Trabajos medical billing coding en White Plains, New YorkCrear alertas

Note : This is an educational program, not a job.Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market.Looking to start a rewarding career path in the healthcare industry? Use Dreambound to find a Medical Billing and

Advanced Practice Provider Educator White Plains, NY Full-Time Direct Hire Onsite (Mon Fri, 9am 5pm) Salary: $127,569 $189,774 DOE Comprehensive Benefits + Retirement Plan A healthcare organization in White Plains, NY is seeking an experienced NP or PA to serve as an Advanced Practice Provider Educator. This role focuses on onboarding, competency management, and ongoing clinical education for APPs across the organization. Position Overview The APP Educator will support new and existing PAs/NPs through structured onboarding, competency validation, and continuing education initiatives. This role collaborates closely with medical staff leadership, nursing, administration, and the Medical Staff Office. Essential Responsibilities Educate new and existing PAs/NPs on clinical diagnoses, procedures, and department-specific needs Develop, measure, manage, and sign off on clinical competencies Collaborate with the Medical Staff Office regarding Delineation of Privileges (DOP) Partner with Lead APPs to manage onboarding checklists Implement continuing education programs (lecture series, simulation lab, online resources) Serve as an ongoing clinical resource to APP staff Develop evidence-based standards of care, policies, and procedures Participate in committees, task forces, and organizational initiatives Provide education on billing, coding, and compliance Collaborate effectively across medical staff, nursing, care management, and administration Education & Experience Requirements Minimum 5 years of clinical experience required NP/PA education experience preferred Simulation experience preferred Certified in BLS and ACLS Proficiency in procedures per delineation of privileges Licensure Requirements Physician Assistant: Current New York State PA license Current National Certification Nurse Practitioner: Current NYS license as a Registered Professional Nurse Current NYS NP certification Current National Certification This is an excellent opportunity for an experienced APP looking to step into a leadership-focused educational role within a collaborative clinical environment in White Plains, NY.

Overview: To be part of our organization, every employee should understand and share in the Yale New Haven Health System Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day. What Makes This Opportunity Unique? • New Office Start Up, • Collaborate with leadership to design and refine clinical workflows, patient pathways, and scheduling models., • Participate in community outreach and relationship-building activities to support practice growth. Why Choose Yale New Haven Health? Excellent work environment Flexible schedules to ensure work-life balance. Keeping the patient at the center of everything we do, we focus on improving clinical care, outcomes, patient satisfaction, safety, value, clinical research, and education. Our efforts reach beyond the walls of our hospitals to care for our communities, too. Career Advancement Unlock your potential and embrace exciting opportunities for professional growth and career advancement within our esteemed healthcare system! Compensation Package Enjoy an enhanced compensation package, including a . If you're looking for a challenging and rewarding career where you can make a real difference, we want you on our team. Relocation Assistance We recognize how vital a smooth transition is, and with our relocation assistance, your journey can be seamless. Benefits- Competitive salary, comprehensive health, dental, and vision insurance. Pension plan matched tax-sheltered annuity plan and Roth contributions. Employment Perks- Employee wellness initiatives and support programs. Professional development and continuing education opportunities. Yale New Haven Health includes Yale New Haven, Bridgeport, Greenwich, Lawrence + Memorial, and Westerly hospitals; several specialty networks; and Northeast Medical Group, a physician-led multi-specialty group with over 1,000 physicians. Intriguing cities with something for everyone, whether you love arts, history, parks or delicious food. Responsibilities • Evaluate patients, and treat acute and chronic illnesses, • Orders, performs and interprets diagnostic tests, • Involves patients and their families in care and treatment decisions, • Creates treatment plans and completes orders in patient's charts, • Collaborates on improvements in care delivery and service with staff, other physicians and management, • Initiates appropriate specialty referrals, • Provides clinical information to the interdisciplinary team in a clear and timely manner, • Ensures that proper patient documentation is timely, accurate and complete, • Works with practice management to ensure proper compliance with billing, coding and CPT code assignment, • Achieves and maintains optimal patient access, • Provides interdepartmental medical consultation as requested, • Participates in the development of medical protocols, standard procedures and management of patients Qualifications EDUCATION Graduate from an accredited Nurse Practitioner or an accredited Physician Assistant Program. EXPERIENCE Prefer clinical working experience as a NP/PA within the given specialty/service line recommended, but none required. APRNs, PAs, CRNAs and CNMs are required to be appointed to the Affiliated Medical Staff of a YNHHS Hospital and credentialed through the Medical Staff process. Evidence of current competence to practice as an APRN, PA, CRNA, CNM via appropriate reference letters from physicians and other practitioners must be able to be obtained during the Medical Staff appointment process in order to be eligible. LICENSURE Active PA Certification by the National Commission of Certification of Physician Assistants (NCCPA), Connecticut State Physician Assistant License, ACLS/BLS Certified, when indicated for position profile DEA License, when indicated for pediatric position profile PALS, when indicated for neonatal care NRP Certification. Additional licensure, certifications and/or continuing education credits may be required during employment based on position and area of specialty. ORConnecticut State Registered Nurse License, Connecticut State Nurse Practitioner License, Board specialty certification, as appropriate for position profile ACLS/BLS Certified, when indicated for position profile DEA License, when indicated for pediatric position profile PALS, when indicated for neonatal care NRP Certification. Additional licensure, certifications and/or continuing education credits may be required during employment based on position and area of specialty. Additional Information To learn more, please email or schedule a time to speak with our Family Medicine Physician Recruiter: Lee Bradford at You can also use the booking feature below to schedule a phone interview with Lee that is mutually convenient. Schedule a time to speak with Lee Websites: EEO/AA/Disability/Veteran YNHHS Requisition ID 170728

We are seeking a detail-oriented and experienced Medical Billing Specialist with a strong background in medical billing, coding, and insurance processes. The ideal candidate will be skilled in medical terminology, procedure coding, cost estimation, insurance appeals, and working within electronic health record systems. This role requires accuracy, excellent communication skills, and the ability to work with both patients and payers to ensure timely and correct reimbursement. This position may offer the opportunity to work from home, depending on experience and performance. Key Responsibilities: Accurately process and submit medical claims to insurance companies, government payers, and other third-party organizations. • Perform medical coding using ICD-10, CPT, and HCPCS standards for a variety of procedures and diagnoses., • Generate and communicate cost estimates for procedures based on insurance coverage and contract agreements., • Review and verify accuracy of billing data within EHR/EMR systems prior to claim submission., • Utilize EHR/EMR platforms (such as Epic, Meditech, PrognoCis) for documentation, coding, and billing workflows., • Research and resolve billing discrepancies or claim denials., • Prepare and submit insurance appeals, ensuring compliance with payer guidelines., • Communicate with patients regarding billing questions, payment responsibilities, and insurance coverage., • Maintain up-to-date knowledge of medical terminology, payer requirements, and compliance regulations (HIPAA, CMS, etc.)., • Collaborate with clinical staff and providers to ensure accurate coding and documentation within electronic systems., • Track accounts receivable and follow up on outstanding claims to maximize revenue. Requirements Qualifications: • High school diploma or equivalent required; Associate’s degree in Healthcare Administration, Billing & Coding, or related field preferred., • Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent certification strongly preferred., • Minimum of 2 years of experience in medical billing, coding, insurance follow-up, and working within EHR/EMR systems., • Strong knowledge of ICD-10, CPT, and HCPCS coding systems., • Hands-on experience with electronic health record (EHR) and electronic medical record (EMR) systems, including Epic, Meditech, and/or PrognoCis., • Familiarity with medical terminology, payer reimbursement guidelines, and healthcare regulations., • Experience creating cost estimates for medical procedures., • Skilled in preparing and submitting appeals for denied claims., • Proficiency with medical billing software and electronic health record (EHR) systems., • Strong attention to detail, problem-solving, and organizational skills., • Excellent written and verbal communication skills. Preferred Skills: • Experience with Medicare/Medicaid billing and commercial insurance., • Advanced knowledge of EHR/EMR workflows and system navigation., • Ability to work independently and manage multiple tasks in a fast-paced environment., • Customer service experience in a healthcare setting.

Are you ready to own something big? Automox is turning IT admins into IT heroes by replacing traditional tools with our award winning cloud-native endpoint management platform. Our product works autonomously and so do our teams. We value a ‘one team’ mentality where everyone’s unique skills contribute to an environment that encourages collaboration and ownership. At Automox you’re enabled to do your best work, grow your career, and have an impact that will be noticeable. WE ARE A_TOMOX… all that’s missing is U! This is an opportunity to join a nimble accounting team that values accuracy, ownership, innovation, and continuous professional development. We are looking for a detail-oriented Staff Accountant who is ready to take ownership of core accounting processes, identify opportunities for automation, and continue building their technical accounting skills. The Staff Accountant will support key areas of accounts payable, month-end close, audit readiness, and broader accounting operations. This role is ideal for someone who thrives in a fast-paced environment, takes ownership of their work, and brings a continuous improvement mindset to both accounting processes and day-to-day operations. WHAT YOU'LL BE DOING • Own key components of the full-cycle accounts payable process, including the AP inbox, vendor management, and invoice processing, while maintaining compliance with purchasing policies., • Partner with spend owners and Procurement to support purchase order management, resolve invoice inquiries, and drive timely purchasing-related follow-up., • Evaluate employee expense reports for appropriate documentation, approvals, coding, and adherence to company policies., • Validate virtual card, physical card, vendor bill, and employee expense activity for accurate coding and sufficient supporting documentation prior to syncing transactions to the ERP., • Support customer billing and contribute to accounts receivable activities, including cash application, collections, and other revenue-related processes as needed., • Own assigned month-end close reconciliations across key balance sheet accounts, including cash, prepaids, intangible assets, fixed assets, and accounts payable, ensuring balances are accurate, complete, and appropriately supported., • Prepare journal entries supporting day-to-day accounting activities and the month-end close, with clear and well-organized supporting documentation., • Perform quarterly flux analysis by researching underlying account activity, identifying key drivers, and providing clear explanations for significant changes., • Prepare and organize documentation to support external audit requests, including PBC schedules, supporting evidence, and follow-up inquiries., • Build strong cross-functional partnerships with Procurement, FP&A, IT, Marketing, and other internal teams to resolve accounting matters and keep processes moving efficiently., • Contribute to department KPIs such as close timeliness, accuracy, and overall process efficiency., • Proactively identify manual or inefficient accounting processes and contribute to scalable improvements through stronger workflows, system functionality, reporting, automation, and the thoughtful use of AI. WHAT YOU BRING TO THE TEAM • Bachelor’s degree in Accounting, Finance, or a related field required., • 2-4 years of accounting experience. Experience in a SaaS or technology company is a plus., • Intermediate to advanced Excel skills, including experience with complex spreadsheets, pivot tables, formulas, and data analysis., • Experience working in cloud-based accounting systems such as NetSuite, Airbase, or similar platforms., • A proactive mindset with strong attention to detail, follow-through, and a solutions-oriented approach., • Ability to prioritize multiple responsibilities and consistently meet deadlines in a fast-paced environment., • Enthusiasm for process improvement and automation, including the use of AI and other tools to reduce repetitive manual work. The salary range listed is the base pay range for this position. In addition, the total compensation package includes bonus, equity and benefits. Actual earnings may be less or more depending on a candidate's direct experience, skills, industry knowledge, and location. Compensation $70,000 - $80,000 USD LOCATION We are a fully distributed company of remote employees. *Note: We currently don't hire in California or New York metro* ABOUT AUTOMOX Automox is the cloud-native IT operations platform for modern organizations. Our award-winning answer to modern IT operations and best-in-class results earned Automox four straight quarters of record growth. We are now trusted by more than 2,500 leading companies and MSPs worldwide, including NASA, Yale, Xerox, Allbirds, and Unicef. It makes it easy to keep every endpoint automatically configured, patched, and secured – anywhere in the world. The future of IT Operations is cloud-native – and right now. Will you join us? EMPLOYMENT AT AUTOMOX ✅ Must be able to pass a federal, state, county background check ✅ Complete a local in-person verification TOTAL REWARDS: Thrive with Us Competitive Salary Equity for Full-Time Employees 401K Match Flexible PTO, generous sick time policy Health & Wellness Comprehensive Health Plans with generous employer contributions 100% Company-paid Short Term/Long Term Disability and Life Insurance Company HSA Contribution: $100-$200 per month based on tier Happiness & Well-Being $25 per month Lifestyle Spending Account Internet Reimbursement - $50/month $500 Home office stipend ‍‍ $10k Adoption Benefit Comprehensive Family Planning Covered on Meritian Medical Plan We are committed to an inclusive and diverse company. Automox is an equal opportunity employer. We do not discriminate based on race, color, ethnicity, ancestry, national origin, religion, sex, gender, gender identity, gender expression, sexual orientation, age, disability, veteran status, genetic information, marital status, or any legally protected status. We are not able to sponsor work visas at this time.

MEDITECH experience required Multiple positions available – Speedy interview process! Support our healthcare partners & help them thrive at Meduit! Insurance Follow-Up Specialists are highly focused on the resolution of insurance processing errors and denials and work to resolve hospital and physician billing challenges. You will utilize your expertise in patient billing, claims submission, and payer guidelines (Medicare, Medicaid, &, commercial insurers) to effectively work with insurance companies, resolve issues, and ensure accurate and timely payments. If you're a skilled communicator eager to make a tangible difference in the healthcare ecosystem, apply today! • Process, monitor, and collection of Medicare, Medicaid, TRICARE, VHA, and other government insurance claims in accordance with payor requirements, • Verify accuracy of billing data and revise any errors, • Import/post payments from all Government payors, • Timely resolution of all claims including appeals, • Follow up on accounts for billing and on overdue accounts for collections via phone calls, re-submissions and adjustments for billing errors, • Work with personal information and maintain patient confidentiality, • Reduce outstanding accounts receivable by managing claims inventory  , • Gather, verify, and input patient demographic, clinical, and financial information from various sources to ensure accurate registration, billing, and eligibility for services, • Provide excellent customer service and timely response to questions and issues related to benefits, billing, claims, payments, etc.  , • Utilize various databases and specialized computer software for revenue cycle activities including eligibility verifications, pre-authorizations, medical necessity, review/updating of patient accounts, etc.  , • Explain charges, answer questions, and communicate a variety of requirements, policies, and procedures regarding patient financial care services and resources to patients, staff, payors, and clients, • Integrity, • Communication, • Problem-solving, • Teamwork, • High School Diploma/GED, • Meditech expertise, • 4 years of Denials Management experience, • 4 years Medical Billing/Follow-up experience, • 3 years of Medicare, Medicaid, or other government payor experience, • Proficiency in medical coding (ICD-10, CPT, HCPCS), • Proficiency with billing software and electronic health record systems, • Pay: $20-22/hour, • Schedule: 8am-5pm Central, Mountain, or Pacific Time Zone, • Location: Remote, • Paid Training: 3 weeks, • Internet Speed Test: Download speed of 30MB or higher & upload speed of 10MB or higher are REQUIRED. (you can test your speed here: _), • Background check: As a condition of employment, a pre-employment background check will be conducted., • At this time, we are unable to consider candidates residing in the state of New York for this position What we offer: • Steady work schedule (remote), • Full comprehensive Paid Training Program (3+ weeks), • Medical, Dental, and Vision insurance, • HSA and FSA available, • 401(K)plans with company match, • PTO and Paid holidays, • Employer paid life insurance and long-term disability, • Internal company growth What we do: Meduit was born out of a drive for excellence and a passion for improving revenue cycle management (RCM) for healthcare organizations and the patients they serve. To achieve our goal, we need you! Employees are the cornerstone of our success. As one of the nation’s leading RCM solutions companies, we partner with hospital and physician practices in 48 states to provide excellent and compassionate patient engagement. We focus on the payments so our clients can focus on their patients, by living our core values: Integrity, Teamwork, Continuous Improvement, Client-Focused, and being Results-Oriented. You can find out more about Meduit at www.meduitrcm.com. Meduit is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, religion, sex, age, national origin, disability, military status, genetic information, sexual orientation, marital status, domestic violence victim status or status as a protected veteran or any other federal, state, or local protected class. #LI-Remote

About Binance.US: Binance.US is a licensed and regulated U.S. cryptocurrency exchange where users can buy, trade, hold, and earn digital assets. Recognized as a top U.S. crypto platform by Forbes (Best Crypto Exchanges of 2026) and Business Insider (Best Crypto Exchanges of 2025), leads the industry with its low fees, advanced trading engine, strong security and reliability, and robust compliance framework. Learn more at . All roles supporting _ are employed via BAM Management US Holdings Inc. or BAM Management Canada Holdings Inc. About This Role: The Senior Accountant is part of the Controllership team, within the broader Finance department, and reports to our Manager, Corporate Accounting. As Senior Accountant, you will be responsible for the execution in accounting for Balance Sheet and Income Statement areas within OPEX, such as: AP, T&E, accruals, prepaid expenses and payroll. You will help lead and perform month-end close and audit procedures and own the Accounts Payable function end-to-end. You will partner with key cross-functional departments like Treasury, FP&A, Legal, Marketing, Compliance and People teams to ensure that our books and records are complete and accurate. Core Responsibilities: Support month-end and year-end close by preparing OPEX accruals, prepaid schedules, expense allocations, payroll journal entries, and balance sheet reconciliations. Collaborate cross-functionally with departments such as Treasury, FP&A, Legal and People to ensure the accuracy and completeness of financial data. Provide support during internal and external audits by preparing documentation and offering necessary explanations. Assist in developing, implementing, and maintaining accounting policies and internal controls. Assist in preparing monthly, quarterly, and annual financial statements and reports, including flux analysis. Develop, maintain, and improve accounting workpapers to support financial analysis, reporting, and process automation. Own end-to-end Accounts Payable, including vendor setup, purchase order issuance and invoice matching, invoice processing, and weekly AP payment cycles. Process one-off and ad-hoc payments that require judgment and discretion. Manage vendor relationships and resolve billing discrepancies to maintain accurate and up-to-date vendor accounts. Review GL coding on T&E and credit card transactions and attach supporting documentation as needed. Participate in projects and respond to ad-hoc financial requests as needed. Preferred Skills/Experience: Bachelor’s Degree in accounting; CPA license preferred 3-5 years of accounting experience; public accounting experience preferred. Crypto accounting experience is a plus Direct experience performing detailed and data intensive reconciliations Excellent analytical and problem-solving abilities High attention to detail and accuracy in all financial processes Ability to work independently while maintaining effective collaboration with team members Strong organizational skills, with the ability to prioritize multiple tasks and meet deadlines Solid communication and interpersonal skills to liaise across departments Intermediate to advanced Excel skills Experience with, Mac OSX, GSuite and ERP such as Netsuite preferred Salary: The starting pay range for this role is between USD $115,000 and $130,000 for all U.S. remote locations. The actual base pay will vary, and is dependent upon many factors, such as transferable skill sets, work experience, business needs, and market demands. The base pay range is subject to change. Our Mission: At _, our mission is to create a more inclusive financial system through Web3 technologies. As a U.S. regulated crypto platform, we’re committed to earning trust through compliance and empowering people to do more with their money, bringing financial freedom within reach for all. Our Values: Our values shape how we work, make decisions, and support our users every day: Act with Integrity: We do what’s right, even when no one is watching. Be Collaborative: We work together with respect and transparency to achieve shared goals. Customers First: We listen to, advocate for, and prioritize our users in every decision we make. Do the Work: We take ownership, follow through, and deliver results that move the mission forward. Embrace Change: We stay adaptable and curious, thriving in a fast moving industry. Our Benefits: We believe in supporting our people with flexibility, balance, and opportunities to grow. One of the ways we demonstrate this commitment is through our benefit offerings. Time & Family: Unlimited PTO (for salaried FTE roles); 12 weeks fully paid Parental Bonding Leave. Well-Being: Mental wellness benefits; free 1:1 virtual visits with a licensed mental wellness professional; comprehensive competitive health benefits. Remote-First Culture: Fully remote, cameras-on culture with work-from-home equipment reimbursements available to new hires. Professional & Financial Growth: Annual professional development budget; free 1:1 virtual visits with a career coach; 401k plan with employer match. BAM Management US Holdings Inc. and BAM Management Canada Holdings Inc. are Equal Opportunity Employers and comply with all applicable federal, state, and local fair employment practice laws. Our mission is to give our customers access to a broad array of digital assets, and we thrive because of the diverse and inclusive team that we are building. We do not discriminate against qualified employees, applicants, or any other covered persons because of race, color, religion, creed, gender identity, sex, sexual preference, sexual identity, pregnancy, national origin, ancestry, citizenship, age, veteran status, physical disability, mental disability, medical condition, military status, or any other applicable legally protected characteristic. Depending on your location, data privacy laws may regulate the way we manage the data of job applicants. Our full notice outlining how data will be processed as part of the application procedure for applicable locations is available _. By submitting your application, you are agreeing to our use and processing of your data as required. We comply with Federal Transparency in Coverage regulations by providing a link to machine readable files related to the health plans offered to our employees. The machine-readable files are formatted to allow researchers, regulators, and application developers to more easily access and analyze data including negotiated service rates, and out-of-network allowed amounts between health plans and healthcare providers.

Description This role is for one of our clients Compensation: $40 - $50 per hour We are seeking experienced healthcare administrative professionals with deep, hands-on expertise in the operational and back-office functions that keep healthcare organizations running efficiently. This fully remote opportunity is ideal for individuals who understand the complete administrative lifecycle of healthcare operations—from patient registration and insurance verification to claims management, provider enrollment, and payment reconciliation. In this role, you'll contribute your real-world expertise to support the development of next-generation AI systems by documenting, evaluating, and improving complex healthcare administrative workflows. Your knowledge of day-to-day operations and industry-standard tools will help build AI solutions that accurately reflect real healthcare environments. Requirements Candidates should have hands-on ownership of one or more of the following operational functions: • Manage patient registration, scheduling, and appointment coordination., • Perform insurance eligibility verification and benefits interpretation., • Oversee patient intake and referral management processes., • Initiate, submit, and monitor prior authorization requests through payer portals., • Coordinate with providers and insurance companies to ensure timely approvals., • Submit insurance claims and monitor claim status., • Investigate denials, manage appeals, and resolve claim rejections., • Conduct accounts receivable follow-up to ensure timely reimbursement., • Process Electronic Remittance Advice (ERA)., • Post payments accurately and reconcile remittances with clinical charges., • Assist in payment reconciliation and financial reporting activities., • Manage provider credentialing and enrollment activities., • Support payer configuration and maintenance., • Handle provider and member services, appeals, and grievance processes., • Administer medical records and release of information requests., • Support daily medical office and practice administration activities., • Ensure documentation and operational processes remain compliant with organizational policies., • Minimum 3 years of hands-on experience in a healthcare administrative or back-office operations role., • Current employment within a healthcare administrative environment., • Strong working knowledge of industry-standard systems, including:, • Payer portals such as Availity, Optum/Change Healthcare, Waystar, Office Ally, or payer-specific portals including UHC Link, BCBS, and Aetna., • Electronic Health Record (EHR) and Practice Management systems., • Healthcare clearinghouse platforms., • Based in the United States., • Strong analytical, organizational, and communication skills., • Ability to accurately document and explain operational workflows. Candidates with experience in any of the following roles are encouraged to apply: • Practice Administrator, • Medical Office Manager, • Revenue Cycle Specialist, • Revenue Cycle Analyst, • Medical Billing Coordinator, • Full-Cycle Medical Biller, • Patient Access Lead, • Patient Intake Coordinator, • Referral Coordinator, • Prior Authorization Specialist, • Claims Resolution Specialist, • Denials Management Specialist, • Credentialing Specialist, • Provider Enrollment Specialist, • Health Plan Operations Professional, • Payer Operations Specialist, • Appeals & Grievances Specialist, • Provider Configuration Specialist, • Health Information Management (HIM) Professional, • Medical Records Administrator Note: This opportunity focuses on healthcare administrative and operational expertise rather than medical coding or direct clinical care experience. • Contribute to the development of next-generation AI solutions for healthcare administration., • Apply your real-world operational expertise to improve intelligent healthcare workflows., • Work remotely with a flexible schedule., • Collaborate on innovative projects that combine healthcare operations with advanced AI technology. We welcome applications from all qualified candidates regardless of legally protected characteristics and are committed to providing reasonable accommodations throughout the application and engagement process upon request. • Engagement is offered on an independent contractor basis., • This is a fully remote opportunity that can be completed according to your own schedule., • Project duration may be extended, shortened, or concluded based on project requirements and individual performance., • The engagement does not require access to confidential or proprietary information belonging to any current employer, client, or institution., • Payments are processed weekly through Stripe or Wise based on approved work completed., • Please note: Applicants requiring H-1B sponsorship or participating in the STEM OPT program are not eligible for this opportunity.

Job Title: Junior Revenue Cycle Management (RCM) Specialist Location: Remote - United States Employment Type: FT W2 Compensation: $35 per hour CareTalk Health is a virtual medical practice that specializes in Clinical Process Outsourcing (CPO). We partner with healthcare organizations to build and manage patient and member populations. About the Role We’re looking for a Junior RCM Specialist to support the full revenue cycle — from billing and credentialing through claims processing, payment posting, and accounts receivable follow-up. This is an ideal role for someone early in their medical billing or healthcare administration career who has a solid grasp of the insurance workflow and wants to grow in a fast-paced virtual care environment. The ideal candidate understands how claims move through the insurance lifecycle, has exposure to provider credentialing, and is comfortable managing accounts receivable. You’re organized, analytical, proactive, and at ease working across billing systems, payer portals, and cross-functional teams. Schedule: Monday - Friday Days What You’ll Do • Support claim submission to ensure timely, accurate billing, • Monitor claim status and follow up on unpaid or denied claims, • Assist with provider credentialing and payer enrollment, keeping documentation and records current, • Manage accounts receivable, including aging follow-up, collections, and resolution of outstanding balances, • Support denial management by identifying issues, documenting trends, and escalating complex cases, • Post payments, adjustments, and remittance information accurately, • Reconcile billing discrepancies and resolve account issues, • Verify patient eligibility, insurance information, and benefits as part of the insurance workflow, • Maintain documentation of billing activity, follow-up efforts, and account status, • Communicate with payers, vendors, and internal teams on claim issues and payment delays, • Help track key RCM metrics such as clean claim rate, denials, days in A/R, and collections, • Support process improvement efforts to increase efficiency and reduce billing errors, • Ensure all work complies with company policies and applicable healthcare regulations What We’re Looking For Required • 1–2 years of experience in revenue cycle management, medical billing, claims follow-up, accounts receivable, or a related healthcare administrative role (preferred), • High school diploma required; associate’s or bachelor’s in healthcare administration, business, finance, or a related field preferred, • Working knowledge of the insurance workflow: claims lifecycle, eligibility and benefits verification, EOBs/ERAs, and denial management, • Familiarity with provider credentialing and payer enrollment concepts, • Understanding of accounts receivable and A/R follow-up, • Familiarity with CPT, ICD-10, and HCPCS coding concepts preferred, • Experience with EHR, PM, billing, or payer portal systems is a plus, • Strong attention to detail and organizational skills, • Good written and verbal communication skills, • Ability to manage multiple priorities and meet deadlines in a remote environment, • Proficiency in Microsoft Excel, Google Sheets, and standard office tools Preferred • Eagerness to learn and grow within healthcare operations, • Problem-solving mindset with a willingness to investigate issues, • Ability to work independently while collaborating with a remote team, • Strong sense of accountability and follow-through, • Comfort in a dynamic, fast-growing organization Work Location Requirement This is a remote U.S.-based position. Employees must perform all work physically within the United States. International work is not permitted during scheduled work hours. Work Environment This is a remote position and may be “on camera” at any time. The Junior Revenue Cycle Management Specialist will work from a home office, requiring reliable internet connectivity and a secure, private workspace. Technical Requirements: Computer: Windows or Apple (macOS) Computer ONLY (NO Chromebooks, Linux Machines, or Smartphones) Must have at least Windows 10 or macOS 14 Sonoma. Hardware: Processor: Intel Core i5 or AMD Equivalent (Windows); Apple Silicon (Macs) RAM: 16 GB Headphones: Wired headphones required for optimal audio quality. (NO built-in mics) Internet Speed: Meet minimum internet speed requirements (100 MBPS download speed and 50 MBPS upload speed). Must have an ethernet cable connecting computer directly into router. Browser and System: Use Google Chrome with Amazon Workspaces (regardless of computer type). Webcam: A webcam is required for video calls. Most laptops have a built-in webcam, which is acceptable. If your computer does not have a webcam, you will need to use an external webcam. Recommended Equipment: A second monitor is highly suggested for laptop users; dual monitors for PC users. Why CareTalk Health • Opportunity to grow with an innovative national virtual care organization, • Exposure to a wide range of revenue cycle operations and healthcare workflows, • Collaborative, mission-driven remote work environment, • Competitive compensation and benefits package, based on experience CareTalk Health is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. California applicants: Please review our California Applicant Privacy Notice at Collection before applying. The notice explains the categories of personal information we collect, how we use and retain it, whether we sell or share it, and your privacy rights under California law: _

Job Description REQUIREMENTS · A minimum of 2 years of medical billing experience, including filing claim appeals · Strong organizational skills and attention to detail · Proper phone etiquette and communications skills, both verbal and written · Appropriate computer hardware including secure Wi-Fi and double monitors, to temporarily work a hybrid schedule from home due to COVID RESPONSIBILITIES · Reviews insurance payments for accuracy based on agreed upon fee schedules · Prepares and sends appeals for underpaid or incorrectly denied claims · Makes follow up calls to insurance carriers on outstanding balances · Answers patient telephone calls during business hours · Completes other daily tasks as assigned \nCompany Description Our company provides anesthesia practice management services for approximately 500 anesthesiologists and certified registered nurse anesthetists in the Tri-state area. We are affiliated with Northwell Health, New York’s largest health care provider and private employer. Our AMS staff has over thirty years of experience and expertise handling the business operations for anesthesia groups. We specialize in billing and coding, revenue cycle management, credentialing support, and quality reporting. Our current volume is over 200,000 anesthesia cases per year and is projected to grow. We are always looking for strong team players who can succeed and thrive in a production-driven environment. We have a reputation in our industry for performing at the highest level. Our company provides anesthesia practice management services for approximately 500 anesthesiologists and certified registered nurse anesthetists in the Tri-state area. We are affiliated with Northwell Health, New York’s largest health care provider and private employer. Our AMS staff has over thirty years of experience and expertise handling the business operations for anesthesia groups. We specialize in billing and coding, revenue cycle management, credentialing support, and quality reporting. Our current volume is over 200,000 anesthesia cases per year and is projected to grow. We are always looking for strong team players who can succeed and thrive in a production-driven environment. We have a reputation in our industry for performing at the highest level.

Job DescriptionBenefits: • 401(k), • Competitive salary Medical Billing HOME HEALTHCARE Specialist /Office Personnel KLS Healthcare KLS Healthcare is seeking an experienced and detail-oriented Medical Billing Specialist to join our growing team of home care professionals. This role is responsible for managing billing, collections, and third-party reimbursement processes while ensuring accuracy and compliance, and is NOT limited to regular office staff duties. Key Responsibilities • Accurately enter charges, payments, and adjustments into the billing system and review batches for accuracy, • Verify patient demographics, insurance coverage, coding, and payment allowances, • Prepare and submit claims and correspondence to insurance carriers and patients for reimbursement, • Respond to telephone inquiries, audits, and written correspondence related to accounts receivable, • Establish payment arrangements with patients as needed, • Maintain organized billing files and documentation, • Track and maintain daily, weekly, and monthly fee collection records, • Perform other office-related duties as assigned Qualifications • Prior experience with third-party insurance billing required, • Strong attention to detail and organizational skills Ability to manage multiple tasks in a fast-paced healthcare environment • Excellent communication and customer service skills, • Knows Medical Billing Codes Compensation Additional Salary Information: The salary range and/or hourly rate listed reflects a good-faith estimate of potential base compensation at the time of posting and may be adjusted in the future. Compensation is determined based on factors such as location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget, and internal equity.

Job Description Job Title: Jr. Medical Billing Lead Reports to: National Billing Manager Supervises: Billing Specialists assigned to portfolio Position Summary The Jr. Medical Billing Lead owns the financial performance, claim quality, and client relationships for an assigned portfolio of medical billing clients. This role manages a smaller portfolio than the Senior Regional Medical Billing Leads while maintaining established performance standards within the assigned portfolio. The Jr. Medical Billing Lead also provides day-to-day direction and support to Billing Specialists assigned to those accounts and helps maintain service levels as new client volume grows. Key Performance Areas & Key Performance IndicatorsRevenue Performance (30%) • Own collections performance for the assigned client portfolio, including underpayments and appeals., • Work aged A/R based on revenue impact, prioritizing high-dollar balances and accounts at risk of timely filing., • Identify revenue leakage from missed charges, underpayments, and payer contract variances., • Escalate contract-level issues to the National Billing Manager., • Review payment posting and adjustment accuracy for assigned accounts.Claim Quality & Compliance (25%), • Drive first-pass claim acceptance through front-end edits, payer rule maintenance, and scrubber configuration., • Categorize denials by root cause and implement corrective action at the source rather than reworking claims individually., • Maintain compliance with payer requirements, coding standards, and applicable billing regulations for assigned accounts., • Escalate systemic compliance risks and high-dollar exposure to the National Billing Manager without delay.New Client Onboarding & Transition (15%), • Absorb newly onboarded accounts and bring them to steady-state billing performance., • Coordinate with implementation, credentialing, and coding teams to configure billing workflows for new accounts., • Validate payer setup, fee schedules, and claim configuration before first submission and go-live., • Document account-specific billing requirements and maintain accurate client records.Team Oversight & Quality Assurance (15%), • Audit a monthly sample of Billing Specialist work for accuracy and adherence to billing standards., • Provide day-to-day direction, training, and workflow support to assigned Billing Specialists., • Address performance gaps directly and escalate unresolved issues to the National Billing Manager., • Support onboarding and cross-training of new billing staff.Client Relationship Management (15%), • Lead scheduled client meetings for assigned accounts, with National Billing Manager support during initial account transitions and for escalated or at-risk accounts., • Deliver monthly performance reporting covering collections, denials, and A/R, including commentary on variances and corrective actions., • Resolve billing disputes with clients and payers promptly and document resolutions., • Escalate at-risk accounts to the National Billing Manager as soon as risk is identified.Minimum QualificationsEducation, • Bachelor’s degree in Accounting, Finance, Healthcare Administration, or a related field, or equivalent medical billing experience.Required Qualifications, • Minimum of three years of experience in medical billing or revenue cycle, including direct ownership of client accounts and A/R follow-up., • Working knowledge of CPT, ICD-10, and HCPCS coding., • Knowledge of payer adjudication rules, denial management, and applicable billing regulations., • Demonstrated ability to guide, train, and hold accountable a remote or geographically dispersed team., • Proficiency with billing software, clearinghouse platforms, and financial reporting tools., • Ability to interpret A/R aging, denial, and collections data and take appropriate action based on findings., • Ability to work independently and manage competing priorities across multiple client accounts.Competencies Revenue Cycle Knowledge: Understands the full revenue cycle from charge capture through payment posting and appeals, including how decisions at each stage affect downstream collections. Operations Knowledge: Demonstrates a thorough understanding of operational procedures and their impact on other departments. Acts as an expert resource for others. Compliance Knowledge: Demonstrates extensive understanding of general and department-specific regulations, including payer requirements and coding standards. Serves as a compliance resource for the team. Analytical Judgment: Interprets billing data to distinguish isolated errors from systemic issues and prioritizes work based on revenue impact rather than volume. Client Management: Maintains professional communication and positive client relationships. Communicates performance results and unfavorable information candidly and without delay. Team Development: Builds morale and fosters collaboration toward shared objectives. Provides direct, specific feedback and holds staff accountable to defined standards. Computer Skills: Demonstrates a strong understanding of technology used in billing operations and consistently identifies opportunities to improve efficiency through technology. Physical Requirements The physical demands described below are representative of those required to successfully perform the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. • Physical Strength: Ability to stand and/or sit for periods of time. May be required to walk, reach, lift, carry, and bend. Must be able to lift and/or move up to 10 lbs. and occasionally more than 10 lbs., • Finger Dexterity: Ability to perform small movements with the fingers, including typing, handling small objects, and similar activities., • Talking: Ability to accurately convey information verbally to clients and other employees., • Hearing: Ability to hear average or normal conversations and receive ordinary information., • Visual Abilities: Requires close vision, distance vision, peripheral vision, depth perception, and the ability to adjust focus. Employer reserves the right to change this job description at any time should business needs arise.

Job Title: A/R Specialist Department: Revenue Cycle Management Reports to: A/R Manager FLSA Status: Non-Exempt Dental Account Receivable Specialists! ProSmile, the premier Dental Service Organization in the NJ/MD/PA tristate area is currently offering career opportunities working on our Revenue Cycle Management team. If you have experience in Dental Insurance Collections this might be the right role for you! THIS JOB IS 100% REMOTE but must be available to work Eastern Time Zone Responsibilities: • Responsible for accurately working Insurance AR accounts and exhausting all efforts to quickly resolve unpaid dental claims., • Ensures all dental insurance related duties are completed in a timely and accurate manner to ensure excellent patient relations and financial success for the Practices., • Achieves collections goals by effectively managing accounts receivable, prioritizing account reviews and utilizing time management skills., • Assists team members as needed with payment and insurance processes, • Prioritizes daily workload to efficiently work claims based on $ amount and timely filing deadlines., • Ensures all claims are working prior to payor timely filing deadlines are hit., • Performs root cause analysis across multiple claims issues and various payors to ensure timely resolution for patients., • Serves as a liaison between insurance carriers, staff and patients to resolve any concerns., • Facilitates resolution of accounts by working with the dental office to obtain necessary information in a timely manner, • Treats confidentiality of patient data with utmost importance., • Performs miscellaneous job duties as assigned QUALIFICATIONS:, • Minimum of three years’ dental collections experience., • Experience reading and interpreting dental EOB's., • Demonstrated knowledge of CDT codes., • Knowledge of PPO, and Medicaid plans., • Detail-oriented, independent thinker with critical thinking skills is a must., • Understands dental terminology, explanation of benefits, dental billing protocols and coding importance., • Exhibits good working knowledge of Excel for reporting, productivity tracking, etc., • High School diploma or GED required Benefits Summary At ProSmile, we are committed to supporting the health and well-being of our employees and their families. We offer the following benefits for Full Time Benefits Eligible Positions (35+ hours per week) and Part Time Benefits Eligible Positions (30-35 hours per week): • Medical Insurance: Choice of five comprehensive Aetna medical plans, including options with low copays, deductible-sharing, and national provider networks., • Dental Insurance: MetLife plans offering preventative, basic, major, and orthodontic coverage options., • Vision Insurance: Davis and UHC vision plans with annual exams, eyewear allowances, and contact lens benefits., • Flexible Spending & Health Savings Accounts: Pre-tax savings accounts for medical, dependent care, and healthcare expenses., • Life & Disability Insurance: Employer-paid basic life and AD&D insurance, with voluntary life, short-term, and long-term disability plans., • Additional Perks:, • Employee Assistance Program (EAP), • Identity Theft & Fraud Protection, • Legal Support Services, • Discount Programs (including pet insurance, travel, theme parks, electronics, etc.), • Wellness Programs, • Financial Wellness and Planning Tools Physical/Mental Demands and Work Environment The physical demands described are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to stand, walk and use hands and arms to operate general office equipment (PC, telephone, file cabinets, copier, fax machine and printer). The employee may occasionally lift and/or move between 10 and 25 pounds. Specific vision abilities required by this job include close vision and ability to adjust focus. The employee may need to travel to healthcare practices. The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. The noise level in the work environment is usually low to moderate. The Company reserves the right to modify the job description based upon its needs and may require the employee to perform functions beyond those mentioned above. Neither this job description nor any other communication creates an employment contract between the Company and the employee. Equal Employment Our culture encourages individual development, embraces an inclusive environment, rewards innovative excellence, and leads in provider and patient satisfaction. Prosmile values diversity, inclusion, and equity as matters of fairness and effectiveness. We are committed to hiring and retaining a staff that reflects the diversity of the communities we serve, fostering an inclusive working environment where staff of all backgrounds feel welcomed and engaged. ProSmile is an Equal Opportunity Employer and encourages applications from individuals underrepresented in the medical sector, including people of color, and persons with non-traditional work and educational experience. All who believe they meet the stated qualifications are invited to apply. Company Safety We believe that the best care for our patients starts with the best care for our employees. ProSmile is committed to proactively creating and maintaining an environment that is safe for our team and patients. Employees are required to wear Personal Protective Equipment (PPE) including face masks, gloves, gowns, and more as needed and in accordance with CDC standards.

It’s the people that make the difference. Are you ready to make your impact? Midwest Orthopaedics at Rush, with locations in Chicago and the Western Suburbs, is nationally recognized as a leader in comprehensive orthopedic services. The physicians of Midwest Orthopaedics at Rush have received specialized training in orthopedic surgery and in subspecialty areas within the field of orthopedic medicine and can diagnose and treat even the most complicated and rare musculoskeletal conditions. The Orthopedic Program at Rush University Medical Center is ranked Top 10 in the nation by U.S. News and World Report. Midwest Orthopaedics at Rush doctors are the official team physicians for the Chicago White Sox, Chicago Bulls, Chicago Fire Soccer Club and DePaul University Athletics. Ready to join? We are seeking a full-time Collections Specialist to join our team. In this role you will be responsible for processing insurance claims, managing patient accounts, resolving unpaid or rejected claims for orthopedics patients, resolving overpaid claims, capturing and investigating denial trends and collaborating with the team lead and/or management to help resolve the challenging claims . You will maintain accurate claim and account information, respond to account inquiries from both the patient and the practice, and document all patient interactions. We are looking for a candidate with expertise in BCBS payor. This position offers the opportunity to work remotely. Candidate must be flexible to travel to the corporate office in Westchester, IL for training and as needed for team meetings. Essential Duties and Responsibilities include the following. Other duties may be assigned. • Analyzes authorizations, claims, explanation of benefits, correspondence, payor website and/or any additional information necessary to identify the next appropriate action toward payment resolution. Follows commercial payor guidelines to ensure complete and timely follow-up on open balances for assigned payors or accounts in a timely manner. Performs appeals, underpayment appeals, and disputes by following commercial, payor appeals guidelines or contracted terms. Utilizes payor contracts and fee schedules to perform underpayment appeals or collaborates with the practice to obtain medical necessity appeals documentation. Assists with tracking appeals outcomes. • Contacts patients or appropriate payor representatives via phone or electronically to resolve claims and/or coordinate benefits and submits claim in the correct filing order. Works to identify other payors when possible and ensures all payors and filing order is correct in the practice management system. Collaborates with the team lead to identify patterns and interpret denial trends. Notifies Manager when insurance plans deny services, which are covered based on the contract terms, government regulations, third party agreement or patient’s benefit plan. • Works to minimize write-offs by exhausting all resolution options and performing thorough research/review of all appropriate resources. Adjusts account or requests write- offs adhering to MOR policies and procedures., • Reviews denial reports and makes recommendations for billing or claim submission changes based on claim denials., • Research payor and government websites and/or medical resources, to identify payor claim requirements required to resolve open accounts receivable., • Collaborates with Coding Team or physician to resolve coding related denials and submits all coding related corrected claims and/or appeals., • Targets and reports any internal procedures or processes that may negatively impact or increase days in accounts receivable or delay claims resolution. Interact with patients and commercial payors to respond to billing requests as appropriate. • Assists call center representatives with physician practice or patient requests by providing claim information and/or claim status to call center representative to correctly respond to patients, • Meets productivity and quality standards., • Documents using standardized note format all payor, attorney, and/or third party follow-up and account resolution activities in the practice management system, • Remains current with trends, regulatory requirements, and business strategies related to the revenue cycle, • Operates in compliance with all local, state and Federal laws as well as Company policy and compliance standards, • Other duties and responsibilities as assigned Education and/or Experience • High School Diploma or equivalent; Associates or Bachelor’s Degree preferred 3-4 years of related experience in a business office or on a revenue cycle team; Preference given for physician or medical group CMS 1500 experience • Expertise in government, commercial and/or third party payor claims submission, denial resolution, and appeals processes, • Experienced with patient accounting systems – Athena preferred, • Medical terminology required for accurate claims processing, • Knowledge of CPT, HCPCS, and ICD coding systems What’s in it for you? MOR offers their employees a comprehensive compensation and benefits package. Pay Range: $22.00 - $24.00 per hour. Compensation at MOR is determined by many factors, which may include but are not limited to, job-related skills and level of experience, education, certifications, geographic location, market data and internal equity. Base pay is only a portion of the total rewards package. • Quarterly Bonus Incentives, • Medical, Dental and Vision Insurance., • Paid Time Off and Paid Holidays., • Company-paid life and long-term disability insurance., • Voluntary life, AD&D, and short-term disability insurance., • Critical Illness and Accident Insurance., • 401(k) Savings Plan., • 401(k) Employer Contribution., • Pet Insurance., • Commuter Benefits., • Employee Assistance Program (EAP)., • Tax-Advantaged Accounts (FSA, HSA, Dependent Care FSA)., • HSA Employer Contribution (when enrolled in a HDHP)., • Tuition Reimbursement., • Continuing Education of up to $2,500 annualized., • Excellent working relationship with prestigious group of physicians in Orthopedics in the US and #1 in Illinois and Indiana. Our employees make the difference in our patients’ lives, and we value their contributions. Midwest Orthopaedics at Rush offers a comprehensive compensation and benefits package and an opportunity to grow and develop your career with an industry leader. Come see what we’re all about. Equal Opportunity Employer.

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day. Responsible for assisting physicians/providers with patient care, rooming patients, and performing clerical, environmental, and organizational tasks. Responsible for appointment scheduling and chart management. Provides information to patients so they may fully utilize and benefit from the practice services. Conveys a positive image of the practice. EEO/AA/Disability/Veteran 1. Performs patient care responsibilities as assigned. 1.1. Identifies self to patient/family and explains to patient/family the roles of each member of the care delivery team. 1.2. Accompanies patients to the exam/procedure room. 1.3. Prepares patients for visit. Typically includes vital signs, height, weight, blood pressure, EKG, specimen collection (where applicable), phlebotomy (where applicable), INR (where applicable), pulse oximetry, spirometry, etc. Documents medical and surgical history, family history, social history, problem list, and medications in EPIC. 1.4. Performs screening per physician/provider guidelines. 1.5. Assists physicians/providers with various procedures. 1.6. Obtain pre-authorizations when necessary. 1.7. Convey instructions to patients/family members/caregivers. 1.8. Provides appropriate resource materials and referrals to patient/family as instructed by physician/provider. 1.9. Maintains patient records effectively. 1.10. Efficiently manages and routinely checks the EPIC in-basket. 1.11. Answers and returns calls promptly and provides pertinent information., 2. Performs administrative responsibilities as assigned. 2.1. Sends/receives patient medical records and abstracts new patient records into EPIC. 2.2. Obtains lab/radiology reports, hospital notes, and referral information as requested. 2.3. Completes forms/requisitions as needed. 2.4. Cross-trained on front desk duties, including but not limited to greeting patients/visitors, answering calls, scheduling appointments, and maintaining/scanning patient medical records., 3. Performs environmental responsibilities as assigned. 3.1. Sets up instruments and equipment according to department protocol. 3.2. Applies principles of infection control. 3.3. Cleans exam/procedures rooms, instruments, and equipment between patient visits to maintain infection control following established department policy. 3.4. Cleans the sterilizer (when applicable) according to the scheduled maintenance program and maintains appropriate documentation. 3.5. Orders, sorts, and stores supplies following established department policy., 4. Performs other related organizational duties as assigned. 4.1. Maintains patient autonomy, confidentiality, and dignity. 4.2. Ensures providers submit timely and accurate billing. 4.3. Maintains knowledge of practice policy, HIPAA, current coding, OSHA regulations and CLIA regulations (where applicable). 4.4. Provides prompt attention to urgent and non-urgent patient issues as evidenced by observation and feedback from staff. 4.5. Quickly shares problems related to patients and/or staff with the supervisor. 4.6. Work with the Care Coordinator for Patient Centered Medical Home initiatives. 4.7. Attend and actively participate in staff meetings. 4.8. Collaborate in the development and delivery of programs and activities for individuals, families and population groups that promote health and prevent disease. 4.9. Collaborates in the development of and contributes to individual team and department quality improvement and evaluation activities. 4.10. Advocate on behalf of vulnerable individuals and populations. 4.11. Contribute to a work environment that fosters ongoing educational experiences for self, colleagues, healthcare professionals and members of the community. 4.12. Collaborate in developing a work environment where continuous quality improvements in practice are pursued. 4.13. Utilize appropriate methods for interacting effectively and professionally with persons of all ages and from diverse cultural, socioeconomic, educational, racial, and ethnic backgrounds, sexual orientations, lifestyles and physical abilities. 4.14. Coordinate efforts to gain patient and family feedback regarding their experiences of healthcare (focus groups, surveys, and other means) and participate in interventions which address articulated needs., 5. May assist and/or perform chaperone duties for patient medical procedures as needed., 6. May perform other duties as required. EDUCATION High School diploma or equivalent required. Must meet one of the following requirements: graduation from an accredited medical assistant (MA) certificate program or Phlebotomy program, certification as a certified nursing assistant (CNA), emergency medical technician (EMT), or paramedic. Employees who join YNHHS through a merger or acquisition may satisfy educational requirements by demonstrating the appropriate combination of education, relevant experience, and current competencies. EXPERIENCE Minimum of one (1) year of experience as a medical assistant (MA), certified nursing assistant (CNA), emergency medical technician (EMT), ambulatory care associate (ACA), patient care associate/technician (PCA/PCT), paramedic, or phlebotomist required. New graduates from an accredited medical assistant certificate program, with less than one (1) year of experience, will be considered. LICENSURE Certification/registration (CCMA/CMA/AAMA/RMA) preferred. Certification/registration may be accepted in lieu of graduation from an accredited MA school. Certification in Basic Life Support (BLS) preferred. SPECIAL SKILLS Ability to follow directions effectively and consistently. Demonstrates a mature, compassionate, and caring attitude, with sensitivity to the diverse needs of the patient population. Flexible and cooperative, with the capacity to adapt to changing demands of the role. Utilizes appropriate communication techniques to meet position requirements and foster positive interactions. Salary commensurate with experience: Min: $22.00 Max: $40.62

City/State: New Rochelle, New York Grant Funded: No Department: MNR Health Information Management Work Shift: Day Work Days: MON-FRI Scheduled Hours: 8:30 AM-5 PM Scheduled Daily Hours: 7.5 HOURS Pay Range: $104,000.00-$130,000.00 The Documentation Improvement Specialist maintains professional practice standards, clinical expertise, and demonstrates leadership skills. She/He participates in assigned projects designed to continually improve hospital performance targets at the medical center (e.g auditing, service line education, etc.). She/he is responsible for validating the integrity of the medical record documentation in the overall completeness, accuracy, specificity and timeliness of documentation through extensive medical record and query process interrogation. Conducts successful interventions related to documentation improvement and coding validation, and follows through with all software and supervisory recommendations based on their individual impact. Additionally, effective communication with appropriate clinical and coding staff, and utilization of all required computer programs and software is integral. Identifies, investigates, evaluates practices and processes to facilitate continuous improvement in complete and accurate medical record documentation while maintaining records and databases to quantify the deficits. Maintains knowledge of regulatory requirements and policies regarding required documentation impact on coding, and DRG assignments AND CMS AND NEW YORK STATE HOSPITAL QUALITY PERFORMANCE DATA PROGRAMS. Monitors key indicator metrics associated with CDI, as they relate to revenue cycle and quality outcomes. • Completes concurrent and retrospective validation of system output (principal diagnosis, pertinent secondary diagnoses, post-admission complications, Present on Admission Status (POA), Hospital Acquired Conditions (HACs), Patient Safety Indicators (PSIs), procedures, and electronic queries for accurate Diagnosis-Related Group (DRG) assignment and Case Mix Index (CMI), risk of mortality, and severity of illness)., • Provides routine in-services to assigned clinical areas/service lines regarding regulatory documentation requirements including feedback on the impact of clinician documentation on service specific metrics., • Participates in the analysis and trending of statistical data for specified patient populations to identify opportunities for performance improvement (i.e. : trends responses to queries and completion, service line statistics, population specific query opportunities), • Required consistent resource for clinical/service units; acts as a key support for physician and physician extenders on interpretation and application of documentation integrity, documentation standards, and other related actions and matters; provides complete follow-through on all requests for clarification., • Assists in the orientation and training of new staff members, and provides continual guidance and mentoring, as required., • Integrates management/leadership skills into daily clinical/administrative practice., • Collaborate with Health Information Management for review of denials based on clinical documentation queries and providing supporting documentation., • Performs auditing functions on staff, including revalidation of assigned accounts, queries, and producing reports/tallies of quality of work (e.g. accuracy rates, educational opportunities, query per review rate)., • In manager's absence, assists with preparation and presentation of clinical documentation monitoring/trending reports for review with physicians., • Implements and substantiates CDIS software recommendations, therefore augmenting end user actions and productivity., • Interfaces appropriately with software output for measurable outcomes and enhancement of the legal medical record., • Microsoft Excel, Power Point, 3M system application, Outlook, • Prior experience in training peers and expertise in group presentations, • Working knowledge of Medicare, and All Payer Refined, reimbursement systems and coding structures., • Self-motivated individual with cognitive thinking skills who is able to work independently with minimal supervision., • Intellectual curiosity and desire to learn new skillsKnowledge of age-specific needs and the elements of disease processes and related procedures., • Prior documentation improvement program is a plus., • 3 years leadership/supervisory experience, • Knowledge of coding concepts and related to coding or experience with hospital finance or hospital billing., • Excellent verbal and written communication skills, • Ability to work with providers, coders and other nurses, as well as the ability to problem solve and meet daily work productivity goals., • Teaching and presentation skills are required., • Excellent critical thinking skills are required., • OHS Annual Assessment, • Bachelor's Degree in a healthcare related field, • CERTIFICATION IN CODING AND DOCUMENTATION INTEGRITY WITHIN THREE YEARS OF EMPLOYMENT IN THIS POSITION WITH ONGOING MAINTENANCE OF SUCH CERTIFICATION, • 3 years minimum of healthcare experience, • CCS, CDIP, RN,PA, NP, MD, CCDS or trained Physician backgroundor greater that 5years DRG experience., • Master's Degree in a healthcare related field

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day. Responsible for assisting physicians/providers with patient care, rooming patients, and performing clerical, environmental, and organizational tasks. Responsible for appointment scheduling and chart management. Provides information to patients so they may fully utilize and benefit from the practice services. Conveys a positive image of the practice. EEO/AA/Disability/Veteran 1. Performs patient care responsibilities as assigned. Identifies self to patient/family and explains to patient/family the roles of each member of the care delivery team. Accompanies patients to the exam/procedure room. Prepares patients for visit. Typically includes vital signs, height, weight, blood pressure, EKG, specimen collection (where applicable), phlebotomy (where applicable), INR (where applicable), pulse oximetry, spirometry, etc. Documents medical and surgical history, family history, social history, problem list, and medications in EPIC. Performs screening per physician/provider guidelines. Assists physicians/providers with various procedures. Obtain pre-authorizations when necessary. Convey instructions to patients/family members/caregivers. Provides appropriate resource materials and referrals to patient/family as instructed by physician/provider. Maintains patient records effectively. Efficiently manages and routinely checks the EPIC in-basket. Answers and returns calls promptly and provides pertinent information., 2. Performs administrative responsibilities as assigned. Sends/receives patient medical records and abstracts new patient records into EPIC. Obtains lab/radiology reports, hospital notes, and referral information as requested. Completes forms/requisitions as needed. Cross-trained on front desk duties, including but not limited to greeting patients/visitors, answering calls, scheduling appointments, and maintaining/scanning patient medical records., 3. Performs environmental responsibilities as assigned. Sets up instruments and equipment according to department protocol. Applies principles of infection control. Cleans exam/procedures rooms, instruments, and equipment between patient visits to maintain infection control following established department policy. Cleans the sterilizer (when applicable) according to the scheduled maintenance program and maintains appropriate documentation. Orders, sorts, and stores supplies following established department policy., 4. Performs other related organizational duties as assigned. Maintains patient autonomy, confidentiality, and dignity. Ensures providers submit timely and accurate billing. Maintains knowledge of practice policy, HIPAA, current coding, OSHA regulations and CLIA regulations (where applicable). Provides prompt attention to urgent and non-urgent patient issues as evidenced by observation and feedback from staff. Quickly shares problems related to patients and/or staff with the supervisor. Work with the Care Coordinator for Patient Centered Medical Home initiatives. Attend and actively participate in staff meetings. Collaborate in the development and delivery of programs and activities for individuals, families and population groups that promote health and prevent disease. Collaborates in the development of and contributes to individual team and department quality improvement and evaluation activities. Advocate on behalf of vulnerable individuals and populations. Contribute to a work environment that fosters ongoing educational experiences for self, colleagues, healthcare professionals and members of the community. Collaborate in developing a work environment where continuous quality improvements in practice are pursued. Utilize appropriate methods for interacting effectively and professionally with persons of all ages and from diverse cultural, socioeconomic, educational, racial, and ethnic backgrounds, sexual orientations, lifestyles and physical abilities. Coordinate efforts to gain patient and family feedback regarding their experiences of healthcare (focus groups, surveys, and other means) and participate in interventions which address articulated needs., 5. May assist and/or perform chaperone duties for patient medical procedures as needed., 6. May perform other duties as required. EDUCATION High School diploma or equivalent required. Must meet one of the following requirements: graduation from an accredited medical assistant (MA) certificate program or Phlebotomy program, certification as a certified nursing assistant (CNA), emergency medical technician (EMT), or paramedic. Employees who join YNHHS through a merger or acquisition may satisfy educational requirements by demonstrating the appropriate combination of education, relevant experience, and current competencies. EXPERIENCE Minimum of one (1) year of experience as a medical assistant (MA), certified nursing assistant (CNA), emergency medical technician (EMT), ambulatory care associate (ACA), patient care associate/technician (PCA/PCT), paramedic, or phlebotomist required. New graduates from an accredited medical assistant certificate program, with less than one (1) year of experience, will be considered. LICENSURE Certification/registration (CCMA/CMA/AAMA/RMA) preferred. Certification/registration may be accepted in lieu of graduation from an accredited MA school. Certification in Basic Life Support (BLS) preferred. SPECIAL SKILLS Ability to follow directions effectively and consistently. Demonstrates a mature, compassionate, and caring attitude, with sensitivity to the diverse needs of the patient population. Flexible and cooperative, with the capacity to adapt to changing demands of the role. Utilizes appropriate communication techniques to meet position requirements and foster positive interactions. YNHHS Requisition ID 163323

Job Description Job Summary Prior Authorization TeemaGroup Full-time In-Office | White Plains, NY, United States Overview: The Prior Authorization & Billing Specialist plays a critical role in ensuring timely access to mental health services by managing insurance authorizations, billing processes, and reimbursement workflows. This position serves as a key liaison between clinical teams, insurance payers, and patients, ensuring services are authorized, accurately billed, and compliant with regulatory and payer requirements. This role is ideal for a detail-oriented professional passionate about supporting behavioral health access through strong administrative and revenue cycle expertise. What you will be doing: Prior Authorization & Utilization Management Obtain and manage prior authorizations for outpatient and inpatient mental health services, including therapy, psychiatry, psychological testing, and intensive programs. Review clinical documentation to ensure medical necessity and payer compliance. Submit authorization requests to insurance companies via portals, phone, or electronic systems. Track authorization approvals, denials, expirations, and extensions; proactively follow up to prevent treatment delays. Communicate authorization status clearly with clinicians, scheduling staff, and leadership. Assist with peer-to-peer reviews and appeals when authorization is denied or partially approved. Billing & Revenue Cycle Support Submit accurate and timely claims for mental health services to commercial, Medicaid, and Medicare payers. Verify insurance eligibility, benefits, and coverage limitations prior to services. Review Explanation of Benefits (EOBs) and remittance advice for accuracy. Identify, research, and resolve claim denials, underpayments, and rejections. Post payments and adjustments accurately when applicable. Maintain compliance with CPT, ICD-10, and modifier guidelines specific to behavioral health billing. Administrative & Compliance Responsibilities Maintain accurate patient authorization and billing records within electronic health record (EHR) and billing systems. Ensure compliance with HIPAA, payer contracts, and internal policies. Collaborate with clinical, administrative, and finance teams to optimize workflows and reduce revenue leakage. Monitor payer requirements, policy changes, and authorization rules related to mental health services. Prepare reports related to authorization turnaround times, denial trends, and billing performance. Perform other related duties as assigned. What you must have: Education and Experience High school diploma or equivalent required; associate or bachelor’s degree in healthcare administration or related field preferred. Minimum of 2 years of experience in prior authorization, utilization review, medical billing, or revenue cycle operations. Experience in mental health or behavioral health services strongly preferred. Knowledge, Skills, and Abilities Strong understanding of prior authorization processes and insurance requirements. Knowledge of behavioral health billing practices, CPT and ICD-10 coding, and payer guidelines. Excellent attention to detail and organizational skills. Ability to manage multiple priorities in a fast-paced environment. Strong written and verbal communication skills, including professional interaction with payers and clinical staff. Ability to work independently while collaborating effectively with a team. Proficiency with EHR systems, billing software, and Microsoft Office applications.

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day. Responsible for assisting physicians/providers with patient care, rooming patients, and performing clerical, environmental, and organizational tasks. Responsible for appointment scheduling and chart management. Provides information to patients so they may fully utilize and benefit from the practice services. Conveys a positive image of the practice. EEO/AA/Disability/Veteran 1. Performs patient care responsibilities as assigned. Identifies self to patient/family and explains to patient/family the roles of each member of the care delivery team. Accompanies patients to the exam/procedure room. Prepares patients for visit. Typically includes vital signs, height, weight, blood pressure, EKG, specimen collection (where applicable), phlebotomy (where applicable), INR (where applicable), pulse oximetry, spirometry, etc. Documents medical and surgical history, family history, social history, problem list, and medications in EPIC. Performs screening per physician/provider guidelines. Assists physicians/providers with various procedures. Obtain pre-authorizations when necessary. Convey instructions to patients/family members/caregivers. Provides appropriate resource materials and referrals to patient/family as instructed by physician/provider. Maintains patient records effectively. Efficiently manages and routinely checks the EPIC in-basket. Answers and returns calls promptly and provides pertinent information., 2. Performs administrative responsibilities as assigned. Sends/receives patient medical records and abstracts new patient records into EPIC. Obtains lab/radiology reports, hospital notes, and referral information as requested. Completes forms/requisitions as needed. Cross-trained on front desk duties, including but not limited to greeting patients/visitors, answering calls, scheduling appointments, and maintaining/scanning patient medical records., 3. Performs environmental responsibilities as assigned. Sets up instruments and equipment according to department protocol. Applies principles of infection control. Cleans exam/procedures rooms, instruments, and equipment between patient visits to maintain infection control following established department policy. Cleans the sterilizer (when applicable) according to the scheduled maintenance program and maintains appropriate documentation. Orders, sorts, and stores supplies following established department policy., 4. Performs other related organizational duties as assigned. Maintains patient autonomy, confidentiality, and dignity. Ensures providers submit timely and accurate billing. Maintains knowledge of practice policy, HIPAA, current coding, OSHA regulations and CLIA regulations (where applicable). Provides prompt attention to urgent and non-urgent patient issues as evidenced by observation and feedback from staff. Quickly shares problems related to patients and/or staff with the supervisor. Work with the Care Coordinator for Patient Centered Medical Home initiatives. Attend and actively participate in staff meetings. Collaborate in the development and delivery of programs and activities for individuals, families and population groups that promote health and prevent disease. Collaborates in the development of and contributes to individual team and department quality improvement and evaluation activities. Advocate on behalf of vulnerable individuals and populations. Contribute to a work environment that fosters ongoing educational experiences for self, colleagues, healthcare professionals and members of the community. Collaborate in developing a work environment where continuous quality improvements in practice are pursued. Utilize appropriate methods for interacting effectively and professionally with persons of all ages and from diverse cultural, socioeconomic, educational, racial, and ethnic backgrounds, sexual orientations, lifestyles and physical abilities. Coordinate efforts to gain patient and family feedback regarding their experiences of healthcare (focus groups, surveys, and other means) and participate in interventions which address articulated needs., 5. May assist and/or perform chaperone duties for patient medical procedures as needed., 6. May perform other duties as required. EDUCATION High School diploma or equivalent required. Must meet one of the following requirements: graduation from an accredited medical assistant (MA) certificate program or Phlebotomy program, certification as a certified nursing assistant (CNA), emergency medical technician (EMT), or paramedic. Employees who join YNHHS through a merger or acquisition may satisfy educational requirements by demonstrating the appropriate combination of education, relevant experience, and current competencies. EXPERIENCE Minimum of one (1) year of experience as a medical assistant (MA), certified nursing assistant (CNA), emergency medical technician (EMT), ambulatory care associate (ACA), patient care associate/technician (PCA/PCT), paramedic, or phlebotomist required. New graduates from an accredited medical assistant certificate program, with less than one (1) year of experience, will be considered. LICENSURE Certification/registration (CCMA/CMA/AAMA/RMA) preferred. Certification in Basic Life Support (BLS) preferred. SPECIAL SKILLS Ability to follow directions effectively and consistently. Demonstrates a mature, compassionate, and caring attitude, with sensitivity to the diverse needs of the patient population. Flexible and cooperative, with the capacity to adapt to changing demands of the role. Utilizes appropriate communication techniques to meet position requirements and foster positive interactions.

Job Description Job Title: Patient Account Representative (Long-Term Temporary) Location: On-site Schedule: 8am-4:30pm/8:30am-5:00pm (Monday-Friday) Pay Rate: $22-24/hr DOE About the Role: We are seeking a detail-oriented Patient Account Representative to join our client's healthcare team on a long-term temporary basis. In this role, you will be responsible for managing patient accounts, processing medical billing, and ensuring accurate insurance claim submissions while providing excellent customer service to our patients. Key Responsibilities: • Process and submit medical insurance claims while ensuring compliance with billing guidelines and regulations, • Verify patient insurance eligibility and benefits, • Review and resolve denied claims through appropriate follow-up and appeals processes, • Communicate with patients regarding their account status, payment options, and insurance-related questions, • Maintain accurate patient records and documentation in the medical billing system, • Collaborate with healthcare providers and insurance companies to resolve billing discrepancies, • Monitor accounts receivable and assist in collections processes, • Generate and analyze billing reports as needed Qualifications: Required:, • High school diploma or equivalent, • Either: • Minimum of 1 year medical billing experience • Recent graduation with certification in Medical Billing and Coding, • Strong understanding of medical terminology and insurance billing procedures, • Proficiency in medical billing software and Microsoft Office applications, • Excellent attention to detail and organizational skills, • Strong verbal and written communication abilities, • Ability to maintain patient confidentiality and comply with HIPAA regulations Preferred:, • Associate's degree in Healthcare Administration or related field, • Experience with electronic health record (EHR) systems, • Knowledge of ICD-10 and CPT coding, • Prior experience in a healthcare setting

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