Trabajos medical billing coding en Albany, New YorkCrear alertas

About the Role: The Medical Assistant plays a critical role in supporting healthcare providers by ensuring the smooth operation of clinical and administrative tasks within a medical facility. This position involves direct patient interaction, including preparing patients for examinations, taking vital signs, and assisting with medical procedures such as phlebotomy and specimen collection. The Medical Assistant is responsible for maintaining a clean and sterile environment by properly sterilizing medical instruments and managing specimen processing. Additionally, this role requires effective communication skills to answer phones, schedule appointments, and coordinate with nurse practitioners and other healthcare staff. Ultimately, the Medical Assistant contributes to delivering high-quality patient care and enhancing the overall efficiency of the healthcare team. We are excited to announce we are looking for a Full-Time, Medical Assistant at Albany Gastroenterology Consultants in Albany, NY. Responsibilities: • Prepare patients for examination by taking vital signs and recording medical histories., • Assist healthcare providers, including Nurse Practitioners, during medical procedures and examinations., • Perform phlebotomy and draw blood samples accurately and safely., • Process and label specimens for laboratory testing following established protocols., • Sterilize medical instruments and maintain a clean clinical environment to prevent infection., • Answer phones, schedule patient appointments, and manage patient flow within the clinic., • Maintain accurate patient records and ensure confidentiality in compliance with healthcare regulations., • Support administrative tasks such as billing, coding, and inventory management as required. Skills: The required skills such as Medical Assisting, phlebotomy, and specimen processing are essential for performing clinical duties accurately and safely, ensuring patient comfort and compliance with health standards. Proficiency with medical instruments and sterilization techniques helps maintain a hygienic environment, reducing the risk of infection. Drawing blood and taking vital signs are routine tasks that require precision and attention to detail to support diagnostic processes. Effective communication skills, including answering phones and coordinating with nurse practitioners, facilitate smooth patient flow and enhance the overall patient experience. Preferred skills like familiarity with electronic health records and multitasking enable the Medical Assistant to manage administrative responsibilities efficiently while supporting clinical operations. Minimum Qualifications: • High School Diploma, • At least 1 year experience in a Medical office or Healthcare environment, • Strong communication skills for patient interaction and administrative duties., • Basic knowledge of medical instruments and sterilization procedures., • Proficiency in taking and recording vital signs accurately. Preferred Qualifications: • Experience working in a healthcare or clinical setting., • Completion of an accredited Medical Assistant training program., • Familiarity with electronic health record (EHR) systems., • Strong interpersonal and communication skills., • Ability to multitask and work efficiently in a fast-paced environment., • Additional certifications such as CPR or First Aid. We offer competitive base salary, generous benefits, including Medical, Dental, Vision, Life Insurance, Voluntary, Time-Off Benefits, EAP, 401K and Commuter Benefits. M-TH 9AM - 5:30PM, F 8AM-4:30PM

Looking to start a rewarding career path in the healthcare industry? Use Dreambound to find a Medical Billing and Coding program that will prepare you for this high-demand, entry-level role. What does a Medical Billing and Coding Specialist do?. A medical billing and coding specialist processes and

R.J. Corman Railroad Services is seeking a Superintendent for our Derailment Division in Albany, NY. Accountability: Assist with the general safe, efficient, profitable daily management of emergency and pre-set derailment operations of a single Derailment operating division. Maintenance of on-going business relations with customers of derailment services within the assigned division market. Supervision of personnel and equipment in performance of on-call wreck-site work, equipment repair, maintenance and readiness at division shop, and performance of other non-wreck general services for railroad customers. Assist the Division Superintendent with: Establishes positive business relationship with divisional customers and assists in generating new and repeat business for the assigned derailment division. Proposes job bids for Regional Operations Manager's approval. Troubleshoots customer complaints associated with divisional services. Upon approval to hire (add or replace headcount), recruits, selects, places and arranges for job training (operational, safety and Hazmat) for all Division personnel within guidelines established by the company. Plans and schedules work to insure that readiness, mobilization, response time, and efficiency of on-site work, demobilization and enroute safety of the division is in compliance with overall company plan for customer service. Obtains appropriate over-the-road permits for the movement of divisional equipment (including overweight equipment), and complies with state, county and local guidance concerning travel routes to wreck sites. Utilizes shop time efficiently for training, readiness of equipment and maintenance of building and grounds, when not on customer work. Enforces work, safety and conduct rules and implementation of effective disciplinary procedures. When necessary, determines and carries out termination actions within guidelines established by the company. Determines wage changes and promotional changes concerning divisional personnel; processes required documents for such changes. Evaluates division employees' performance using approved performance evaluation process and forms. Assures division employees practice good customer relations on work sites to preserve customer satisfaction. Manages the compliance of the division to company policies, procedures and practices in all areas, including shop housekeeping, job cost coding, customer billing, purchasing, credit and fuel card usage, equipment usage, expense and time reporting, human resources, safety and DOT. Manages labor, equipment and other costs within pre-approved budgets, including daily operating expenses, personnel costs, and shop expense. Establishes safe operating procedures for employees, vehicles and equipment under their supervision; assures compliance with all federal, state and local employee safety and DOT regulations applicable to drivers (such as hours of service regulations), vehicle and equipment operation. Assures timely reporting and investigation of employee injuries and vehicle accidents. Coordinates with corporate safety department to insure that FRA-required roadway worker training is achieved for divisional employees. Establishes and manages programs for the maintenance and repair of all vehicles, machinery and equipment used within the division. Approves repair and maintenance expenses up to amount authorized by the Regional Operations Manager; obtains contracted repair, maintenance and inspection services when necessary. Ensures division has well-maintained operable non-capital equipment such as specialty tools, communications equipment, operating and office equipment and supplies. When available, schedules personnel for non-wreck work for railroad customers, where such work is within the capabilities of division employees and is coordinated to insure that the division remains ready to respond to customer wreck emergencies. Keeps Regional Operations Manager informed of significant divisional issues and opportunities, with special emphasis on information concerning competitive companies and operations within the division's market area. Maintains data and information and produces weekly and monthly reports as required to monitor divisional performance. Ensures that personnel records are kept current, including approved divisional staff levels authorized, new hire, and transfer and termination paperwork. Participates in annual goal setting and budgeting for divisional services. Specialized or Technical Knowledge, or Education and Experience: Demonstrated experience in the management of derailment operations, or other related experience in heavy equipment, recovery-type operations plus three to five year's operator's experience in derailment or similar recovery operations. Prefer specific experience with operations and scheduling activities with emphasis on maintenance of good employee relations. Ability to train employees in derailment equipment operation. Basic personal computer data entry and retrieval skills, with experience in word processing and spreadsheet programs a plus. Basic business math, and oral and writing skills. Physical Requirements: Mobility to participate in frequent travel within the divisional market, as well as to locations outside the market area to provide relief or back-up to other derailment divisions; lifting of up to 100 pounds in the performance of duties; and ability to use radio and telephone media. Agility to navigate into confined spaces. Environmental Conditions: Performs duties in multiple environments including office, and outside wreck site settings, in and around moving vehicles and equipment. Exposure to weather elements; must wear appropriate PPE required for wreck site visits. Major or Unusual Problems: Balancing speed of customer service with necessity for quality, damage-free, safe operations. Maintenance of teamwork within division operations personnel and reduction of employee turnover. Recruiting on-call, 24/7 employees. Vigilance in promoting safety in high exposure conditions. Extensive travel to wreck sites. Benefits: • Medical, Dental, Vision insurance (immediate eligibility starting day one of employment), • Company paid life insurance, • Voluntary life insurance, voluntary short-term disability, voluntary long term disability, voluntary accident insurance, voluntary hospital indemnity insurance, • Voluntary identity theft protection, • Flexible spending account benefits, • Paid maternity leave, • 8 paid holidays, • Paid time off (accrual starts day one of employment), • Employee Assistance Program, • 401K retirement savings plan, • Work boot allowance, • Employee referral program, • Annual tickets to My Old KY Dinner Train R.J Corman Railroad Group, LLC is committed to providing its full-time employees and their families with quality benefits. R.J Corman offers the following: R.J Corman Railroad is an Equal Employment Opportunity (EEO) and Affirmative Action employer that is committed to a safe and drug free work place. R.J Corman performs pre-employment criminal background checks and substance abuse testing which includes a urine drug test to detect the presence of illegal drugs. We appreciate your cooperation in keeping R.J Corman a safe and drug free company. Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

Identify any problematic charges for further review to correct coding/billing issues. Medical Billing / Revenue Cycle Analyst – Albany, NY - FT. If you are looking for a Medical Billing / Revenue Cycle position in Albany, Full time, this could be your opportunity.

Medical billing/insurance background a must. Identify any problematic charges for further review to correct coding/billing issues. Medical Billing / Revenue Cycle Analyst – Albany, NY - FT.

This position is located at 326 S. Pearl Street, Albany, NY. If you are looking for a Medical Billing / Revenue Cycle position in Albany, Full time, this could be your opportunity. Here at St. Peter's Health Partner's, we care for more people in more places. We are searching for a motivated medical biller for our team. Coding a plus but not needed. Insurance knowledge a must. Position reports to office 4 out of 5 days a week and allowed work remote 1 day a week after Training. Position Highlights: • Quality of Life: Where career opportunities and quality of life converge, • Advancement: Strong orientation program, generous tuition allowance and career development, • Office Hours: Monday - Friday No nights no weekends What you will do: The Revenue Cycle Analyst is responsible for performing a variety of clerical duties related to the efficient and service-oriented operation of a medical practice. Medical billing/insurance background a must. Coding not required but a plus. Responsibilities: • Responsible to monitor and resolve Claims Work queues, Specifically Front End, Referrals & Authorizations, and Clinical Workflow., • Responsible for monitoring the Trinity Health Front End Metrics and working with Practice Management to identify educational opportunities as necessary., • Responsible for review of denial/ rejections and write off dashboards for trends and provide necessary education to Providers/ front end users., • Ensure all necessary referral documentation is obtained and documented to secure appropriate revenue., • Responsible for running monthly reports to identify any outbound referrals and communicate back to Manager for any improvement opportunities, • Ensures all billable services are processed within the EMR in a timely manner., • Ensures all billed services are submitted to insurances as "Clean Claims", • Works within the working queue to review all charges and submit to claims scrubber, • Work all claims scrubber edits in a timely basis, • Identify any problematic charges for further review to correct coding/billing issues, • Adhere to productivity/quality guidelines, • Communicate effectively and professionally with other departments within the organization, • Work with Revenue Cycle Manager to identify needed feedback to practice locations., • Process inpatient charges submitted by providers via interface tool or manual sheets, • Manually enter charges as assigned and complete charge reconciliation daily., • Report any outstanding claims to contact to ensure all claims are billed timely, • Review each claim for appropriate information., • Identify and review high dollar outstanding balances and ensure Financial Assistance options are offered to patients and/ or secured by Front End users., • Provide necessary feedback from operational departments to Revenue Integrity team as appropriate, • Act as a Superuser for the site and act as a resource, to ensure patient questions are answered., • Maintain patient confidentiality and adhere to HIPAA regulations as appropriate., • Daily TOS reconciliation with front end What you will need: • 3+ years' experience in a physician practice or billing office, • Orthopedics Billing experience required, • High school diploma or equivalency required; Associates degree preferred., • Effective written and verbal communication skills, • Demonstrated attention to detail, organization & effective time management, • Ability to work independently with little supervision, • Knowledge of CPC, • Knowledge of CPT, CPTII, and ICD10, • Knowledge of insurance carriers, • Solid judgment to escalate issues appropriately, • Advanced knowledge of Microsoft Office, related computer programs & general office machines, • Ability to lift 20 lbs. Pay Range : $20.20 - $27.47 Pay is based on experience. Exempt positions under the Fair Labor Standards Act (FLSA) will be paid within the base salary equivalent of the stated hourly rates. The pay range may also vary within the stated range based on location. Our Commitment Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

This position is located at 400 Patroon Creek Blvd, Albany, NY. If you are looking for a Medical Billing / Revenue Cycle position in Albany, Full time, this could be your opportunity. Here at St. Peter's Health Partner's, we care for more people in more places. We are searching for a motivated medical biller for our team. Coding a plus but not needed. Insurance knowledge a must. Position reports to office 4 out of 5 days a week and allowed work remote 1 day a week after Training. Position Highlights: • Quality of Life: Where career opportunities and quality of life converge, • Advancement: Strong orientation program, generous tuition allowance and career development, • Office Hours: Monday - Friday No nights no weekends What you will do: The Medical Biller / Revenue Cycle Analyst is responsible for performing a variety of clerical duties related to the efficient and service-oriented operation of a medical practice. Medical billing/insurance background a must. Coding not required but a plus. Responsibilities: • Responsible to monitor and resolve Claims Work queues, Specifically Front End, Referrals & Authorizations, and Clinical Workflow., • Responsible for monitoring the Trinity Health Front End Metrics and working with Practice Management to identify educational opportunities as necessary., • Responsible for review of denial/ rejections and write off dashboards for trends and provide necessary education to Providers/ front end users., • Ensure all necessary referral documentation is obtained and documented to secure appropriate revenue., • Responsible for running monthly reports to identify any outbound referrals and communicate back to Manager for any improvement opportunities, • Ensures all billable services are processed within the EMR in a timely manner., • Ensures all billed services are submitted to insurances as "Clean Claims", • Works within the working queue to review all charges and submit to claims scrubber, • Work all claims scrubber edits in a timely basis, • Identify any problematic charges for further review to correct coding/billing issues, • Adhere to productivity/quality guidelines, • Communicate effectively and professionally with other departments within the organization, • Work with Revenue Cycle Manager to identify needed feedback to practice locations., • Process inpatient charges submitted by providers via interface tool or manual sheets, • Manually enter charges as assigned and complete charge reconciliation daily., • Report any outstanding claims to contact to ensure all claims are billed timely, • Review each claim for appropriate information., • Identify and review high dollar outstanding balances and ensure Financial Assistance options are offered to patients and/ or secured by Front End users., • Provide necessary feedback from operational departments to Revenue Integrity team as appropriate, • Act as a Superuser for the site and act as a resource, to ensure patient questions are answered., • Maintain patient confidentiality and adhere to HIPAA regulations as appropriate., • Daily TOS reconciliation with front end What you will need: • 3+ years' experience in a physician practice or billing office, • High school diploma or equivalency required; Associates degree preferred., • Effective written and verbal communication skills, • Demonstrated attention to detail, organization & effective time management, • Ability to work independently with little supervision, • Knowledge of CPC, • Knowledge of CPT, CPTII, and ICD10, • Knowledge of insurance carriers, • Solid judgment to escalate issues appropriately, • Advanced knowledge of Microsoft Office, related computer programs & general office machines, • Ability to lift 20 lbs. Pay Range : $20.20 - $27.47 Pay is based on experience. Exempt positions under the Fair Labor Standards Act (FLSA) will be paid within the base salary equivalent of the stated hourly rates. The pay range may also vary within the stated range based on location. Our Commitment Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

Albany, New York, United States; Albuquerque, New Mexico, United States; Lakewood, Washington, United States Why Workit: Workit Health is an industry-leading provider of on-demand, evidence-based telemedicine care. Our programs are based in harm reduction, and bring together licensed clinicians who really listen, FDA-approved medication, online recovery groups and community, interactive therapeutic courses, and care for co-existing conditions. Workit Health's patient-centered telemedicine model is improving clinical outcomes and eliminating barriers to treatment, making long-term recovery accessible to individuals who need it, without disrupting their daily lives. We're excited to expand our team as our impact and coverage areas continue to grow. Our team members are dedicated and passionate about our mission of making exceptional, judgment-free care for addiction more accessible. We believe everyone deserves respectful, effective treatment for substance use disorder at the moment they're ready for it. We're looking for driven and compassionate individuals who share this goal. Join us in reducing stigma, saving lives, and changing the way addiction is treated in America. Schedule: M-F, 8:00 AM - 4:30 PM (local time) This is a hybrid role for a clinic location based in Albany, NY; Albuquerque, NM; Lakewood, WA Three (3) days in office and two (2) days remote each week. Job Summary: Workit Health is seeking a full-time Medical Payment Poster (Payment Analyst). The ideal candidate will be experienced in Google Drive WorkSpace, demonstrates ability to communicate between multiple departments and maintains an organized work environment. Candidate has basic knowledge of the insurance revenue cycle including eligibility, claims, and payment posting. Workit Health is a fast-paced, fluid environment where changes are frequent and employee input is highly valued. Core Responsibilities: • Reconciles remittances with deposits for posting, • Reviews stale claims and obtains remittances for posting or works claim accordingly, • Escalates payers that are lacking ERA enrollment to the Manager, • Assists the RCM Manager in the reconciliation of missing monies, • Gather, sort, and distribute incoming mail to the appropriate departments, • Assists in monitoring lockbox for EOBs, payments, and correspondence, • Addresses billing correspondence, including submission of medical records for pre-payment review, • Maintains office cleanliness, • Liaise with landlord, utility reps, and cleaning team as needed, • Address any payer reps or regulators who might stop by and direct them to appropriate resources for documentation or record requests, • Communicate effectively with physicians, management, employees, and third-party representatives, • Adhere to professional standards, company policies and procedures, federal, state, and local requirements, and HIPAA standards., • Maintains positive and optimistic attitude, • All other duties as assigned Qualifications: • Requires a High School Diploma and a minimum of 1 year of current Revenue Cycle experience, • Requires basic knowledge of ICD-10, CPT, and HCPCS, • Certified Professional Biller (CPB) certification is a plus, • Understanding of government rules and regulations, and areas of scrutiny for potential areas of risk for fraud and abuse regarding coding and documentation, • Must be able to work independently and rely on personal knowledge/experience for problem-solving. Must have experience with MS Word and Excel, • Must be detail-oriented and have excellent organizational and time management skills., • Candidates must excel at providing a high level of customer service and be able to work in a team environment, • Requires strong analytical skills and attention to detail, including writing and verbal communication skills, and a professional, positive attitude Pay range: $25 - $25 USD Benefits & Rewards: • Fully remote work, • 5 weeks PTO (includes your birthday, 2 mental health days, and 2 floating holidays!), • 11 paid holidays, • Comprehensive health, dental, pharmacy, and vision insurance with options to fit your family's needs, • 12 weeks paid Parental Leave after 1 year of employment (includes maternity, paternity, adoption, and all ways in which our people build modern families), • 401k + 4% matching, • Healthcare & dependent care Flexible Spending Accounts (FSA & DCFSA), • Health Savings Accounts (HSA), • Employee assistance program, complete with financial coaching and counseling sessions, • Professional development allowance for Providers and Behavioral Health team, • Opportunities for internal mobility and growth at a Company with a proven track record of really promoting internally, • Vibrant, democratized culture with clubs and multiple ERG groups, • Colleagues who care deeply about closing health disparity gaps within the addiction space for underserved populations Equal Opportunities for Everyone, including Folks in Recovery: As we are an addiction recovery company founded by people in recovery, those in addiction recovery themselves are encouraged to apply. Workit Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based on race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. AI Interview Policy: At Workit Health, we value authenticity, curiosity, and personal insight during our hiring process. To ensure a fair and genuine experience for all candidates, we ask that you refrain from using AI tools or external assistance during interviews or assessments. We're most interested in your unique ideas, problem-solving approach, and communication stylequalities that help us understand how you'll contribute to our team. Demonstrating your own thinking and creativity gives both you and us the best sense of fit and potential. Privacy Policy: Applicant personal information is collected and used in accordance with Workit Health's Privacy Policy, which includes disclosures and rights under applicable U.S. privacy laws.

This position is located at 400 Patroon Creek Blvd, Albany, NY. If you are looking for a Medical Billing / Revenue Cycle position in Albany, Full time, this could be your opportunity. Here at St. Peter's Health Partner's, we care for more people in more places. We are searching for a motivated medical biller for our team. Coding a plus but not needed. Insurance knowledge a must. Position reports to office 4 out of 5 days a week and allowed work remote 1 day a week after Training. Position Highlights: • Quality of Life: Where career opportunities and quality of life converge, • Advancement: Strong orientation program, generous tuition allowance and career development, • Office Hours: Monday - Friday No nights no weekends What you will do: The Medical Biller / Revenue Cycle Analyst is responsible for performing a variety of clerical duties related to the efficient and service-oriented operation of a medical practice. Medical billing/insurance background a must. Coding not required but a plus. Responsibilities: • Responsible to monitor and resolve Claims Work queues, Specifically Front End, Referrals & Authorizations, and Clinical Workflow., • Responsible for monitoring the Trinity Health Front End Metrics and working with Practice Management to identify educational opportunities as necessary., • Responsible for review of denial/ rejections and write off dashboards for trends and provide necessary education to Providers/ front end users., • Ensure all necessary referral documentation is obtained and documented to secure appropriate revenue., • Responsible for running monthly reports to identify any outbound referrals and communicate back to Manager for any improvement opportunities, • Ensures all billable services are processed within the EMR in a timely manner., • Ensures all billed services are submitted to insurances as "Clean Claims", • Works within the working queue to review all charges and submit to claims scrubber, • Work all claims scrubber edits in a timely basis, • Identify any problematic charges for further review to correct coding/billing issues, • Adhere to productivity/quality guidelines, • Communicate effectively and professionally with other departments within the organization, • Work with Revenue Cycle Manager to identify needed feedback to practice locations., • Process inpatient charges submitted by providers via interface tool or manual sheets, • Manually enter charges as assigned and complete charge reconciliation daily., • Report any outstanding claims to contact to ensure all claims are billed timely, • Review each claim for appropriate information., • Identify and review high dollar outstanding balances and ensure Financial Assistance options are offered to patients and/ or secured by Front End users., • Provide necessary feedback from operational departments to Revenue Integrity team as appropriate, • Act as a Superuser for the site and act as a resource, to ensure patient questions are answered., • Maintain patient confidentiality and adhere to HIPAA regulations as appropriate., • Daily TOS reconciliation with front end What you will need: • 3+ years' experience in a physician practice or billing office, • High school diploma or equivalency required; Associates degree preferred., • Effective written and verbal communication skills, • Demonstrated attention to detail, organization & effective time management, • Ability to work independently with little supervision, • Knowledge of CPC, • Knowledge of CPT, CPTII, and ICD10, • Knowledge of insurance carriers, • Solid judgment to escalate issues appropriately, • Advanced knowledge of Microsoft Office, related computer programs & general office machines, • Ability to lift 20 lbs. Pay Range : $20.20 - $27.47 Pay is based on experience. Exempt positions under the Fair Labor Standards Act (FLSA) will be paid within the base salary equivalent of the stated hourly rates. The pay range may also vary within the stated range based on location. Our Commitment Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

This position is located at 326 S. Pearl Street, Albany, NY. If you are looking for a Medical Billing / Revenue Cycle position in Albany, Full time, this could be your opportunity. Here at St. Peter's Health Partner's, we care for more people in more places. We are searching for a motivated medical biller for our team. Coding a plus but not needed. Insurance knowledge a must. Position reports to office 4 out of 5 days a week and allowed work remote 1 day a week after Training. Position Highlights: • Quality of Life: Where career opportunities and quality of life converge, • Advancement: Strong orientation program, generous tuition allowance and career development, • Office Hours: Monday - Friday No nights no weekends What you will do: The Revenue Cycle Analyst is responsible for performing a variety of clerical duties related to the efficient and service-oriented operation of a medical practice. Medical billing/insurance background a must. Coding not required but a plus. Responsibilities: • Responsible to monitor and resolve Claims Work queues, Specifically Front End, Referrals & Authorizations, and Clinical Workflow., • Responsible for monitoring the Trinity Health Front End Metrics and working with Practice Management to identify educational opportunities as necessary., • Responsible for review of denial/ rejections and write off dashboards for trends and provide necessary education to Providers/ front end users., • Ensure all necessary referral documentation is obtained and documented to secure appropriate revenue., • Responsible for running monthly reports to identify any outbound referrals and communicate back to Manager for any improvement opportunities, • Ensures all billable services are processed within the EMR in a timely manner., • Ensures all billed services are submitted to insurances as "Clean Claims", • Works within the working queue to review all charges and submit to claims scrubber, • Work all claims scrubber edits in a timely basis, • Identify any problematic charges for further review to correct coding/billing issues, • Adhere to productivity/quality guidelines, • Communicate effectively and professionally with other departments within the organization, • Work with Revenue Cycle Manager to identify needed feedback to practice locations., • Process inpatient charges submitted by providers via interface tool or manual sheets, • Manually enter charges as assigned and complete charge reconciliation daily., • Report any outstanding claims to contact to ensure all claims are billed timely, • Review each claim for appropriate information., • Identify and review high dollar outstanding balances and ensure Financial Assistance options are offered to patients and/ or secured by Front End users., • Provide necessary feedback from operational departments to Revenue Integrity team as appropriate, • Act as a Superuser for the site and act as a resource, to ensure patient questions are answered., • Maintain patient confidentiality and adhere to HIPAA regulations as appropriate., • Daily TOS reconciliation with front end What you will need: • 3+ years' experience in a physician practice or billing office, • Orthopedics Billing experience required, • High school diploma or equivalency required; Associates degree preferred., • Effective written and verbal communication skills, • Demonstrated attention to detail, organization & effective time management, • Ability to work independently with little supervision, • Knowledge of CPC, • Knowledge of CPT, CPTII, and ICD10, • Knowledge of insurance carriers, • Solid judgment to escalate issues appropriately, • Advanced knowledge of Microsoft Office, related computer programs & general office machines, • Ability to lift 20 lbs. Pay Range : $20.20 - $27.47 Pay is based on experience. Exempt positions under the Fair Labor Standards Act (FLSA) will be paid within the base salary equivalent of the stated hourly rates. The pay range may also vary within the stated range based on location. Our Commitment Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

This position is located at 400 Patroon Creek Blvd, Albany, NY. If you are looking for a Medical Billing / Revenue Cycle position in Albany, Full time, this could be your opportunity. Here at St. Peter's Health Partner's, we care for more people in more places. We are searching for a motivated medical biller for our team. Coding a plus but not needed. Insurance knowledge a must. Position reports to office 4 out of 5 days a week and allowed work remote 1 day a week after Training. Position Highlights: • Quality of Life: Where career opportunities and quality of life converge, • Advancement: Strong orientation program, generous tuition allowance and career development, • Office Hours: Monday - Friday No nights no weekends What you will do: The Medical Biller / Revenue Cycle Analyst is responsible for performing a variety of clerical duties related to the efficient and service-oriented operation of a medical practice. Medical billing/insurance background a must. Coding not required but a plus. Responsibilities: • Responsible to monitor and resolve Claims Work queues, Specifically Front End, Referrals & Authorizations, and Clinical Workflow., • Responsible for monitoring the Trinity Health Front End Metrics and working with Practice Management to identify educational opportunities as necessary., • Responsible for review of denial/ rejections and write off dashboards for trends and provide necessary education to Providers/ front end users., • Ensure all necessary referral documentation is obtained and documented to secure appropriate revenue., • Responsible for running monthly reports to identify any outbound referrals and communicate back to Manager for any improvement opportunities, • Ensures all billable services are processed within the EMR in a timely manner., • Ensures all billed services are submitted to insurances as "Clean Claims", • Works within the working queue to review all charges and submit to claims scrubber, • Work all claims scrubber edits in a timely basis, • Identify any problematic charges for further review to correct coding/billing issues, • Adhere to productivity/quality guidelines, • Communicate effectively and professionally with other departments within the organization, • Work with Revenue Cycle Manager to identify needed feedback to practice locations., • Process inpatient charges submitted by providers via interface tool or manual sheets, • Manually enter charges as assigned and complete charge reconciliation daily., • Report any outstanding claims to contact to ensure all claims are billed timely, • Review each claim for appropriate information., • Identify and review high dollar outstanding balances and ensure Financial Assistance options are offered to patients and/ or secured by Front End users., • Provide necessary feedback from operational departments to Revenue Integrity team as appropriate, • Act as a Superuser for the site and act as a resource, to ensure patient questions are answered., • Maintain patient confidentiality and adhere to HIPAA regulations as appropriate. What you will need: • 3+ years' experience in a physician practice or billing office, • High school diploma or equivalency required; Associates degree preferred., • Effective written and verbal communication skills, • Demonstrated attention to detail, organization & effective time management, • Ability to work independently with little supervision, • Knowledge of CPC, • Knowledge of CPT, CPTII, and ICD10, • Knowledge of insurance carriers, • Solid judgment to escalate issues appropriately, • Advanced knowledge of Microsoft Office, related computer programs & general office machines, • Ability to lift 20 lbs. Pay Range : $20.20 - $27.47 Pay is based on experience. Exempt positions under the Fair Labor Standards Act (FLSA) will be paid within the base salary equivalent of the stated hourly rates. The pay range may also vary within the stated range based on location. Our Commitment Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

Under the direction of the Revenue Integrity Audits Manager, this position is responsible for providing audit and research support to physicians, advanced practice professionals, professional fee billing staff, clinic staff, administrators, and other affected personnel on documentation and billing requirements. Using established auditing and research techniques, determines the adequacy of medical records documentation, coding and billing for all providers across all clinical specialties. This position reads, interprets, and distributes coding and billing guidelines to all departments to ensure regulatory compliance. Essential Duties and Responsibilities • Exemplifies the AMHS Values and Code of Conduct, while striving to identify compliance risk through effective and timely review of RAC Audit requests, ensuring timely appeals, as appropriate, and reporting any identified risks to Legal Services and Corporate Compliance Departments., • Ensures immediate action is taken on any issues identified by Legal Services or Corporate Compliance., • Builds and nurtures collaborative supporting relationships with the AMHS executive team, clinical chairs, faculty, clinicians, and other leaders across the health system and encourages, promotes, and advocates staff to ensure integration of new processes across all departments., • Review clinical documentation within the patient medical record and charges in financial system in response to edits and/or inquiries from third-party payers, • Resolves edits based on regulatory and/or payer specific guidelines, • Generates appeal letters in response to denials received from payers and updates information in patient accounting system to reflect actions taken, • Works collaboratively with members of the revenue cycle, information systems and clinical departments toward ensuring accuracy of charges on patient accounts, • Performs audits on patient accounts as requested and tracks results for ongoing review by revenue cycle performance improvement and/or leadership, • Engages in end-to-end testing scenarios as needed to ensure new charge generation and/or revisions are accurate within the information system and populate correctly in the financial billing system, • Performs review of clinical documentation within the electronic medical record and validates and/or add charges to patient encounter as appropriate, • Research and answers billing and documentation questions or problems submitted by faculty, advanced practice professionals, departments, billing staff and others to ensure compliance with specific payer regulations, • Reviews documentation or coding patterns by a clinician, division or department that poses a compliance risk and provides input on recommended solutions, • Keeps current with third party regulations with emphasis on Medicare billing, teaching physician regulations, Current Procedural Terminology, ICD-IO-CM Coding, and professional fee billing., • Acts as source of reference for enterprise on regulatory, reimbursement or billing changes, and develops and implements training to maintain and support compliance with federal and state regulations., • Maintains a working knowledge of revenue cycle process to aid in the implementation of regulatory standards that assist compliant charge capture practices., • Monitors compliance with corporate, federal, and state guidelines to include review of commercial bulletins for HCPCS/CPT code changes and additions and billing unit rule changes., • Performs other duties as assigned. Qualifications • Associate's Degree in health care-related or business-related field - required, • Bachelor's Degree in nursing - preferred, • Two years of experience in auditing, compliance and/or coding - required, • Minimum of three years' experience in a clinical setting - preferred, • Epic experience - preferred, • Knowledge of third-party billing regulations for hospital and/or provider reimbursement, • Experience and understanding of the CPT coding system, • Knowledge of medical necessity edits related to local and national coverage determinations(LCDs and NCDs), correct clinical initiatives (CCls) and medically unlikely edits (MUEs), • Strong clinical knowledge and clinical documentation practices, • Excellent verbal and written communication skills, • Experience with navigating within the electronic medical record, experience with Epic preferred, • Strong critical thinking skills, • Detail oriented and ability to prioritize multiple tasks/projects when varying deadlines, • Engaged and collaborative team player, contributing to the overall success of team, • Experience utilizing MS office products, • RHIT, RHIA, CCS, or CPC - required, • Registered Nurse (RN) - preferred Equivalent combination of relevant education and experience may be substituted as appropriate. Physical Demands • Standing - Occasionally, • Walking - Occasionally, • Sitting - Constantly, • Lifting - Rarely, • Carrying - Rarely, • Pushing - Rarely, • Pulling - Rarely, • Climbing - Rarely, • Balancing - Rarely, • Stooping - Rarely, • Kneeling - Rarely, • Crouching - Rarely, • Crawling - Rarely, • Reaching - Rarely, • Handling - Occasionally, • Grasping - Occasionally, • Feeling - Rarely, • Talking - Constantly, • Hearing - Constantly, • Repetitive Motions - Frequently, • Eye/Hand/Foot Coordination - Frequently Working Conditions • Extreme cold - Rarely, • Extreme heat - Rarely, • Humidity - Rarely, • Wet - Rarely, • Noise - Occasionally, • Hazards - Rarely, • Temperature Change - Rarely, • Atmospheric Conditions - Rarely, • Vibration - Rarely Thank you for your interest in Albany Medical Center! Albany Medical Center is an equal opportunity employer. This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that: Access to information is based on a "need to know" and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Medical Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification. Thank you for your interest in Albany Med Health System! Albany Med Health System is an equal opportunity employer. This role may require access to information considered sensitive to Albany Med Health System, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that: Access to information is based on a "need to know" and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Med Health System policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.

New Pay Rates! This position is located at 425 New Scotland Avenue, Albany, NY. If you are looking for a Medical Billing / Revenue Cycle position in Albany, Full time, this could be your opportunity. Here at St. Peter's Health Partner's, we care for more people in more places. We are searching for a motivated medical biller for our orthopedics team. Coding a plus but not needed. Insurance knowledge a must. Position reports to office 4 out of 5 days a week and 1 allowed work remote 1 day a week. Position Highlights: • Quality of Life: Where career opportunities and quality of life converge, • Advancement: Strong orientation program, generous tuition allowance and career development, • Office Hours: Monday - Friday No nights no weekends What you will do: The Revenue Cycle Analyst is responsible for performing a variety of clerical duties related to the efficient and service-oriented operation of a medical practice. Medical billing/insurance background a must. Coding not required but a plus. Responsibilities: • Responsible to monitor and resolve Claims Work queues, Specifically Front End, Referrals & Authorizations, and Clinical Workflow., • Responsible for monitoring the Trinity Health Front End Metrics and working with Practice Management to identify educational opportunities as necessary., • Responsible for review of denial/ rejections and write off dashboards for trends and provide necessary education to Providers/ front end users., • Ensure all necessary referral documentation is obtained and documented to secure appropriate revenue., • Responsible for running monthly reports to identify any outbound referrals and communicate back to Manager for any improvement opportunities, • Ensures all billable services are processed within the EMR in a timely manner., • Ensures all billed services are submitted to insurances as "Clean Claims", • Works within the working queue to review all charges and submit to claims scrubber, • Work all claims scrubber edits in a timely basis, • Identify any problematic charges for further review to correct coding/billing issues, • Adhere to productivity/quality guidelines, • Communicate effectively and professionally with other departments within the organization, • Work with Revenue Cycle Manager to identify needed feedback to practice locations., • Process inpatient charges submitted by providers via interface tool or manual sheets, • Manually enter charges as assigned and complete charge reconciliation daily., • Report any outstanding claims to contact to ensure all claims are billed timely, • Review each claim for appropriate information., • Identify and review high dollar outstanding balances and ensure Financial Assistance options are offered to patients and/ or secured by Front End users., • Provide necessary feedback from operational departments to Revenue Integrity team as appropriate, • Act as a Superuser for the site and act as a resource, to ensure patient questions are answered., • Maintain patient confidentiality and adhere to HIPAA regulations as appropriate. What you will need: • 3+ years' experience in a physician practice or billing office, • Orthopedics Billing experience required, • High school diploma or equivalency required; Associates degree preferred., • Effective written and verbal communication skills, • Demonstrated attention to detail, organization & effective time management, • Ability to work independently with little supervision, • Knowledge of CPC, • Knowledge of CPT, CPTII, and ICD10, • Knowledge of insurance carriers, • Solid judgment to escalate issues appropriately, • Advanced knowledge of Microsoft Office, related computer programs & general office machines, • Ability to lift 20 lbs. Pay Range : $20.20 - $27.47 Pay is based on experience, skills, and education. Exempt positions under the Fair Labor Standards Act (FLSA) will be paid within the base salary equivalent of the stated hourly rates. The pay range may also vary within the stated range based on location. Our Commitment Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

Job Description Peak Performers is seeking a detail-oriented Part Time Medical Coding and Billing Specialist to support the review and processing of medical service charges. This role combines medical billing, coding review, provider coordination, and clerical support. Who You Will Be Working With • This agency coordinates vital programs across New York to safeguard vulnerable youth and support working parents. It oversees the state's foster care, adoption, and juvenile justice systems while managing child care assistance and licensing. Through these comprehensive resources, it works to build safe, stable families and promote long-term well-being for all children.The Peak Performers Difference, • Qualified applicants with chronic medical conditions and/or disabilities receive priority placement., • Comprehensive medical, dental, and vision insurance coverage available from the first day of the month following 60 days of employment., • Our employees may participate in a 403(b)-retirement plan., • We pay weekly through direct deposit., • In business since 1994 and thousands of job placements.Major Duties, • Review invoices and patient charges, including Current Procedural Terminology (CPT) codes, for accuracy., • Verify that billed services are supported by documentation and accurately coded., • Coordinate with providers, billers, facility medical offices, the Bureau of Health Services, and Accounts Payable to resolve billing questions., • Track provider agreements and fee schedules, including rates that differ from Medicaid rates., • Check bills against agreed-upon fee schedules and follow up on discrepancies., • Maintain organized records and assist with other related clerical tasks. What We Are Looking For, • Medical coding certification or training in medical coding, billing, and terminology., • Experience with New York State Medicaid coding and billing., • Experience in a healthcare setting, including medical coding or billing and customer service., • Strong attention to detail, organization, and problem-solving skills., • Ability to work with healthcare providers to clarify documentation and support accurate billing., • Proficiency with Microsoft Excel, Word, Outlook, and Adobe Acrobat. Experience with Statewide Financial System (SFS) software is preferred. Exciting Opportunity Details, • Rate: $32 per hour, • Length of engagement: 1 year, with a possible 1 year extension, • Days/Hours: 22.5 hours per week, Monday through Friday. Specific days and hours will be discussed during the interview., • Location: 12144 Applicants for employment with Peak Performers must possess work authorization that does not require sponsorship for a visa now or in the future.Peak Performers is an equal opportunity employer and will consider all applicants without regard to race, marital status, sex, age, color, religion, national origin, veteran status, disability or any other characteristic protected by law. Peak Performers does not accept unsolicited resumes from headhunters, recruitment agencies or fee-based recruitment services. 27-NY-PO3103 #LI-onsite #chp

Job Description Job Summary We are seeking an experienced and growth-minded Clinic Administrator to lead daily operations and help scale our podiatry practice into a multi-location, multi-provider organization. This is a high-impact leadership role for someone who thrives on building systems, growing teams, and driving practice expansion — not just maintaining the status quo. If you're a healthcare operations leader who wants to help shape the future of a growing practice, we want to hear from you! What You'll Do • Oversee day-to-day clinic operations, ensuring smooth patient flow, scheduling, and staffing, • Lead, hire, and develop administrative and clinical support staff, • Partner with the practice owner/physician on strategic growth plans, • Support recruitment and onboarding of additional podiatrists/providers, • Manage budgets, KPIs, and financial performance across locations, • Ensure compliance with HIPAA, OSHA, and state/federal healthcare regulations, • Oversee billing, coding, and insurance processes in coordination with billing staff, • Improve patient experience and satisfaction through operational efficiencies, • Implement scalable systems, policies, and workflows that support multi-site expansion, • Evaluate and negotiate vendor contracts, equipment, and facility needs for new locations What We're Looking For • 3+ years of experience in medical practice management or healthcare administration (podiatry or specialty practice experience a plus), • Proven track record of managing or scaling clinic operations, • Strong knowledge of medical billing, insurance, and healthcare compliance (HIPAA/OSHA), • Experience supervising multi-department teams, • Excellent leadership, communication, and problem-solving skills, • Bachelor's degree in Healthcare Administration, Business, or related field (Master's preferred), • Experience with EHR/practice management software - ModMed EMA, current system Why Join Us • Opportunity to play a key leadership role in a practice built for growth, • Competitive salary + performance bonuses tied to growth milestones, • Collaborative environment with direct access to ownership/leadership Job Type: Full-Time (Percentage Remote is a possibility) Location: [Latham, NY] Apply now to help lead the next phase of growth for our practice! \nCompany Description Summit Foot and Ankle is a small, but growing specialty medical practice prided on patient centered care. Our mission includes delivering the best possible foot and ankle care without losing the personalized experience. We are seeing to meet the demand and fill the community void in podiatric foot and ankle care after a wave of retiring providers. Summit Foot and Ankle is a small, but growing specialty medical practice prided on patient centered care. Our mission includes delivering the best possible foot and ankle care without losing the personalized experience. We are seeing to meet the demand and fill the community void in podiatric foot and ankle care after a wave of retiring providers.

Job DescriptionClaims Specialist / Contract - Jericho or Albany, NY (#25349)Location: Jericho, NY or Albany, NYEmployment Type: Full-time, Temporary/Contract (Monday to Friday)Hourly Rate: $44/hr 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 currently seeking a Claims Specialist to fill an opening with a Non-profit organization located in Jericho or Albany, NY. This assignment is ideal for a detail-oriented professional with a background in healthcare, business, or digital studies who thrives in a collaborative, fast-paced environment managing appeal and dispute adjudication programs. Why Join Us? • Competitive Compensation: Earn a competitive rate of $44 per hour., • Comprehensive Benefits:, • 1 Week of Paid Vacation., • 6 Major Paid Holidays per year., • 5 Sick Days (40 Hours) subject to the provisions of the NYS Paid Sick Leave Act., • License Reimbursement after 1 year of employment., • Health insurance subject to plan eligibility requirements., • 401k Matching eligibility after 1 year of employment., • Benefits from Paychex, such as Payactiv., • GLHS is a great company to work for with 93% retention of employees 2 years+, excellent Google reviews, and a strong company culture., • Work Schedule: Full-time position, Monday to Friday., • Professional Growth: Gain valuable experience in claims management, appeal adjudication, and collaborative project work within a mission-driven organization., • Impactful Work: Contribute to a non-profit organization dedicated to improving healthcare processes and ensuring accurate claims adjudication that supports providers, patients, and healthcare plans. Qualifications: • Education: Must have a bachelor's or advanced degree in healthcare, business, management, digital studies, or a related field., • Experience: 2 years of collaborative project support is preferred; however, new graduates will be considered., • Technical Skills:, • Knowledge and experience with collaborative project management software, electronic documents, and design., • Familiarity with commercial off-the-shelf and custom software applications for tracking and case management., • Proficiency in Microsoft Office applications., • Soft Skills:, • Must have the ability to problem-solve and work collaboratively with peers, medical, analytical, and administrative support staff., • Must have excellent written and verbal skills, including phone manners., • Must have the ability to work independently with little supervision., • Must have the ability and desire to be flexible, innovative, and creative while multi-tasking., • Must have the ability to meet deadlines in a time-sensitive environment. Key Responsibilities: • Act as point-of-contact for appeal/dispute adjudication programs., • Liaise with healthcare plans, providers, patients, and clients to coordinate requests, correspondence, and submission of case documentation, as necessary., • Monitor appeal/dispute status and communication received on client portals., • Conduct initial eligibility reviews and recommend a course of action to internal team and department management., • Track and assign cases using commercial off-the-shelf and custom software applications., • Review and provide case documentation to assigned billers/coders, nurses, physicians and clinicians internal teams, and key stakeholders to facilitate clinical and coding reviews., • Monitor and measure key performance indicators including, but not limited to, timeliness, adherence to quality and accuracy standards, and deadlines for contract deliverables., • Identify barriers and roadblocks in work processes, recommend solutions to solve problems, and execute approved solutions., • Routinely present case/project status in huddles and scrums while using an agile, iterative approach to implementation and data presentation., • Schedule regular team status meetings and record decisions (e.g., assigned tasks and next steps)., • Prepare billing invoices at the conclusion of cases, submit them to the Finance department, and liaise with accounting to track and trend payments., • Mentor and train new staff, at all levels, on process steps and case progression., • Other activities as may be deemed necessary. Greenlife Healthcare Staffing - Empowering Healthcare Professionals, Enriching Lives

Job DescriptionLocation: Remote Reply at: Jobs@sourcedge.com FACETS SENIOR CLAIMS PROCESSOR Job Description: • 5 Years Facets Claims Adjudication Experience, • The Claims Examiner must maintain production and inventory standards compliant with Claims Administration requirements, • High school diploma or equivalent required, • Must have 5+ years of relevant claim processing experience in healthcare industry (managed care or TPA Company) to support our clients, • Possess high productivity and quality standards within a claims processing automation environment, • Knowledge of CPT, HCPC, ICD-10 codes, • Knowledge of HMO, PPO, Medicare and Medicaid plans, • Knowledge of Medical terminology, • Computer with 2 Monitors, • High Speed Internet Connection, • Ability to work remote 8 hour day, Mon-Fri. Responsibilities: • The claims examiner is responsible for accurate and timely adjudication of claims for the Health Plans lines of business, • Primary duties include analysis and resolution of claims, including reviewing pended claims and manually resolving based on client specified direction and criteria, including third-party liability claims, • The claims examiner must be able to work independently, effectively prioritizing work in a production environment that frequently changes to meet production standards and contractual requirements, • Success in this position will be based on the individual's ability to effectively prioritize work, identify, and resolve complex concerns in a professional manner, and work in a team environment to achieve and maintain production and audit standards, • Timely and accurate processing and adjudication of all types of claims from assigned workflow queues, • Compliance with state, federal and contractual requirements to Claims Administration, • Demonstrate a thorough knowledge of the Plan's claims processing procedures as provided in training materials and proficiency with the core and ancillary system applications, • Demonstrates the ability to think analytically to resolve complicated claim issues and identify appropriately when to escalate issues for review, • Ability to review and apply Plan directives and desktop procedures to claims, following step by step guidelines, • Claim analysis of coding and billing compliance, potential third-party liability, accurate coordination of benefits (COB), benefit application including limitations and restrictions, pre-existing conditions, subrogation, medical necessity and other claim investigation as appropriate, • Complete all mandatory claims training/refresher courses, • Actively participates and supports department and organization-wide efforts to improve efficiencies while supporting departmental goals and objectives, • Complete all mandatory compliance and corporate training, • Must be able to adapt to a changing work priorities and requirements and perform other duties as directed to support the overall functions of Claims Administration and support of staff without boundaries within the Plan

Job DescriptionJob Title: Medical Coding & Payment Reimbursement Reviewer Location: Remote Job Type: Term-to-Perm Schedule: Monday–Friday, 8:30 AM–5:00 PM Experience: Preferably 3–5 years of relevant experience Compensation: Competitive, based on experience Equipment: To be confirmed Job Overview We are seeking a detail-oriented and analytical Medical Coding & Payment Reimbursement Reviewer to conduct retrospective payment reviews and evaluate healthcare reimbursement decisions. This role involves analyzing medical claims, reviewing Explanations of Benefits (EOBs), identifying payment discrepancies, interpreting payer denials, and determining appropriate reimbursement based on coding guidelines, payer policies, and contractual requirements. The ideal candidate has a strong background in medical coding, revenue cycle management, and reimbursement analysis, along with the ability to interpret complex coding scenarios and communicate clear, well-supported decisions. Excellent analytical skills, sound judgment, and strong written communication are essential for success in this role. Key Responsibilities Retrospective Payment Review Conduct retrospective reviews of healthcare claims and reimbursement determinations. Analyze payment records to identify discrepancies, underpayments, overpayments, recoupments, and claim adjustments. Evaluate supporting documentation to determine appropriate reimbursement. Apply relevant coding guidelines, payer policies, and contractual requirements when reviewing payment decisions. Medical Coding and EOB Analysis Review and interpret Explanations of Benefits (EOBs), including denials, corrections, recoupments, and other claim adjustments. Evaluate CPT codes, ICD-10-CM diagnosis codes, HCPCS codes, and CPT modifiers. Assess how modifiers and code combinations affect reimbursement outcomes. Apply knowledge of coding guidelines across multiple medical specialties. Identify coding inconsistencies, billing errors, and potential reimbursement discrepancies. Revenue Cycle and Reimbursement Analysis Apply knowledge of revenue cycle management, including claims submission, payment posting, denial management, appeals, accounts receivable, and underpayment identification. Review reimbursement methodologies and contractual payment requirements. Analyze reimbursement trends and identify opportunities for payment accuracy and revenue recovery. Evaluate complex claims and develop objective, evidence-based reimbursement determinations. Documentation and Written Determinations Prepare clear, accurate, professional, and well-supported payment determination letters. Explain the rationale behind reimbursement decisions using relevant coding guidance, payer policies, and supporting documentation. Ensure all findings and decisions are documented thoroughly and consistently. Maintain accuracy, impartiality, and attention to detail when preparing final determinations for distribution to clients and disputing parties. Compliance and Regulatory Awareness Follow applicable medical coding standards, billing requirements, and reimbursement policies. Maintain awareness of relevant healthcare regulations and compliance requirements. Apply knowledge of the No Surprises Act and its implications for healthcare billing and payment disputes, where applicable. Protect confidential healthcare and financial information. Required Qualifications Preferably 3–5 years of experience in medical coding, medical billing, reimbursement analysis, claims review, or revenue cycle management. Active or recognized medical coding certification, such as: Certified Professional Coder (CPC) through AAPC. Certified Coding Specialist (CCS) through AHIMA. Strong knowledge of CPT, ICD-10-CM, and HCPCS coding systems. Understanding of CPT modifiers and their impact on reimbursement. Demonstrated experience reviewing and interpreting EOBs, payer denials, recoupments, and claim adjustments. Strong understanding of healthcare revenue cycle management and reimbursement methodologies. Ability to analyze complex claims, identify discrepancies, and make well-supported payment determinations. Excellent written communication skills, including the ability to prepare formal, evidence-based determination letters. Strong analytical thinking, critical reasoning, and problem-solving abilities. Exceptional attention to detail, accuracy, and organizational skills. Ability to manage multiple assignments and meet deadlines in a fast-paced environment. Preferred Qualifications Experience conducting retrospective payment reviews or healthcare reimbursement dispute reviews. Broad knowledge of CPT coding across multiple provider specialties. Experience with underpayment identification, contract compliance, denial management, appeals, and revenue recovery. Familiarity with the No Surprises Act and related payment dispute processes. Experience evaluating complex reimbursement scenarios and preparing formal payment determinations. Associate degree from an accredited college or university. Education Requirements High school diploma or GED required. Associate degree preferred. Medical coding certification from a recognized organization, such as AAPC or AHIMA, is required.

Job Description Claims Specialist / Contract - Jericho or Albany, NY (#25349) Location: Jericho, NY or Albany, NY Employment Type: Full-time, Temporary/Contract (Monday to Friday) Hourly Rate: $44/hr 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 currently seeking a Claims Specialist to fill an opening with a Non-profit organization located in Jericho or Albany, NY. This assignment is ideal for a detail-oriented professional with a background in healthcare, business, or digital studies who thrives in a collaborative, fast-paced environment managing appeal and dispute adjudication programs. Requirements Qualifications: • Education: Must have a bachelor's or advanced degree in healthcare, business, management, digital studies, or a related field., • Experience: 2 years of collaborative project support is preferred; however, new graduates will be considered., • Technical Skills:, • Knowledge and experience with collaborative project management software, electronic documents, and design., • Familiarity with commercial off-the-shelf and custom software applications for tracking and case management., • Proficiency in Microsoft Office applications., • Soft Skills:, • Must have the ability to problem-solve and work collaboratively with peers, medical, analytical, and administrative support staff., • Must have excellent written and verbal skills, including phone manners., • Must have the ability to work independently with little supervision., • Must have the ability and desire to be flexible, innovative, and creative while multi-tasking., • Must have the ability to meet deadlines in a time-sensitive environment. Key Responsibilities: • Act as point-of-contact for appeal/dispute adjudication programs., • Liaise with healthcare plans, providers, patients, and clients to coordinate requests, correspondence, and submission of case documentation, as necessary., • Monitor appeal/dispute status and communication received on client portals., • Conduct initial eligibility reviews and recommend a course of action to internal team and department management., • Track and assign cases using commercial off-the-shelf and custom software applications., • Review and provide case documentation to assigned billers/coders, nurses, physicians and clinicians internal teams, and key stakeholders to facilitate clinical and coding reviews., • Monitor and measure key performance indicators including, but not limited to, timeliness, adherence to quality and accuracy standards, and deadlines for contract deliverables., • Identify barriers and roadblocks in work processes, recommend solutions to solve problems, and execute approved solutions., • Routinely present case/project status in huddles and scrums while using an agile, iterative approach to implementation and data presentation., • Schedule regular team status meetings and record decisions (e.g., assigned tasks and next steps)., • Prepare billing invoices at the conclusion of cases, submit them to the Finance department, and liaise with accounting to track and trend payments, • Mentor and train new staff, at all levels, on process steps and case progression., • Other activities as may be deemed necessary Benefits Why Join Us? • Competitive Compensation: Earn a competitive rate of $44 per hour., • Comprehensive Benefits:, • 1 Week of Paid Vacation, • 6 Major Paid Holidays per year, • 5 Sick Days (40 Hours) subject to the provisions of the NYS Paid Sick Leave Act, • License Reimbursement after 1 year of employment, • Health insurance subject to plan eligibility requirements, • 401k Matching eligibility after 1 year of employment, • Benefits from Paychex, such as Payactiv, • GLHS is a great company to work for with 93% retention of employees 2 years+, excellent Google reviews, and a strong company culture., • Work Schedule: Full-time position, Monday to Friday., • Professional Growth: Gain valuable experience in claims management, appeal adjudication, and collaborative project work within a mission-driven organization., • Impactful Work: Contribute to a non-profit organization dedicated to improving healthcare processes and ensuring accurate claims adjudication that supports providers, patients, and healthcare plans.

Job Description OrthoNY is looking for a full-time Surgery Coordinator to join our Everett Road Ambulatory Surgery Center! In this role, you'll be the welcoming face of our ASC, keeping the front desk running smoothly while supporting surgical scheduling, patient registration, and day-to-day administrative workflow. If you're organized, a natural communicator, and thrive in a fast-paced clinical environment, this is a great opportunity to be part of something new from the ground up. Monday-Friday 8am-4pm, no weekends or holidays Position Summary As the first impression of our practice, the Surgery Coordinator pleasantly and professionally greets all patients with a high level of positive customer service. This role requires excellent organizational and communication skills to support the overall workflow and efficiency of the practice. Responsibilities: • Greets patients promptly in a pleasant manner, obtains required information, documents, and signatures (demographic info, required referrals, insurance cards and photo ID) from patient and enters into practice management system. Builds patient charts;, • Performs check-in process to notify clinical staff patient is ready to be seen;, • Collects any patient payments and posts payments into the practice management system and issues receipt. Balances and closed journals daily;, • Answers all incoming lines and directs calls to the appropriate Departments., • Schedules all patients for surgical procedures, including urgent cases, as needed;, • Ensures all needed parties have an up to-to-date schedule;, • Assist all co-workers with workflow, including filing;, • Sorts and reviews all incoming mail; ensures outgoing mail is handled in a timely manner;, • Other tasks and responsibilities as needed/assigned. Qualifications • High school diploma or equivalent required. College degree desired;, • One to three years of relevant work experience, preferably in a medical or healthcare setting;, • Experience with Surgical Scheduling preferred;, • Experience with billing and coding a plus;, • Proficient with Microsoft Office, electronic medical records and practice management systems desired;, • Ability to work in an independent and organized manner;, • Ability to build positive relationships and effectively communicate with all members of the healthcare team and patients including oral and written communication;

Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies.We guarantee 15-25 hours per week with an hourly pay of between $25 / hr.There is no payment required in order to apply or to work as an In-Home Usage Tester.You

This position is responsible for administering the complete client billing process, ensuring invoices are accurately prepared and distributed in a timely manner, maintaining organized billing records, and acting as the primary liaison for attorneys and clients regarding billing-related inquiries. Bi

Job Title: Neurology Physician Assistant.Location: Westchester County, New York.An established and growing neurology practice is seeking a dedicated Physician Assistant (PA) to join its collaborative team in a mixed inpatient and outpatient role.This position provides the opportunity to manage a bro

Call Center / Remote] - Anywhere in U.Competitive Hourly Pay / Health-Dental-Vision-Disability-AD&D-Pet / HSA + FSA / 401(k) matching / Paid time off / Wellness program / Employee assistance program - As a Customer Service Representative at Mercola, you will: Respond promptly and professionally to c

Call Center / Remote] - Anywhere in U.Competitive Hourly Pay + Bonus Eligibility / Health-Dental-Vision-Disability / 401k match / PTO / Paid training / Equipment provided - As a Customer Service Rep at Foundever, you will: Provide exceptional customer service to clients via phone, email, and chat s

Competitive Hourly Pay / Medical-Dental-Vision-Life-Disability / HSA-FSA / 401(k) Plan / Flexible PTO / Parental Leave - As a Customer Service Rep at Verisma, you will: Field client inquiries regarding release of information (ROI) requests for patient medical records while maintaining consistent ser

Competitive Hourly Pay / Health-Dental-Vision / Paid time off and company holidays / Opportunities for career growth - As a Customer Service Representative at Direct Meds, you will: Handle inbound customer inquiries with professionalism and efficiency; Resolve product, billing, and shipping issues p

Seeking participants for Focus Group and market research studies.Work part-time from home and earn up to $750 per week.Register to see if you are eligible.Administrative Assistant admin experience not required.Remote Work From Home Administrative Assistant Admin - Part Time Market Research Panelists

If you require an accommodation during any part of the application process due to a disability or medical condition, please contact us by email at. If you need accommodation for any part of the application process because of a medical condition or disability, please send an e-mail to.

Up to $27 per hour / Health, dental & vision / 401k / PTO / Paid training / Monthly internet stipend - As a Clinical Associate - Medical Assistant, you will: Assist in the daily operations of the medical office by providing support to physicians and other healthcare professionals; Perform administra

Experience and education: previous experience in multi institutional healthcare, medical education or research facility.

Seeking participants for Focus Group and market research studies.Work part-time from home and earn up to $750 per week.Register to see if you are eligible.Data Entry experience not required.Remote Work From Home Data Entry Clerk - Part Time Market Research Panelists.Our company is seeking individual