., • Respond to patient and insurance inquiries by phone or email., • Assist with A/R follow-up and collection activities., • Maintain HIPAA compliance and confidentiality of patient health and financial information., • Apply knowledge of CPT, ICD-10, and HCPCS coding standards., • Post insurance and patient payments, adjustments, and credits. Qualification Requirements • Associate degree or certification in billing/coding, • Minimum 2 years of specialty medical billing experience with a strong knowledge of healthcare insurance process and procedures for commercial, Medicare, Medicaid, and workers’ comp (orthopedic, neurologic, surgical or related strongly preferred), • Proficiency with CPT, ICD-10, and HCPCS coding., • Experience with EMR systems (e.g., Medent, Epic, or similar)., • Proficiency in Microsoft Word, Excel, Outlook, and Teams. Preferences • Strong analytical and problem-solving skills., • Excellent communication and organizational skills., • Ability to work independently in a fast-paced environment. Why this role stands out: • Direct hire with a stable, multi-specialty practice, • Fully remote (must live in NY State for occasional office visits), • Flexible hours for better work-life balance, • Competitive pay: $25–$27/hour

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

Job Description 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 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.

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.

X12 4010 to 5010) and coding systems (e. Knowledge of medical coding systems like CPT and ICD-10.

Knowledge of medical coding systems (CPT, ICD-10). Medical, Dental, Vision Insurance (BCBS).

X12 4010 to 5010) and coding systems (e. Knowledge of medical coding systems like CPT and ICD-10.

Knowledge of medical coding systems like CPT and ICD-10. X12 4010 to 5010) and coding systems (e.

Strong understanding of healthcare revenue cycle processes, medical billing codes, and insurance procedures. Knowledge of medical coding systems like CPT and ICD-10.

Prior litigation or paralegal experience, paralegal degree/certificate/certification, medical training, or relevant coursework or legal studies degree is required. Arbitration Paralegal Responsibilities include, but are not limited to. Understanding of medical terminology, CPT Codes, Workers’ Comp

X12 4010 to 5010) and coding systems (e. Knowledge of medical coding systems like CPT and ICD-10.

X12 4010 to 5010) and coding systems (e. Knowledge of medical coding systems like CPT and ICD-10.

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

In-house, and on the job training as well as company-paid Nationally recognized Personal Training certification (NCCPT) is available for selected candidate.

Sign-on Bonus for External Candidates.Opportunities with Optum in the Tri-State region (formerly CareMount Medical, ProHEALTH New York and Riverside Medical Group).Come make a difference in the lives of people who turn to us for care at one of our hundreds of locations across New York, New Jersey an

In-house, and on the job training as well as company-paid Nationally recognized Personal Training certification (NCCPT) is available for selected candidate.

Sign on Bonus for External Hires.Opportunities with Optum in the Tri-State region (formerly CareMount Medical, ProHEALTH New York and Riverside Medical Group).Come make a difference in the lives of people who turn to us for care at one of our hundreds of locations across New York, New Jersey and Con

The Offsite Medical Assistant I Provides clinical office support to Physicians & Surgeons and performs patient care and administrative duties necessary to deliver quality patient care.

Sign On Bonus For External Candidates.Excellent benefits within 30 days, PTO, paid holidays, 401K, tuition reimbursement and more!.Opportunities with Optum in the Tri-State region (formerly CareMount Medical, ProHEALTH New York and Riverside Medical Group).Come make a difference in the lives of peop

Business Analyst/Project Manager.Looking for an experienced Business Analyst/Project Manager who will be responsible for understanding and assessing the changing needs of the business.Frequently analyze the impacts of change, document and support communication between relevant groups and stakeholder

Medical Assistant I-Multispecialty-Hewlett, Ny.The Offsite Medical Assistant I Provides clinical office support to Physicians & Surgeons and performs patient care and administrative duties necessary to deliver quality patient care.

The Medical Assistant (MA) is responsible for assisting physician, PA or NP with clerical duties, patient flow, patient care and procedures.Cleans examination room when exam is complete.Maintains efficient patient flow.Ensures proper preparation for patient visit.Prepares pertinent information neede

Sign On Bonus For External Candidates.Excellent benefits within 30 days, PTO, paid holidays, 401K, tuition reimbursement and more!.For those who want to invent the future of health care, here's your opportunity.We're going beyond basic care to health programs integrated across the entire continuum o

The Medical Assistant (MA) is responsible for assisting physician, PA or NP with clerical duties, patient flow, patient care and procedures.Cleans examination room when exam is complete.Maintains efficient patient flow.Ensures proper preparation for patient visit.Prepares pertinent information neede

Medical Assistant Urology Office - Clifton Park, NY - FT.If you are looking for a Medical Assistant position in a provider office, full time, this could be your opportunity.Peter's Health Partner's, we care for more people in more places.This position is located at 1735 U.Quality of Life: Where car

Are you an experienced Medical Assistant seeking a rewarding role in an Endocrinology Practice serving patients in nursing homes? Join our team! Position: Medical Assistant Location: Corporate Office (non patient facing) Responsibilities: - Manage administrative tasks in a office setting.Maintain ac

Sign-on Bonus for External Candidates.Opportunities with Optum in the Tri-State region (formerly CareMount Medical, ProHEALTH New York and Riverside Medical Group).Come make a difference in the lives of people who turn to us for care at one of our hundreds of locations across New York, New Jersey an

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Performs patient care under the physician's/nurse's direct supervision.Duties include preparing patient for physician, administering, obtaining and recording diagnostic laboratory test results.Assists in coordinating organization of care to meet patient needs including preparing, organizing and fili

Focus on the core content of the job post, removing all extra metadata, navigation mentions, and redundant headers.Keep the formatting beautiful and high signal to noise ratio.

Pediatric Urgent Care Medical Assistant.Sign-on Bonus for External Candidates.Opportunities with Optum in the Tri-State region (formerly CareMount Medical, ProHEALTH New York and Riverside Medical Group).Come make a difference in the lives of people who turn to us for care at one of our hundreds of

Office Assistant - NYU Langone Medical Associates - Hewlett.NYU Langone HospitalLong Island is a 591-bed university-affiliated medical center, which offers sophisticated diagnostic and therapeutic care in virtually every specialty and subspecialty of medicine and surgery.We are a major regional heal

Opportunities With Optum In The Tri-State Region.Come make a difference in the lives of people who turn to us for care at one of our hundreds of locations across New York, New Jersey and Connecticut.Work with state-of-the-art technology and brilliant co-workers who share your passion for helping peo

Focus on the core content of the job post, removing all extra metadata, navigation, and redundant headers.Keep the formatting beautiful and high signal to noise ratio.

Sign On Bonus For External Candidates.Excellent benefits within 30 days, PTO, paid holidays, 401K, tuition reimbursement and more!.Opportunities with Optum in the Tri-State region (formerly CareMount Medical, ProHEALTH New York and Riverside Medical Group).Come make a difference in the lives of peop

Medical Assistant - NYU Langone Medical Associates - Bethpage.Position Summary: We have an exciting opportunity to join our team as a Medical Assistant - NYU Langone Medical Associates - Bethpage.In this role, the successful candidate Assists in the delivery of primary health care and patient care m

Sample Receiving Data Entry Clerk I.EMSL is seeking a Sample Receiving Data Entry Clerk I in Carle Place, NY.This is an administrative support position for the laboratory manager and the analysts.It will oversee the shipping, receiving, distributing, and logging in of samples.Responsibilities includ

Medical Assistant - NYU Langone Bariatric Surgery Associates - Patchogue.Position Summary: We have an exciting opportunity to join our team as a Medical Assistant - Bariatric Surgery - East Patchogue.In this role, the successful candidate is responsible for assisting physicians and nurses in the car

Medical Assistant Endocrinology Practice (Administrative Role).Location: Corporate Office (Non-Patient Facing).Are you a certified and detail-oriented Medical Assistant looking for a rewarding administrative role in an Endocrinology Practice? Join our team and help improve the health and well-being