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Seeking a Physician Billing Insurance Follow-up Supervisor to work for a rapidly growing medical management company in the Farmingdale/Melville area. This position requires Medical Coding Certification, three (3) years or supervisory experience, three (3) years of Insurance Follow-up. As the Supervisor - Insurance follow-up you will act as liaison between departments, director, management and staff. Collects information related to operations of assigned area. Prepares regular summaries and reports for as appropriate. Performs follow-up on receivables and posting for patients and third party accounts. Duties and Responsibilities · Acts as liaison between upper Management and Staff. · Oversees the units daily work activities. · Conducts on job training and seminars · Maintains current AR and productivity reporting. · Provides scheduling of weekly work direction. · Implementation of quality control measures – HIPPA and laws of the medical field. · Assists in the implementation of approved administrative systems. · Monitors information related to operations. · Ensures billing is submitted accurately and timely. · Follow-up on open account receivables via phone calls to the carriers or their website(s). · Ensures accuracy of adjustments balances. · Assists internal and external customers regarding questions on third party billing. · Handles patient complaints to conclusion. · Recommends appropriate personal actions for staff. · Full knowledge of company policies and procedures. · Performs other job related duties as assigned or when necessary, and unrelated duties in times of emergency. Education and Experience · High School diploma and GED · College preferred · Minimum of 3 years experience in Supervisory capacity · Any appropriate combination of education and experience Knowledge and Skills · Knowledge of HIPPA Regulations and maintains current industry knowledge · Proficient in EPIC application · Full knowledge of the New York State Third Party Regulation · Credit and collections practices · Good organizational and communication skills · Computer literacy · Displays courtesy, tact, and diplomacy when dealing with employees, patients, physicians and outside institutions. Refers matters outside scope of own duties to appropriate others as needed. REQUIRED Licenses/Certifications: · Certified Professional Coder (CPC) or · Certified Coding Specialist (CCS) or · Certified Coding Specialist Physicians (CCSP)

Seeking a Certified Medical Coder with at least three (3) years of experience. This position will be working onsite in Melville. Essential Duties: • Analyze provider documentation for diagnosis, procedures, modifier, Date of service and Place of service following billing and coding guidelines., • Code and/or validates all outpatient service area, Diagnosis, E&M and Modifiers meeting productivity levels of 90-100 charts per day. Not limited to number of transactions filed., • Codes Inpatient, ASU and Surgical chart, edit and or validate the physician procedures according to services performed, meeting productivity levels 65 charts not limited to number of transaction filed., • Review assigned work-queues charts to ensure all CPT and/or HCPCS charge codes are accurate based on physician documentation., • Reviews and keeps updated with all physician billing, and coding guidelines., • Assists physician in assigning CPT codes that represent treatment provided., • Review Telemedicine Grid per Insurance to ensure proper billing., • Full knowledge of National Correct Coding Initiative (NCCI) to review and resolve NCCI edits for Part B physician billing Claim Edits., • Full knowledge of company policies and procedures., • Maintains confidentiality of patient information as per hospital policy, • High School Diploma or General Education Degree (GED), • College Preferred, • Certified Professional Coder (CPC) or, • Certified Coding Specialist (CCS) or, • Knowledge of company operating systems, • Full knowledge of CPT and ICD-10-CM coding, • Computer proficiency in MS Office (Word, Excel), • Ability to work under normal supervision performing duties in an area where procedures are standardized but independent decisions required, • Excellent written and verbal communication skills, • Knowledge of billing guidelines, • Ability to work with all employment levels in a collaborative manner including physicians, • Ability to multitask

Job DescriptionSalary: $23 per hour Catholic Charities of Long Island models the love of Jesus by offering dignified and compassionate care to poor and vulnerable neighbors of every faith and background. In-person service at more than 50 sites throughout Nassau and Suffolk counties is inspired by the Gospel call affirming the sacredness of every human life. CCLI is looking for a part-time Billing Clerk with a generous heart and a desire to contribute to the well-being of others to carry out our mission on Long Island. By joining our team, you will share in the joy of providing care with dignity and life with hope. Responsibilities: • Collect, validate, and post client payments and charges into Billing System including checks, money orders, and credit card payments., • Process, track and address client credit cards charges including failed or declined transactions., • Review Electronic Medical Record (EMR) data for accuracy. Complete corrections as needed., • Run daily billing queries and data audits, analyze results, generate summary reports, and distribute., • Review, verify, and correct insurance information. Coordinate with program staff and insurance representatives to resolve discrepancies, missing documentation, or payment issues, • Prepare billing vouchers, statements, and supporting paperwork for internal and external review., • Complete routine mailings, including invoices, statements, and other billing-related documents Qualifications: • Associates degree in any field or certificate in Medical Billing, • Experience with medical billing systems (e.g., billing software, claims processing platforms)., • Electronic Medical Records (EMR) experience - reviewing, verifying, and correcting client data., • Microsoft Access experience (preferred)., • Advanced Excel skills, e.g. Coding Formulas, sorting/filtering data, creating reports. Schedule: Part time 15 hours per week flexibility on setting work schedule Rate of Pay: $23 per hour. This rate of pay serves as a good faith estimate. Actual pay is based on a number of factors which may include a candidates qualifications, skills, competencies, experience and work location. The salary range or rate listed does not include any differential pay or other forms of compensation, such as the value of benefits, which may be applicable to this position.

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 Position Summary The Billing Representative for Progressive Oral Surgery assists the Billing Manager with the overall operations of the organization's billing department. A billing representative must have strong analytical and communication skills to manage clients' accounts, as well as comprehensive knowledge on the accounting industry to explain the payment terms and policies of an organization to a client. Duties and Responsibilities • Analyze and correct claim denials and rejections, • Post and monitor Explanation of Benefits (EOB), enter insurance payments and EOBs into patient charts, • Reconcile accounts receivable ledger, • Post payments to general ledger and conduct daily cash reconciliation, • Identify billing issues and account errors and report directly to Billing Manager, • Monitor write-offs and other ledger adjustments, • Manage incoming/outgoing mail, answering phones, and responding to emails, • Organized and precise data entry, documentation, and coding for patient accounts, • Review patient statements for accuracy, completeness and obtain any missing information, • Handle confidential patient information with professional discreet, • Review, modify, document denial reason code, correct and regenerate denied claims, • Maintain communication with assigned Insurance Provider Representatives on any claim issues that may arise, • Answer all patients or insurance telephone inquiries pertaining to account information, • Strive to provide a superior patient customer service, • Provides support to front desk inquiries related to insurance participation and fee schedules, • Process and correct all returned or undeliverable mail, • Ensure all clients remain informed on their outstanding debts and deadlines, • Process weekly e-statements for outstanding patient balances and process and send accounts to collection agency when necessary, • Correspond with the collection agencies and provide all additional information requested, • Maintain and process all recurring monthly payment plans, • Process patient reimbursements and insurance overpayments, • Reconciles all web-based patient payments and post to patient ledger, • High School Graduate/GED, • Fluency in English (reading and writing), • Knowledge of dental or medical billing/collections/insurance terminology, • Knowledge of basic accounts receivable and accounting principles, • Proficiency in computer operations including MS Excel, • Excellent written/verbal communication skills, • Ability to handle multiple accounts and multiple priorities effectively with strong attention to monetary detail, • Ability to understand dental terminology and insurance breakdowns, • Knowledgeable with HMO and PPO dental insurance plans, • Demonstrated ability to manage time and prioritize projects to meet deadlines, • Outstanding organizational skills, • Ability to work independently and collaboratively

Job Description Alliance Health Group is seeking a detail-oriented and experienced Medical Biller to join our corporate revenue cycle team. Supporting a growing network of skilled nursing facilities, this role plays a key part in ensuring accurate billing and timely reimbursements across our organization. Responsibilities: * Prepare and submit Medicare, Medicaid, and private insurance claims * Ensure accuracy in coding, documentation, and resident data * Follow up on unpaid or denied claims and resolve billing discrepancies * Collaborate with facility staff to gather needed documentation and resolve billing issues * Maintain detailed records and generate billing reports as needed * Assist with audits, compliance reviews, and process improvements Requirements: * 1–2+ years of medical billing experience, preferably in long-term care or SNF settings * Knowledge of Medicare/Medicaid billing and regulations * Familiarity with billing systems such as PointClickCare or MatrixCare is a plus * Strong organizational skills and attention to detail * Ability to work independently and as part of a corporate team What We Offer: * Competitive salary based on experience * Full benefits package including medical, dental, vision, PTO, and 401(k) * Hybrid work model with flexibility and occasional on-site visits * Supportive and collaborative corporate culture * Opportunity for growth within a respected and expanding healthcare organization If you’re a billing professional ready to grow your career with a mission-driven company, apply today to join Alliance Health Group! IND456

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

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

Job Description Epic Physician Billing Analyst (Professional Billing) Location: Hicksville, NY (Hybrid) Position Type: Full-Time, Mid-Senior Level Industry: Computer Software / Health Care IT The Opportunity We are seeking a specialized Epic Physician Billing Analyst (Professional Billing) to lead the configuration, optimization, and maintenance of the Epic Professional Billing (PB) module. In this critical role, you will ensure the integrity of the healthcare revenue cycle, managing the complex workflows that translate clinical services into accurate patient billing and maximum reimbursement for healthcare providers. As a Mid-Senior level professional, you will bridge the gap between financial operations and IT, ensuring that the Resolute Professional Billing module is finely tuned to meet the specific business needs of a high-volume healthcare environment. Key Responsibilities Revenue Cycle Configuration & Maintenance * System Architecture: Lead the configuration and customization of the Epic Professional Billing application, including the Charge Router, Benefit Engine, and Workqueue structures. * Lifecycle Management: Build, test, and migrate system changes to production, ensuring seamless updates and maintenance of the Resolute PB module. * Vendor Integration: Manage and optimize workflows for external collection agencies and statement processing vendors. Workflow Optimization & Strategic Analysis * Efficiency Design: Analyze existing financial workflows to identify bottlenecks and implement "leading practice" solutions that enhance departmental efficiency. * Stakeholder Collaboration: Act as a strategic liaison between Finance, IT, and clinical leadership to ensure the Epic system aligns with evolving business operations. Expert Support & Troubleshooting * Technical Lead: Act as the primary point of contact for end-users, troubleshooting complex errors related to claims processing, reimbursement, and claim scrubbers. * EMR Integration: Support the integration of revenue cycle processes within the broader Epic EMR ecosystem. * On-Call Support: Provide expert troubleshooting and resolution during rotating on-call shifts. Compliance, Training & Innovation * Regulatory Oversight: Ensure system compliance with industry transitions (e.g., X12 4010 to 5010) and coding standards (CPT, ICD-10). * Knowledge Transfer: Educate end-users on PB workflows and develop comprehensive internal documentation and procedures. * Release Management: Assess the impact of new Epic releases and provide strategic recommendations for the implementation of new features. Required Qualifications * Education: Bachelor's degree in Computer Science, Information Technology, Computer Engineering, or a related field. * Experience: Minimum of 5 years of relevant experience in Healthcare IT or Revenue Cycle management. * Certification: Current Epic Professional Billing (PB) Certification is mandatory. * Industry Knowledge: Deep expertise in medical billing codes (CPT, ICD-10), insurance procedures, and the specific nuances of professional vs. hospital billing. Necessary Skills * Technical Mastery: Advanced proficiency in Epic PB modules, including Workqueue configuration, Benefit Engines, and Estimates. * Analytical Problem Solving: Ability to troubleshoot complex financial data discrepancies and system errors. * Communication: Strong interpersonal skills with the ability to translate technical billing configurations into clear business outcomes for stakeholders. * Tools: Expert proficiency in Microsoft Office Suite, including Excel, Visio, and Project. Compensation & Benefits * Salary Range: $121,000 – $150,000 (Based on experience) * Work Environment: A hybrid model offering the flexibility of remote work alongside the collaborative benefits of an on-site presence in Hicksville, NY. Note: This position is based in Hicksville, NY. Visa sponsorship and relocation assistance are not available for this role.

Job DescriptionBenefits: • 401(k), • Free uniforms, • Competitive Compensation, • Great Work Environment Responsibilities • Assist 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 Description: (HYBRID) • Physician Billing Analyst (also known as an Professional Billing Analyst) is responsible for the configuration, maintenance, and optimization of the Professional Billing module within a healthcare organization., • This role is vital for ensuring accurate patient billing, claims processing, and reimbursement for services provided by individual healthcare providers, such as doctors or therapists. Key Responsibilities: • System Configuration and Maintenance:, • Configure and customize the Professional Billing application to meet the specific business needs and workflows of the organization., • Maintain the Resolute Professional Billing module to manage charges, benefit engines, and workflows with external collection agencies., • Perform ongoing maintenance and updates to applications., • Build and test system changes, presenting them to end-users and migrating them to production., • Workflow Analysis and Optimization:, • Analyze existing financial workflows and identify opportunities for improvement and optimization., • Design and implement leading practice workflows to enhance efficiency and effectiveness., • Collaborate with various stakeholders, including IT, finance, and end-users, to ensure the system aligns with business operations., • Support and Troubleshooting:, • Act as the primary support contact for Professional Billing application end-users., • Provide support to end-users on the EMR system, including integrating revenue cycle processes such as maintaining claim scrubbers and payment processors., • Troubleshoot system errors and resolve issues related to billing, claims, and reimbursement., • Provide on-call support on a rotating basis., • Training and Education:, • Participate in training and educate end-users on the Professional Billing application and related workflows., • Develop and document internal procedures for using and other applications., • Compliance and Updates:, • Stay current with technologies, obtain and maintain necessary certifications., • Ensure compliance with industry standards and regulations, such as transitioning between different claim formats (e.g., X12 4010 to 5010) and coding systems (e.g., ICD-9 to ICD-10)., • Review and assess the impact of changes and enhancements with each new release and make recommendations for the best course of action. Essential skills and qualifications: • Education and Certification:, • Bachelors Degree, preferably in Computer Science, Information Technology, Computer Engineering, or a related field., • Certified in Professional Billing., • Technical Skills:, • Expertise in Professional Billing module, including charge router, workqueue configuration, collection agency workflows, statement processing, benefit engine, and estimates., • Experience with system configuration and troubleshooting tools., • Proficiency with Microsoft Office Suite (Word, Project, Excel, Visio, and PowerPoint)., • Healthcare Industry Knowledge:, • Strong understanding of healthcare revenue cycle processes, medical billing codes, and insurance procedures., • Familiarity with the differences between professional billing and hospital billing., • Knowledge of medical coding systems like CPT and ICD-10., • Soft Skills:, • Strong interpersonal relationship skills and effective communication skills (both oral and written)., • Analytical thinking and problem-solving abilities., • Attention to detail and accuracy., • Self-motivated and a team player.

Job Description WHO WE’RE LOOKING FOR Spectrum Vision Partners (SVP) partners with OCLI Vision (OCLI) to deliver world-class eye care. SVP supports OCLI, one of the largest multi-specialty ophthalmology networks in the U.S. Our collaborative culture is built one hire at a time—and we’re focused on building a team people want to join and patients can’t live without.We want to learn about your experience, your strengths, and the positive, flexible mindset you’ll bring to our team. THE OPPORTUNITY The Manager, Compliance Audit is responsible for enterprise-wide oversight of billing and coding compliance for clinical services, as well as ensuring timely audits of our transportation, EMR access, and termination procedures. This role ensures adherence to federal and state regulations through auditing, real-time monitoring, education, documentation, corrective action planning, and reporting aligned with the organization’s Compliance Program. This is a role for someone with a strong auditing background as auditing makes up about 80% of this role. WHAT YOU’LL DO • Lead prospective and retrospective billing and documentation compliance audits across clinical operations, • Design audit methodologies, tools, sampling techniques, and risk-based monitoring programs, • Analyze physician coding patterns, documentation practices, denials, and reimbursement trends, • Identify compliance risks related to CPT, ICD-10-CM, HCPCS, and modifier usage, • Prepare formal audit reports, compliance investigation summaries, and executive-level metrics, • Develop, implement, and monitor corrective action plans; evaluate effectiveness and sustainability, • Perform ongoing compliance monitoring related to OMIG, CMS, OIG, payer requirements, and sanction/exclusion screening, • Support annual compliance risk assessments and compliance work plans related to coding, billing, and documentation, • Develop and maintain compliance policies, workflows, and education materials, • Deliver provider and staff education on regulatory guidance, documentation standards, and audit findings, • Serve as a subject matter expert and front-line compliance resource for clinics and revenue cycle teams, • Maintain current knowledge of regulatory updates, advisory opinions, and enforcement trends WHAT YOU’LL NEED • Bachelor’s degree or 10+ years of related experience, • 5+ years medical coding experience & 3+ years auditing experience, • 2+ years in a compliance department, • 2+ years managing staff, • Strong Microsoft Office and project management skills, • Knowledge of Fraud, Waste & Abuse laws, • Skilled in auditing, education feedback, and regulatory documentation, • Analytical, detail-oriented, trustworthy team player, • CPC certification required, • Healthcare compliance/privacy certifications preferred WHO WE ARE Our team includes leading experts in ocular medicine with decades of combined experience. With nearly 1,400 employees, we support 50+ clinic locations, five state-licensed ambulatory surgery centers, and 110+ surgeons and medical professionals across brands such as OCLI Vision, Island Eye Surgi-Center, New Vision Cataract Center, and AIO. OUR COMMITMENT TO DIVERSITY We foster a diverse, inclusive, and bias-free workplace where all employees have equal opportunity to succeed. We prohibit harassment and discrimination of any kind and expect the same commitment from our partners and team members.

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, • Infusion Buy and Bill Medication coding necessary

GENERAL RESPONSIBILITIES: Responsible for the general coding validation and verification and preparation of independent dispute resolution reviews from external state and federal agencies in accordance with reporting requirements. This position is on onsite role with potential opportunity for some remote work after successful completion of training/introductory period. DUTIES: • Validate and verify submitted codes for DRG validation., • Apply national coding standards and regulations to the claims and clinical data., • Provide subject matter input and support agency-wide projects., • Other duties as assigned. SCHEDULE: Monday-Friday 8am-5:30pm (40 hours a week) LOCATION: Jericho, New York (in office position) PAY: $36-45/hr DURATION: long term open ended contract (includes benefits, sick time, 401k, weekly pay) QUALIFICATIONS: • Excellent interpersonal and communication (written and verbal) skills with the ability to successfully communicate and interact with all internal and external parties., • The ability to relate effectively with medical, technical, analytical and administrative personnel., • The ability to work independently, as well as in a team environment., • Proficient in the use of standard EHR applications, office technology and Microsoft applications including Word, Excel, and PowerPoint., • Ability to handle sensitive and confidential information., • Licensed Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or Certified Coding Specialist (CCS)/ Certified Coding Specialist Physician (CCS-P) required., • Technical knowledge of coding and DRG validation with CPT, HCPCS experience and ICD-10 certification required., • Minimum of two (2) years of experience abstracting and coding of outpatient medical records for billing. EDUCATION & EXPERIENCE: • Licensed Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or Certified Coding Specialist (CCS)/ Certified Coding Specialist Physician (CCS-P) required., • Bachelor’s Degree in healthcare administration or Health Information Management preferred (Associate's degree at minimum), • Technical knowledge of coding and DRG validation with CPT, HCPCS experience and ICD-10 certification required., • Minimum of two (2) years of experience abstracting and coding of outpatient medical records for billing., • Experience in utilization reviews preferred.

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

Job Description POSITION: Patient Services Clerk DEPARTMENT: Health Centers LOCATION: Levittown Health Center STATUS: Full-Time (35 hours a week), Non- Exempt, Monday through Friday hours based on health center hours or operations, some evenings, occasional weekends. Hourly Pay: $20 per hour General Description: The position of Patient Services Clerk is a full-time appointment requiring a minimum of 35 hours of service per week to the College. Function: • Reports to the Director of Clinical Operations., • Support the Mission of the College., • Collaborate with the Dean of Clinical Education, Assistant Dean of Clinical Education, Billing Manager, Assistant Billing Manager, health center staff, and other members of the College faculty, staff, and administration. Specific Duties and Responsibilities: • Greet and sign-in patients when they arrive for their appointment. Ensure patients complete the necessary paperwork upon arrival., • Record and track referrals as necessary. Ensure appropriate insurance paperwork is filled out and submitted as required., • Verify patient coverage and co-payments via telephone or carrier website., • Have an understanding of medical insurance, CPT, and ICD-10 coding, verifying insurance benefits., • Actively supports clinicians and students as an enthusiastic participant in departmental meetings and actively identify ways to improve processes and service to patients., • Perform all duties within HIPAA regulations., • Assist with the hardship Account program for patients – execute proper paperwork and maintain timely documentation per episode of care. Communicate with clinicians and patients regarding status., • Assist with annual execution of the Patient Financial Policy with patients., • Identify any issues related to OIG requirements and follow reporting as required., • Optimize provider schedules and patient satisfaction with efficient scheduling., • Answer telephones, schedule patient appointments, take and relay messages as needed., • Collect payment from patients for services provided or any supplies that are purchased., • Enter information from the Patient Encounter Sheets into Electronic Health Records system (EHR)., • Assist with inventory management of nutritional supplements and other retail items., • Assist with the washing and drying of health center laundry., • Make copies and duplicate files for clerks and clinicians. Maintain an adequate supply of clinic forms., • Promote and enforce the policies and procedures of the health center., • When opening the health center, retrieve messages, and ensure the desk is ready to open., • Secure all rooms in the health center at the end of the day., • May be responsible for closing out the cash drawer at the end of the day if working nights or weekends., • Assist in distribution of materials during orientation., • Any other duties as assigned. Service Role: • Participate in College committees as requested. Methods of Accountability: • Verbal and written communications with the Dean of Clinical Education, Assistant Dean of Clinical Education, and Billing Manager., • Compliance with OIG and HIPAA protocols., • Written feedback from student clerks and other College consumers., • Annual performance evaluation from the Director of Clinical Operations. Mental and Physical Requirements: • Effective and professional verbal and written communication skills., • Responsible judgment., • Professional and pleasant demeanor., • Basic proficiency in EHR., • Ability to manage stressful situations in a fast-paced, multi-task work environment., • Ability to maintain high degree of confidentiality., • Maintain a professional relationship with faculty, staff, and students. Education, Training, and Experience: • High school diploma or equivalent required, and previous experience working in a medical office recommended., • Customer Service skills and experience preferred. Northeast College of Health Sciences is committed to creating a culture of diversity, equity, inclusion, and belonging with our college campus community. In support of our institutional values, we acknowledge each person’s unique experience, perspective, and ability as contributions that both enrich our community and enhance the professions and people we serve. As such, the College is dedicated to providing equitable opportunities to all future and current employees, including those belonging to groups that have been historically underrepresented in higher education. If you are interested in applying for this position; please submit a cover letter of interest, resume and contact information for three professional references to: the Office of Human Resources, 2360 State Route 89, Seneca Falls, NY 13148, or e-mail your response to: • Employment is subject to the favorable result of a background investigation and where applicable, confirmation of appropriate degrees and credentialing. Northeast College of Health Sciences is an Equal Opportunity employer and does not discriminate against students or employees on the basis of age, race, color, creed, gender, sexual orientation, or handicapping conditions (or any other protected status) in its educational programs, financial aid, activities, admissions and employment practices.

Job DescriptionBenefits: • Opportunity for advancement Responsibilities • Greet patients warmly and provide exceptional front desk customer service, • Schedule, confirm, and reschedule patient appointments using EMR systems such as Dentrix,, • Verify insurance coverage and perform insurance verification processes, • Collect payments and process medical billing using CPT coding, ICD-9/10 coding, and Meditech or Athenahealth systems, • Manage patient records accurately within Electronic Health Record (EHR) systems while maintaining HIPAA compliance, • Answer multi-line phone systems professionally, handle patient inquiries, and provide appointment reminders, • Review documentation for accuracy and completeness, including care plans and medical records, • Assist with intake procedures, including collecting patient information and updating medical histories, • Maintain organized filing systems for dental records and administrative documents, • Support office management tasks such as inventory management, filing, and data entry using Microsoft Office tools, • Ensure compliance with health information management standards and dental terminology protocolsExperience, • Prior experience in a dental or medical office setting is highly preferred, especially with dental terminology, insurance verification, and medical billing processes, • Proficiency with dental practice management software such as Eaglesoft or Dentrix is essential., • Strong knowledge of HIPAA regulations., • Excellent computer skills. Microsoft Office Suite, and multi-line phone systems are necessary, • Bilingual abilities are advantageous to serve diverse patient populations effectively, • Demonstrated customer service skills with a professional phone etiquette background in healthcare settings are essential, • Previous clinic experience or medical administrative support experience will be considered an assetThis position offers an opportunity to be part of a dedicated healthcare team committed to providing outstanding patient care while developing your skills in a dynamic environment. Job Type: Part-time Work Location: In person

Job Description A career that changes lives. SightMD is a rapidly growing integrated ophthalmic provider group, extending the reach of exceptional eye care to patients across New York, New Jersey, Pennsylvania, Connecticut and Massachusetts. With over 127 eye care providers and the convenience of 60 locations, our commitment to delivering unparalleled services is at the heart of everything we do. As we embark on our mission, we are actively seeking teammates who are eager to contribute to our legacy of eye excellence, a tradition that spans more than 50 years. Position Summary: The Front Desk Receptionist plays a vital role in ensuring the smooth operation of our medical practice by greeting patients, managing appointments, maintaining accurate patient records, and providing exceptional customer service. The Front Desk Receptionist must possess strong organizational, communication, and problem-solving skills, with the ability to handle administrative duties, support the medical team, and contribute to an overall positive patient experience. Job Duties & Essential Functions: Patient Interaction & Front Desk Support • Greet patients upon arrival with a professional, courteous, and welcoming demeanor., • Register new patients and verify billing, insurance, and demographic information at each visit., • Inform patients of office procedures, policies, and documentation requirements while ensuring HIPAA compliance., • Keep patients updated during their visit regarding wait times or scheduling changes., • Schedule, reschedule, and confirm appointments in accordance with physician availability., • Follow up on no-shows and cancellations per practice policy and ensure proper appointment follow-up., • Verify insurance eligibility and obtain prior authorizations or necessary external reports., • Ensure all referrals and required patient documentation are on file after visits., • Open and close the clinic as needed, ensuring readiness and security., • Accurately collect and reconcile daily payments, including copays, deductibles, and outstanding balances., • Maintain and manage patient records with a high level of accuracy and confidentiality., • Stay knowledgeable of monthly promotions and communicate them to patients., • Keep the reception area clean and organized, including arranging chairs, updating magazines, and clearing personal items., • Actively participate in ongoing education and training through classes, webinars, or other professional development opportunities., • Maintain strict adherence to HIPAA regulations by safeguarding patient privacy and ensuring the confidentiality of all health information., • High School diploma or equivalent required, • One (1) year of experience in a medical office or customer service environment., • Strong customer service skills with a professional and friendly demeanor., • Excellent organizational, time management, and multitasking abilities., • Skilled in problem-solving with attention to detail., • Basic computer proficiency. Work Schedule: • $22.00 Benefits: We aim to take care of our teammates the same way we take care of our patients. All SightMD employees receive the following benefits: • Medical/Dental/Vision Insurance, • Prescription Drug Coverage, • Company Paid Term Life Insurance & Long-Term Disability, • Supplemental Insurance Benefits, • Employee Assistance Program (EAP), • Retirement Plan - 401(k), • Paid Time Off (PTO), • Paid Holidays, • Career Development Programs, • All benefits are subject to eligibility requirements. Equal Employment Opportunity Statement: SightMD is an equal opportunity employer and does not discriminate on the basis of race, color, national origin, religion, creed, age, disability, sex, gender identity or expression, sexual orientation, familial status, pregnancy, predisposing genetic characteristics, military status, domestic violence victim status, criminal conviction, and all other protected classes under federal, state and local laws. If you are an individual with a disability and need a reasonable accommodation for any part of the application process, or in order to perform the essential functions of a position, please contact People Services at .

Job Description FRONT DESK RECEPTIONIST Full Time New York, NY The “TRUE HEALTH” and HEALTHCARE FOR ALL WOMEN OB-GYN. is a for-profit healthcare organization with 7 health centers, providing primary care and preventative medicine in the following locations in Nassau County, Queens, and Brooklyn. As privately qualified health centers, we serve the individuals in our communities, providing enhanced services, expanded hours and reduced prescription pricing, while raising the level of care. We treat patients regardless of income, residency, or immigration status. The TRUE HEALTH offers a stable employment opportunity with a growing company, and competitive base compensation along with health and dental insurance, paid time off, 401-K with company match, paid holidays, employee discounts and much more. Our Mission The mission of TRUE HEALTH is to provide access to equitable, comprehensive, optimal healthcare by improving the overall wellness of all individuals in our communities and delivering high quality extensive patient centered care. Our Vision Creating healthier communities by transforming the health care system one person at a time. JOB TITLE: Front Desk Receptionist REPORTS TO: Practice Manager/Administrative Manager The following statements reflect the general duties, responsibilities and competencies considered necessary to perform the essential functions of the job and should not be considered as a detailed description of all the work requirements of this position. About the Role: The Medical Receptionist plays a crucial role in ensuring the smooth operation of our healthcare facilities located in Brooklyn, Fresh Meadows, and Great Neck. This position is responsible for managing patient interactions, scheduling appointments, and maintaining accurate patient records, which are essential for providing high-quality healthcare services. The Medical Receptionist serves as the first point of contact for patients, creating a welcoming environment and addressing inquiries with professionalism and empathy. By efficiently handling administrative tasks, the Medical Receptionist contributes to the overall patient experience and supports healthcare providers in delivering effective care. Ultimately, this role is vital in fostering a positive relationship between patients and our healthcare team, ensuring that all administrative processes run seamlessly. Minimum Qualifications: • High school diploma or equivalent., • Proven experience in a medical office or healthcare setting., • Strong organizational skills and attention to detail., • Excellent communication and interpersonal skills., • Certification as a Medical Administrative Assistant., • Experience with medical billing and coding., • Bilingual abilities to assist a diverse patient population., • Familiarity with HIPAA regulations and patient privacy practices., • Previous experience in a fast-paced healthcare environment., • High school diploma or equivalent required, • Bilingual in English and Spanish/Creole required, • Proficient computer skills (i.e., Microsoft Office & Outlook), • Good customer service and communication skills, • Ability to multitask and pay attention details, • One (1) year clerical experience in a medical setting preferred, • Greet patients and visitors in a friendly and professional manner., • Manage appointment scheduling and confirm patient visits., • Maintain and update patient records and ensure confidentiality., • Handle phone calls, respond to inquiries, and provide information about services., • Process patient insurance information and assist with billing inquiries., • Promptly greets, assists, and directs patients and visitors in a pleasant and professional manner., • Responsible for patient check-in, registration, and check-out., • Instructs patient/guardian of documentation required for visit. On subsequent visits, verifies demographic and billing information to ensure accuracy., • Obtains patient demographic and insurance information, verifies insurance eligibility, and enters accurate information in the electronic health record., • Provides patients with an explanation of all registration forms, obtain patient/guardian signatures on required consents and acknowledgements, and scan all accurately completed registration forms in the electronic health record., • Navigates through insurance portals and accurately interprets coverage information such as the plan coverage description, copayment, primary care provider, etc., • Verifies whether a referral or pre-authorization of medical necessity is required for visit., • Assists patients with changing their primary care provider if applicable., • Enters eligible patients into the sliding scale program and enter all necessary information in the electronic record., • Collects and processes payment due for visit and complete the daily cash reconciliation process., • Schedules patients’ appointments in accordance with criteria established by the health center., • Performs appointment reminder calls and no-show calls., • Manages a large volume of incoming calls on a multi-line phone system. Handles all calls politely and professionally and refers calls to the appropriate staff member., • Communicates and coordinates with physicians and/or clinical staff to ensure timely patient care., • Records and relays messages to the appropriate staff member., • Opens, sorts, and distribute mail and faxes., • Performs other clerical duties such as filling, photocopying, and scanning of medical records., • Provides coverage in other departments or health centers as needed The required skills for this position, such as strong organizational abilities, are essential for managing multiple tasks efficiently, including scheduling appointments and maintaining patient records. Excellent communication skills are utilized daily to interact with patients, answer their questions, and provide them with necessary information about their healthcare services. Proficiency in electronic health record systems is critical for accurately documenting patient information and ensuring that healthcare providers have access to up-to-date records. Preferred skills, such as knowledge of medical billing and coding, enhance the Medical Receptionist's ability to assist with insurance inquiries and streamline the billing process. Additionally, bilingual abilities can significantly improve patient interactions, making healthcare more accessible to a diverse community. SALARY: $18.00/hour MORE INFORMATION: This is a non-exempt position. The TRUE HEALTH provides equal employment opportunities to all qualified individuals without regard to race, creed, color, religion, national origin, age, gender, marital status, sexual preference, and orientation, or non-disqualifying physical or mental handicap/disability in each aspect of the human resources function. Applicants as well as employees who are or become disabled must be able to perform the essential job functions either unaided or with reasonable accommodation. The TH shall determine reasonable accommodation on a case-by-case basis in accordance with applicable law.

PA Pain Management and Sports Med opening on Long IslandLocated in New Hyde Park, NY; 20m from ManhattanEmployedFull Time/PermanentSchedule: 9am -6pmMonday to Friday and occasional SaturdaysBilingual is a big plusStarting salary $120kSome Pain experience is preferred, new hires welcomeAfter training

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