Medical billing coding jobs in Bayonne, New JerseyCrear alertas

Job DescriptionBenefits: • 401(k), • 401(k) matching, • Competitive salary, • Flexible schedule The Medical Biller will support the therapists while being responsible for managing patient and insurance information, support and collaborate with Front office Receptionist, and initiating payment processes and procedures. The ideal candidate will be well-versed in billing software, medical insurance regulations, and an expert at responding to patient and insurance inquiries. The medical biller will also be responsible for maintaining patient confidentiality, handling personal information, and providing world class customer service to all clients. Medical Bille OT/PT Duties and Responsibilities • Complete Revenue Cycle Management for OON OT/PT Therapy Practice, • Ensure patient information is accurate and complete, • Request any missing patient information, • Review referrals and authorizations, • Confirm patient benefits and insurance, • Follow all regulations and guidelines set by Medicare, state programs, and commercial insurances, • Review insurance claims and billing data in billing software (Web PT and Therabill), • Create both paper and electronic copies of documentation, • Develop and maintain a tracking system of incoming and late payments, • Monitor and date late payments, • Initiate late payment notices to relevant parties, • Respond to questions from patients or insurance companies, • Follow-up on late or missed payment notices, • Monitor and resolve financial discrepancies, • Arrange payment plans and timelines for payments, • File and maintain organized documentation of all billing and record, • Follow set billing processes and procedures, • Update and review all accounts to keep records of payments up-to-date, • Work with personal information and maintain patient confidentiality, • Collaborate and support Front Office Receptionist, • Provide concierge quality service to all clients throughout their course of treatmentMedical Biller / Practice Manager Requirements and Qualifications, • Bachelors degree in accounting, health care administration, finance, business, or related field preferred, • Two (2) years previous experience as a medical biller or in a related healthcare administrative position with certificate., • Able to multitask, prioritize, and manage time efficiently, • Self-motivated and self-directed; able to work without supervision, • Excellent verbal and written communication skills, • Proficient computer skills, Microsoft Office Suite (Word, PowerPoint, Outlook, and Excel); working knowledge of billing software a plus, • Strong customer service skills and comfortable answering both patient and insurance company questions, • Able to analyze problems and strategize for better solutions, • Experience with supervision and/or collaboration of administrative front office staff, • Desire to join a growing company, • Strong interpersonal skills, • Ability to represent the practice and therapists with outgoing personality, • Desire to support the growth and success of our therapy practiceAbout Us We are a boutique therapy practice in Union Square, NYC, specializing in Physical Therapy, Occupational Therapy, Hand Therapy and Wellness programs. To apply please email resume and include the subject "Experienced Billing Administrator" along with your salary requirements. Explain why you would be a good fit for our company, and why you are qualified to move to the next phase of interviews. Job Type: Full-time Salary: $55,000 - $60,000.00 per year Experience: • OON Medical Billing: 2 years (Preferred), • OON Therapy Billing Experience, • Complete Revenue Cycle ManagementEducation:, • Bachelor's (Preferred)License:, • Medical Billing and Coding (Preferred)Language:, • English (Required)This is an In Office Position, 11am to 7pm

Job Description Medical company has temp opening for Authorization/ Data Entry Coordinator. Knowledge of Medicare coverage and Medicaid coverage. Experience setting up or assigning authorizations for revie. Proficient in MS Office, Outlook. Attention to detail and work with a sense of urgency. Knowledge of HCPCS, CPT codes, HIPPA and PHI. Good time management, and communication. Coding, billing experience preferred. Hybrid. Pay $18-$20

Job Title: Billing Coordinator Location: New York, NY 10017 Shift: 9:00 am -5:00 pm Duration: 3 months + probable extension Pay Range: $19/hr - $21/hr Responsibilities: • Reviews and enters billing information accurately to ensure timely reimbursement., • Investigates billing issues, including coding, insurance coverage, and documentation accuracy., • Resolves claim denials and prepare required documentation and reports., • Communicates with patients and other parties regarding account questions and payment arrangements. Requirements: • 2–3 years of medical billing experience, including Medicare, Medicaid, third-party reimbursement, and ICD-9/CPT coding, • Strong organizational skills with ability to maintain patient confidentiality, • Effective communication skills with patients, physicians, and staff Pride Global offers eligible employee’s comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance, and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts with preferred vendors.

Accounts Receivable Senior Associate About Us M&D Capital is a leading third-party Medical Billing and Revenue Cycle Management company serving clients across the United States. We operate offices across multiple states, along with a growing international team. We specialize in out-of-network surgical claims, and partner directly with our clients to ensure the maximum reimbursement for their services. Our rapidly growing organization provides employees with generous opportunities for professional growth and advancement. We’re looking for talented, dedicated employees who are eager to grow and contribute to our success. If you meet the qualifications below, we encourage you to apply. Job Description We are seeking a knowledgeable and detail-oriented Accounts Receivable Senior Associate to join our Revenue Cycle Management team. This role requires experience in the healthcare industry, a strong understanding of the insurance payer mix, and familiarity with the full claims lifecycle. Key Responsibilities • Follow up with insurance companies on claim status, underpayments, and denials, • Resolve denied and underpaid claims promptly, • Review and interpret Explanation of Benefits (EOBs), • Address and correct coding-related denials, • Use payer portals (e.g., Availity, Cigna, UHC, Navinet, Emblem) to check claim status, • Analyze AR reports to identify trends and areas for improvement, • Prepare and present AR reports to management, • Work with internal teams to resolve claim issues, • Access EMRs to obtain necessary medical records, • Post insurance payments and handle recoupments, • Reconcile client payments monthly, • Generate and send patient statements Qualifications • Strong attention to detail and organizational skills, • Effective communication skills, especially when working with insurance, • representatives, • Proficient in Microsoft Office applications, • High school diploma or equivalent required, • Minimum of 2–3 years of experience in healthcare accounts receivable, • Experience with Epic EMR preferred Benefits M&D Capital offers our employees a comprehensive benefits package, including health, dental, vision, employee assistance plan, paid family leave, short-term disability and life insurance. We also provide a 401(k) plan with employer match, flexible spending accounts, employee discount program and an employee referral program. Salary This position offers a salary range of $65,000 to $95,000 annually, commensurate with experience.

Job title: Billing Coordinator Job location: New York, NY 10017 Shift: 9:00 am - 5:00 pm Pay: $18-$21 /hr Contract: 3-month possible extension Skills: -Two to three (2-3) years of Medical billing experience required, including knowledge of Medicare, Medicaid and 3rd party reimbursement as well as ICD-9 and CPT coding. -Excellent organization skills and demonstrated ability to maintain confidentiality of patient information. -Demonstrated ability to effectively communicate with patients and staff and to withstand the pressure that may arise in relation to dealing with physicians, the public and staff. -Demonstrated ability to handle multiple priorities and to deal with individuals under stress. -Thorough knowledge of medical terminology. -Demonstrated ability to accurately record financial information required. Associate’s Degree. Required Duties: 2 years of exp required -Verifies accuracy of billing forms and enters pertinent data in appropriate databases, ensuring timely and optimal reimbursement. -Investigates account billing inquiries, reviewing documentation for completeness and accuracy, including CPT and ICD-9 coding, physician data, insurance coverage, TOA and other data. -Prepares appropriate documentation for account inquiry and resolution. -Maintains a database of account inquiry information and generates reports and summaries as requested. -Investigates causes for denials and utilizes established protocols to effect satisfactory resolution. -Communicates with patients and other appropriate parties regarding open accounts, incorrect information, installment payment arrangements, etc. -Accounting and/or financial reporting experience preferred. -Prior supervision experience helpful. Pride Global offers eligible employees comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance, and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts.

The Medical Coder is responsible for accurate and timely coding of medical records in an acute care setting, including outpatient and emergency department encounters. This role ensures compliance with coding, billing, and regulatory guidelines while supporting accurate reimbursement and data integrity. General information: Job Location: Bronx, NY Shift: 8am to 4pm Duration: 13-14 Weeks Start Date: Within 2-3 weeks Pay Range: $32 - $35/hr Key Highlights: • Perform accurate medical coding in an acute care setting, including Outpatient and Emergency Department records, • Assign ICD-9-CM and CPT-4 codes in compliance with coding, payor, and federal billing guidelines, • Utilize encoder tools and 3M/HDS coding applications, • Research and resolve coding-related issues, • Support coder training and quality initiatives Requirements: • Three years’ experience Knowledge of ICD10, • Acute care medical coding experience, • Proficient in MS Word, Excel, ICD-9-CM, CPT-4, and encoder tools, • Strong knowledge of coding guidelines, anatomy, physiology, and disease processes, • CCS certification required, • Outpatient and ED coding experience required Education: • High School Diploma/GED, AHIMA, RHIA or RHIT and/or CCP, CCS

Certified Professional Coder / Bill Review Expert Responsibilities: • Review medical bills related to MVA injuries sustained for NJ and or NY covered insureds, • Conduct reviews of medical bills and supporting documentation to ensure proper codes assigned, • Assign proper codes as needed based on review outcome, • Use various resources, IE: eBooks, 3M software to support reviews, • Interpret fee schedule guidelines and apply those guidelines in daily reviews, • Document review outcomes for customer in a professional easy to understand manner, • Participate in conference calls as needed with customer and/or attorneys, • Assist with various special projects and other duties as assigned Qualifications and Experience: • 3-5 years of medical billing experience specifically NJ / NY PIP fee schedules, • Strong communicate skills, must be able to explain outcome of review, both written and verbally, • Extensive knowledge of coding /documentation requirements, • Thorough knowledge of CPT, HCPCs, ICD-10, • CPC/AAPC certification required, • Ability to multi-task, • Ability to meet critical timelines, • Computer experience, • Excel experience beyond beginner, • Independent worker, • Ability to manage time when working remotely, • Must be able to travel to Hamilton NJ office as needed, • Ability to effectively communicate with team

Senior Medical Biller About Us M&D Capital is a leading third-party Medical Billing and Revenue Cycle Management company serving clients across the United States. We operate offices across multiple states, along with a growing international team. We specialize in out-of-network surgical claims, and partner directly with our clients to ensure the maximum reimbursement for their services. Our rapidly growing organization provides employees with generous opportunities for professional growth and advancement. We’re looking for talented, dedicated employees who are eager to grow and contribute to our success. If you meet the qualifications below, we encourage you to apply. Job Description We are seeking an experienced and detail-oriented Senior Medical Biller to join our dynamic billing department. The ideal candidate will possess deep knowledge of the full claims lifecycle, surgical billing, and current coding guidelines, including CMS CPT, ICD-10, NDC, and LCD regulations. Strong communication skills and the ability to work cross functionally are essential for success in this role. Primary Responsibilities · Serve as a liaison with clients and front office staff to gather missing information and minimize billing delays. · Ensure clients provide accurate and complete data for timely and compliant claims · submission. · Collaborate with the coding team to resolve claims on hold due to incomplete or · missing information. · Accurately review and process patient encounters in compliance with coding and · billing regulations. · Demonstrate understanding of various surgical specialties and their specific billing · requirements. · Identify gaps or deficiencies in clinical documentation, work with physicians to · clarify and improve records. · Maintain up-to-date knowledge of CMS guidelines, as well as NDC and LCD payer specific regulations. · Participate in internal billing audits and implement process improvements based on · audit findings. · Work proficiently within Electronic Medical Records (EMR) systems. · Perform additional billing-related tasks and responsibilities as assigned. Qualifications · Proficient in CPT and ICD-10 coding. · In-depth knowledge of CMS, LCD, and NDC billing requirements. · Familiar with both CMS-1500 and UB-04 billing formats. · Proven ability to independently identify and resolve billing and coding issues. · Strong attention to detail with excellent analytical and organizational skills. · Experience with commercial insurance payers. · Prior experience with surgical billing required. · Familiarity with Epic EMR system is preferred. · 3-5 years experience in a billing position or related position Benefits M&D Capital offers our employees a comprehensive benefits package, including health, dental, vision, employee assistance plan, paid family leave, short-term disability and life insurance. We also provide a 401(k) plan with employer match, flexible spending accounts, employee discount program and an employee referral program. Salary This position offers a salary range of $70,000 to $95,000 annually, commensurate with experience.

Annual Salary: $65k-$85k (varies depending on years of experience) An established orthopedic and spine surgery practice is seeking an experienced Medical Biller with a strong background in out-of-network billing and spine-related claims. This role is responsible for managing the full revenue cycle with a focus on accurate claims submission, payment resolution, and reimbursement optimization. Key Responsibilities • Manage end-to-end medical billing and accounts receivable for orthopedic and spine surgical cases., • Submit and track out-of-network claims to commercial payers., • Handle the Independent Dispute Resolution (IDR) process including documentation preparation, submissions, and follow-up., • Review, correct, and resubmit denied or underpaid claims in a timely manner., • Post payments, reconcile explanations of benefits (EOBs), and identify discrepancies., • Follow up aggressively on unpaid or delayed claims to ensure maximum reimbursement., • Communicate with insurance carriers regarding claim status, appeals, and payment disputes., • Work closely with the clinical and administrative teams to resolve coding and documentation issues., • Maintain strict compliance with HIPAA and billing regulations., • Generate A/R aging reports and participate in revenue cycle performance discussions., • Maintain accurate patient account records and billing documentation. Required Qualifications • Proven experience as a Medical Biller / A/R Specialist in a physician practice or surgical specialty., • Orthopedic and spine billing experience is required., • Out-of-network billing experience is required., • Independent Dispute Resolution (IDR) experience is required., • Strong understanding of commercial insurance reimbursement processes., • Excellent attention to detail, organization, and follow-through., • Ability to work independently in a fast-paced, high-volume environment., • Strong communication skills for payer and internal team interactions. — Atlas Search is a tri-state area recruitment agency, connecting new graduates, Advanced Practice Providers, Physicians and Nurse Leaders to hospitals, clinics, multi-specialty groups, nursing homes, managed care companies, private practices, and healthcare start-ups. If you would like to learn more about the opportunities we offer, please submit your CV for consideration here.

The Marwood Group is a healthcare advisory services firm headquartered in New York City with offices in Washington, DC, and London. The Healthcare Advisory Group advises and consults with the firm’s private equity and corporate clients on healthcare policy, strategy, and market analysis issues. Areas of focus include Medicare, Medicaid, commercial insurance, worker’s compensation, and clinical compliance. Marwood operates at the intersection of Wall Street and Washington, with experienced professionals from top banking, consulting, and healthcare operations firms, as well as senior political and governmental positions. The Advisory Group is currently accepting applications for a Certified Coding Auditor to work in its New York office or remotely. Principal duties and responsibilities: Perform remote billing and coding audits to ensure client coding practices are compliant with regulations and coverage policies for both government and commercial payers. Researching state and payer regulations to identify areas of risk in a variety of healthcare settings and specialties, coordinating with various team members to ensure clear expectations are communicated and deadlines are met. Qualifications: CPC with a minimum of 5 years of experience in healthcare coding/auditing (E&M, CPT, HCPCS, and ICD-10), with knowledge of professional billing, coding, and documentation practices performed by physicians and other qualified healthcare providers in inpatient and outpatient settings. Proficiency in evaluating how well clinical documentation supports medical necessity and the E/M, CPT, and HCPCS codes that were billed, across a wide range of services. The focus will be in the behavioral health sector, including mental health (psychiatry/therapy), substance use disorder (IOP, PHP, detox, and residential treatment), I/DD, opioid treatment programs, and ABA therapy. Inpatient psych experience preferred. Proven ability to identify billing and coding issues including use of modifiers, bundling issues, CCI edits, therapeutic and diagnostic procedures, supplies, materials, injections, drugs, and units of service etc. Solid understanding of both federal and state coding and documentation laws and regulations, applicable fraud statutes, and regulations, and of federal guidelines on recoupments and other anti-FWA activity. Identify and access risk of repayment or recoupment in the event of payor scrutiny. Familiarity with both UB-04 and CMS 1500 claims data, as well as understanding of payor remittances. Knowledge of anatomy, physiology, and medical terminology necessary to appropriately review assignment and documentation of diagnosis codes. Solid working knowledge of various EHR/EMR systems; experience accessing these remotely. Strong organizational skills and task management Highly organized with a high level of attention to detail Ability to work in a fast paced and rapidly changing environment. Skilled at multi-tasking with the ability to manage several different priorities simultaneously. Strong communication skills with experience in articulating audit findings and interpretation of coding regulations Experience with HIPAA, data privacy, and/or data security processes. Experience working with regulators governing (public or private) health insurance carriers. Certifications that are applicable to this work include: • Certified Outpatient Coder (COC™), • Certified Professional Medical Auditor (CPMA), • Certified Risk Adjustment Coder (CRC™), • Certified Coding Specialist (CCS), • Certified Coding Specialist – Physician based (CCS-P) For consideration, please email resume and cover letter as attachments with salary expectations to with the subject title “Certified Coding Auditor - Behavioral Health.” Marwood offers a comprehensive compensation package with full benefits. We offer a competitive wage, a collaborative work environment and an opportunity to participate in a full benefit package, including, Medical, Dental, Vision, Life, AD&D, Voluntary Life and LTD, Spouse and Dependent Life, 401k Retirement plan with a company match, Commuter, FSA/DCFSA. We offer paid days off, and paid holidays. Marwood prides itself on providing employees with a good work-life balance. There is no travel expected with this position. The position is based in our New York location. Currently working a hybrid schedule. Remote option will be considered. We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity and or expression, status as a veteran, and basis of disability or any other federal, state, or local protected class.

Job Description Job Summary: We are a leading out-of-network medical revenue cycle management company specializing in providing comprehensive support to providers. Our services include pre billing, claims processing, arbitration support, and navigating complex regulatory frameworks, such as the No Surprises Act. We are seeking an experienced Independent Dispute Resolution (IDR) Attorney to oversee and manage our arbitration processes, ensure compliance with federal and state regulations, and contribute to our claims processing operations Looking for Lawyer/Attorneys ready to join on immediately Lawyers/Attorneys from this location can apply." New York, New Jersey & Connecticut" The ideal candidate will bridge legal and billing expertise to enhance our service offerings. NOTE- This position offers a hybrid work arrangement, with 3 days per week in our New York office and 2 days working remotely, blending in-person teamwork with flexible scheduling. Key Responsibilities: • Independent Dispute Resolution Management, • Lead and oversee all IDR activities under the No Surprises Act for out-of-network claims., • Utilize proprietary arbitration software to track, manage, and resolve disputes efficiently for clients., • Keep track of all claims in the 90-day cooling off period, and monitor when they can be submitted on the IDR portal, • Follow up on unprocessed disputes or unpaid claims after determination has been made, • Assist with overseeing IDR Representative, • Additional duties and responsibilities as assigned, • Develop and maintain relationships with arbitrators, legal professionals, and other stakeholders., • Monitor regulatory updates and ensure compliance with arbitration-related laws and guidelines., • Support and streamline claims processing operations to ensure accurate and timely handling of out-of-network claims., • Collaborate with the claims team to identify potential arbitration cases and strategize resolutions., • Serve as a key point of contact for clients regarding arbitration cases and claims processing., • Provide expert guidance on dispute resolution processes to clients and internal teams., • Analyze and improve workflows for arbitration and claims processing., • Represent Sunknowledge and clients in Federal IDR proceedings, preparing and submitting offers to resolve payment disputes with health plans., • Review and draft legal documents, including contracts, IDR submissions, and compliance policies for billing operations., • Collaborate with our billing team to ensure claims align with NSA requirements and maximize collections., • Juris Doctor (JD) or Paralegal Certification highly preferred., • Minimum 2+ years of direct experience with out-of-network medical claims, arbitration, or dispute resolution., • In-depth knowledge of the No Surprises Act and related regulations., • Familiarity with arbitration platforms and claims processing systems., • Exceptional organizational and analytical abilities., • Strong understanding of medical billing and coding as it relates to out-of-network claims., • *Candidates must have demonstrated experience in handling IDR (Independent Dispute Resolution), NSA (No Surprises Act), and out-of-network claim cases on behalf of healthcare providers., • Strong understanding of State and federal laws, • Excellent communication and negotiation skills.Company DescriptionWe are Sunknowledge Services Inc., an ISO 27001:2022 certified, American-owned & operated company headquartered in New York City, and a leading global provider of Business and Knowledge Process Outsourcing services in the US healthcare domain.We are Sunknowledge Services Inc., an ISO 27001:2022 certified, American-owned & operated company headquartered in New York City, and a leading global provider of Business and Knowledge Process Outsourcing services in the US healthcare domain.

Job DescriptionPhysician Practice Enhancement is acquiring some new Emergency medicine programs to oversee. We will have positions open in Secaucus, Bayonne, Jersey city and Hoboken We would like our candidates to cover all 4 sites • Experience working in a hospital or emergency department setting is preferred, • Proficient in performing procedures such as dermabrasion and ventilating patients, • Knowledge of ICD-9 coding for accurate documentation and billing purposes Day or Night positions available as well as combination 12 - hour shifts Job Type: Full-time Salary: $230.00 - $240.00 per hour Benefits: • 401(k), • Dental insurance, • Health insurance, • Paid time off Must have a valid unrestricted New Jersey Medical License Minimum of 2 years experience Working Hours 12 Hour shifts Days and Nights available

Job Description Medical Billing - Job Summary: • Verifies accuracy of billing forms and enters pertinent data in appropriate databases, ensuring timely and optimal reimbursement., • Investigates account billing inquiries, reviewing documentation for completeness and accuracy, including CPT and ICD-9 coding, physician data, insurance coverage, TOA and other data., • Prepares appropriate documentation for account inquiry and resolution., • Maintains a database of account inquiry information and generates reports and summaries as requested., • Investigates causes for denials and utilizes established protocols to effect satisfactory resolution., • Communicates with patients and other appropriate parties regarding open accounts, incorrect information, installment payment arrangements, etc. Skills: Required Skills & Experience: • At least 2+ years of Medical billing experience required, including knowledge of Medicare, Medicaid and 3rd party reimbursement as well as ICD-9 and CPT coding., • Excellent organization skills and demonstrated ability to maintain confidentiality of patient information., • Demonstrated ability to effectively communicate with patients and staff and to withstand the pressure that may arise in relation to dealing with physicians, the public and staff., • Demonstrated ability to handle multiple priorities and to deal with individuals under stress., • Thorough knowledge of medical terminology., • Demonstrated ability to accurately record financial information required. Preferred Skills & Experience: • Accounting and/or financial reporting experience preferred. Education: Required Education: -Associate’s Degree Preferred Education: -Bachelor’s Degree in finance or accounting preferred Company DescriptionAbout RSC Healthcare Launched in 2018, RSC Healthcare is an RSC Solutions company created to focus on recruiting and staffing across all positions in the healthcare industry. Our knowledgeable staff brings multiple decades of experience within the healthcare industry to assist clients in attaining the highest quality talent in the marketplace. By leveraging RSC Healthcare’s extensive database and experienced recruiting team for candidate healthcare positions, our clients realize both substantial cost-savings and a streamlined, efficient process. We provide staffing for all levels and positions across your organization, including: Registered Nurses Physical/Occupational Therapists Certified Nursing Assistants Radiology Technicians All skilled medical and allied health professionals As a leader in the healthcare staffing industry, it is our goal is to connect patients with quality caregivers. Our experienced team and industry knowledge allow RSC Healthcare to deliver the qualified healthcare professionals our clients need.About RSC Healthcare\r\n\r\nLaunched in 2018, RSC Healthcare is an RSC Solutions company created to focus on recruiting and staffing across all positions in the healthcare industry. Our knowledgeable staff brings multiple decades of experience within the healthcare industry to assist clients in attaining the highest quality talent in the marketplace.\r\n\r\nBy leveraging RSC Healthcare’s extensive database and experienced recruiting team for candidate healthcare positions, our clients realize both substantial cost-savings and a streamlined, efficient process. We provide staffing for all levels and positions across your organization, including:\r\n\r\nRegistered Nurses\r\nPhysical/Occupational Therapists\r\nCertified Nursing Assistants\r\nRadiology Technicians\r\nAll skilled medical and allied health professionals\r\n\r\nAs a leader in the healthcare staffing industry, it is our goal is to connect patients with quality caregivers. Our experienced team and industry knowledge allow RSC Healthcare to deliver the qualified healthcare professionals our clients need.

Job Description Physician Practice Enhancement is seeking an experienced physician for an Nocturnist Emergency Medicine role in East Orange, NJ Carewell Health Medical Center is a boutique community hospital serving Essex County, a place where every patient is family. Formerly knows as East Orange General Hospital, we are the sole independent, acute care hospital in Essex County and deeply proud to be the cornerstone of care for almost 120 years. Shifts are 12 hr night shifts - Per Diem Experience: • Must be a New Jersey licensed physician with a focus on emergency medicine, • Experience working in a hospital or emergency department setting is preferred, • Proficient in performing procedures such as dermabrasion and ventilating patients, • Knowledge of ICD-9 coding for accurate documentation and billing purposes As an Emergency Medicine Physician, you will play a vital role in providing immediate medical care to patients in need. Your expertise and quick decision-making skills will help save lives and provide comfort during critical situations. If you are passionate about emergency medicine and thrive in a fast-paced environment, we encourage you to apply. 7p-7a

Job Description MDS Director Compensation: $190K-$220K pr/yr Job Type: Full-Time and In-person position, 7am-3pm Collaborating with a Long-Term Care/Rehabilitation Facility in the Bronx, NY that is seeking a MDS Director MDS Director Duties and Responsibilities: • Acts as a key decision maker and oversees a team of 7 MDS nurses., • Oversee the completion, accuracy, and timeliness of MDS assessments for all residents., • Ensure compliance with federal (CMS) and state regulations regarding MDS and RAI (Resident Assessment Instrument) processes., • Monitor and review resident assessments, care plans, and documentation to ensure accurate reflection of resident conditions., • Conduct resident interviews and coordinate with interdisciplinary teams to complete assessments., • Develop and maintain individualized care plans based on MDS assessments, ensuring person-centered care., • Collaborate with nursing, therapy, social services, dietary, and other departments to ensure comprehensive care planning., • Participate in care plan meetings and communicate with families and residents regarding care goals and updates., • Ensure accurate coding of MDS assessments to maximize reimbursement under PDPM and Medicaid reimbursement models., • Work with billing and finance teams to verify documentation supports reimbursement claims., • Monitor quality measures and case-mix index to optimize facility performance., • FREE PARKING, • 401K with 3% matching, • A TON OF PTO: 4 weeks vacation, 15 sick days, 11 holiday days and 3 personal days., • An opportunity to express your talents and lead a high performing team, • Comprehensive Benefits: medical, optical and dental insurance, • Perks & Recognition, • Valid NYS RN License, • 4+ Year of Long-Term Care Experience is Required, • 5+ Years of experience as an MDS coordinator

Job Description JOB TITLE: 820 Billing Assistant SCHEDULE: Only Mondays, Wednesdays and Fridays from 9am-5pm REPORTS TO: Director of Revenue Cycle DEPARTMENT: Finance Our Mission: Since 1967, Odyssey House has been providing innovative services and programs to a broad population of individuals and families struggling with substance use and mental health disorders. Odyssey House helps New Yorkers of all ages—and across all five boroughs—beat drugs and alcohol with highly individualized treatment programs. Odyssey House provides high quality, holistic treatment impacting all major life spheres, including: psychological, physical, social, family, educational and spiritual in order to support personal rehabilitation, renewal and family restoration. If that sounds different than other treatment programs, you’re right. Because Odyssey is where recovery gets real. In addition to competitive salaries, Odyssey House offers: • A 35-hour work week (as opposed to a 40-hour work week), • Vacation Plan and Holiday Schedule, • Life Insurance, • Medical Insurance (Two Plans), • Dental and Vision Insurance, • Additional Insurance Coverages (hospitalization, accidental, critical illness coverage), • Long-Term & Short-Term Disability, • Flexible Spending Account/Health Reimbursement Account, • 403(b) Plan, • Corporate Counseling Associates (CCA) EAP benefit, • Ability Assist Counseling Services (through The Hartford), • Commuter Benefits, • Educational Assistance Programs, • Special shopping discounts through ADP Marketplace and PlumBenefits, • RUFit?! Fitness Program, • Legal Assistance through ARAG, • Optum Financial Service through ConnectYourCare The 820 Billing Assistant is responsible for assisting billing team with collection of Managed Care Organization payments. SPECIFIC DUTIES & RESPONSIBILITIES: • Reconcile client number of days stay between AWARDS and Census Reports, • Verify accuracy of clients’ health insurance in AWARDS through ePaces, • Access real-time payer portals to verify accuracy in authorization ID entered in AWARDS, • Verify and confirm appropriate diagnosis and procedure coding as per clinical documentation, • Navigate payee websites/portals to keep track payments or denials, • Works closely with co-workers to analyze and identify issues, • Calling insurance companies to research the reason for denials, • Excellent analytical, problem solving, and interpersonal and communication skills, • Proficiency in Microsoft Excel

Job Description Hi, we're Oscar. We're hiring a SIU Coding Auditor to join our SIU team. Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family. About the role The Senior Specialist works in the Special Investigation Unit to support in assessing trends and patterns in FWA across the healthcare industry using deep coding knowledge to prevent and recoup inappropriately paid claims. The Specialist Investigation Unit runs and coordinates activities across Oscar to reduce the incidence and impact of fraud, waste, and/or abuse ("FWA") on all our operations. You will report to the Manager, SIU Coding Audit. Work Location: Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission. If you live within commutable distance to our New York City office (in Hudson Square), our Tempe office (off the 101 at University Dr), or our Los Angeles office (in Marina Del Rey), you will be expected to come into the office at least two days each week. Otherwise, this is a remote / work-from-home role. You must reside in one of the following states: Alabama, Arizona, Arkansas, California, Colorado, Connecticut, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, Washington, or Washington, D.C. Note, this list of states is subject to change. #LI-Remote Pay Transparency: The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $65,412 - $85,853 per year. The base pay for this role in all other locations is: $58,870 - $77,267 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, and annual performance bonuses. Responsibilities • Develop a depth of expertise on CPT, HCPCS, and ICD-10 Coding guidelines and other insurance billing submission requirements., • Perform complex audits of assigned medical records and claims on both a prepayment and post payment basis to determine accuracy of claims submitted to Oscar., • Document findings including reference to sources used to support decision making and in a way that can be easily understood by non clinicians or coders., • Create audit report findings, tools, and reference guide that can be used by other team members to communicate findings or more effectively perform similar reviews., • Help draft written communications to providers to convey audit findings., • Participate in educational calls with providers., • Help train new team members., • Develop and document processes to improve the effectiveness of the team., • Compliance with all applicable laws and regulations, • Other duties as assignedQualifications, • 2+ years of coding or auditing experience across multiple specialties is required, • Bachelor's degree or 4+ years of work experience, • Certified Professional Coder (CPC), Certified Inpatient Coder (CIC), Certified Outpatient Coder (COC) designation or similar certification, • Experience working in production-based environment, • Experience of both outpatient and inpatient auditingBonus Points, • Certified Professional Medical Auditor (CPMA), • Additional certification applicable to this work such as Certified Fraud Examiner (CFE), Accredited Healthcare Fraud Investigator (AHFI), Certified AML [Anti-Money Laundering] and Fraud Professional (CAFP), other coding certifications or similar, • Knowledge of applicable fraud statutes and regulations, and of federal guidelines on recoupments and other anti-FWA activity, • Demonstrated experience translating technical jargon to non-technical end users., • Experience working in health insurance specifically with claims processing, billing, reimbursement, or provider contracting., • Experience with HIPAA, data privacy, and/or data security processes At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives. Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements. Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts. Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team () to make the need for an accommodation known. California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.

Job Description About Us LP Brands (LPB) is the corporate hub supporting the Lobster Place family of businesses: LP Seafood & Specialty (LPSS), our wholesale seafood distribution company; Lobster Place Hospitality Group (LPHG), which oversees our restaurant and retail operations. Across all entities, LP Brands drives people operations, finance, culture, systems, and compliance to ensure our teams can deliver exceptional service, hospitality, and product quality every day. Position Summary The Payroll & Benefits Manager ensures timely and accurate payroll processing, administers all health and welfare benefits, oversees leave management, and partners closely with both HR and Finance on compliance, reporting, and systems optimization. This role manages the full lifecycle of payroll and benefits and serves as a trusted resource for employees seeking clarity, support, and guidance. This individual reports directly to Human Resources (LP Brands) with a dotted line to Finance. The ideal candidate is detail oriented, analytical, bilingual in English and Spanish, and committed to improving processes that enhance the employee experience. This position follows a hybrid schedule, consisting of three remote workdays per week and two required in-office days at LPHG’s Manhattan location, with flexibility to occasionally visit the LPSS headquarters in the Bronx. Key Responsibilities Payroll Administration · Execute weekly payroll for all LP entities with accuracy and timeliness. · Validate all earnings, commissions, bonuses, deductions, garnishments, and tax withholdings. · Monitor payroll accuracy weekly and proactively identify trends or issues. · Maintain detailed and confidential payroll records; ensure data integrity. · Partner with Finance on labor coding, payroll journal entries, and reconciliations. · Manage special payroll items including back pay, adjustments, garnishments, and one-time payments. · Prepare recurring and ad hoc payroll-related reports. · Respond promptly and professionally to employee payroll inquiries. · Own and update the Tip Sheet and ensure compliance with policies. · Administer and maintain HRIS/payroll systems (ADP Workforce Now). · Manage WOTC filing, processing, and reporting. · Coordinate and distribute W2s. · Serve as the primary point of contact for employee payroll questions. Benefits Administration · Administer all employee benefit programs including medical, dental, vision, life, disability, transit, and ancillary benefits. · Lead Annual Benefits Renewal in partnership with brokers and Finance. · Process all benefit enrollments, changes, terminations, and file-feed updates. · Complete weekly and monthly benefit billing reconciliations (Medical, Dental, Vision, Transit). · Oversee COBRA administration. · Manage 401(k) and Pension programs, including enrollments, loans, distributions, audit preparation, and annual reporting. · Own Open Enrollment planning, employee communication, system configuration, and presentations. · Serve as the primary point of contact for employee benefit questions. Leave & Claims Management · Manage and administer all employee leave programs, including FMLA, Paid Family Leave (PFL), ADA accommodations, disability leaves, workers’ compensation, and personal leaves of absence. · File claims, track cases, manage accounts, and maintain accurate documentation. · Serve as the first line of communication for employees going out on or returning from leave. · Coordinate accurate pay and benefit continuation during leave periods. · Update calendars and internal notifications related to leaves. Compliance, Reporting & Auditing · Ensure compliance with federal, state, and local regulations including ERISA, ACA, COBRA, HIPAA, IRS, OSHA, and DOL requirements. · Own ACA compliance and monitoring, including monthly tracking and annual 1095‑C review and distribution. · Manage ADP file feed monitoring, troubleshooting, and vendor escalations. · Oversee all annualized filings including Form 5500s, pension reports, and nondiscrimination testing. · Handle IRS follow-ups and inquiries. · Maintain HRIS and payroll data integrity through regular audits. · Support Workers’ Compensation audits, pension audits, and 401(k) audits. · Maintain NY Youth Action and other compliance reporting as required. · Manage WOTC filing, processing, and reporting. Systems & Process Optimization · Administer HRIS and payroll systems including reporting, setup, and configuration changes. · Identify opportunities to automate processes and strengthen internal controls. · Lead or assist with system transitions, upgrades, and new implementations. · Manage HR technology maintenance, billing reconciliation, and employee system setups (cell phones, laptops, and other tech as assigned, etc.). · Contribute to continuous improvement initiatives within HR and Finance. Additional Responsibilities This job description is not intended to be all-inclusive. The Payroll & Benefits Manager may be required to perform other related duties based on the ongoing needs of the business. Performance Metrics · Payroll accuracy and timeliness. · Benefit enrollment and deduction accuracy. · ACA and regulatory compliance. · Leave management responsiveness and accuracy. · Clean, error‑free system data and reporting. · Successful completion of annual filings and audits. · Improved processes, automation, and cycle time reductions. Qualifications · Bachelor’s degree in Human Resources, Finance, Business, or related field preferred. · 3–5 years of payroll and benefits experience; multi-entity experience preferred. · Bilingual (English/Spanish) required, with the ability to support non-Spanish speaking HR staff during employee conversations. · Strong knowledge of payroll laws, benefit regulations, and compliance (ERISA, COBRA, ACA, HIPAA). · Experience with ADP Workforce Now strongly preferred. · Strong Excel skills and ability to analyze data. · Exceptional accuracy, attention to detail, and follow-through. · Excellent communication and interpersonal skills. · Ability to handle sensitive and confidential information with discretion. · Proven track record of improving processes and building stronger systems. · Prior experience in hospitality, food service, and/or warehouse settings is a plus, but not required. Work Conditions · Hybrid schedule: 3 days remote, 2 days on-site (Manhattan, and Bronx occasionally). There will be weeks were additional on-site is required. Flexibility is key. · Full-time, exempt role aligned with normal business hours, with flexibility during payroll deadlines, Open Enrollment, or audits. · Fast-paced environment requiring adaptability, multitasking, and strong problem-solving. · Regular use of computers, HRIS systems, reporting tools, and communication platforms. Compensation and Benefits · $85,000 - $90,000 annual salary · Up to 20 days of Paid Personal Time Off annually, increases to 25 after 1st year · Up to 56 hours of Paid Sick Time annually · Company sponsored comprehensive Medical, Dental, and Vision Insurance · 401k Plan with Company Match · Company Sponsored Life Insurance Policy · Commuter Benefits Program · Employee Assistance Program with access to free counseling/ coaching · Employee discounts and in-office meal perks · Annual performance and compensation review LP Brands is an Equal Opportunity Employer and values diversity at all levels of the organization. We encourage all qualified individuals to apply.

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

Job Description Description VIP Community Services, an important anchor in the Bronx community serving adults with serious substance use addictions, is seeking a Health Care Compliance Specialist to join the Compliance Department. The Compliance Department is an integral part of VIP’s mission and operations. VIP Community Services is committed to providing its clients with high quality and caring services pursuant to the highest ethical and legal standards. The department was developed to ensure this. The department’s mission is to help support VIP’s direct care and support programs by developing and facilitating processes and systems that ensure compliance with all health care compliance regulatory standards. The Health Care Compliance Specialist reports to the Chief Compliance Officer (CCO). This position will work closely with VIP’s residential and supportive housing, outpatient, health homes, health services, and substance use programs. SPECIFIC DUTIES AND TASKS: include but are not limited to the following: Responsible for conducting audits of medical records to determine whether services provided to patients are appropriately documented and billed in accordance with Medicare, Medicaid and third party billing regulations and/or standards. Prepare written reports that summarize medical record review findings for CCO review. Provides in-services and educational materials on subjects pertinent to audits conducted, and any coding and billing changes to appropriate staff. Conduct program compliance audits Conduct risk assessments Conduct compliance investigations on formal complaints and allegations and prepare investigation reports Develop and implement assessment/audit tools Assist CCO in investigating inquires which may relate to erroneous billing and coding of services. Manage agency chart requests and accounting process Assist in the development and revision of compliance and privacy training materials Facilitate Compliance and Privacy trainings Manage agency vendor-DRA compliance correspondence Review regulatory websites for updates Participate in quarterly Audit Committee meetings, agency Compliance Committee Assist in the management of the agency’s chart retention and destruction process Develop and maintain audit review schedules for all agency departments Make recommendations and develop tools to support program improvement Recommend quality improvement projects and trainings based on data trends Gather, review and analyze data collected from audits and prepare audit reports for program and executive leadership review Read and apply regulations and laws Participate in agency-wide quality improvement initiatives Create and maintain meeting minutes and agendas repository for compliance meetings Work closely with department directors to develop and implement compliance activities Participate in the development and implementation of compliance policies in conjunction with senior department staff Perform all related clerical and administrative duties Represent the department and agency in internal and external meetings as needed Summarize monthly compliance activities on the spread sheet report. Other duties as assigned EDUCATIONAL/TRAINING REQUIRED (List all that is required to achieve this position): · Bachelor’s Degree required, Master’s Degree preferred; CHC or CHPC certification preferred · EXPERIENCE REQUIRED/ LANGUAGE PREFERENCE (List what the desire to reach goals): Minimum of three years of experience working in the healthcare industry and compliance: mental health and substance use field, (residential experience a plus), conducting Medicaid/Medicare audits and conducting compliance investigations Superb writing, assessment, planning and analytical skills Ability to facilitate trainings Knowledge and experience with data collection and synthesis into comprehensive reports Exemplary attention to details Knowledgeable of OMH, DOHMH, OASAS and DHS, OTDA, HRSA, CCBHC regulations, including billing standards is preferred Knowledge of compliance regulatory standards and laws: Mandatory Compliance Regulations (Part 521), Federal False Claims Act, Healthcare Fraud Statute, Anti-Kickback Laws, Knowledge of Privacy regulations (State, HIPAA, HIV Confidentiality Laws (PHL 27-F) and Substance Use Privacy Laws (42 CFR Part 2) COMPUTER SKILLS REQUIRED (List the computer skills needed): Master of Microsoft Office Suite; Advanced knowledge of utilizing EHRs/EMRs: AWARDS, AVATAR, and ECW; Familiar with NIMRS VISUAL AND MANUAL DEXTERITY: The candidate should be able to read documents for analytical purposes such as computer information, software, reports, etc. Limited applications of manual dexterity and hand-eye coordination. WORK ENVIRONMENT / PHYSICAL EFFORT The work environment involves no physical risk or hazardous conditions. To perform the essential functions of this job, the candidate is routinely required to sit, stand, walk, reach with hands and arms, talk, hear, and use both close and distance vision. (Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions.) Requirements EDUCATIONAL/TRAINING REQUIRED Bachelor's Degree required, Master’s Degree preferred; CHC or CHPC certification preferred· EXPERIENCE REQUIRED/ LANGUAGE PREFERENCE Minimum of three years of experience working in the healthcare industry and compliance: mental health and substance use field, (residential experience a plus), conducting Medicaid/Medicare audits and conducting compliance investigations Superb writing, assessment, planning and analytical skills Ability to facilitate trainings Knowledge and experience with data collection and synthesis into comprehensive reports Exemplary attention to details Knowledgeable of OMH, DOHMH, OASAS and DHS, OTDA, HRSA, CCBHC regulations, including billing standards is preferred Knowledge of compliance regulatory standards and laws: Mandatory Compliance Regulations (Part 521), Federal False Claims Act, Healthcare Fraud Statute, Anti-Kickback Laws, Knowledge of Privacy regulations (State, HIPAA, HIV Confidentiality Laws (PHL 27-F) and Substance Use Privacy Laws (42 CFR Part 2) COMPUTER SKILLS REQUIRED: Master of Microsoft Office Suite; Advanced knowledge of utilizing EHRs/EMRs: AWARDS, AVATAR, and ECW; Familiar with NIMRS Company DescriptionAs a non-profit headquartered in the Bronx, VIP provides a full continuum of social service care to those who are most vulnerable and underserved. VIP serves approximately 7,000 clients per year through residential care, outpatient counseling, shelter care, medical services, medically supervised intervention programs, housing, and employment services. Our organization continues to expand as a Federally Qualified Health Center and a Certified Community Behavioral Health Clinic.As a non-profit headquartered in the Bronx, VIP provides a full continuum of social service care to those who are most vulnerable and underserved. VIP serves approximately 7,000 clients per year through residential care, outpatient counseling, shelter care, medical services, medically supervised intervention programs, housing, and employment services. Our organization continues to expand as a Federally Qualified Health Center and a Certified Community Behavioral Health Clinic.

Job Description Immediate direct hire role can be hybrid or on site, office is in Union, NJ We are seeking an experienced Gastroenterology Medical Biller/Coder to join our growing healthcare practice. The ideal candidate will have strong knowledge of GI coding, insurance billing, and revenue cycle management to ensure accurate and timely reimbursement. Responsibilities: • Assign accurate CPT, ICD-10, and HCPCS codes for gastroenterology procedures, • Handle billing for endoscopy, colonoscopy, EGD, and related GI services, • Submit claims to insurance carriers and follow up on unpaid or denied claims, • Review EOBs, post payments, and manage patient accounts, • Resolve claim denials and appeals efficiently, • Ensure compliance with CMS, HIPAA, and payer guidelines, • Proven experience in Gastroenterology billing and coding, • Strong knowledge of GI-specific coding and modifiers, • Familiarity with insurance payers, Medicare, and Medicaid, • Certification (CPC, CCS, or equivalent), • Proficiency with EHR/Practice Management systems, • Excellent attention to detail and organizational skills

Job DescriptionOur mission: to eliminate every barrier to mental health. At Spring Health, we're on a mission to revolutionize mental healthcare by removing every barrier that prevents people from getting the help they need, when they need it. Our clinically validated technology, Precision Mental Healthcare, empowers us to deliver the right care at the right time—whether it's therapy, coaching, medication, or beyond—tailored to each individual's needs. We proudly partner with over 450 companies, from startups to multinational Fortune 500 corporations, as a leading provider of mental health service, providing care for 10 million people. Our clients include brands you use and know like Microsoft, Target, and Delta Airlines, all of whom trust us to deliver best-in-class outcomes for their employees globally. With our innovative platform, we've been able to generate a net positive ROI for employers and we are the only company in our category to earn external validation of net savings for customers. We have raised capital from prominent investors including Generation Investment, Kinnevik, Tiger Global, Northzone, RRE Ventures, and many more. Thanks to their partnership and our latest Series E Funding, our current valuation has reached $3.3 billion. We're just getting started—join us on our journey to make mental healthcare accessible to everyone, everywhere. Reporting to the Director of Revenue Cycle Operations, the Associate Director, Revenue Cycle Operations will drive operational excellence across key revenue cycle functions, including claims management, accounts receivable, and payer relations. This full-time, remote role is part of the Health Plan Operations team and is instrumental in aligning cross-functional workflows, optimizing performance, and improving cash flow integrity. For this role, occasional travel may be required for company or team events. What You'll Be Doing • Oversee day-to-day revenue cycle operations, ensuring timely and accurate claims submission, resolution, and collections., • Collaborate cross-functionally to ensure scalable workflows for emerging services and billing complexities., • Implement process improvements to reduce denials, shorten AR cycle times, and improve payment accuracy, • Support strategic planning, budgeting, and forecasting for the revenue cycle function., • Monitor KPIs and reporting dashboards to assess team performance and escalate risks and opportunities., • Reduce denials rate to under 4% within 6 months, • Improve average days in AR to <35 days, • Increase clean claims rate to >95%, • Launch and standardize payer reconciliation protocols across business lines, • 8+ years in healthcare revenue cycle operations, including payer billing and collections, • 3+ years of direct team leadership experience, including managing managers or cross-functional teams, • Deep understanding of claims processing, coding, payer contracting, and HIPAA compliance, • Demonstrated success improving billing KPIs and operational efficiency, • Experience in behavioral health or digital health environments, • Certified Revenue Cycle Representative(CRCR) or comparable certification Benefits provided by Spring Health: Note: We have even more benefits than listed here and below, your recruiter will provide more in-depth information as you continue in the interview process. Benefits are subject to individual plan requirements and eligibility criteria. • Health, Dental, Vision benefits start on your first day at Spring. You and your dependents also receive access to One Medical accounts HSA and FSA plans are also available, with Spring contributing up to $1K for HSAs, depending on your plan type., • Employer sponsored 401(k) match of up to 2% for retirement planning, • A yearly allotment of no cost visits to the Spring Health network of therapists, coaches, and medication management providers for you and your dependents., • We offer competitive paid time off policies including vacation, sick leave and company holidays., • At 6 months tenure with Spring, we offer parental leave of 18 weeks for birthing parents and 16 weeks for non-birthing parents., • Access to Noom, a weight management program—based in psychology, that's tailored to your unique needs and goals., • Access to fertility care support through Carrot, in addition to $4,000 reimbursement for related fertility expenses., • Access to Wellhub, which connects employees to the best options for fitness, mindfulness, nutrition, and sleep in one subscription, • Access to BrightHorizons, which provides sponsored child care, back-up care, and elder care, • Up to $1,000 Professional Development Reimbursement a year. Not sure if you meet every requirement? Research shows that women and people from historically underrepresented communities often hesitate to apply for roles unless they meet every qualification compared to other similarly-qualified candidates. At Spring Health, we are committed to fostering a workplace where everyone feels valued, empowered, and supported to Thrive. If this role excites you, we encourage you to apply. Ready to do the most impactful work of your life? Learn more about our values, what it's like to work here, and how hypergrowth meets impact at Spring Health: Our Values Our privacy policy: Spring Health is proud to be an equal opportunity employer. We do not discriminate in hiring or any employment decision based on race, color, religion, national origin, age, sex, marital status, ancestry, disability, genetic information, veteran status, gender identity or expression, sexual orientation, pregnancy, or other applicable legally protected characteristic. We also consider qualified applicants regardless of criminal histories, consistent with applicable legal requirements. Spring Health is also committed to providing reasonable accommodations for qualified individuals with disabilities and disabled veterans. If you have a disability or special need that requires accommodation, please let us know.

Job Description Job description: Full-Time | Monday–Friday | $155,000–$190,000/year | No weekends, holidays. The salary offered will be commensurate with experience. / Shift- Day Time. Job Summary Join our dynamic healthcare team as an Endovascular Physician Assistant, where you will play a vital role in delivering cutting-edge vascular care. This energetic position involves assisting with minimally invasive endovascular procedures, managing patient care before, during, and after interventions. You will work closely with vascular surgeons and interventional radiologists to ensure optimal patient outcomes in a fast-paced, innovative environment. Your expertise will help advance our mission to provide exceptional, comprehensive vascular treatment while fostering a collaborative and supportive team culture. Duties • Assist physicians during complex endovascular procedures such as catheterizations, angiograms, and stent placements, ensuring adherence to aseptic techniques and safety protocols., • Conduct thorough patient assessments including vital signs, physical examinations, and medical history reviews to prepare patients for procedures and follow-up care., • Administer injections, medications, and contrast agents under supervision, ensuring proper dosing and documentation within electronic health record (EHR) systems like Epic or Cerner., • Manage pre- and post-procedure patient care, including monitoring ventilator support, acute pain management, and triage of emergent issues within hospital or outpatient settings., • Coordinate diagnostic evaluations including imaging studies (medical imaging), diagnostic evaluation reports, and coding using ICD-10/ICD-9 standards for accurate billing., • Valid Physician Assistant license with current certification in basic life support (BLS) and advanced cardiovascular life support (ACLS)., • Proven experience in hospital medicine, emergency medicine, critical care (ICU), or Level I/II trauma centers with exposure to acute care environments., • Demonstrated proficiency with EMR systems such as Epic, Cerner, or eClinicalWorks; experience with telehealth platforms is a plus., • Strong knowledge of anatomy, physiology, medical terminology, diagnostic evaluation techniques, and CPT coding standards., • Experience administering injections, performing physical examinations, and utilizing aseptic techniques in outpatient or inpatient settings., • Familiarity with vascular procedures including cardiac catheterization and catheterization techniques; OR experience is advantageous., • Excellent patient assessment skills with the ability to triage urgent issues efficiently while maintaining HIPAA compliance., • Ability to work effectively within multidisciplinary teams in hospital or outpatient clinics; experience with hospital medicine or post-acute care settings enhances your fit for this role. Embark on a rewarding career that combines advanced vascular intervention support with compassionate patient care! We are committed to fostering a vibrant work environment that values innovation, teamwork, and professional growth—where your skills make a real difference every day., • 401(k), • Dental insurance, • Flexible schedule, • Flexible spending account, • Health insurance, • Health savings account, • Life insurance, • Paid time off, • Relocation assistance Work Location: In person

Job Description Accounts Receivable Senior Associate M&D Capital is a leading third-party Medical Billing and Revenue Cycle Management company serving clients across the United States. We operate offices across multiple states, along with a growing international team. We specialize in out-of-network surgical claims, and partner directly with our clients to ensure the maximum reimbursement for their services. Our rapidly growing organization provides employees with generous opportunities for professional growth and advancement. We’re looking for talented, dedicated employees who are eager to grow and contribute to our success. If you meet the qualifications below, we encourage you to apply. Job Description We are seeking a knowledgeable and detail-oriented Medical Billing Accounts Receivable Senior Associate to join our Revenue Cycle Management team. This role requires experience in the healthcare industry, a strong understanding of the insurance payer mix, and familiarity with the full claims lifecycle. Key Responsibilities • Follow up with insurance companies on claim status, underpayments, and denials, • Resolve denied and underpaid claims promptly, • Review and interpret Explanation of Benefits (EOBs), • Address and correct coding-related denials, • Use payer portals (e.g., Availity, Cigna, UHC, Navinet, Emblem) to check claim status, • Analyze AR reports to identify trends and areas for improvement, • Prepare and present AR reports to management, • Work with internal teams to resolve claim issues, • Access EMRs to obtain necessary medical records, • Post insurance payments and handle recoupments, • Reconcile client payments monthly, • Strong attention to detail and organizational skills, • Effective communication skills, especially when working with insurance, • representatives, • Proficient in Microsoft Office applications, • High school diploma or equivalent required, • Minimum of 2–3 years of experience in healthcare accounts receivable M&D Capital offers our employees a comprehensive benefits package, including health, dental, vision, employee assistance plan, paid family leave, short-term disability and life insurance. We also provide a 401(k) plan with employer match, flexible spending accounts, employee discount program and an employee referral program. Salary This position offers a salary range of $65,000 to $95,000 annually, commensurate with experience.

Job Description Benefits/Perks • Competitive Compensation, • Great Work Environment, • Assist clients with processing insurance claims through both private insurance and Medicaid/Medicare, • Note and process all necessary forms from the insurance, • Assist patients in navigating the billing and insurance landscape, including collecting all necessary forms and signatures, • Work with doctor’s offices and hospitals to obtain charge information and billing details, • Enter all billing and payment information into the system properly and without errors, • Follow up with clients and payments, as needed, • Answer phones, assist clients with questions, take messages, and screen calls, • Maintains the highest level of confidentialityQualifications, • Strong customer service skills, • Previous experience with medical coding or billing desired, • Strong organization skills, • Excellent attention to detail

Job DescriptionBenefits: • Company parties, • Competitive salary, • Employee discounts, • Competitive Compensation, • Great Work Environment Responsibilities • Assist processing insurance claims through both private insurance and Medicaid/Medicare, • Note and process all necessary forms from the insurance, • Assist patients in navigating the billing and insurance landscape, including collecting all necessary forms and signatures, • Work with doctors obtain charge information and billing details, • Enter all billing and payment information into the system properly and without errors, • Maintains the highest level of confidentialityQualifications, • Previous experience with medical coding and billing portals such as Versant, Eyemed, Trizetto, Availity, Eyesynergy and others, • Strong organization skills, • Excellent attention to detail

Job Description Benefits/Perks • Competitive Compensation, • Great Work Environment, • Assist clients with processing insurance claims through both private insurance and Medicaid/Medicare, • Obtaining pre authorizations for testing and procedures, • Note and process all necessary forms from the insurance, • Assist patients in navigating the billing and insurance landscape, including collecting all necessary forms and signatures, • Work with doctor’s offices and hospitals to obtain charge information and billing details, • Enter all billing and payment information into the system properly and without errors, • Follow up with clients and payments, as needed, • Answer phones, assist clients with questions, take messages, and screen calls, • Maintains the highest level of confidentialityQualifications, • Strong customer service skills, • Previous experience with medical coding or billing desired, • Strong organization skills, • Excellent attention to detail

Job Description Job Title: Billing Coordinator Location: New York, NY 10017 Shift: Monday–Friday | 9:00 AM – 5:00 PM Pay Rate: $21/hour Assignment Duration: 02/17/2026 – 05/16/2026 Contract Length: 3-month contract with possible extension Job Summary The Billing Coordinator is responsible for ensuring accurate and timely reimbursement by verifying billing information, resolving account inquiries, and supporting billing operations in compliance with payer guidelines. Job Responsibilities • Verify accuracy of billing forms and enter required data into appropriate databases, • Review billing inquiries for completeness and accuracy, including CPT and ICD-9 coding, physician information, insurance coverage, TOA, and related data, • Prepare and submit documentation required for account inquiry resolution, • Maintain detailed records of billing inquiries and generate reports and summaries as needed, • Investigate and resolve billing denials using established protocols, • Minimum 2–3 years of medical billing experience, including Medicare, Medicaid, and third-party reimbursement, • Working knowledge of ICD-9 and CPT coding, • Strong organizational skills with the ability to maintain patient confidentiality, • Excellent verbal and written communication skills, • Ability to manage multiple priorities in a fast-paced environment, • Thorough knowledge of medical terminology, • Accounting and/or financial reporting experience, • Prior supervisory experience Pride Health offers eligible employee’s comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts with preferred vendors. Company DescriptionPride Global offers eligible employees comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance, and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts with preferred vendors.Pride Global offers eligible employees comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance, and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts with preferred vendors.

Job Description Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. What We're Looking For: A Profee Coding Lead with a strong Ortho background with a focus on spinal procedures. The ideal candidate will monitor and report work queue volumes, work coding queries from physicians, billing, coding and practice staff on a daily basis. Candidate will also be required to monitor a missing operative report and be able to effectively communicate information from client to coding team effectively. What You Will Do: • Review medical record documentation to identify pertinent diagnoses/procedures requiring code assignment for profee charts and accurately code the diagnoses and procedures for reimbursement, research, and compliance with federal regulations., • Query physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes., • Keep abreast of coding guidelines and reimbursement reporting guidelines, bringing identified concerns to the manager for resolution., • Mentor and train newly hired coders and providers, providing ongoing training for coding staff., • Assist the coding manager with special coding assignments or coding tasks to resolve unbilled issues., • Serve as a resource for all coding-related questions, responding promptly to requests and questions from coding staff., • Promote individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor and resource to less experienced staff., • Monitor and report all required performance measures, including the development of department goals and assistance in assessing goal attainment., • Conduct and recommend training to improve team performance., • Ensure management is informed of any employee personnel issues., • Function as a resource to employees for questions and additional training., • 3+ years of Profee coding experience, • Previous supervisory/team lead experience, • Coding Certification from the American Association of Professional Coders (AAPC) or the American Health Information Management Association (AHIMA) required, • High School Diploma or GED required, • Associates Degree in Health Information Management or any Healthcare Related Field preferred, • Proficient knowledge of ICD-10 and Profee coding guidelines, • Strong billing/denial experience, • Effective oral and written communication skills, • Strong analytical skills to interpret data, • In-depth knowledge of human anatomy, medical terminology, and surgical terminology, • Strong critical thinking skills and decision-making abilities, • Auditing experience, • Education/Training experience What We Offer: • Full Benefits including a 401k Savings Plan, • Access to 20-24 free CEUs per year, provided by Datavant, to support your continuous professional development, • Compensation for AAPC/AHIMA dues, • Company-provided equipment including computer, monitor, mouse, etc, • Comprehensive training led by a credentialed professional coding manager, • Exceptional service-style management and mentorship (we're in this together!) To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion. This job is not eligible for employment sponsorship. Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here. Know Your Rights, explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay. At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way. Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, by selecting the 'Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here. Requests for reasonable accommodations will be reviewed on a case-by-case basis. For more information about how we collect and use your data, please review our Privacy Policy.

Job Description Certified Coder – Neurology Department (Contract) We are seeking a detail-oriented Certified Coder to join a busy Neurology Department on a contract basis. Responsibilities: • Perform coding for hospital and professional services in compliance with CMS and payer guidelines., • Review and resolve coding edits, including medical necessity, bundled/unbundled services, and non-covered services., • Research policies and procedures to resolve billing and coding discrepancies., • Certified Coder (CCS, CPC, or equivalent)., • Strong understanding of coding regulations and medical necessity guidelines., • Monday–Friday, standard business hours.

Job DescriptionCompany Description About Patient Funding Alternatives (PFA) At Patient Funding Alternatives (PFA), we remove the barriers that keep Medicaid-eligible and medically underserved individuals from getting the care they deserve. We partner with hospitals and health systems across the country to help patients secure coverage through employer-sponsored insurance — simplifying the process, protecting patients, and strengthening hospital outcomes. As the only organization in the U.S. offering a full Premium Assistance Enrollment service supported by dedicated Patient Advocates within partner hospitals, we make access to coverage easier, faster, and more compassionate. PFA is growing rapidly nationwide, and our success is built on people who care deeply about helping others. We believe our employees are our most valuable resource, and we’re committed to maintaining a healthy work/life balance within a culture grounded in empathy, teamwork, and respect. If you’re passionate about guiding patients through complex healthcare systems, advocating for fairness, and making a measurable impact every day — PFA is where you belong. Job Description The Patient Advocate Specialist plays a critical role in identifying, educating, and enrolling eligible hospital patients into the Health Insurance Premium Payment (HIPP) Program. You'll clearly explain program details, gather required documentation, and serve as a compassionate, professional advocate throughout each step of the enrollment process. This role demands mission-driven advocacy, proactive problem-solving, empathetic communication, and resilience—all while balancing compassion with an urgency to ensure patients receive timely support. By facilitating employer-sponsored health insurance coverage, the Patient Helper Program helps medically complex Medicaid beneficiaries access comprehensive care. We’re looking for driven individuals with a “can-do” spirit, unwavering perseverance, and the capacity to support diverse patient populations navigating complex healthcare systems. Key Responsibilities Patient Engagement & Advocacy • Educate patients and families in a clear, compassionate, and culturally sensitive manner about the HIPP program., • Assess family dynamics and adapt communication style to effectively meet their needs., • Obtain necessary authorizations and documentation from patients/families., • Foster trust with patients while maintaining appropriate professional boundaries., • Accurately collect all essential data for HIPP applications (e.g., employer information, insurance details)., • Employ proactive problem-solving to overcome barriers and ensure timely, accurate submissions., • Collaborate seamlessly with the Patient Financial Assistance (PFA) team to finalize enrollments., • Clarify how employer-provided health insurance works in coordination with Medicaid., • Verify and update ongoing patient eligibility for HIPP to maintain continuity., • Utilize PFA’s CRM/case management system to manage referrals and patient records., • Upload, scan, and securely transmit required documentation., • Record patient interactions meticulously in compliance with privacy and legal standards., • Represent PFA as the onsite contact at the hospital., • Establish and maintain collaborative relationships with hospital staff, state agency personnel, and community partners., • Always uphold the organization’s values with ethical integrity and professionalism. Qualifications Required Qualifications • High school diploma or GED and completion of formal training in customer service, patient services, healthcare administration, social services, or case management., • Foundational knowledge of healthcare terminology and insurance processes gained via coursework or certification., • Associate’s or Bachelor’s degree in Social Work, Healthcare Administration, Public Health, or related field., • Training in motivational interviewing, trauma-informed care, or medical billing/coding., • Continuing education in Medicaid/Medicare eligibility, health equity, or patient advocacy., • Three-Five years’ experience in patient-facing roles within a healthcare setting. Technical Skills-Preferred • Proficiency with CRM or case management systems., • Knowledge of Medicaid/Medicare eligibility and benefits coordination., • Ability to interpret medical billing and insurance documents., • Active listening and empathetic communication., • De-escalation tactics for emotionally distressed patients., • Cultural awareness and sensitivity in communication., • Mission-Driven Advocacy – Consistently puts patient needs first., • Ego Resilience – Thrives amid adversity and changing demands., • Empathy – Provides compassionate support while ensuring professionalism., • Urgency – Balances speed and sensitivity in patient interactions., • Detail Orientation – Ensures accuracy and completeness in documentation., • Cultural Competence – Demonstrates respect and understanding of diverse experiences., • Adaptability – Successfully operates in evolving policy and procedural environments. Additional Information Our Benefits – Supporting You Inside and Out At Patient Funding Alternatives, we know that caring for others starts with caring for our own people. That’s why we offer a comprehensive, industry-leading benefits package designed to support your health, your future, and your wellbeing. Our team members enjoy medical, dental, and vision coverage through UnitedHealthcare and Guardian, employer-paid life and disability insurance, and a 401(k) plan with company match. We also invest in your wellness — with up to $100 annual reimbursement for fitness, mindfulness, and wellness activities, plus access to mental health tools like the Calm Health app and a 24/7 Employee Assistance Program. From flexible spending accounts to nationwide fitness programs and virtual care, PFA is committed to helping you stay healthy, balanced, and thriving — at work and beyond.

Job Description JOB SUMMARY The Associate Director of Clinics provides day-to-day clinical and operational leadership across two MHOTRS clinics. This role delivers direct clinical services (small caseload), provides clinical supervision to clinicians, and supports the Program Director in all administrative aspects of clinic operations. The Assistant Director ensures high-quality, strengths-based care; oversees the full client flow (referrals, intakes, admissions, discharges); and maintains full compliance with OMH regulations and agency policies. The role coordinates interdisciplinary teams, promotes a safe and therapeutic environment, and uses data to drive access, quality, and outcomes. ESSENTIAL JOB FUNCTIONS: List all essential job duties. (To perform this job successfully, an individual must be able to perform each essential duty listed satisfactorily with or without a reasonable accommodation. Reasonable accommodations may be made to enable qualified individuals with a disability to perform the essential duties unless this causes undue hardship to the agency.) 1. Clinical Leadership & Supervision • Provide Clinical Supervision to therapist in accordance with licensure standards and agency policy; ensure supervision notes and supervision plans are maintained., • Direct clinical treatment services: oversee development, implementation, and review of service plans; ensure rehabilitative interventions are individualized, strength-based, trauma-informed, and culturally responsive., • Maintain a safe, therapeutic environment; reinforce evidence-based practices, risk assessment, and fidelity to program models., • Authorize intake and discharge decisions consistent with clinical necessity, OMH requirements, payer rules, and agency policy., • Oversee intake & preplacement: review referrals and records; conduct/coordinate biopsychosocial assessments; collaborate with medical/psychiatric and care navigation staff for appropriate placement and timely access., • Monitor counseling and rehabilitative services (individual, family, group): evaluate quality, appropriateness, and adherence to regulatory guidelines and best practices., • Ensure comprehensive information gathering (medical, psychological, social determinants) and that staff appropriately assess client capabilities, risks, and goals., • Direct inspection of case records for completeness and quality (diagnostic assessments, treatment plans, service plan reviews, progress notes, releases/consents, closing/discharge summaries); ensure accuracy of data in the EHR and any manual records., • Conduct regular clinical meetings, lead case conferences, utilization reviews, and quality rounds., • Review crisis assessments and interventions; During / after crisis and ensure follow-up documentation safety planning., • Carry a small caseload to maintain clinical acuity and model practice excellence. 2. Administrative Leadership & Operations Support • Administratively manage the full client flow for both MHOTRS clinics: referrals, screenings, intakes, admissions, transfers, and discharges; maintain timely throughput and equitable access., • Own clinic scheduling logistics (template integrity, clinician availability, waitlist management, no-show reduction strategies); track access KPIs (time to intake, time to first psychiatry, engagement at 30/60/90 days)., • Ensure regulatory compliance with OMH requirements, HIPAA, incident policies, and agency standards; prepare for audits and corrective action plans., • Documentation and billing integrity: partner with Clinic Director, Finance/QA to ensure medical necessity, accurate coding, timeliness, and completeness of notes/plans; monitor held claims and reversals., • Data informed management: run EHR and dashboard reports; analyze trends (productivity, outcomes, grievances, incident patterns); implement improvement projects. 3. Personnel Management (administrative) • Establish and maintain work schedules and caseload assignments; approve time and attendance; manage time clock edits per HR suspense., • Staffing & recruitment: review authorized positions; submit RFPs / COSs for vacancies; interview candidates per policy and employment law; recommend staffing pattern changes., • Training & compliance: Provide and ensure completion of required training. Provide training/coaching in assigned clinical subjects and charting practices., • Employee relations and safety: monitor morale and work climate; prevent/eliminate harassment or discrimination; receive and escalate sexual harassment complaints to HR and participate in investigations as directed., • Leave management: monitor accruals; approve leave requests; notify HR for FMLA/related leaves; maintain appropriate contact with staff during extended leaves., • Onboarding & orientation: manage orientation of new personnel; reinforce program philosophy, protocols, and regulatory adherence., • Conducts Investigations: Conducts internal investigations of untoward incidents directed by Quality Assurance or Human Resources in accordance with agency policy., • Committed to the active promotion of ICL values and goals., • Knowledge of mental health legislation and the ability to lead a multi-disciplinary staff of professionals and paraprofessionals in providing treatment and rehabilitative services., • Ability to manage multiple projects, delegate tasks, and check on the completion of assigned tasks., • Ability to manage resources, which includes money, material, time, and people., • Ability to prioritize, think logically and follow procedures and instructions., • Position requires flexibility with hours, may require after-hour calls., • Ability to effectively communicate and interact with auditors, regulatory bodies, clients, staff, colleagues, public, other agencies and their staff and third-party insurance personnel., • Must have an excellent understanding of state and city OASAS/DOH/ OMH) regulations., • Must have knowledge of third party and managed care requirements., • Excellent written and verbal communication skills., • Successful track record of leading diverse interdisciplinary staff is essential. Licensed Psychologist or Licensed Clinical Social Worker with current, valid NYS registration. Training and Experience: 3 years minimum clinical experience (with children, adolescents, and adults). 1 year minimum progressive administrative and/or supervisory experience.

Job Description Hi, we're Oscar. We're hiring an Associate, Itemized Bill Review to join our Payment Integrity team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family. About the role: The Associate, Payment Integrity, Itemized Bill Review (IBR) will be responsible for executing internal payment integrity solutions requiring billing and coding expertise with and continual improvement and development of the solutions. You will ensure claims are paid accurately and timely with the highest quality. This is accomplished by leveraging a deep understanding of Oscar's claim infrastructure, workflows, workflow tooling, platform logic, data models, etc., to work cross-functionally to understand and translate friction from stakeholders into actionable opportunities for improvement. You will report into the Manager, Payment Integrity (Pre-Pay). Work Location: This position is based in our New York City office, requiring a hybrid work schedule with 3 days of in-office work per week. Thursdays are a required in-office day for team meetings and events, while your other two office days are flexible to suit your schedule. #LI-Hybrid Pay Transparency: The base pay for this role is: $88,800 - $116,550 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, and annual performance bonuses. Responsibilities: • Perform line-by-line review of high-dollar facility itemized bills and corresponding claim forms (e.g., UB-04s), • Proactively identify and document potential billing errors, including duplicate billing of items, services, or procedures as improper unbundling of services (e.g., separating components that should be billed together) and charges for non-covered or non-rendered services, • Compare billed charges against both payor-specific contracts and industry guidelines to confirm appropriate billing practices., • Apply working knowledge of national coding systems (e.g., CPT, HCPCS, ICD-10, MS-DRGs) to validate the accuracy of codes used for services billed., • Review claims eligible under specific reimbursement scenarios: a percentage of charges or those exceeding stop-loss levels, ensuring the claim exceeds the minimum dollar threshold set by the payor, • Prepare clear, concise, and professional documentation of all findings, including savings identified, policy violations, and recommended claim adjustments, • Contribute to the refinement of internal audit processes and tools to enhance efficiency and accuracy in identifying claim inaccuracies, • Serve as a subject matter expert for internal and external stakeholders regarding complex billing issues, coding guidelines, and payor policies, • Provide subject matter expertise and in-depth understanding of Payment Integrity internal claims processing edits, external vendor edits and Oscar reimbursement policies, • Identify claims payment issues from data mining, process monitoring, etc., provide scoping and action steps needed to remediate the issue, • Respond to internal and external inquiries and disputes regarding policies and edits., • Document industry standard coding rules and provide recommendations on reimbursement policy language and scope, • Ideate payment integrity opportunities based on a deep knowledge of industry standard coding rules. Translate into business requirements; submit to and collaborate with internal partners to effectuate change, • Provide training and education to team members when necessary, • Perpetuate a culture of transparency and collaboration by keeping stakeholders well informed of progress, status changes, blockers, completion, etc.; field questions as appropriate, • Support Oscar run state objectives by providing speedy research, root cause analysis, training, etc. whenever issues are escalated and assigned by leadership, • Compliance with all applicable laws and regulations, • A bachelor's degree or 4+ years of commensurate experience, • 2+ years of bill / coding audit experience with a focus on hospital or facility billing (UB-04), • 4+ years experience in medical coding, • Medical coding certification through AAPC (CPC, COC) or AHIMA (CCS, RHIT, RHIA), • 3+ years of experience working with large data sets using excel or a database language, • Knowledge management, training, or content development in operational settings, • Process Improvement or Lean Six Sigma training At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives. Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements. Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts. Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team () to make the need for an accommodation known. California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.

Job Description BronxWorks helps individuals and families improve their economic and social well-being. From toddlers to seniors, we feed, shelter, teach, and support our neighbors to build a stronger community. In all aspects of our work, we strive for the highest ethical and performance standards and are guided by the belief that people are to be treated with dignity and respect regardless of their present situation or past experiences. Across our 60+ locations, we provide programs in a variety of service areas, including workforce development, children, youth, families, seniors and homeless prevention. RESPONSIBILITIES Analysis • Perform monthly grant reconciliations to ensure that all activities under each grant fall within the funder and agency guidelines., • Processes payroll expense reclasses as needed, • Ensure accuracy of budget information on the general ledger, • Work with program staff to develop budgets and budget modifications as required and needed by program staff and government agencies, • Provide assumptions and actual data for budget development, • Engages in a forecasting process with the programs to review significant changes from budget, • Ensure accuracy of budget information in the general ledger, • Prepares cash flow projections during budget and budget modification processes, • Train program staff as needed on how to read the budget to actual financial variance reports, • Meet with program staff to review financial status and that the budgets are up to date and accurate., • Supervises outsourcing billing team, • Maintain complete and accurate grant files, • Assists with funder and financial statement audits, • Trains program staff on the proper coding of expenditures, • Works with Operational Accounting unit to open and close cost centers as necessary, • Work proactively with program staff to provide all fiscal support needed in their management of their programs, • Attend professional trainings, including funder trainings, in order to be informed of any changes in funders’ requirements, • Submits 65a related documents for approval, • Master’s degree – at least 2 years related experience in nonprofit accounting, • Bachelor’s degree – at least 3 years related experience in nonprofit accounting, • Non degree – at least 7 years related experience in nonprofit accounting, • Demonstrated knowledge of financial planning and analysis, • Strong oral and written communication, time management and organizational skills, • Ability to work within time constraints, manage multiple tasks at the same time and meet deadlines, • Proficiency in Microsoft Office suite and other standard business technology is required, • Advanced knowledge of Microsoft Excel #INDMID

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

Job DescriptionBenefits: • Competitive Compensation, • Great Work Environment Responsibilities • Assist clients with processing insurance claims through both private insurance and Medicaid/Medicare, • Note and process all necessary forms from the insurance, • Assist patients in navigating the billing and insurance landscape, including collecting all necessary forms and signatures, • Work with doctors offices and hospitals to obtain charge information and billing details, • Enter all billing and payment information into the system properly and without errors, • Follow up with clients and payments, as needed, • Answer phones, assist clients with questions, take messages, and screen calls, • Maintains the highest level of confidentialityQualifications, • Strong customer service skills, • Previous experience with medical coding or billing desired, • Strong organization skills, • Excellent attention to detail

Job Description Job Summary Midwood Ambulance is seeking a detail-oriented , experienced and organized Medical Biller to join our healthcare team. The ideal candidate will have extensive knowledge of Medicaid regulations, insurance verification, and ambulance billing procedures. The ideal candidate will be responsible for managing billing processes, ensuring accurate coding, and maintaining medical records. This role is crucial in facilitating the financial operations of our Ambulance Billing Department while adhering to industry regulations and standards. This role is responsible for managing the end-to-end billing process, with a strong focus on New York State Medicaid claims. Candidate must be able to work 5 days in office. Responsibilities • Process patient billing and insurance claims accurately and efficiently., • Review Patient Care Reports, assign ICD-10 and CPT codes accurately, • Submit claims in compliance with industry protocols, • Review medical records for completeness and accuracy before billing., • Utilize coding systems such as ICD-10 for diagnosis coding and DRG for procedure coding., • Handle medical collections, including following up on unpaid claims and patient balances., • Communicate with insurance companies to resolve billing discrepancies or issues., • Maintain up-to-date knowledge of medical terminology, coding guidelines, and regulatory requirements., • Collaborate with healthcare providers to ensure proper documentation is in place for billing purposes., • Assist in the management of medical records to ensure compliance with privacy regulations., • Must have 2-3 years of medical Billing, • Proficiency in medical office procedures and practices., • Strong knowledge of medical billing processes and insurance claim submissions., • Familiarity with ICD-10 coding, DRG systems, and other relevant coding methodologies., • Excellent understanding of medical terminology and its application in billing., • Ability to work with various billing systems and software efficiently., • Strong analytical skills with attention to detail for accurate data entry and record management., • Effective communication skills for interaction with patients, healthcare providers, and insurance representatives. Job Type: Full-time Expected hours: 40 – 45 per week Benefits: • 401(k), • Dental insurance, • Health insurance, • Vision insurance Schedule: • 8 hour shift, • Day shift, • Monday to Friday, • Weekends as needed, • Overtime as needed Experience: • Medical billing: 2 years (Required), • NYS Medicaid Billing: 2 years (Required) Location: • Brooklyn, NY 11223 (Preferred) Ability to Commute: • Brooklyn, NY 11223 (Required) Ability to Relocate: • Brooklyn, NY 11223: Relocate before starting work (Required) Work Location: In person Powered by JazzHR e9koH7ch3M

Job DescriptionSalary: $20-$25 per hour Job Description: Overview We are seeking an experienced Laboratory Biller to join our team. The ideal candidate has strong knowledge of laboratory billing, CPT/HCPCS codes, ICD-10 coding, and payer-specific billing guidelines. This role is responsible for accurate claim submission, payment posting, resolving denials, and ensuring timely reimbursement for laboratory services. Responsibilities • Prepare and submit laboratory claims to Medicare, Medicaid, and commercial payers., • Verify accuracy of CPT/HCPCS, ICD-10, and modifiers prior to claim submission., • Review requisitions, results, and documentation for billing compliance., • Work rejections and denials; correct and resubmit claims as needed., • Follow up on unpaid or underpaid claims to ensure timely reimbursement., • Post payments, adjustments, and reconcile accounts., • Communicate with labs, providers, and insurance companies regarding claim issues., • Maintain knowledge of payer policies, NCCI edits, LCD/NCD rules, and coverage criteria., • Ensure compliance with HIPAA and all billing regulations., • Minimum 13 years of laboratory billing or medical billing experience required., • Strong understanding of lab-related CPT codes (e.g., chemistry, toxicology, molecular, pathology)., • Experience with EHR/EMR and billing software (specify if needed)., • Knowledge of claim lifecycle, EOBs, ERA, and electronic claim submission., • Excellent attention to detail and problem-solving skills., • Strong communication and organizational abilities., • Health insurance,, • PTO, holidays,, • 401k,

Job DescriptionDescription: Founded in 1866, The Floating Hospital (TFH), is one of the last remaining charity hospitals in New York City. Our commitment is the same as it was more than 150 years ago: unrestricted healthcare to all who walk through our doors, regardless of immigration and insurance status, or the ability to pay. The Floating Hospital welcomes individuals of all ages, from infants, school age children (5+), youth and adults. TFH is a Federally Qualified Health Center and the largest provider to homeless families living in family shelters and domestic violence safe houses throughout all five boroughs. • Receives electronic coded claims for all Medical and Dental services rendered from all locations in the Practice Management System. • Review Accounts Receivable reports and provide feedback on a weekly basis to the billing supervisor and include common trends that impact the revenue cycle such as coding or eligibility issues. • Contact supervisor to escalate issues that require resolution by the PM Vendor, • Work closely with the supervisors to ensure denials are corrected and appealed as appropriate in a timely manner., • Review the Athena worklist and Dentrix AR report for initial claims submission or denied claim., • Handle follow-up and appeals with assigned payers for unpaid, denied, and underpaid claims., • Contact payers directly and work with the supervisor to resolve issues., • Determine the reasons for the denials, correct the issue, and resubmit the claims., • Contact the payer for additional information about non-payment., • Utilize the various insurance portals to obtain additional information for rebilling claims., • Reviews and submits all billable claims to insurance payers, third-party payers, and self-pay services in Dentrix system., • Prepare daily batches of claim submissions in the Dentrix system and review the clearinghouse batch report., • Review Athena worklist queue daily and follow up on denied claims., • Assist with the maintenance of the daily claim submission tracking log., • Receives and properly posts all electronic and manual payments and adjustment from insurance companies and patients into Dentrix system., • Reviews and sends patient statements in Dentrix coordinating with the Billing Manager prior to submission., • Analyzes electronic and paper remittances received for Dental: a. Determines reasons for claim denials and makes corrections for resubmission. b. Determines managed care plan payment for Medicaid Wrap claim submission. c. Determines reasons for other claim errors and reports to the Billing Manager for review. • Reviews self-pay accounts for medical and dental and locate id numbers for billing and assist with the retroactive review and billing for self-pay patients. • Assists with billing claims project and appeal submission to the insurance companies., • Sort and categorize incoming mail for delivery to the contacts at various sites., • Maintains Athena correspondence dashboard., • Reconciles Cash received in the Athena and Dentrix system., • Prepares deposit for cash and check received., • Retrieves/obtains capitation rosters from the various insurance companies and updates the capitation file on the shared drive., • Retrieves/obtains PCMH rosters from the various insurance companies and updates the file on the shared drive., • Retrieves/obtains per member per month rosters from the various insurance companies and update the files on the shared drive for UDS and MCVR reporting. • Maintains the unpotable dashboard in Athena., • Maintains the Unapplied credit dashboard in Athena., • Processes Credit card payments and HIM Receipts., • Processes patient refunds., • Maintain a current knowledge of payer guidelines including Medicaid, Medicare, and Third Party., • Maintain a system knowledge of the practice management systems – Dentrix and Athena., • Attends meetings and training with the approval of the Supervisors., • Complete special projects and report findings to management., • Must comply with all HIPAA laws regarding electronic health records and patient information., • Any other duties as assigned. This is a Hybrid position. Requirements: The Billing Associate position requires two to five years of experience in the medical billing environment. Some college backgrounds in health care or a financial field are highly recommended. The Associate must be familiar with medical and coding terminology and have excellent analytical and meticulous organizational skills. The candidate must possess strong skills in MS Office, MS Excel, and use of the various insurance portals. Must have experience working with Athena Practice Management System. Must be able to work effectively in a remote environment.

Job DescriptionPosition Summary The Family Nurse Practitioner (FNP) at MetroDoc Urgent Care is a critical and autonomous clinician responsible for delivering superior quality, evidence-based medical care to patients of all ages presenting with acute illnesses and injuries. This role extends beyond episodic treatment to include elements of primary care, health promotion, operational efficiency, and clinical mentorship, driving the achievement of MetroDoc's mission to serve the Belleville community with unwavering dedication. Key Responsibilities and Clinical Excellence 1. Advanced Clinical Practice & Procedure Mastery * Comprehensive Care: Conduct focused and comprehensive health histories and physical examinations on a diverse patient population (pediatric, adult, geriatric) for timely and accurate diagnosis of acute conditions and minor trauma. * Diagnostic Authority: Independently order, perform, and interpret advanced diagnostic studies (labs, X-rays, EKGs) to formulate differential diagnoses and definitive treatment plans. * Urgent Care Procedures: Demonstrate expert proficiency in performing a wide range of urgent care procedures, including, but not limited to: * Complex wound management and multi-layer suturing/stapling. * Incision and drainage (I&D) of abscesses and paronychias. * Closed reductions of simple fractures/dislocations (within scope). * Joint aspirations and injections (as credentialed). * Interpretation of emergent labs and cardiac rhythms. * Triage and Referral: Possess exceptional clinical acumen to rapidly identify life-threatening conditions, stabilize patients, and coordinate efficient transfer to the nearest Emergency Department when necessary. * Patient Education: Deliver clear, compassionate, and culturally sensitive patient and family counseling regarding diagnoses, medication adherence, preventative care, and detailed discharge and follow-up plans. 2. Quality, Efficiency, and Operational Leadership * Clinical Protocol Development: Collaborate with the supervising physician and Medical Director to review, develop, and implement clinical guidelines and best practice protocols, ensuring adherence to the highest standards of care. * Quality Improvement (QI): Actively participate in continuous Quality Assurance (QA) and Performance Improvement (PI) activities, including peer review, chart audits, and identifying opportunities to enhance patient safety and clinical outcomes (e.g., antibiotic stewardship, pain management). * Workflow Optimization: Partner with the center management team to maintain an efficient patient flow, minimize wait times, and ensure seamless coordination between clinical and ancillary staff (MAs, Rad Techs) to meet high-volume demands. * Documentation Excellence: Maintain exemplary and defensible electronic health record (EHR) documentation, adhering to all coding, billing, and compliance standards. 3. Professional Development and Team Collaboration * Mentorship: Serve as a clinical resource, preceptor, and role model for less experienced clinical staff, fostering a culture of continuous learning and professional growth within the center. * Interdisciplinary Teamwork: Facilitate a positive and collaborative work environment, communicating effectively with all team members, external primary care providers, and specialists to ensure integrated patient care. * Compliance & Advocacy: Maintain expertise in relevant state and federal regulations (e.g., NJ Board of Nursing statutes, HIPAA), and advocate for the needs of the patient population and the FNP role in the urgent care setting. Powered by JazzHR OfWZx9nLtN

Job Description Registered Nurse / MDS Coordinator - New York, NY (#3191) • Location: New York, NY, • Employment Type: Full-Time, • Salary: $100,000 - $110,000 annually About Greenlife Healthcare Staffing: Greenlife Healthcare Staffing is a leading nationwide recruitment agency dedicated to connecting healthcare professionals with top-tier opportunities. We partner with hospitals, clinics, nursing homes, multi-specialty groups, and private practices to match talented individuals with roles that align with their skills and career goals. Position Overview: Greenlife Healthcare Staffing is seeking an experienced Registered Nurse MDS Coordinator to join a Skilled Nursing Facility in New York, NY. This role involves conducting comprehensive patient assessments, ensuring regulatory compliance, and coordinating interdisciplinary care plans to optimize resident outcomes in a long-term care setting. Why Join Us? • Work Schedule: This is a Full-time position., • Professional Growth: Advance your expertise in MDS coding and regulatory compliance., • Impactful Work: Ensure accurate care planning and reimbursement to enhance resident quality of life. Key Responsibilities: • Intake and evaluation process of patients in long-term care facilities., • Up-to-date assessments of the patient and oversee the interdisciplinary assessment for all nursing home patients., • MDS coordinator monitors patient care by assessing procedures., • Speaking with patients and recording medical codes., • MDS coordinators also enter medical codes and are involved in medical billing processes, ensuring they maintain accurate medical records. Greenlife Healthcare Staffing – Empowering Healthcare Professionals, Enriching Lives. Requirements Qualifications: • Education: Associate’s or Bachelor’s degree in Nursing (ADN/BSN)., • Licensure/Certifications:, • Active New York RN license., • MDS Assessor Certification (required)., • Experience: 1–2 years in long-term care with MDS coordination experience., • Competitive Compensation: Earn $100,000 - $110,000 annually with opportunities for professional growth., • Comprehensive Benefits:, • Health insurance, • Staff appreciation, • 401k, • Vacation, • Sick Days

Job DescriptionDescription: Advocare, LLC is a physician-owned partnership of leading pediatricians, family practitioners, and specialists serving communities across New Jersey, Pennsylvania, and Delaware. We are seeking a dedicated and compassionate Pediatrician to join our growing healthcare team. As a Physician at Advocare, you will play an integral role in delivering exceptional patient care within a supportive, forward-thinking clinical environment. Physician Responsibilities: • Perform physical examinations and diagnose/treat illnesses, injuries, and other health conditions, • Track and assess patient growth and monitor physical, emotional, and social development, • Order and interpret diagnostic imaging and laboratory results, • Utilize the EMR system efficiently to review, collect, and document patient information, • Conduct well visits, administer routine vaccinations, and provide age-appropriate guidance, • Educate patients and families on preventive care and healthy lifestyle choices, • Collaborate with fellow healthcare professionals to ensure comprehensive care, • Medical degree (MD or DO) from an accredited institution, • Valid and unrestricted medical license in the state of practice, • Board certification or eligibility in Pediatrics if graduated recently, • Strong interpersonal and communication skills, • Demonstrated ability to thrive in a team-oriented, patient-focused setting, • Competitive salary and comprehensive benefits package, • Opportunities for career growth and professional development, • Supportive work environment with a collaborative team, • State-of-the-art facilities and equipment, • Work-life balance with a manageable patient load, • Multiple medical and prescription coverage options, • Dental and vision care plans, • Voluntary critical illness, cancer, and accident insurance, • Voluntary hospital indemnity coverage, • Voluntary short-term and long-term disability insurance, • Voluntary term life insurance and AD&D (Accidental Death & Dismemberment), • 401(k) retirement savings plan, • Paid time off (PTO)Requirements:, • Either Board eligible if graduated recently or Board certified in Pediatrics if out of residency more than 1 yr., • Must have current NJ medical license, CDS and DEA, • Must be a U.S Citizen, • Team player and muti-tasking abilities, • EMR knowledge, • Billing and coding capabilities are a plus

Job DescriptionBenefits: • 401(k) matching, • Bonus based on performance, • Competitive salary, • Employee discounts, • Opportunity for advancement, • Paid time off, • Profit sharing, • Signing bonus, • Training & development Lens Lab has been serving New York for over forty years and has a deep history of promoting from within which is exactly what we plan on doing for this role. Responsibilities • Assist processing insurance claims through both private insurance and Medicaid/Medicare, • Note and process all necessary forms from the insurance, • Assist patients in navigating the billing and insurance landscape, including collecting all necessary forms and signatures, • Work with doctors obtain charge information and billing details, • Enter all billing and payment information into the system properly and without errors, • Maintains the highest level of confidentialityDesired Qualifications, • Previous experience with medical coding and billing portals such as Versant, Eyemed, Trizetto, Availity, Eyesynergy and others, • Strong organization skills, • Excellent attention to detail

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

Job DescriptionPOSITION SUMMARYThe Senior Revenue Cycle Data Analyst plays a critical role in analyzing revenue cycle data, optimizing processes, and providing insights that drive financial performance. This position requires a blend of technical skills, business acumen, and a passion for improving healthcare operations. ESSENTIAL JOB DUTIES AND RESPONSIBILITIES Data Analytics and System Support (50%)· Analyze and interpret revenue cycle data to identify trends, discrepancies, and opportunities for improvement.· Create exception reports, missing charge reports and other operational reports· Uses critical and analytical thinking to perform analysis and system configuration related to support processes that include but are not limited to eligibility coding charging billing reimbursement remittances and follow up · Develop and maintain dashboards and reports to track key performance indicators (KPIs) related to billing, collections, and accounts receivable.· Collaborate with cross-functional teams, including billing, coding, and finance, to ensure data integrity and accuracy.· Monitor payer performance and reimbursement trends, providing insights to support strategic decision-making.· Assist in the development of financial models to project revenue and optimize revenue cycle performance.· Prepare and present data findings to stakeholders, ensuring clear communication of complex information.· Stay current with industry trends and regulatory changes that may impact revenue cycle operations. Revenue Cycle Optimization (30%)· Performs analysis of revenue cycle trends and identifies areas of focus to reduce denials and increase overall collections· Executes root cause analysis for areas identified and proposes solutions to achieve overall enhancement of revenue· Works closely with Associate Director of Revenue Cycle Optimization, VP of Revenue Cycle and Revenue Optimization and EPIC hosting organization to implement automated solutions· Collaborates with Associate Director of Revenue Cycle Optimization, VP of Revenue Cycle and Revenue Optimization and third-party RCM vendor and health center operations to implement process changes· Perform other related duties and tasks as required by supervisor Revenue Cycle Liaison (20%)· Write and distribute support-related communications to appropriate employees· Develop and maintain procedural documentation for the maintenance and upgrade to the EPM/EMR products and related clinical technologies as required.· Provide support to end users, troubleshoot issues and identify training opportunities· Work collaboratively with Operations and Medical Leadership to improve front end processes to prevent rejections and denials. CORE COMPETENCIES· A demonstrated commitment to PPGNY’s mission related to bodily autonomy, health equity, gender and racial justice · A demonstrated commitment to learning about and enhancing practices related to racial equity and its impact on healthcare systems. · Strong relationship building and communication skills, including an ability to work and build trust across cultural differences related to race, age, gender, gender identity and expression, sexual orientation, religion, ethnicity, national origin or ability; and to reflect on one’s personal identity with humility. · Ability to mentor a culturally diverse team, including creating and sustaining an organizational culture that fosters inclusiveness and equity, and providing positive and developmental feedback and accountability related to practices including but not limited to equity. · Strong knowledge of data and analytics to ensure good decision making, performance measurement and financial analysis.· Ability to lead and advise cross-organization workgroups. · Customer service and interpersonal skills and the ability to coordinate work with others, both internally and externally, to accomplish tasks. · Strong leadership skills, including ability to identify talent, mentor existing staff, and delegate work as appropriate. · Engages in mutual problem solving · Facilitates continuous process improvements · Strong time management skills, including the ability to work in a high distraction environment and to juggle multiple deliverables at one time · Strong project management skills, identifying all steps required to meet a deliverable, key stakeholders, deliverables by other units in order to achieve goals, and barriers to success. REQUIRED SKILLS/ABILITIES • Strong knowledge of Epic RCM systems and related reporting tools (Slicer Dicer, Cognito, Caboodle), • Proficiency in data analysis tools and software (e.g., SQL, Excel, and Power BI,)., • Strong analytical and problem-solving skills with a keen attention to detail., • Excellent communication skills, with the ability to present data-driven insights to both technical and non-technical audiences., • Ability to work independently and collaboratively in a fast-paced environment., • Strong project management skills with the ability to manage multiple priorities., • Preferred: Experience with data analysis and data modeling.REQUIRED QUALIFICATIONS, • EPIC Certification in reporting and/or revenue cycle modules, • Knowledge of healthcare reimbursement methodologies and revenue cycle processes., • Bachelor’s degree in finance, Healthcare Administration, Data Science, or a related field., • 5+ years of experience in data analysis and EPIC, preferably within the healthcare or revenue cycle domain.PHYSICAL DEMANDS

Job Description About Us M&D Capital is a leading third-party Medical Billing and Revenue Cycle Management company serving clients across the United States. We operate offices across multiple states, along with a growing international team. We specialize in out-of-network surgical claims, and partner directly with our clients to ensure the maximum reimbursement for their services. Our rapidly growing organization provides employees with generous opportunities for professional growth and advancement. We’re looking for talented, dedicated employees who are eager to grow and contribute to our success. If you meet the qualifications below, we encourage you to apply. Job Description We are seeking a No-Fault Insurance & Workers' Compensation Collections Specialist to join our Accounts Receivable Team. This position involves handling insurance denials, appeals, and rejections for high dollar surgical medical claims. This role requires knowledge of the healthcare industry, familiarity with insurance payer mix, and full claims life cycle. Key Responsibilities • Follow up with insurance companies on claim status, underpayments, and denials, • Resolve denied and underpaid claims promptly, • Review and interpret Explanation of Benefits (EOBs), • Address and correct coding-related denials, • Use payer portals (e.g., Availity, Cigna, UHC, Navinet, Emblem) to check claim status, • Work with internal teams to resolve claim issues, • Access EMRs to obtain necessary medical records, • Post insurance payments and handle recoupments, • Generate and send patient statements, • Interpret terms for Workers' Compensation and No Fault when applicable Qualifications • Must have an understanding of No-Fault and Workers Compensation rules and regulations, • Strong attention to detail and organizational skills, • Effective communication skills, especially when working with insurance representatives, • Proficient in Microsoft Office applications, • High school diploma or equivalent, • Minimum of 2 years' experience with Workers Compensation and No Fault collections, • Experience with Epic EMR is a plus Benefits M&D Capital offers our employees a comprehensive benefits package, including health, dental, vision, employee assistance plan, paid family leave, short-term disability and life insurance. We also provide a 401(k) plan with employer match, flexible spending accounts, employee discount program and an employee referral program. Salary This position offers a salary range of $45,000 to $65,000 annually, commensurate with experience.

Job DescriptionSalary: $20/hr. - $25/hr. Job Summary Midwood Ambulance is seeking a detail-oriented , experienced and organized Medical Biller to join our healthcare team. The ideal candidate will have extensive knowledge of Medicaid regulations, insurance verification, and ambulance billing procedures. The ideal candidate will be responsible for managing billing processes, ensuring accurate coding, and maintaining medical records. This role is crucial in facilitating the financial operations of our Ambulance Billing Department while adhering to industry regulations and standards. This role is responsible for managing the end-to-end billing process, with a strong focus on New York State Medicaid claims. candidate will be required to work in office 5 days. Responsibilities • Process patient billing and insurance claims accurately and efficiently., • Review Patient Care Reports, assign ICD-10 and CPT codes accurately, • Submit claims in compliance with industry protocols, • Review medical records for completeness and accuracy before billing., • Utilize coding systems such as ICD-10 for diagnosis coding and DRG for procedure coding., • Handle medical collections, including following up on unpaid claims and patient balances., • Communicate with insurance companies to resolve billing discrepancies or issues., • Maintain up-to-date knowledge of medical terminology, coding guidelines, and regulatory requirements., • Collaborate with healthcare providers to ensure proper documentation is in place for billing purposes., • Assist in the management of medical records to ensure compliance with privacy regulations., • Must have 2-3 years of medical Billing, • Proficiency in medical office procedures and practices., • Strong knowledge of medical billing processes and insurance claim submissions., • Familiarity with ICD-10 coding, DRG systems, and other relevant coding methodologies., • Excellent understanding of medical terminology and its application in billing., • Ability to work with various billing systems and software efficiently., • Strong analytical skills with attention to detail for accurate data entry and record management., • Effective communication skills for interaction with patients, healthcare providers, and insurance representatives., • Ability to work independently as well as part of a team in a fast-paced environment. Job Type: Full-time Benefits: • 401(k), • Dental insurance, • Health insurance, • Vision insurance Experience: • Medical billing: 2 years (Required), • NYS Medicaid Billing: 2 years (Required), • Ambulance Billing: 2 years (Preferred) Ability to Commute: • Brooklyn, NY 11223 (Required) Work Location: In person

Job DescriptionDescription: We are seeking a detail-oriented and experienced Billing and Coding Specialist to join our healthcare team. This role is vital in ensuring accurate and timely processing of medical claims, supporting our commitment to efficient patient care and revenue cycle management. If you have a strong understanding of medical billing and coding procedures, we invite you to become a key part of our organization’s success. Key Responsibilities: • Review and accurately code medical diagnoses, procedures, and services using ICD-10, CPT, and HCPCS coding systems., • Prepare and submit insurance claims in a timely manner, ensuring compliance with payer requirements., • Verify patient insurance coverage and obtain necessary authorizations., • Follow up on unpaid or denied claims to facilitate prompt resolution., • Maintain detailed and organized records of billing and coding activities., • Stay updated on changes in coding regulations and insurance policies., • Collaborate with healthcare providers and administrative staff to resolve billing issues., • Ensure compliance with all relevant healthcare laws and regulations. Benefits Available: • Multiple medical and prescription coverage options, • Dental and vision care plans, • Health Savings Accounts (HSAs), where applicable, • Flexible Spending Accounts (FSAs), • Voluntary critical illness, cancer, and accident insurance, • Voluntary hospital indemnity coverage, • Voluntary short-term and long-term disability insurance, • Voluntary term life insurance and AD&D (Accidental Death & Dismemberment), • 401(k) retirement savings plan, • Paid time off (PTO), • Commuter benefits, • Proven experience in medical billing and coding, preferably in a healthcare setting., • Certification such as Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) is preferred., • Strong knowledge of ICD-10, CPT, HCPCS coding systems, and medical terminology., • Familiarity with electronic health records (EHR) and billing software., • Excellent attention to detail and organizational skills., • Ability to work independently and as part of a team., • Strong communication skills and problem-solving abilities., • Knowledge of healthcare regulations and compliance standards.