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Job Description JOB SUMMARY: A staff psychiatrist serves as a practicing specialist under the clinical supervision of a Senior Psychiatrist and administrative supervision of a Program Director. Psychiatrists conduct comprehensive diagnostic psychiatric evaluations, prescribe medication and other treatment interventions, monitor medication side effects, participate in the interdisciplinary treatment team process and provide a range of psychiatric services in the treatment and rehabilitation of an assigned group of clients or residents. Psychiatrists at ICL service in a variety of treatment setting: Mobile treatment teams, outpatient mental health clinics, transitional housing, and specialty care programs. ESSENTIAL JOB FUNCTIONS: • Perform comprehensive, diagnostic psychiatric evaluations, • Evaluates clinical data pertaining to client’s medical status, • Supervises or conducts chart reviews to ensure compliance with coding and documentation guidelines and governmental regulations, • Adheres to regulations regarding billing documentation, • Reviews and follows up on treatments ordered by other clinicians, • Participates in the development of the individual plan of service for each client, with special attention to psychiatric and medical aspects of the plan, • Reviews, approves and signs treatment plans of assigned clients, • Documents client’s progress in progress notes as directed by program policy, • Explains medication effects and side-effects to clients, family, and / or guardians, • Obtains or reviews client’s and/or guardian’s signature on applicable consent to treatment forms, • Prescribes psychiatric medications, • Performs individual and group psychotherapy according to the treatment plans, • Performs family evaluation and therapy, individually or jointly with other members of the treatment team in accordance with the treatment plan., • Performs crisis intervention as necessary, • Consults with and advises clinical staff; provides review and education resulting from quality assurance chart audits, • Participates in peer review process and in quality management activities, • Submits service activity logs, weekly and monthly schedule, time records etc. to Program Director, • Participates in or conducts case conference, • participates in agency staff development and in-service education programs, • Supervises the direct care activities of nursing, nurse practitioner and other staff assigned to this group., • Develops and implements training programs for staff. Ability to read, analyze, and interpret professional journals, regulatory and auditing agency regulations and standards • Ability to write clinical notes in compliance with all applicable standards and regulations, • Basic computer skills including fluency in electronic medical record applications, • Ability to effectively respond to and manage psychiatric emergency situations, • Knowledge of the agency's policies and procedures Psychiatrists apply a complex body of medical knowledge in the performance of their duties. This knowledge is continuously expanding and changing in response to research, development of new treatment techniques and psychoactive medications, and greater understanding of psychiatric and developmental disorders, treatments, and health care management. Psychiatrists must maintain high levels of current knowledge about new developments in psychiatry. Further, they must apply this knowledge while managing people who may have limited or no understanding of psychiatric and developmental disorders or are not responsive to treatment for reasons other than their condition and the appropriateness of the treatment. Psychiatrists are regarded as experts in the field of psychiatry by persons in their care, an individual’s caregivers, other direct care staff, treatment team members, and other medical staff. They provide expert psychiatric advice about patient conditions and treatments, while considering a wide variety of factors that impact the general well-being of those individuals under their care. COMMUNICATION: Good communication and listening skills are critical for the performance of duties and effectiveness of treatment prescribed and conducted by Psychiatrists. Psychiatrists have frequent oral communications with patients to conduct psychiatric evaluations and individual and group therapy; additionally, they must be able to observe and comprehend non-verbal communications to understand and evaluate patient conditions and responses to treatment. Psychiatrists have frequent oral communication with caregivers, patients and their families, treatment team members, and other medical, nursing, and support staff to elicit and clarify information, answer questions, explain conditions and treatment methods, coordinate treatment, give orders for patient care, and provide advice. They must explain complex information so that it is easily understood and comprehended by patients and caregivers, who generally have limited or no understanding of medical science and the field of psychiatry. Psychiatrists have frequent written communications to prepare psychiatric evaluations, record information about patients and their response to treatment, prescribe medications, and maintain patient records. In addition, written communications include reports about the treatment programs of the program, presentations of papers about research and treatment, explanations of new developments in psychiatric care and treatment, and dissemination of procedural, policy, and other information affecting unit and facility operations. Psychiatrists are legally responsible for the accuracy of psychiatric information that they convey. SUPERVISION EXERCISED: Psychiatrists supervise staff by prescribing treatments, providing orders to implement and revise treatment programs, supervising the administration of treatment, answering questions and advising staff about patient care and treatment. MINIMUM EDUCATION AND EXPERIENCE REQUIREMENTS: ADULT PROGRAMS Board Eligible: • Unrestricted license to practice medicine in New York State and completion of a post-graduate residency training program in General Psychiatry approved by the American Board of Psychiatry and Neurology for entrance into their examination, and, • Eligibility for full and unconditional participation in the Medicaid and Medicare programs. Board Eligible • License to practice medicine in New York State and completion of a post-graduate fellowship training program in Child & Adolescent Psychiatry approved by the American Board of Psychiatry and Neurology for entrance into their examination, and, • Eligibility for full and unconditional participation in the Medicaid and Medicare programs., • License to practice medicine in New York State and, • Certification in General Psychiatry or Child & Adolescent Psychiatry by the American Board of Psychiatry and Neurology or by a foreign board clearly equivalent and, • Eligibility for full and unconditional participation in the Medicaid and Medicare programs., • Possession of current Controlled Substances Registration certificate from the US Drug Enforcement Administration. FOR ALL POSITIONS: Continued employment is based on the ability to maintain professional licensure, registration and participation in the Medicaid and Medicare programs. PREFERRED EDUCATION AND/OR EXPERIENCE: Experience providing services to target age groups, working as part of a multi-disciplinary treatment team in an outpatient setting.

Job Description JOB SUMMARY: A staff psychiatrist serves as a practicing specialist under the clinical supervision of a Senior Psychiatrist and administrative supervision of a Program Director. Psychiatrists conduct comprehensive diagnostic psychiatric evaluations, prescribe medication and other treatment interventions, monitor medication side effects, participate in the interdisciplinary treatment team process and provide a range of psychiatric services in the treatment and rehabilitation of an assigned group of clients or residents. Psychiatrists at ICL service in a variety of treatment setting: Mobile treatment teams, outpatient mental health clinics, transitional housing, and specialty care programs. ESSENTIAL JOB FUNCTIONS: 1. Perform comprehensive, diagnostic psychiatric evaluations, 2. Evaluates clinical data pertaining to client’s medical status, 3. Supervises or conducts chart reviews to ensure compliance with coding and documentation guidelines and governmental regulations, 4. Adheres to regulations regarding billing documentation, 5. Reviews and follows up on treatments ordered by other clinicians, 6. Participates in the development of the individual plan of service for each client, with special attention to psychiatric and medical aspects of the plan, 7. Reviews, approves and signs treatment plans of assigned clients, 8. Documents client’s progress in progress notes as directed by program policy, 9. Explains medication effects and side-effects to clients, family, and / or guardians, 10. Obtains or reviews client’s and/or guardian’s signature on applicable consent to treatment forms, 11. Prescribes psychiatric medications, 12. Performs individual and group psychotherapy according to the treatment plans, 13. Performs family evaluation and therapy, individually or jointly with other members of the treatment team in accordance with the treatment plan., 14. Performs crisis intervention as necessary, 15. Consults with and advises clinical staff; provides review and education resulting from quality assurance chart audits, 16. Participates in peer review process and in quality management activities, 17. Submits service activity logs, weekly and monthly schedule, time records etc. to Program Director, 18. Participates in or conducts case conference, 19. participates in agency staff development and in-service education programs, 20. Supervises the direct care activities of nursing, nurse practitioner and other staff assigned to this group., 21. Develops and implements training programs for staff., 22. Other job-related duties as needed ESSENTIAL KNOWLEDGE, SKILLS AND ABILITIES: • Ability to write clinical notes in compliance with all applicable standards and regulations, • Basic computer skills including fluency in electronic medical record applications, • Ability to effectively respond to and manage psychiatric emergency situations, • Knowledge of the agency's policies and procedures Psychiatrists apply a complex body of medical knowledge in the performance of their duties. This knowledge is continuously expanding and changing in response to research, development of new treatment techniques and psychoactive medications, and greater understanding of psychiatric and developmental disorders, treatments, and health care management. Psychiatrists must maintain high levels of current knowledge about new developments in psychiatry. Further, they must apply this knowledge while managing people who may have limited or no understanding of psychiatric and developmental disorders or are not responsive to treatment for reasons other than their condition and the appropriateness of the treatment. Psychiatrists are regarded as experts in the field of psychiatry by persons in their care, an individual’s caregivers, other direct care staff, treatment team members, and other medical staff. They provide expert psychiatric advice about patient conditions and treatments, while considering a wide variety of factors that impact the general well-being of those individuals under their care. COMMUNICATION: Good communication and listening skills are critical for the performance of duties and effectiveness of treatment prescribed and conducted by Psychiatrists. Psychiatrists have frequent oral communications with patients to conduct psychiatric evaluations and individual and group therapy; additionally, they must be able to observe and comprehend non-verbal communications to understand and evaluate patient conditions and responses to treatment. Psychiatrists have frequent oral communication with caregivers, patients and their families, treatment team members, and other medical, nursing, and support staff to elicit and clarify information, answer questions, explain conditions and treatment methods, coordinate treatment, give orders for patient care, and provide advice. They must explain complex information so that it is easily understood and comprehended by patients and caregivers, who generally have limited or no understanding of medical science and the field of psychiatry. Psychiatrists have frequent written communications to prepare psychiatric evaluations, record information about patients and their response to treatment, prescribe medications, and maintain patient records. In addition, written communications include reports about the treatment programs of the program, presentations of papers about research and treatment, explanations of new developments in psychiatric care and treatment, and dissemination of procedural, policy, and other information affecting unit and facility operations. Psychiatrists are legally responsible for the accuracy of psychiatric information that they convey. SUPERVISION EXERCISED: Psychiatrists supervise staff by prescribing treatments, providing orders to implement and revise treatment programs, supervising the administration of treatment, answering questions and advising staff about patient care and treatment. MINIMUM EDUCATION AND EXPERIENCE REQUIREMENTS: ADULT PROGRAMS Board Eligible: • Unrestricted license to practice medicine in New York State and completion of a post-graduate residency training program in General Psychiatry approved by the American Board of Psychiatry and Neurology for entrance into their examination, and, • Eligibility for full and unconditional participation in the Medicaid and Medicare programs. Board Eligible • License to practice medicine in New York State and completion of a post-graduate fellowship training program in Child & Adolescent Psychiatry approved by the American Board of Psychiatry and Neurology for entrance into their examination, and, • Eligibility for full and unconditional participation in the Medicaid and Medicare programs., • License to practice medicine in New York State and, • Certification in General Psychiatry or Child & Adolescent Psychiatry by the American Board of Psychiatry and Neurology or by a foreign board clearly equivalent and, • Eligibility for full and unconditional participation in the Medicaid and Medicare programs., • Possession of current Controlled Substances Registration certificate from the US Drug Enforcement Administration. FOR ALL POSITIONS: Continued employment is based on the ability to maintain professional licensure, registration and participation in the Medicaid and Medicare programs. PREFERRED EDUCATION AND/OR EXPERIENCE: Experience providing services to target age groups, working as part of a multi-disciplinary treatment team in an outpatient setting.

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

Job Description Position Description Harlem United is the parent company for Upper Room AIDS Ministry (URAM). URAM provides the healthcare services from the Federally Qualified Health Center located in the heart of Harlem. We provide Primary Care, Specialty Care, Dental Care and Wellness Care to those seeking diagnosis and treatment. All employees of URAM are responsible to perform their job practicing good risk management, quality assurance, and delivering excellent internal and external customer service. Under the supervision of the Medical Director and in accordance with established policies and procedures, the Internal Medicine Physician delivers high quality comprehensive primary care for homeless, underserved, chronically ill populations including HIV, Hepatitis C, SUD, Diabetes, Heart Disease and other comorbidities. The AIDS institute Guidelines and the U.S. Preventive Services Task Force (USPSTF) are utilized as resources and guides for accepted standards of care. Essential Duties and Responsibilities Essential duties and responsibilities include, but are not limited to, the following: • Provides Primary Care, routine and acute care, for both scheduled, same day and walk in appointments, • Maintains a professional demeanor at all times, including demonstration of sound moral and ethical character, compassion, adherence to all agency standards for dress and decorum, • Demonstrates proficiency in use of electronic medical record, • Complies with productivity expectations under the direction of the Chief Medical Officer, • Initiation of treatment and management of chronic illnesses including, but not limited to, HIV infection, asthma, bronchitis, diabetes, lipid disorders, and hypertension, • Generates appropriate referrals to ancillary and specialty services, • Maintains documentation according to standards of the agency and regulatory agencies, • Documents clinical activities and information, • Initiation/ changes in treatment, • Referrals to specialty services, or social based services, • Prescribing including electronic scripts, • Documents and locks progress notes within 48 hours of client encounter, • Ensure timely prescription writing, order, progress notes, and referrals, • Follows prescribing practices according to agency policy and state regulations, • May administer medication according to the same procedures and protocols applied to the nursing staff, • Performs routine diagnostic and therapeutic procedures according to accepted practice standards, • Interpretation of laboratory studies and follow-up on consultation reports, • Provide health education and counseling during visits, • Adheres to regulatory guidelines in regards to compliance, ie, Coding practices., • Attends patient care related meetings, as necessary, including but not limited to morning huddles, case conferences, • Manages coordination of care for individual clients by working with available resources both internal and external to the agency, • Provide clinical supervision to Advanced Practice Clinicians (PA and NP) as assigned by the Medical Director, • Provide phone on-call coverage on a rotating schedule, • Participates in CQI activities, • Participate in Meetings, • Attends conferences and community based activities, including advocacy efforts to eliminate homelessness, HIV and disparities in care as designated by the Medical Director or designee, • Achieve and maintain HIV specialist status, preferred, • Accumulate a minimum of 10 specific HIV CME credits throughout the year and a total of 25 credits total per year Ideal candidate for this position possesses most or all of the following: • Bilingual preferred (English/Spanish or English/French), • Experience in treating hard to reach populations, including the homeless, 'immigrants, HIV infected, substance users, and mentally ill, • Desire and ability to work as part of an interdisciplinary team dedicated to the delivery of high quality care, • Leadership abilities with trouble shooting and problem solving skills, • Proficient in use of electronic medical record systems and other technology required for use in the delivery of care, • Track record of positive interpersonal skills with staff, clients, and others, • Willingness to work off hours on special projects as reasonably dictated by Chief Medical Officer, • The employee must be able to lift and/or move more than 50 pounds. Requires full range of body motion including handling and lifting patients, manual and finger dexterity and eye/hand coordination. Requires sitting, standing and walking for extensive periods of time. The employee frequently is required to reach with hands and arms. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus. Ability to work with a moderate noise level in the work environment is required., • The above information is intended to describe the most important aspects of the job. It is not intended to be construed as an exhaustive list of all responsibilities, duties and skills required in order to perform the work. The health center reserves the right to revise or change job duties and responsibilities as the business need arises. Additionally, this job description is not intended as an employment contract, implied or otherwise, and the Center continues to maintain its status as an at-will employer., • If the essential functions of this position cannot be performed in a satisfactory manner by the employee, reasonable accommodations may be made.

Job DescriptionDescription: Why you’ll want to work at nimble! This is a great opportunity to join a well-established and market-leading brand serving a high-growth end market while gaining valuable experience working closely with Executive leadership. As an organization, we are in high-growth mode through acquisition with a laser focus on positive culture building! Who we are: nimble solutions is a leading provider of revenue cycle management solutions for ambulatory surgery centers (ASCs), surgical clinics, surgical hospitals, and anesthesia groups. Our tech-enabled solutions allow surgical organizations to streamline their revenue cycle processes, reduce administrative burden, and improve financial outcomes. Join more than 1,100 surgical organizations that trust nimble solutions and its advisors to bring deep insights and actionable intelligence to maximize their revenue cycle. We are currently seeking an Independent Dispute Resolution Specialist (NSA Specialist) to provide support to the Federal No Surprise Act Department. This position will play a crucial role in providing support to the department by analyzing healthcare claims and managing the IDR process. It requires strong analytical skills, meticulous attention to detail, and effective communication to ensure timely and accurate claim resolution. Key Responsibilities: • Analyze healthcare claims to determine next steps, including negotiation or Independent Dispute Resolution (IDR), • Perform daily audits to identify zero-dollar payments, negative balances, or other discrepancies, demonstrating strong analytical skills and attention to detail, • Resolve outstanding claim issues promptly, maintaining accurate records of all actions taken, • Monitor and manage a busy inbox to ensure timely responses, proper routing of inquiries, and that no items are overlooked, • Collaborate with team members to balance workloads and support the timely handling of negotiation and IDR processes, • Maintain clear and organized documentation to support compliance and reporting needs, • Contribute ideas to improve workflows, reduce manual tasks, and enhance overall efficiencyRequirements:, • Analyze healthcare claims to determine next steps, including negotiation or Independent Dispute Resolution (IDR), • Perform daily audits to identify zero-dollar payments, negative balances, or other discrepancies, demonstrating strong analytical skills and attention to detail, • Resolve outstanding claim issues promptly, maintaining accurate records of all actions taken, • Monitor and manage a busy inbox to ensure timely responses, proper routing of inquiries, and that no items are overlooked., • Collaborate with team members to balance workloads and support the timely handling of negotiation and IDR processes, • Maintain clear and organized documentation to support compliance and reporting needs, • Exceptional organizational and analytical abilities, • Strong understanding of medical billing and coding as it relates to out-of-network claims, • Excellent communication and negotiation skills

Job DescriptionCompany Description About Patient Funding Alternatives (PFA) At Patient Funding Alternatives (PFA), we remove the barriers that keep Medicaid-eligible and medically underserved individuals from getting the care they deserve. We partner with hospitals and health systems across the country to help patients secure coverage through employer-sponsored insurance — simplifying the process, protecting patients, and strengthening hospital outcomes. As the only organization in the U.S. offering a full Premium Assistance Enrollment service supported by dedicated Patient Advocates within partner hospitals, we make access to coverage easier, faster, and more compassionate. PFA is growing rapidly nationwide, and our success is built on people who care deeply about helping others. We believe our employees are our most valuable resource, and we’re committed to maintaining a healthy work/life balance within a culture grounded in empathy, teamwork, and respect. If you’re passionate about guiding patients through complex healthcare systems, advocating for fairness, and making a measurable impact every day — PFA is where you belong. Job Description The Patient Advocate Specialist plays a critical role in identifying, educating, and enrolling eligible hospital patients into the Health Insurance Premium Payment (HIPP) Program. This is a full-time, 5-day-per-week on-site role based at Cohen Children's Medical Center - Northwell Health, where you’ll work directly with patients and hospital partners.You'll clearly explain program details, gather required documentation, and serve as a compassionate, professional advocate throughout each step of the enrollment process. This role demands mission-driven advocacy, proactive problem-solving, empathetic communication, and resilience—all while balancing compassion with an urgency to ensure patients receive timely support. By facilitating employer-sponsored health insurance coverage, the Patient Helper Program helps medically complex Medicaid beneficiaries access comprehensive care. We’re looking for driven individuals with a “can-do” spirit, unwavering perseverance, and the capacity to support diverse patient populations navigating complex healthcare systems. Key Responsibilities Patient Engagement & Advocacy • Educate patients and families in a clear, compassionate, and culturally sensitive manner about the HIPP program., • Assess family dynamics and adapt communication style to effectively meet their needs., • Obtain necessary authorizations and documentation from patients/families., • Foster trust with patients while maintaining appropriate professional boundaries., • Accurately collect all essential data for HIPP applications (e.g., employer information, insurance details)., • Employ proactive problem-solving to overcome barriers and ensure timely, accurate submissions., • Collaborate seamlessly with the Patient Financial Assistance (PFA) team to finalize enrollments., • Clarify how employer-provided health insurance works in coordination with Medicaid., • Verify and update ongoing patient eligibility for HIPP to maintain continuity., • Utilize PFA’s CRM/case management system to manage referrals and patient records., • Upload, scan, and securely transmit required documentation., • Record patient interactions meticulously in compliance with privacy and legal standards., • Represent PFA as the onsite contact at the hospital., • Establish and maintain collaborative relationships with hospital staff, state agency personnel, and community partners., • Always uphold the organization’s values with ethical integrity and professionalism. Qualifications Required Qualifications • High school diploma or GED and completion of formal training in customer service, patient services, healthcare administration, social services, or case management., • Foundational knowledge of healthcare terminology and insurance processes gained via coursework or certification., • Ability to pass hospital credentialing, including vaccinations and drug/alcohol screening., • Associate’s or Bachelor’s degree in Social Work, Healthcare Administration, Public Health, or related field., • Training in motivational interviewing, trauma-informed care, or medical billing/coding., • Continuing education in Medicaid/Medicare eligibility, health equity, or patient advocacy. Technical Skills-Preferred • Proficiency with CRM or case management systems., • Knowledge of Medicaid/Medicare eligibility and benefits coordination., • Ability to interpret medical billing and insurance documents., • Active listening and empathetic communication., • De-escalation tactics for emotionally distressed patients., • Cultural awareness and sensitivity in communication., • Mission-Driven Advocacy – Consistently puts patient needs first., • Ego Resilience – Thrives amid adversity and changing demands., • Empathy – Provides compassionate support while ensuring professionalism., • Urgency – Balances speed and sensitivity in patient interactions., • Detail Orientation – Ensures accuracy and completeness in documentation., • Cultural Competence – Demonstrates respect and understanding of diverse experiences., • Adaptability – Successfully operates in evolving policy and procedural environments. Additional Information Our Benefits – Supporting You Inside and Out At Patient Funding Alternatives, we know that caring for others starts with caring for our own people. That’s why we offer a comprehensive, industry-leading benefits package designed to support your health, your future, and your wellbeing. Our team members enjoy medical, dental, and vision coverage through UnitedHealthcare and Guardian, employer-paid life and disability insurance, and a 401(k) plan with company match. We also invest in your wellness — with up to $100 annual reimbursement for fitness, mindfulness, and wellness activities, plus access to mental health tools like the Calm Health app and a 24/7 Employee Assistance Program. From flexible spending accounts to nationwide fitness programs and virtual care, PFA is committed to helping you stay healthy, balanced, and thriving — at work and beyond.

Job Description About Us: Join a growing orthopedic practice in New York! We are committed to delivering the highest level of care to our patients while maintaining efficiency in all administrative aspects of the practice. We are seeking a diligent and detail-oriented Billing Specialist to join our team. If you have a passion for medical billing and coding and thrive in a fast-paced environment, this role offers a rewarding opportunity to contribute to a high-volume practice. Job Summary: As a Billing Specialist, your responsibilities will include submitting accurate medical claims to the insurance companies, verify patient insurance coverage and be able to communicate with Attorney offices and the patient to acquire the accurate insurance information if needed. 2 years of medical billing experience required. Key Responsibilities: • Review and submit insurance claims for patient services provided in both clinical and surgical settings., • Verify accuracy of patient information, insurance details, and billing codes., • Process, review, and follow up on unpaid or denied claims, ensuring prompt resolution., • Manage and reconcile patient accounts, including co-payments, deductibles, and any patient responsibility amounts., • Communicate with insurance companies, patients, and staff regarding billing inquiries and claim statuses., • Ensure compliance with all relevant regulations, including HIPAA and payer-specific guidelines., • Maintain up-to-date knowledge of coding standards, including CPT, ICD-10, and HCPCS., • Collaborate with the practice management team to improve billing processes and ensure efficient workflows., • Assist in the development of reports for financial analysis, forecasting, and compliance., • Ensure accurate documentation and filing of all billing and coding records., • Education: High school diploma or equivalent required; associate’s degree or certification in medical billing and coding preferred., • Experience: Minimum of 2 years of experience in medical billing, preferably with Workers Compensation and No Fault Claims., • Certifications/Licenses: Certified Professional Biller (CPB) or Certified Professional Coder (CPC) preferred., • Skills and Abilities:, • In-depth knowledge of medical billing practices, including CPT, ICD-10, and HCPCS coding., • Proficiency with EHR systems and practice management software., • Ability to work independently and make decisions regarding billing and coding processes., • Strong analytical skills to identify discrepancies and resolve billing issues., • Excellent organizational skills and attention to detail., • Ability to communicate effectively with patients, insurance representatives, and internal staff., • Ability to multitask and meet deadlines in a fast-paced environment. Compensation for the role will depend on several factors, including a candidate’s qualifications, skills, and experience. We are proud to be an equal opportunity workplace and an affirmative action employer. We recruit, hire, assign, and promote without regard to race, national origin, religion, age, sex, sexual orientation, gender identity, disability, or veteran status. We also participate in E-Verify to confirm employment eligibility.

Job Description Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. 2,500 Sign on Bonus* As an Inpatient Auditing Specialist you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, and coding workflow operations reviews. In this role, you will offer meaningful information tailored to exceed customer expectations, actively identifying and presenting solutions for customer issues. This role is fully remote with a flexible schedule, allowing you to help shape the future of healthcare from your own workspace! Preferred: In need for a FT IP auditing specialist. Auditing specialist will be responsible for reviewing and validating DRGs specific to Medicare and Medicare Managed Care. Interest in coding IP charts in the event the contract ends. Must be able to work 40 hours/week M-F. Systems: Cerner PowerChart, 3M360; CCS certification. You Will: • Conduct inpatient coding audits on medical records, utilizing ICD-10-CM, CPT, and appropriate coding references for accurate DRG and APC assignment., • Review non-CC/MCC records to assess proper coding or identify the need for additional documentation. Scrutinizes all HCPCS and CPT codes influencing APC assignment., • Provide coder education through the auditing process., • Prepare preliminary results for review by the facility or CCS HIM director., • Review disagreements on APC/DRG changes with the appropriate manager., • Prepare the final reports for the coding audit and actively participates in the resolution of audit findings., • Provide coder education via email and/or conference calls, utilizing the audit spreadsheet findings and comments., • Attend coding workshops as necessary., • Stay current with regulatory changes., • Organize and prioritize multiple cases concurrently to ensure departmental workflow and prompt case resolution., • Demonstrate versatility and exceptional work across a wide range of coded services., • Meet with client facility representatives to discuss issues and trends identified in audits., • Develop and implement education for physicians, nursing, and other clinical staff to enhance documentation., • Communicate effectively with co-workers, management, and hospital staff regarding clinical and reimbursement issues., • Function in a professional, efficient, and positive manner., • Adhere to the American Health Information Management Association's code of ethics., • Maintain a customer-service focus and exhibits professionalism, flexibility, dependability, a desire to learn, commitment to excellence, and commitment to the profession., • Conduct audits on external coding staff as needed and provides reports to the manager as directed., • Handle a high complexity of work functions and decision-making. What you will bring to the table: • 3+ years experience coding and auditing, • Associate or Bachelor's degree from an AHIMA-certified HIM or Nursing Program, or completion of a certificate program from AAPC with a preference for CCS, • Preferred: CCS, RHIT, or RHIA credentials., • Recent experience in academic/level 1 trauma centers, • Experience coding and auditing inpatient and outpatient records for various facilities, • Track record of acceptable productivity standards, • Maintain 95% accuracy rate for APC assignment and 95% productivity rate, • Experience with various software including EMR, Encoder and Auditing software Perks: • Benefits for Full-Time employees: Medical, Dental, Vision, 401k Savings Plan w/match, 2 weeks of paid time off, and Paid Holidays, Floating Holidays, • Free CEUs every year, • Stipend provided to assist with education and professional dues (AHIMA/AAPC) If Applicable, • Equipment: monitor, laptop, mouse, headset, and keyboard, • Comprehensive training led by a credentialed professional coding manager, • Exceptional service-style management and mentorship (we're in this together!) We are all responsible for stewarding a high-performance culture in which all Datavanters belong and thrive. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. Our compensation philosophy is to be externally competitive, internally fair, and not win or lose on compensation. Salary ranges for this position are developed with the support of benchmarks (competitive San Francisco rates for US-based roles) and industry best practices. We're building a high-growth, high-autonomy culture. We rely less on job titles and more on cultivating an environment where anyone can contribute, the best ideas win, and personal growth is driven by expanding impact. This means we default to simple job titles (e.g., Software Engineer) rather than complex ones (e.g., Senior Software Engineer). The range posted is for a given job title, which can include multiple levels. Individual rates for the same job title may differ based on level, responsibilities, skills, and experience for a specific job. Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role. The estimated base pay range per hour for this role is:$35—$45 USD To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion. This job is not eligible for employment sponsorship. Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here. Know Your Rights, explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay. At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way. Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, by selecting the 'Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here. Requests for reasonable accommodations will be reviewed on a case-by-case basis. For more information about how we collect and use your data, please review our Privacy Policy.

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