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Job Description Tesis Laboratory is seeking a billing professional. Remote work is available. This position is responsible for all molecular genetic laboratory billing and revenue cycle management, thorough insurance benefit investigation of new referrals, a small assignment of collections with a variety of payers, authorization requests, and claim submission. ESSENTIAL DUTIES: • Accurately interprets patient insurance, prescription, and other health-related documentation., • Conducts medical insurance verification and investigations for commercial and government payors., • Communicates with insurance companies, patients, providers, and prescribers to coordinate reimbursement and access solution., • Reviews unpaid accounts to determine status and taking appropriate action to ensure payment., • Reviews all claims for compliance and completeness for claims submissions., • Researches available alternative funding options to reduce patient's financial burden, • Always maintains a high degree of confidentiality due to access to sensitive information., • Maintains regular, predictable, consistent attendance and is flexible to meet the needs of the department., • Works with customers and affiliates on reporting, best practice, and strategic planning to optimize growth within a compliant environment., • Reviews and designs KPI to ensure proper financial performance of assigned Laboratory clients., • Follows all Medicare, Medicaid, and HIPAA regulations and requirements., • Abides by all regulations, policies, procedures, and standards. POSITION REQUIREMENTS & COMPETENCIES: • High school diploma or equivalent is required; Undergraduate degree is preferred., • Experience in Genetic Lab Billing, Accounts Receivables, and/or Collections within a healthcare or insurance environment is required., • Computer proficiency -- MS Office and Web-enabled applications strongly preferred, • Customer service skills required., • Understanding of the requirements of Medicaid, Medicare, and Insurance billing for genetic laboratories in all MAC’s is required., • 5 years’ experience with Laboratory medical billing., • 3 years minimum with Cancer Genomics billing., • 1 year with R & D of molecular genetics panels., • Certified Medical coder or biller with AHIMA or affiliated organization., • Experience with managing clients and/or employees preferred.

Job DescriptionCoding & Billing SpecialistAlbany, NY Fusco Personnel is actively recruiting for a detail-oriented and experienced Coding & Billing Specialist to join our client and their growing healthcare team. This role is responsible for ensuring accurate medical coding, timely claims processing, insurance follow-up, and reimbursement management.The ideal candidate will possess strong knowledge of medical coding standards, billing practices, and insurance regulations while maintaining a high level of accuracy and confidentiality.This position works collaboratively with providers, clinical staff, patients, and insurance carriers to support efficient revenue cycle operations and ensure compliance with all applicable healthcare regulations.This is a full-time, direct hire opportunity.If you are a motivated healthcare professional with a strong coding and billing background and a commitment to accuracy and compliance, we encourage you to apply!Duties and ResponsibilitiesMedical Coding • Review clinical documentation and accurately assign CPT, ASA, and ICD-10 codes for services rendered., • Research and obtain necessary documentation from physicians and facilities to support coding accuracy., • Serve as a coding resource for billing staff by providing guidance on coding questions and discrepancies., • Follow up with clinical staff regarding missing or incomplete documentation., • Meet established coding productivity and accuracy benchmarks., • Maintain coding certification requirements and stay current on industry regulations and updates., • Perform additional coding-related duties as assigned.Medical Billing & Accounts Receivable, • Manage insurance and patient accounts through resolution, including follow-up on outstanding balances., • Investigate, appeal, and resolve denied, underpaid, overpaid, and delinquent claims., • Respond professionally to patient and insurance inquiries via phone and written correspondence., • Process insurance and patient refunds according to organizational policies., • Post insurance and patient payments accurately within the billing system., • Retrieve and review payment remittances as needed., • Meet established billing productivity and performance goals., • Assist with revenue cycle improvement initiatives and account reconciliation activities.Qualifications, • CPC (Certified Professional Coder) certification required., • Strong working knowledge of CPT, ASA, and ICD-10 coding guidelines., • Experience with medical billing, insurance follow-up, and claims resolution., • Excellent attention to detail and organizational skills., • Strong verbal and written communication abilities., • Ability to work independently while contributing effectively within a team environment., • Proficiency with electronic billing systems and healthcare software preferred.Additional Requirements, • Maintain strict confidentiality of patient, employee, and organizational information in accordance with HIPAA regulations., • Complete all required compliance, safety, and confidentiality training., • Perform additional duties as assigned by management.Salary$21.00-$24.00/hrFusco Personnel takes great pride in successfully matching talent and culture for our valued clients. We accomplish this through the hard work and expertise of our exemplary specialty recruiters and staff.Whether you are contemplating your next career move, or you are seeking the key players to bring your business to the next level – consider contacting our experts.Fusco Personnel is a NYS Certified Women Business Enterprise (WBE) and an Affirmative Action/Equal Opportunity, Race/Gender/Veterans/Disability Employer

Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: • Assigns accurate diagnostic and procedure codes according to clinical documentation and official coding guidelines for outpatient hospital professional accounts, • Assigns CPT and ICD-10 codes, • Monitors assigned work queues to ensure all records are charged/coded in a timely manner, • Generates coding queries for clarification regarding physician documentation as needed, • Stays abreast of all changes in coding conventions and coding updates, • Ability to manage significant workload, and to work efficiently under pressure meeting established deadlines with minimal supervision, • Moderate work experience within own function, • Some work is completed without established procedures, • Basic tasks are completed without review by others, • Supervision/guidance is required for higher level tasks You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: • High School Diploma/GED (or higher), • Professional CPC coder certification with credentialing from AHIMA and/or AAPC to be maintained annually, • 3+ years of experience in a Medical Coder position, specifically in Primary Care or Family Medicine, • Medicine specialty experience, • Profee inpatient experience *All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $20.38 to $36.44 per hour based on full-time employment. We comply with all minimum wage laws as applicable. Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. #RPO #GREEN

Job Title: Medical Secretaries Employment Type: Contract Work Hours: 37.5 hrs./week Work site: 100% Onsite. Location: 52 Washington St, Rensselaer, NY 12144 Job Duration: 2 Years Closing: 05/26/2026. #CB Job description: Perform clerical duties utilizing specific knowledge of medical terminology and procedures. Act as the liaison between the provider/biller, facility medical office, Bureau of Health Services, and Accounts Payable. Review and process patient charges by reviewing invoices/bills containing Current Procedural Terminology (CPT) codes. Ensure that the medical services provided regarding agreed upon fee schedules. Adjust fees on invoices when needed. Work closely with the Bureau of Health Services to review and verify documentation regarding billed medical services. Manage agreements with providers regarding agreed upon fee schedules. Check bills to confirm that the correct, agreed upon fee schedule was applied. Process incoming/outgoing correspondence related to vendor invoices and billing. Sort and deliver invoices/bills to designated personnel. Qualifications: Certification as a medical coder or training/courses in medical coding, billing, and understanding of medical terminology. Experience with NYS Medicaid coding and billing. Experience in healthcare, medical coding, medical billing, and customer service. Strong working knowledge of medical coding and billing processes. Working closely with healthcare providers to ensure accurate documentation and compliance with coding standards. Strong problem-solving skills and the ability to remain organized and detail-oriented while managing multiple tasks. Proficient in Microsoft Excel, Word, Outlook, Adobe Acrobat and SFS software. Miscellaneous Information: Monday through Friday, 7.5 hours per week 1-2 years of experience required Free parking on site available There is a bus stop on the corner of 3rd Avenue and Washington Street. Interviews will be conducted in person Training will be provided The Nexus Staff Difference: Our outstanding healthcare coverage, including dental and vision, begins in just 30 days after you join us. We offer weekly payments via ACH (Automated Clearing House). Serving as Prime Vendors to New York State and New York City for over 10 years.

Under the direction of the CDM & CGT Maintenance Manager, this position is responsible for coordinating the charge master system and function, which is a listing of hospital services and procedures and the charges associated with those procedures. This position will utilize chargemaster management software and other resources to maintain a complete, accurate and standardized charge master. This position will provide charge master expertise, support, education, guidance, and recommendations to clinical and administrative departments to optimize net revenue. • Exemplifies the AMHS Values and Code of Conduct, while striving to identify compliance risk through effective and timely review of RAC Audit requests, ensuring timely appeals, as appropriate, and reporting any identified risks to Legal Services and Corporate Compliance Departments., • Ensures immediate action is taken on any issues identified by Legal Services or Corporate Compliance., • Builds and nurtures collaborative supporting relationships with the AMHS executive team, clinical chairs, faculty, clinicians, and other leaders across the health system and encourages, promotes, and advocates staff to ensure integration of new processes across all departments., • Assists in ensuring that the charge master and fee schedules are in accordance with government compliance policies and procedures, as well as third party payer needs., • Review, identify, and analyze necessary CPT changes related to quarterly and annual AMA CPT updates and regulatory changes by timelines set., • Works with revenue producing departments to ensure the ongoing coordinated consistency of the chargemaster and fee schedules, including accurate descriptions, coding, additions, deletions, pricing, and any other changes., • Work with analysts to perform applicable analyses to understand net revenue effect of proposed charge master and fee schedule changes., • Conduct annual review of the charge master and quarterly updates as appropriate to enhance revenue for the hospital departments., • Serves as resource to Patient Financial Services staff for reporting problems and denials on individual claims. Assists in researching coding issues and recommends solution to account representative. Identifies source of problem and works with analysts to implement corrective actions to ensure that the chargemaster is updated to prevent future rejections/denials and to ensure accurate and expedient reimbursement., • Assist in strategic pricing process to optimize reimbursement within budget guidelines, • Participate in ongoing coordination and resolution of revenue issues as they arise., • Assists in troubleshooting and resolving issues related to the patient revenue cycle and assists in development and recommendations., • Assist in the develop and maintain policies and procedures for the CDM, Pricing Policies and charge capture processes., • Acts as source of reference for enterprise on regulatory, reimbursement or billing changes, and develops and implements training to maintain and support compliance with federal and state regulations., • Maintains a working knowledge of revenue cycle process to aid in the implementation of regulatory standards that assist compliant charge capture practices., • Monitors compliance with corporate, federal, and state guidelines to include review of commercial bulletins for HCPCS/CPT code changes and additions and billing unit rule changes., • Performs other duties as assigned., • Associate's Degree in business, Accounting or Finance - required, • Minimum of 3 years' experience in charge capture, coding, or charge description master in a hospital and/or a practice environment - required, • Epic experience - preferred, • Knowledge of healthcare revenue cycle functions, billing, and collection processes specific to the charge description master, • Knowledge of CMS local, state, and federal regulatory requirements and the various data elements associated with all types of claim forms, • Ability to identify data and analytic challenges including data integrity, appropriateness of data sample, context, and consistency between sources. Fully leverages power analytic tools, • Experience supporting Revenue Integrity initiatives specific to implementation, and/or major process improvement and redesign, • Plans effectively yet is flexible based on the atmosphere and needs of the audience. Connects with the group. Is masterful and an engaging listener., • Demonstrated ability to manage multiple priorities and meet all established deadlines, • Excellent verbal and written communication skills, • Certified Professional Coder (CPC), Certified Coding Specialist (CCS) or other certification - preferred Equivalent combination of relevant education and experience may be substituted as appropriate. • Standing - Occasionally, • Walking - Occasionally, • Sitting - Constantly, • Lifting - Rarely, • Carrying - Rarely, • Pushing - Rarely, • Pulling - Rarely, • Climbing - Rarely, • Balancing - Rarely, • Stooping - Rarely, • Kneeling - Rarely, • Crouching - Rarely, • Crawling - Rarely, • Reaching - Rarely, • Handling - Occasionally, • Grasping - Occasionally, • Feeling - Rarely, • Talking - Constantly, • Hearing - Constantly, • Repetitive Motions - Frequently, • Eye/Hand/Foot Coordination - Frequently, • Extreme cold - Rarely, • Extreme heat - Rarely, • Humidity - Rarely, • Wet - Rarely, • Noise - Occasionally, • Hazards - Rarely, • Temperature Change - Rarely, • Atmospheric Conditions - Rarely, • Vibration - Rarely Thank you for your interest in Albany Medical Center! Albany Medical Center is an equal opportunity employer. This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that: Access to information is based on a "need to know" and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Medical Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification. Thank you for your interest in Albany Med Health System! Albany Med Health System is an equal opportunity employer. This role may require access to information considered sensitive to Albany Med Health System, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that: Access to information is based on a "need to know" and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Med Health System policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.