Insurance compliance jobs in New York, NYCreate job alerts

Key Responsibilities: Review and process patient billing data accurately and in a timely manner. Submit claims to Medicare, Medicaid, and private insurance companies. Follow up on unpaid claims and conduct necessary resubmissions for denied claims. Handle appeals for rejected claims and ensure timely resolution. Communicate effectively with insurance companies, patients, and healthcare providers to resolve billing issues. Maintain up-to-date knowledge of billing regulations and homecare policies. Process and verify medical codes for patient services, ensuring compliance with state and federal regulations. Work closely with the clinical team to ensure accurate billing for services rendered. Maintain organized and accurate billing records. Qualifications: 3+ years of medical billing experience, preferably in homecare or healthcare settings. Experience with resubmissions and appeals processes. Proficiency in billing software and working knowledge of medical terminology and coding. Strong knowledge of Medicare, Medicaid, and private insurance billing and reimbursement policies. Excellent attention to detail and organizational skills. Strong communication skills to interact with insurance companies, patients, and internal teams. Ability to work independently and manage multiple tasks efficiently.

Key Responsibilities: Clinical Duties: - Prepare examination rooms, ensuring cleanliness and readiness for patient appointments. - Assist healthcare providers during patient examinations and procedures. - Measure and document vital signs, including blood pressure, pulse, temperature, and weight. - Administer medications and vaccines as directed by providers and in accordance with regulatory guidelines. - Perform routine diagnostic tests, such as EKGs, phlebotomy, and specimen collection, ensuring proper handling and labeling. - Provide patient education on treatments, medications, and follow-up care instructions. - Maintain accurate and up-to-date patient medical records in compliance with HIPAA regulations. - Administrative Duties: - Greet and check-in patients, verifying demographic and insurance information. - Schedule patient appointments and manage the clinic’s calendar efficiently. - Answer phones, address inquiries, and relay messages to appropriate staff members. - Process referrals, prior authorizations, and insurance documentation. - Monitor inventory and restock medical supplies as needed. - Qualifications: - Certification: Active Certified Medical Assistant (CMA) certification from a recognized accrediting body (e.g., AAMA, AMT, NCCT, NHA). - Experience: Minimum of 2-3 years of hands-on experience in a clinical setting, preferably in Primary Care. - Education: High school diploma or equivalent; completion of an accredited medical assisting program. - Skills: Proficient in electronic medical records (EMR) systems, strong organizational and multitasking abilities, excellent communication and interpersonal skills. - Knowledge: Understanding of medical terminology, infection control protocols, and OSHA guidelines. - Physical Requirements: - Ability to stand, walk, and remain active for extended periods. - Capable of lifting up to 5-10lbs as required for patient care. - Manual dexterity to operate medical equipment and perform clinical tasks. Work Environment: Fast-paced clinical setting with direct patient interaction. - Occasional exposure to infectious diseases and bodily fluids, with appropriate protective measures provided.

Beloved Lucky's, founded in Montecito, California with a second beautiful Malibu location is open in NYC. We are looking for an Sous Chef for our new location in SOHO. The Sous chef will work alongside the CDC on purchasing, scheduling, DOH preparedness and development of the BOH hourly team. This role would require 5 days a week, split between the morning with the prep team and the evening on the line. If you feel you could be a fit for the role, please reach out. Previous sous chef experience is preferred. Someone who can show, through their work experience, staying power with a company a plus, ideally, we want someone who can show a track record of proven success. Physical Requirements and Qualifications Necessary for the Position: Sous Chefs will regularly stand, walk, talk, carry, bend, stoop, turn and lift in excess of fifty (50) pounds. Chefs will also view a computer monitor and type/write on a regular basis. Candidate must be able to Work on nights, weekends, and holidays. Fill in wherever necessary. Proven experience as a Sous Chef or in a similar leadership role within the restaurant industry, preferably in a steak house or fine dining establishment. Strong knowledge of restaurant operations, including food and beverage service, kitchen management, and guest service. Excellent leadership and interpersonal skills, with the ability to motivate and inspire a team. Exceptional organizational and time management abilities, with the capacity to handle multiple tasks simultaneously. Strong problem-solving skills and the ability to make quick decisions in a fast-paced environment. Excellent communication skills, both verbal and written. Knowledge of health and safety regulations and willingness to enforce compliance. Flexibility to work evenings, weekends, and holidays as needed. Benefits: Dental insurance Employee discount Health insurance Commuter benefits Paid time off Paid training Vision insurance Experience level: 2 years minimum Restaurant type: Fine dining restaurant Shift: Morning and Evening shift Weekly day range: Every weekend

Job Description We are looking for an English/Chinese bilingual part-time dentist to provide quality, comprehensive dentistry in a fast-paced, patient focused private practice in Flushing, New York. As an Associate Dentist, you will play a crucial role in providing high-quality dental care to our patients. You will have the opportunity to utilize your skills and expertise to improve the oral health of our community. We offer a competitive compensation package. If you are passionate about dentistry and committed to delivering exceptional patient care, we would love to hear from you. Position Details: - Associate Dentist will need a MEDICAID ID and Credentialed with DentaQuest later - Work Schedule is normally one to three days a week with expected hours from 10am-6pm - Pay is highly competitive、 - Qualifications and Requirements: - An accredited Dental School with DDS or DMD degree - A minimum of one year of GPR (General Practice Residency) experience - Current New York State license in Dentistry - Current DEA Registration Certificate - Proficiency in routine dental procedure - Experience in restorative dentistry - Speak, read, write, and understand English. (Bilingual in English and Chinese Mandarin preferred) - Knowledge of HIPAA regulations and compliance requirements - Strong understanding of infection control protocols in a dental office setting - Adhere to all federal and government regulations, including the state dental board rules and regulations - Documentation of current HBV vaccination status. Current Professional Liability Insurance with 1M / 3M coverage. - The candidate must not have any current or pending disciplinary actions with the NYS Office of Professionals. Detail oriented, ability to prioritize workload, ability to effectively communicate simple and complex health issues in a caring and professional manner, strong and consistent commitment to improving the oral health of the patient, strong communication and interpersonal skills, team player, outstanding work ethic and employment record (including attendance and punctuality). - Computer skills must include Word, Excel and ability to provide accurate and timely documentation in an electronic dental record, experience with dental software Dentrix preferred. Benefits: - Employee discount - Flexible schedule - Professional development opportunities - State of the art dental office with new equipment in exam rooms, with CBCT Scan, Panorex, 3D Intra oral scanner, Digital X-rays

Title: Medical Office Receptionist. Hours: 43 hours per week / 35 hours per week. Compensation: $20 per hour (W2). Must have ability to pay taxes. Position Overview: We are seeking 2 full-time Korean and English speaking medical office secretaries to join our Ophthalmology practice. Seeking an intelligent, responsible, detail-oriented person to join our private Ophthalmology practice. No prior experience necessary. On the job training will be provided. The ideal candidate should have excellent communication skills, attention to detail, and a strong ability to multitask in several different job roles. Job roles will be decided at a later date. Possible Key Responsibilities: - Patient Interaction: Greet and check-in patients, ensuring a warm and professional first impression. Provide assistance with initial paperwork and guide patients through the check-in process. - Customer Service: Address patient inquiries and concerns, both in person and over the phone, in a professional and empathetic manner. Facilitate communication between patients and medical staff, ensuring clarity and satisfaction. - Appointment Scheduling: Efficiently manage the scheduling of patient appointments, coordinating with medical staff to optimize the practice’s schedule and accommodate patient needs. - Records Management: Maintain accurate and up-to-date patient and medical records, ensuring confidentiality and compliance with HIPAA regulations. Manage electronic and physical files, organizing them for easy access and retrieval. - Administrative Support: Provide general administrative support to office staff, including filing, data entry, and managing office supplies. Assist in various clerical tasks to ensure the smooth operation of the office. - Check patient’s insurance eligibility, prior authorization and referrals online. - Review, send and start prior authorization for medications online. - Responsible to book eye surgeries and to carefully follow thru to its completion. - Help with medical billing inquires and completion of daily medical billing needs. Qualifications: - High school diploma or equivalent. - Prior experience in a medical office or customer service role is preferred. - Strong interpersonal and communication skills. - Ability to work independently and as part of a team. - Proficiency in basic computer skills, including basic familiarity with scheduling software and electronic medical records (EMR) systems. - Detail-oriented with strong organizational skills. ** Benefits:** - 40 hours Personal Time Off - 2 weeks vacation time after full 1 year employment. - Friendly and kind office environment.

About our client: We are a dynamic and client-focused investment advisory firm specializing in providing tailored financial solutions. We pride ourselves on our commitment to excellence, innovative strategies, and fostering long-term relationships with our clients. Our expertise spans diverse markets, including the U.S., China, and Europe. Position Overview: We are seeking a passionate and results-driven Investment Advisor to join our team. The ideal candidate will excel at understanding client needs, crafting personalized investment strategies, and maintaining a deep knowledge of global financial markets. If you are a motivated professional with a strong ability to guide clients toward achieving their financial goals, we encourage you to apply. Key Responsibilities - Develop and maintain strong relationships with clients by understanding their financial objectives and risk tolerance. - Create and implement customized investment strategies tailored to individual client needs. - Actively monitor and manage client portfolios, ensuring alignment with market trends and changes. - Provide expert advice on market conditions, investment opportunities, and asset allocation. - Stay updated on global market trends, with a particular focus on the U.S., China, and European markets. - Collaborate with the advisory team to enhance client experience and refine investment offerings. - Ensure compliance with regulatory requirements and company policies. Qualifications - Bachelor’s degree in Finance, Economics, Business, or a related field (Master’s or CFA preferred). - Proven experience as an Investment Advisor, Financial Planner, or similar role. - Strong understanding of global markets, particularly the U.S., China, and Europe. - Excellent analytical skills and proficiency in financial planning tools. - Outstanding communication and interpersonal skills, with a client-first approach. - Ability to work independently and as part of a collaborative team. - FINRA Series 7 and 66 (or 63 and 65) licenses required. Why Join Us? - Competitive salary and performance-based bonuses. - Comprehensive benefits package, including health insurance, retirement plans, and professional development opportunities. - A supportive and inclusive work environment that values growth and innovation. - Access to cutting-edge tools and resources to serve clients effectively. How to Apply Please submit your resume and a cover letter detailing your qualifications and interest in the Investment Advisor position. Applications will be reviewed on a rolling basis, and early submissions are encouraged. Holee is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

James Volonakis & Company, LLC is a tax consulting firm based in New York, specializing in delivering expert tax advisory and compliance services. We are committed to helping our clients navigate complex tax regulations with integrity, expertise, and precision. Position Overview: We are looking for an experienced Tax Accountant to join our team and manage tax preparation, planning, and compliance for our diverse clientele. The ideal candidate will have a deep understanding of tax regulations and be dedicated to providing exceptional client service. Key Responsibilities: Prepare and file federal, state, and local tax returns for both individuals and businesses. Offer tax planning and advisory services to help clients optimize their financial strategies. Stay up-to-date on tax laws, ensuring compliance and accuracy in all reporting. Assist with audits and communicate with regulatory bodies as necessary. Work closely with clients to gather necessary financial information and maintain clear communication. Qualifications: Bachelor’s degree in Accounting, Finance, or a related field (CPA preferred). Proven experience as a Tax Accountant, ideally within a consulting or public accounting firm. Strong knowledge of federal and state tax regulations. Proficiency with tax preparation software and financial management tools. Excellent analytical and problem-solving skills. Benefits: Competitive salary with opportunities for performance-based bonuses. Health insurance and retirement plan options. Opportunities for ongoing professional development.

Health Plus Management (HPM) is a Physician Support Organization and market leader in clinical practice management in the physical medicine and rehabilitation market with 50+ locations serving Westchester, NYC, NJ, Upstate NY and Connecticut. HPM provides independent physician practices specializing in musculoskeletal care with professional business development, marketing and back-office support typically seen in much larger organizations, thereby enabling clients to start and/or grow their private practice beyond what might otherwise be feasible (while maximizing clinical service and patient care). Health Plus Management is seeking an energetic, patient-centric and detail-oriented Front Desk Coordinator to greet patients, schedule appointments, answer phones and manage administrative records. In this role, you will set the stage for each patient's appointment. You will build and maintain professional relationships with our key stakeholders - specifically our patients, office staff and clinical team, while simultaneously ensuring that the office is organized and runs smoothly. Responsibilities: Make sure patients feel welcome as soon as they walk in the door by delivering quality and compassionate care Answer incoming calls, take messages, and complete outreach to patients in a courteous and professional manner Be responsible for obtaining and filing patients' charts, and assisting our patients as needed Maintain the daily operations of the office by following standard operating procedures and guidelines Contribute to team effort by smoothly transitioning into daily roles as needed Protect patient's privacy by maintaining confidentiality of personal information (HIPAA compliant) Navigate through NextGen to access and provide patient information Maintain compliance by contacting patients to confirm appointments Respond to inquiries, resolves risen issues, collect co pays and schedule patient appointments Responsible for the opening and closing procedures of the office as needed Assist in comforting the patients and maintaining the reception area Other administrative tasks as needed Knowledge and Experience 1+ years of relevant medical administrative experience, preferred Experience with medical insurance/verification is a plus Knowledge of medical terminology & procedures, and the ability to intelligently and confidently converse with patients and referring doctors regarding treatment is preferred Experience with EMR, preferred Strong computer knowledge and windows program including Microsoft word/excel Skills and Abilities Bilingual (English/Spanish) Required Excellent verbal and written communication Ensuring a great patient experience by delivering outstanding customer service Exceptional organizational and time-managements skills - the ability to multi-task is a must Adaptability and flexibility while working in a fast-paced environment Problem-solving ability and aptitude Outcome-focused, with an ability to work under pressure A solution-oriented mindset A strong sense of urgency and focus in accomplishing tasks Schedule: Monday, Wednesday, Thursday & Friday: 8:00am - 4:30pm & Tuesday: 11:00am - 7:30pm Pay: $17

Wilde Herbs and Laced Bakes are looking for a skilled Infusion Pastry Chef to join our team! We are seeking someone who is passionate about creating innovative and delicious infused pastries and baked goods while ensuring compliance with NYC hemp regulations and food safety standards. If you have extensive knowledge in dosing calculations and a flair for pastry artistry, this is the perfect opportunity for you! Responsibilities: - Prepare and bake a variety of infused pastries, cakes, cookies, and other baked goods, ensuring precise dosing calculations and compliance with NYC hemp regulations. - Decorate pastries with a keen eye for detail and presentation. - Maintain an organized, clean, and safe kitchen environment, following Department of Health (DOH) regulations. - Ensure proper storage and labeling of all ingredients, including hemp and cannabinoid-infused products. - Collaborate with the team to create new recipes and menu items that are compliant with NYC’s legal guidelines. - Regularly check inventory levels, order supplies, and manage product quality assurance. - Communicate and implement NYC Department of Health regulations effectively to maintain a safe and compliant kitchen. Qualifications: - Extensive knowledge of hemp dosing calculations and NYC hemp regulations. - Exceptional pastry skills, including decoration and presentation. - NYC Food Handling Certification and License (must have or be able to obtain promptly). - Strong understanding of NYC Department of Health (DOH) regulations and the ability to communicate and implement them effectively. - Experience in a professional baking environment, preferably in a high-volume kitchen or bakery. - Strong attention to detail and ability to work in a fast-paced environment. - Passion for creating quality infused products with consistency and precision. What We Offer: - Competitive pay based on experience. - Opportunities for growth and advancement within the company. - A creative and inclusive work environment owned and operated by a QPOC. - Flexible scheduling options. - If you're ready to be a part of an exciting and growing business and meet these qualifications, we'd love to hear from you! Please submit your resume and a brief cover letter detailing your experience and passion for infusion baking. Apply Now and bring your skills and creativity to Wilde Herbs and Laced Bakes! Wilde Herbs and Laced Bakes is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Job Types: Full-time, Part-time Pay: $18.00 - $26.00 per hour Expected hours: 25 – 40 per week Benefits: Dental insurance Employee discount Flexible schedule Health insurance Opportunities for advancement Paid time off Store discount Vision insurance Compensation Package: Hourly pay Schedule: 10 hour shift 4 hour shift 8 hour shift Day shift Evenings as needed Evening shift Holidays Monday to Friday Morning shift Overtime Rotating weekends Weekends as needed People with a criminal record are encouraged to apply Work Location: In person. Bed-Stuy, Brooklyn.

Company Description NYC IVF is a fertility clinic located in Midtown NYC. We offer the newest technologies in fertility and a holistic service menu to accommodate all types of patients. Our team of experienced professionals is dedicated to providing personalized care and support to help our patients achieve their dreams of parenthood. Role Description This is a full-time on-site role. The Practice Manager will be responsible for overseeing the day-to-day operations of the clinic, managing staff, ensuring compliance with regulatory requirements, and maintaining a high level of patient satisfaction. Our team is about 10 employees total, all of which would be your direct reports. You will be working directly under the CEO and doctor of the clinic. Responsibilities Recruit and onboard new hires Manage various projects spanning from expansion of the clinic to event planning Oversee a team of 10 employees day-to-day with the goal of optimizing productivity Maintain inventory/communicate with vendors Work with our finance personnel to ensure all insurance billing is in order Accounts payable/receivable functions Create and maintain Excel sheets for various financial needs Communicate with third parties (outside labs, engineers, etc) to maintain optimal functions Explain patients forms and financial responsibilities Manage intra-departmental issues as they arise Qualifications Experience in healthcare management, preferably in a fertility clinic or related field Strong leadership, management, and communication skills Knowledge of regulatory requirements & compliance, and insurance billing Ability to work in a fast-paced environment and manage multiple priorities Bachelor's degree in healthcare administration, business administration, or related field Authorized to work in the US An ideal candidate is a fast learner, highly organized, able to execute operations with little guidance, and very agile /comfortable using Microsoft office/basic computer applications Compensation and Benefits Salary range $80-90k depending on experience ***Max salary only considered for candidates with experience in IVF. Salary is non negotiable. Please do not apply if this does not meet your needs.*** Bonus pay Paid time off Health insurance Additional incentive awards apply Complementary services at our clinic* Tuition assistance* Profit sharing* Opportunities for career advancement with our company *Additional eligibility applies