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Job Description Come join a team of passionate therapists providing excellent pediatric therapy to children throughout the United States! Achieve Beyond was founded in 1995 and is continuously growing to meet the needs of developmentally disabled children through our ABA, speech, occupational, and physical therapy. We currently offer our services in the entire metro New York area (including the five boroughs of NYC, Hudson Valley and Long Island) and Albany, New Jersey, Connecticut, Delaware, and the Virginia/ Maryland/ DC area. We specialize in conducting initial evaluations and providing ongoing services in home, community and clinic settings. Achieve Beyond is centered around a culture of collaboration and support to ensure our services are of the highest quality and adhere to our strong ethical standards. All of our therapists will have access to the following benefits: • Training and use of our paperless billing and data collection system, • Full practice management we take care of intake, staffing, billing, tracking authorizations, insurance correspondence and maintenance of your certifications, so you are able to focus on providing our children with the best services!, • Access to continuing education workshops and trainings (we are an ASHA and BACB ACE provider) LOCATION: Cases Available Throughout NassauCounty JOB RESPONSIBILITIES: • Provide direct ABA instruction according to the educational plan outlined by the Board Certified Behavior Analyst, • Participate in collaborative team meetings with BCBA and other Behavior Therapists on the case, • Communicate frequently with family members by providing debriefs at the end of each session, as well as resources and strategies that can be implemented in the home and community to promote consistency, • Collect daily data and organize child's program book weekly Must have a passion for working with children, families, and therapists! successful completion of or current enrollment in an undergraduate program in psychology, healthcare, human services, education, or related field • Experience using ABA preferred, • Must be self- motivated, a team player, and exercise patience/professionalism, • Excellent organizational skills with attention to detail, • Excellent communication skills with children, family members, and supervisor, • Passionate about helping children and families, and providing services of the highest standards!, • Must be able to travel to and from assigned cases including but not limited to driving personal vehicle, walking, and/or use of public transportation such as a bus or train., • The ability to climb and descend staircases, • The ability to lift 10 pounds regularly $250 sign-on bonus after 60 days of maintaining a case

Job Description Come join a team of passionate therapists providing excellent pediatric therapy to children throughout the United States! Achieve Beyond was founded in 1995 and is continuously growing to meet the needs of developmentally disabled children through our ABA, speech, occupational, and physical therapy. We currently offer our services in the entire metro New York area (including the five boroughs of NYC, Hudson Valley and Long Island) and Albany, New Jersey, Connecticut, Delaware, and the Virginia/ Maryland/ DC area. We specialize in conducting initial evaluations and providing ongoing services in home, community and clinic settings. Achieve Beyond is centered around a culture of collaboration and support to ensure our services are of the highest quality and adhere to our strong ethical standards. All of our therapists will have access to the following benefits: • Training and use of our paperless billing and data collection system, • Full practice management we take care of intake, staffing, billing, tracking authorizations, insurance correspondence and maintenance of your certifications, so you are able to focus on providing our children with the best services!, • Access to continuing education workshops and trainings (we are an ASHA and BACB ACE provider) LOCATION: cases available throughout Suffolk County JOB RESPONSIBILITIES: • Provide direct ABA instruction according to the educational plan outlined by the Board Certified Behavior Analyst, • Participate in collaborative team meetings with BCBA and other Behavior Therapists on the case, • Communicate frequently with family members by providing debriefs at the end of each session, as well as resources and strategies that can be implemented in the home and community to promote consistency, • Collect daily data and organize child's program book weekly Must have a passion for working with children, families, and therapists! successful completion of or current enrollment in an undergraduate/graduate program in psychology, healthcare, human services, education, or related field • Experience using ABA preferred, • Must be self- motivated, a team player, and exercise patience/professionalism, • Excellent organizational skills with attention to detail, • Excellent communication skills with children, family members, and supervisor, • Passionate about helping children and families, and providing services of the highest standards!, • Must be able to travel to and from assigned cases including but not limited to driving personal vehicle, walking, and/or use of public transportation such as a bus or train., • The ability to climb and descend staircases, • The ability to lift 10 pounds regularly

Job Description Come join a team of passionate therapists providing excellent pediatric therapy to children throughout the United States! Achieve Beyond was founded in 1995 and is continuously growing to meet the needs of developmentally disabled children through our ABA, speech, occupational, and physical therapy. We currently offer our services in the entire metro New York area (including the five boroughs of NYC, Hudson Valley and Long Island) and Albany, New Jersey, Connecticut, Minnesota,Delaware,and the Virginia/ Maryland/ DC area. We specialize in conducting initial evaluations and providing ongoing services in home, community and clinic settings. Achieve Beyond is centered around a culture of collaboration and support to ensure our services are of the highest quality and adhere to our strong ethical standards. All of our therapists will have access to the following benefits: • Training and use of our paperless billing and data collection system, • Full practice management we take care of intake, staffing, billing, tracking authorizations, insurance correspondence and maintenance of your certifications, so you are able to focus on providing our children with the best services!, • Access to continuing education workshops and trainings (we are an ASHA and BACB ACE provider) LOCATION: Nassau and Suffolk County JOB RESPONSIBILITIES: • Provide direct ABA instruction according to the educational plan outlined by the Board Certified Behavior Analyst, • Participate in collaborative team meetings with BCBA and other Behavior Therapists on the case, • Communicate frequently with family members by providing debriefs at the end of each session, as well as resources and strategies that can be implemented in the home and community to promote consistency, • Collect daily data and organize child's program book weekly Must have a passion for working with children, families, and therapists! successful completion of or current enrollment in an undergraduate/graduate program in psychology, healthcare, human services, education, or related field • Experience using ABA preferred, • Must be self- motivated, a team player, and exercise patience/professionalism, • Excellent organizational skills with attention to detail, • Excellent communication skills with children, family members, and supervisor, • Passionate about helping children and families, and providing services of the highest standards!, • Must be able to travel to and from assigned cases including but not limited to driving personal vehicle, walking, and/or use of public transportation such as a bus or train., • The ability to climb and descend staircases, • The ability to lift 10 pounds regularly $250 sign-on bonus after 60 days of maintaining a case

Job Description Come join a team of passionate therapists providing excellent pediatric therapy to children throughout the United States! Achieve Beyond was founded in 1995 and is continuously growing to meet the needs of developmentally disabled children through our ABA, speech, occupational, and physical therapy services. We currently offer our services in the entire metro New York area (including the five boroughs of NYC, Hudson Valley and Long Island) and Albany, New Jersey, Connecticut, the greater Los Angeles area, the Virginia/ Maryland/ DC area, and Florida. We specialize in conducting initial evaluations and providing ongoing services in home, community and clinic settings. Achieve Beyond is centered on our culture of collaboration and support to ensure our services are of the highest quality and adhere to our strong ethical standards. This paid internship is an amazing opportunity for students in need of accruing hours towards completing a human services related degree, as well as individuals looking to gain additional clinical experience working with children with special needs. All of our therapists will have access to the following benefits: • Training and use ofour paperless billing and data collection system, • Full practice management we take care of intake, staffing, billing, tracking authorizations, insurance correspondence and maintenance of your certifications, so you are able to focus on providing our children with the best services!, • Access to continuing education workshops and trainings (we are an ASHA and BACB ACE provider) LOCATION: Cases Available in Melvilleand surrounding areas JOB RESPONSIBILITIES: • Provide direct ABA instruction according to the educational plan outlined by the Board Certified Behavior Analyst, • Participate in collaborative team meetings with BCBA and other Behavior Therapists on the case, • Communicate frequently with family members by providing debriefs at the end of each session, as well as resources and strategies that can be implemented in the home and community to promote consistency, • Collect daily data and organize child's program book weekly Must have a passion for working with children, families, and therapists! current enrollment in an undergraduate program in psychology, healthcare, human services, education, or related field • Experience using ABA preferred but not required, • Must be self- motivated, a team player, and exercise patience/professionalism, • Excellent organizational skills with attention to detail, • Excellent communication skills with children, family members, and supervisor, • Passionate about helping children and families, and providing services of the highest standards!, • Must be comfortable working in a home-based setting

Job DescriptionJob 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: 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.

Job Description Our client is seeking an EPIC Physician Billing Analyst to join their team. 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). Essential skills and qualifications: • 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.

Job Description Seeking an ONSITE Epic Medical Analyst to work onsite in Melville, NY. Ideal candidates must have 2 years of experience with the build and/or maintenance of Epic modules, and be local. As an Epic Medical Analyst, also referred to as an Epic Analyst or Epic Clinical Analyst, is an IT professional in healthcare specializing in the Epic Electronic Health Record (EHR) system. Their primary responsibilities revolve around implementing, optimizing, maintaining, and supporting Epic modules to enhance patient care and streamline workflows within healthcare organizations. Here's a breakdown of the key responsibilities, qualifications, and skills typically found in an Epic Medical Analyst job description: 1. Key responsibilities and duties • System Configuration and Maintenance:, • Configuring Epic systems, troubleshooting technical issues, and ensuring optimal system performance., • Business Analysis and Workflow Improvement:, • Analyzing current workflows, identifying areas for improvement, and implementing Epic solutions to enhance efficiency., • Collaborating with clinical and administrative teams to understand their needs and develop solutions within Epic., • User Training and Support:, • Providing training to users on how to effectively utilize Epic, offering ongoing support, and addressing user inquiries., • Documentation and Reporting:, • Creating and maintaining documentation, training materials, and user guides., • Utilizing Epic's reporting tools to extract and analyze data for decision-making and quality improvement purposes., • Collaboration and Communication:, • Working closely with clinical, IT, and administrative teams to ensure system requirements are met and to facilitate smooth implementation and ongoing support., • Testing and Quality Assurance:, • Conducting system testing, quality assurance, and ensuring system updates and patches are properly implemented., • Process Improvement: Participating in process improvement projects to enhance efficiency and accuracy. 2. Required qualifications • Education: Typically requires a Bachelor's degree in a related field such as Computer Science, Healthcare Information Technology, or Health Information Management. A Master's degree may be preferred., • Experience: Minimum of one year of experience with the build and/or maintenance of Epic modules is often required. Some positions may prefer two or more years of relevant experience., • Certification: Epic Certification in relevant modules (e.g., EpicCare Ambulatory, EpicCare Inpatient, Clinical Documentation) is usually a requirement or highly preferred. 3. Necessary skills Key skills for an Epic Medical Analyst include strong communication, organization, attention to detail, and the ability to multitask and work independently. Technical expertise in healthcare IT and troubleshooting is essential. Analytical and problem-solving abilities are important, as is the capacity to collaborate with diverse teams. A solid understanding of healthcare operations, clinical workflows, and proficiency in Microsoft Office Suite are often required. Knowledge of HIPAA and other healthcare data privacy regulations is necessary. Staying current with industry trends and advancements in Epic applications is also valued. Overall, an Epic Medical Analyst is crucial for ensuring the Epic EHR system effectively supports a healthcare organization's operations, leading to improved patient care and efficiency.

Job Description ONSITE Epic Physician Billing Analyst needed to work for a rapidly growing medical company in Farmingdale/Melville, 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 MUST 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 local applicants need apply. 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, work queue 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, • Only local applicants

Job DescriptionAbout The Role We are seeking a detail-oriented and proactive QA Analyst to support quality assurance efforts across Brighton Health Plan Solutions’ core portfolios—Claims, Provider, and Enrollment. In this role, you will contribute to both functional testing and automation activities, helping strengthen QA processes. You will play a key part in ensuring high-quality software delivery by validating business requirements, improving test practices, supporting limited automation initiatives, and collaborating closely with technical and business teams.Primary Responsibilities QA Strategy & Leadership • Contribute to building a consistent QA approach across multiple portfolios (Claims, Provider, Enrollment), to improve test efficiency, traceability, and quality metrics., • Assist in establishing reusable processes, documentation standards, and quality checkpoints., • Promote early testing practices and support shift-left collaboration within Agile/Scrum teams., • Support leadership in maturing QA workflows and cross-team coordinationFunctional QA & Validation, • Develop comprehensive test cases, acceptance criteria, and test data based on business and technical requirements., • Perform hands-on functional, integration, and regression testing across applications and data workflows., • Validate end-to-end business processes such as claims adjudication, provider data updates, enrollment transactions, pricing, and benefits logic., • Participate in defect triage, root-cause discussions, and timely defect escalation.Test Automation Support, • Support existing automation efforts by maintaining or executing automated tests for data loads, data validations, volume testing etc., • Contribute to creating or enhancing small-scale scripts for repetitive regression or smoke testing where automation adds value., • Leverage tools such as Selenium, Unix Shell Scripting or similar to supplement manual test coverage., • Participate in agile test execution where applicable, in collaboration with developers.Cross-Functional Collaboration, • Work closely with business analysts, developers, product owners, and external vendors to ensure quality is embedded in the development lifecycle., • Participate in team collaboration meetings, including planning, reviews, and retrospectives, as a QA voice and quality advocate., • Lead or participate in defect triage and resolution discussions, ensuring timely identification and escalation of issues., • Coordinate with external vendors or partners when validating integrated workflows or data exchanges.Documentation & Reporting, • Maintain detailed QA documentation, including test plans, automation reports, traceability matrices, and defect logs., • Provide QA KPIs and automation metrics to leadership to demonstrate test coverage, execution success, and release readiness., • Ensure consistent reporting to support release planning and stakeholder communication.Essential Qualifications, • Bachelor’s degree in Computer Science, Information Systems, Healthcare IT, or a related field., • 5+ years of experience in QA, with 1+ years in test automation in a healthcare payer environment., • Hands-on experience with automation tools such as Selenium, Postman, or similar., • Experience building test automation for Unix applications and backend databases (SQL Server)., • Proficient in one or more scripting or programming languages (e.g., Java, Python, JavaScript)., • Strong understanding of QA practices in fast-paced delivery environments., • Solid knowledge of EDI X12 transactions (834, 837, 835, 270/271), Claims, Enrollment, and Provider data workflows., • Proficient with SQL for backend testing and data validation., • Familiarity with test management tools such as JIRA or equivalent., • Excellent analytical, problem-solving, and communication skills.Preferred Qualifications, • Knowledge of version control systems like Git and test result reporting using BI Reporting, or similar., • Exposure to performance testing tools (e.g., JMeter) is a plus.* General Knowledge of HIPAA Confidentiality Laws About At Brighton Health Plan Solutions, LLC, our people are committed to the improvement of how healthcare is accessed and delivered. When you join our team, you’ll become part of a diverse and welcoming culture focused on encouragement, respect and increasing diversity, inclusion, and a sense of belonging at every level. Here, you’ll be encouraged to bring your authentic self to work with all your unique abilities. Brighton Health Plan Solutions partners with self-insured employers, Taft-Hartley Trusts, health systems, providers as well as other TPAs, and enables them to solve the problems facing today’s healthcare with our flexible and cutting-edge third-party administration services. Our unique perspective stems from decades of health plan management expertise, our proprietary provider networks, and innovative technology platform. As a healthcare enablement company, we unlock opportunities that provide clients with the customizable tools they need to enhance the member experience, improve health outcomes, and achieve their healthcare goals and objectives. Together with our trusted partners, we are transforming the health plan experience with the promise of turning today’s challenges into tomorrow’s solutions. Come be a part of the Brightest Ideas in Healthcare™. Company Mission Transform the health plan experience – how health care is accessed and delivered – by bringing outstanding products and services to our partners. Company Vision Redefine health care quality and value by aligning the incentives of our partners in powerful and unique ways. DEI Purpose Statement At BHPS, we encourage all team members to bring your authentic selves to work with all your unique abilities. We respect how you experience the world and welcome you to bring the fullness of your lived experience into the workplace. We are building, nurturing, and embracing a culture focused on increasing diversity, inclusion and a sense of belonging at every level. *We are an Equal Opportunity Employer Annual Salary Range: $ The salary range and/or hourly rate listed is a good faith determination that may be offered to a successful applicant for this position at the time of the posting of an advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable by law including but not limited to location, years of relevant experience, education, credentials, skills, budget and internal equity. JOB ALERT FRAUD: We have become aware of scams from individuals, organizations, and internet sites claiming to represent Brighton Health Plan Solutions in recruitment activities in return for disclosing financial information. Our hiring process does not include text-based conversations or interviews and never requires payment or fees from job applicants. All of our career opportunities are regularly published and updated brighonthps.com Careers section. If you have already provided your personal information, please report it to your local authorities. Any fraudulent activity should be reported to: Powered by JazzHR ad2GI9UnkD

Job Description Seeking a Physician Billing Credit Analyst to work onsite in Melville/Farmingdale. Qualified candidates will have three (3) years of experience in healthcare collections, billing or reimbursements. Responsibilities: • Physician Billing experience, • Knowledge of Medicare/Medicaid Governmental Benefits and Regulations, • Strong knowledge of Medical Insurance Coverages, • Process refunds for Third Party insurance, Medicaid or government assisted programs and commercial carriers, • Comply with all regulatory agencies, • Some of the duties expected, but not limited to, reviewing credit balances on accounts to resolve by correction, refund, over payment inquires and ensures compliance with internal and external agencies., • Handles all telephone inquires related to overpayments, • Identifies Coordination of Benefits. Provides specific documentation for refunds., • Knowledge of EPIC, preferred, • Full knowledge of ICD9/10 and CPT coding, • Knowledge of HIPPA, • Full knowledge of Third Party Billing (use of modifiers and COB rules), • Proficient in MS Office (Word and Excel), • Working knowledge of all insurance and/or government rules regarding payment, credit procedures, claims submittal and appeals process, • Knowledge and utilization of Third Party Websites, • Ability to read and correctly interpret Explanation of Benefits, • Ability to work efficiently both independently and in a team environment, • High School Diploma or GED, at minimum, • Some college preferred, • Three (3) years healthcare billing, reimbursement or collections

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)., • 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, work queue 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 As part of IPRO’s Managed Care Department, the Senior Data Analyst will perform complex analyses using advanced technical knowledge as well as interpret and provide written summaries of analysis output. The Senior Data Analyst will also be responsible for the identification and response to efficiency-promoting opportunities within the department. Duties to include but not limited to: • Ensuring accuracy, data integrity, and face validity of all work., • Representing department leadership on customer and client calls for specific areas of subject matter expertise., • Demonstrating the ability to multitask and manage many simultaneous projects and last-minute emergencies to meet deadlines while still maintaining a strong attention to detail., • Supporting continuous quality improvement. Contributes regularly to improving data and analytics sophistication and efficiency within the department and across the IPRO enterprise., • Creating documentation (such as code detail, report specifications, narrative backup, and metadata) for all outputs. Reviews documentation produced by more junior analysts., • Troubleshooting any data or performance issues with workbooks and data sources., • Demonstrates advanced expertise in healthcare data domains, including claims, encounters, eligibility, provider information, and electronic health records (EHR), with the ability to interpret and analyze complex datasets to drive actionable insight., • Ability to solve complex business problems and opportunities through the design and development of efficient, high-quality and customer-centric analytic solutions., • Ability to distill complex technical content and issues into audience-specific and layperson-friendly terms., • Ability to work independently and as a member of a team., • Strong time management skills with the ability to meet deadlines and client deliverables., • Possesses stellar communications skills, both written and oral; able to produce effective written summaries outlining the results of complex analyses, with strong people skills with the ability to interact effectively with external customers., • Demonstrates mastery in the following toolsets: MS Excel, MS PowerPoint, and MS Word., • Experience with REDCap, SAS, strongly preferred., • Bachelor’s degree in an analytical, research or health-related field, required., • Master’s degree in public administration, public policy, public health or related social science with course work including both statistical and process analysis, preferred. The salary range and/or hourly rate 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, or any other category protected under applicable law.

Epic Inpatient Orders Analyst This position is a full-time/salaried Hybrid opportunity based in Hicksville, Long Island. The EPIC System Analyst is responsible for design, build, testing, validation, and ongoing support of Epic Inpatient Orders applications. Perform basic analysis of the daily use and administration of assigned IT system(s). Work closely with Operational counterparts to ensure delivery of expected outcomes. Provide expert and creative solutions to end-user requirements and problems. Test and troubleshoot existing and proposed assigned system(s). Generate reports as requested, including writing specifications for custom reports. Provide support and troubleshooting to end users. Document end-user issues and recommend steps to prevent recurrences. Work collaboratively with other EPIC applications and the Training Team to provide positive outcomes for our end users. Education: • Bachelor’s degree preferred, or equivalent experience. Experience: • Requires at least 1+ years of related experience:, • EPIC Inpatient Orders proficiency/certification required, • Clinical lab experience and/or knowledge of EPIC build associated w/3rd party Lab vendors (SoftLab, Quest, LabCorp, Sunrise, etc.) preferred, • Experience w/HOD’s a + Knowledge and Skills: • Possess clinical application knowledge and experience, • Positive attitude, detail oriented, self-motivated, critical thinker, • Ability to troubleshoot basic application issues and provide solutions from an existing knowledge base, • Basic presentation skills, • Ability to interact and develop relationships with intra-departmental teams, • Effectively communicate in both oral and written form to a widely diverse audience, • Requires basic understanding of healthcare terminology, clinical application configuration and/or workflows and related technologies, • Requires basic skills using Microsoft Office Suite (Outlook, Word, Excel, PowerPoint), • Ability to complete work assignments in a timely manner as assigned by supervisor with minimal oversight, • Excellent customer service skills, • Ability to multi-task effectively in a rapidly changing environment Salary range: $75,000 - $120,000 Work Schedule: Hybrid with 2 remote days, after 90 days from hire date Location: 111 Stewart Avenue, Hicksville, NY

Epic System Analyst (Rehab) • The Clinical Systems Analyst - Rehab will be responsible for implementing/developing Epic and related applications., • This position will develop, implement, manage and provide ongoing support for clinical information systems., • Will proactively increase knowledge of Epic EHR software, health system operations and will work with the Epic project team to translate business needs into EHR functionality., • Will analyze procedures and problems, report findings and make recommendations for resolutions. Responsible for formulating objectives to meet system scope., • Preferred Epic proficient/certified in Rehab., • Required Epic proficient/certified in EpicCare Inpatient or Ambulatory., • Familiarity with clinical hospital software and/or hardware technology, database, screen handler, query languages, including ability to design, configure, train, or implement clinical systems., • Healthcare support experience is desired in areas such as billing, scheduling, access services, and health information management., • Hands on Epic clinical systems experience desirable. Knowledge of current business practices and computing systems, interfaces and rehab hospital and medical rehab group practice standard software • including computer systems and methods utilized in structuring and preparing input data for computer applications., • Knowledge of a variety of hardware and software environments and of the healthcare industry and Epic healthcare applications required. Analytical skills necessary to apply computer technology to resolve clinical problems and/or increase operational efficiency of data processing systems., • Ability to analyze the functionality of systems and their fit with specifications. Understands relationships between system processes/programs, system parameters, files and data relationships for assigned products., • Ability to research, analyze and thoroughly understand workflows of end users, using this knowledge to configure systems which improve processes, add efficiencies and promote patient safety., • Familiar with program development tools such as editors and configuration tools. Basic knowledge of standardized quality improvement methodologies., • Ability to respond to changing demands, priorities, procedures and technology., • Able to lead groups to make key decisions., • Ability to lead meetings, prioritize, resolve conflicts, maintain issues lists and help manage a project plan. Interpersonal skills necessary to communicate effectively with user departments in ascertaining and converting needs for application to electronic data processing systems., • Ability to express needs clearly, both verbally and in writing. Ability to work independently. Self-directed in identifying changing demands and priorities., • Acts as a change agent in adjusting to new procedures and technology. Dedication to detail with proven organizational skills., • Ability to establish and maintain effective working relationships with co-workers, supervisors, and users., • Project management and planning expertise., • Ability to set priorities, produce accurate work, and meet deadlines; ability to function in a setting with a wide variety of duties and numerous interruptions.

Job description EpicCare Ambulatory Analyst This position is a full-time/salaried on-site opportunity based in Hicksville, Long Island. The EPIC System Analyst is responsible for design, build, testing, validation, and ongoing support of EpicCare Ambulatory applications. Perform basic analysis of the daily use and administration of assigned IT system(s). Work closely with Operational counterparts to ensure delivery of expected outcomes. Provide expert and creative solutions to end-user requirements and problems. Test and troubleshoot existing and proposed assigned system(s). Generate reports as requested, including writing specifications for custom reports. Provide support and troubleshooting to end users. Document end-user issues and recommend steps to prevent recurrences. Work collaboratively with other EPIC applications and the Training Team to provide positive outcomes for our end users. Education: • Bachelor’s degree preferred, or equivalent experience. Experience: § Requires at least 1+ years of related experience: • Ambulatory proficiency/certification required, • MyChart experience a +, • Ambulatory orders/order transmittal build knowledge a + Knowledge and Skills: • Possess clinical application knowledge and experience, • Positive attitude, detail oriented, self-motivated, critical thinker, • Ability to troubleshoot basic application issues and provide solutions from an existing knowledge base, • Basic presentation skills, • Ability to interact and develop relationships with intra-departmental teams, • Effectively communicate in both oral and written form to a widely diverse audience, • Requires basic understanding of healthcare terminology, clinical application configuration and/or workflows and related technologies, • Requires basic skills using Microsoft Office Suite (Outlook, Word, Excel, PowerPoint), • Ability to complete work assignments in a timely manner as assigned by supervisor with minimal oversight, • Excellent customer service skills, • Ability to multi-task effectively in a rapidly changing environment

Job Description This position is a full-time/salaried-hybrid schedule opportunity based in Hicksville, Long Island. The EPIC System Clindoc Lead System Analyst is responsible for the development, building, implementation, and ongoing maintenance of all aspects of related applications, clinical information systems, and computerized systems for the Electronic Medical Record project for the Medisys network. Collaborates with other disciplines to develop, build, integrate, implement and maintain all Epic Care Clinical applications. Coordinates with SME's and participate in core group meetings. Coordinates and is responsible to assist in the training of related staff in Epic Care Clinical applications for the Medisys Network. Compiles analytical reports for Jamaica, Flushing hospitals. Configures and creates new records. Responsible for Change Control and Security Change Control. Investigates and troubleshoots issues reported by users. Assists MediSys users with issues regarding workbench reports. Provides tip sheets and guidance for Epic Support Desk and training. Review Nova notes, build, test and validate new upgrades and enhancements. Responsible for unit testing and integrated testing for upgrades. Works with Epic TS to resolve application issues. Education: Bachelor’s degree preferred, or equivalent experience. Experience: Requires at least 1+ years of related experience: • EPIC Clindoc proficiency/certification required, • Clinical lab experience and/or knowledge of EPIC build preferred Knowledge and Skills: Possess clinical application knowledge and experience Positive attitude, detail oriented, self-motivated, critical thinker Ability to troubleshoot basic application issues and provide solutions from an existing knowledge base Basic presentation skills Ability to interact and develop relationships with intra-departmental teams Effectively communicate in both oral and written form to a widely diverse audience Requires basic understanding of healthcare terminology, clinical application configuration and/or workflows and related technologies Requires basic skills using Microsoft Office Suite (Outlook, Word, Excel, PowerPoint) Ability to complete work assignments in a timely manner as assigned by supervisor with minimal oversight Excellent customer service skills Ability to multi-task effectively in a rapidly changing environment

Job Description Come join a team of passionate therapists providing excellent pediatric therapy to children throughout the United States! Achieve Beyond was founded in 1995 and is continuously growing to meet the needs of developmentally disabled children through our ABA, speech, occupational, and physical therapy. We currently offer our services in the entire metro New York area (including the five boroughs of NYC, Hudson Valley and Long Island) and Albany, New Jersey, Connecticut,Delaware,and the Virginia/ Maryland/ DC area. We specialize in conducting initial evaluations and providing ongoing services in home, community and clinic settings. Achieve Beyond is centered around a culture of collaboration and support to ensure our services are of the highest quality and adhere to our strong ethical standards. All of our therapists will have access to the following benefits: • Training and use of our paperless billing and data collection system, • Full practice management we take care of intake, staffing, billing, tracking authorizations, insurance correspondence and maintenance of your certifications, so you are able to focus on providing our children with the best services!, • Access to continuing education workshops and trainings (we are an ASHA and BACB ACE provider) LOCATION: Nassau and Suffolk County JOB RESPONSIBILITIES: • Provide direct ABA instruction according to the educational plan outlined by the Board Certified Behavior Analyst, • Participate in collaborative team meetings with BCBA and other Behavior Therapists on the case, • Communicate frequently with family members by providing debriefs at the end of each session, as well as resources and strategies that can be implemented in the home and community to promote consistency, • Collect daily data and organize child's program book weekly Must have a passion for working with children, families, and therapists! successful completion of or current enrollment in an undergraduate/graduate program in psychology, healthcare, human services, education, or related field • Experience using ABA preferred, • Must be self- motivated, a team player, and exercise patience/professionalism, • Excellent organizational skills with attention to detail, • Excellent communication skills with children, family members, and supervisor, • Passionate about helping children and families, and providing services of the highest standards!, • Must be able to travel to and from assigned cases including but not limited to driving personal vehicle, walking, and/or use of public transportation such as a bus or train., • The ability to climb and descend staircases, • The ability to lift 10 pounds regularly

The System Denials Analyst, is responsible for gathering, analyzing, and reporting data related to both hospital and professional billing denials across the healthcare system. Please contact Emory Healthcare's Human Resources at careers@emoryhealthcare. Emory Healthcare System Denials Analyst.

The Supervising Financial Analyst will primarily perform financial analysis and regulatory consulting services on behalf of Risk & Regulatory Consulting LLC (RRC) clients, mainly state insurance departments. Lead, mentor, and support RRC and client financial analysts, fostering professional developm

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Minimum of 7-10+ years relevant experience as a financial analyst, accountant, auditor or examiner with a state insurance department, regulatory insurance consulting firm, public accounting firm or insurance company. Ability to provide clear and consistent supervision to staff analysts, ensuring tim

Paul Global Benefits (PGB) is now a part of World Insurance Associates.World Insurance Associates is a unique insurance organization offering top products and services from major providers, combined with attentive service from local agents.Founded in 2011, World is one of the fastest-growing insuran

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Opal Wealth Advisors Financial Analyst Role. Opal Wealth is currently looking to add a Financial Analyst to their team of wealth management professionals. The key aspects of the Financial Analyst Role include:.

The Pricing Financial Analyst is responsible for independently managing the full lifecycle of pricing and cost analysis activities from pre-award proposal development through post-award contract execution and reporting. Ability to mentor junior analysts and contribute to cross-functional process opt

Broadridge is growing! We are seeking a contract Logistics Reporting Analyst for our Deer Park, NY facility.

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The Logistics Analyst is responsible for the efficient flow of hardware and information through the hardware repair process.

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The Claims Business Analyst is responsible for developing detailed business and functional requirements for claims processing and administration systems, as well as ensuring proper integration with downstream systems for reporting purposes. Additionally, the Claims Business Analyst provides analytic

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