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Medical insurance billing jobs in North Bergen, New JerseyCreate job alerts

  • Care Manager (Bilingual in Mandarin or Cantonese)
    Care Manager (Bilingual in Mandarin or Cantonese)
    14 days ago
    $29.87–$31.93 hourly
    Full-time
    Manhattan, New York

    Position Summary The Care Manager provides services within the Care Management programs, including Health Home Care Comprehensive Care Management, HCBS Basic Plan Support, and State Paid Care Management services. This position may support Willowbrook Class Members. The core responsibility of the Care Manager is to oversee and coordinate access to services for people with intellectual and developmental disabilities. The Care Manager works with the member, their family and/or representative, and providers to develop, implement, and monitor an integrated and person-centered driven Life Plan, following the completion of a comprehensive assessment process. The Life Plan is the foundation upon which service delivery is built. The Life Plan identifies services that meet medical and behavioral health needs, community, social supports, and other necessary services to support them to live their healthiest and most meaningful life. A key function of this role is being a strong advocate in supporting the member to access needed services to reach their identified goals and live a meaningful and quality life. ACA/NY is a 501(c)(3) not for profit organization that has been designated as a Care Coordination Organization/Health Home (CCO/HH) by New York State. ACA/NY is dedicated to meeting the needs of people with Intellectual and Developmental Disabilities by providing comprehensive care management and coordination of service. ACA/NY supports 25,000+ people in its program with support services spanning New York City, Long Island, and the Lower Hudson Valley. Duties & Responsibilities • Deliver person-centered care management services in compliance with regulatory standards and in alignment with the agency’s quality management plan, policies, and standard operating procedures., • Responsible for the completion of a comprehensive assessment/reassessment process., • Identify gaps in service provision and make referrals when appropriate. Advocate on the member’s behalf, to reach their identified goals and live a meaningful and quality life., • Develop, implement, and monitor member Life Plans within required timeframes, by leading an interdisciplinary team planning process, with the person at the center., • Develop strategies that address conflict or disagreements in the person-centered planning process and working with the interdisciplinary team to resolve those conflicts in a timely manner., • Complete all required service documentation with stated timeframes. Ensure all billing critical documentation is present and valid prior to the submission of any billable service documentation., • Maintain the member’s continued eligibility for care management through the completion of an annual Level of Care (Re)Determination, ensuring OPWDD eligibility is maintained, and enrolling in the Home and Community Based (HCBS) waiver., • Identify and access benefits and entitlements (Medicaid, Social Security, SNAP, etc.) when a member is eligible. Ensure existing benefits and other entitlements are maintained., • Ensure a current and accurate information sharing consent is present within the electronic health record and updated as necessary when changes occur or are requested by the member and/or representative., • Coordinates and provides access to high quality healthcare services, inclusive of medical, behavioral health, specialized services. Provides regular communication, monitoring, and action oriented follow up on critical and acute healthcare needs., • Identifies, coordinates, and provides access to preventative and health promotion services as needed., • Coordinates transitional care inclusive of appropriate follow up from inpatient to other settings, discharge planning, facilitating transfers within the healthcare system, residential settings and aging out of childhood services to adult services., • Use health information technology in the delivery of care management services, included but not limited to the use of the electronic health records and programs to facilitate telehealth services for members. Maintain a thorough and accurate electronic health record for all assigned members., • Attend department/team meetings, trainings, supervisions, etc. as scheduled and in accordance with agency practice and policy., • Complete all required trainings within required timeframes., • Travel throughout the designated service area to meet with members as needed in alignment with regulatory standards and to ensure identified needs are met. Travel is required to meet with providers, members of the interdisciplinary team, and accompany members where indicated to necessary appointments., • Identify and follow all incident reporting guidelines and procedures, ensuring the immediate safety of the member., • Maintains confidentiality in accordance with HIPAA and privacy practices., • Adheres to all policies and standard operating procedures for the delivery of comprehensive care management and ancillary functions of the Care Manager., • Adheres to and upholds ACA/NY’s Code of Conduct., • Perform other duties, as assigned. Qualifications • A Bachelor of Arts or Science degree with two years of relevant experience, or a license as a Registered Nurse with two years of relevant experience, or a master’s degree with one year of relevant experience., • Fluent understanding of community cultural traditions, norms, and practices of Members and their families., • Absolute sense of integrity and personal commitment to serving people with I/DD and their families., • Excellent interpersonal, public speaking, and written communication skills., • Ability to work autonomously., • Demonstrate professionalism, respect, and ability to work in a team environment.

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  • Dental Receptionist
    Dental Receptionist
    2 months ago
    $18–$25 hourly
    Full-time
    Elmhurst, Queens

    Job description: Overview We are seeking a professional and organized Front Desk Receptionist to join our team. This role is essential in providing excellent customer service, managing administrative tasks, and ensuring smooth daily operations at our office. The ideal candidate will have strong communication skills, proficiency with office management tools, and the ability to handle multiple responsibilities efficiently. Bilingual abilities and experience in dental reception are a must. This position offers an opportunity to work in a dynamic environment where your organizational and clerical skills will be highly valued. Responsibilities Greet visitors and clients warmly, providing exceptional customer service Manage multi-line phone systems, screen calls, and direct inquiries appropriately Schedule appointments and manage calendar bookings using Dentrix Perform data entry, filing, and maintain accurate records using Dentrix and other office software Handle correspondence, proofread documents, and ensure accuracy in all communications Support office management tasks billing, and basic bookkeeping functions Maintain a clean and organized front desk area to promote a professional environment Assist with administrative duties such as faxing, photocopying, and managing incoming/outgoing mail Provide support as a dental receptionist as needed Ensure adherence to phone etiquette standards and provide excellent customer support Skills Proficiency with Microsoft Office Suite (Word, Excel, ) and Google Workspace applications Strong organizational skills with excellent time management abilities Exceptional typing speed and accuracy patient information Bilingual communication skills are highly desirable Knowledge of multi-line phone systems and professional phone etiquette Ability to handle customer inquiries with professionalism and patience Familiarity with office procedures such as filing, proofreading, and document management Previous experience as a receptionist in dental offices is advantageous Strong computer literacy, attention to detail, and ability to multitask effectively Work Location: In person

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  • Medical Receptionist
    Medical Receptionist
    6 days ago
    Full-time
    Mount Eden, The Bronx

    We are seeking a detail-oriented Medical Receptionist to join our healthcare team! In this vital role, you will be the friendly first point of contact for patients and visitors, ensuring a smooth and welcoming experience from the moment they walk through the door. Your expertise in medical administrative support, combined with your strong communication skills and knowledge of EMR (Electronic Medical Records) systems, will help streamline clinic operations and enhance patient care. Duties Greet patients warmly, verify insurance coverage, and assist with patient intake processes using EMR systems. Schedule appointments efficiently while managing multi-line phone systems with professionalism and excellent phone etiquette. Verify insurance benefits to ensure accurate billing and claims processing. Review and update medical records, ensuring compliance with HIPAA regulations and maintaining confidentiality at all times. Manage front desk operations including filing, faxing, data entry (10 key typing), and maintaining organized patient files. Support clinic operations by coordinating care plans, medical scheduling, and handling patient inquiries promptly and courteously. Experience Proven experience as a Medical Receptionist or in a similar medical office administrative role. Experience with insurance verification processes and medical billing procedures. Excellent computer skills including proficiency in Microsoft Office Suite and health information management software. Bilingual abilities are a plus to serve diverse patient populations effectively, especially in medical terminology. Prior clinic office experience is desirable; familiarity with medical terminology hospital experience is advantageous. We value your expertise in medical office management and look forward to supporting your growth in a fast-paced environment where your contributions truly make a difference. Benefits: On-the-job training Paid time off Language: Spanish (Required) Ability to Commute: Bronx, NY 10452 (Required) Work Location: In person

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  • Medical Receptionist
    Medical Receptionist
    25 days ago
    Full-time
    Englewood

    Medical Receptionist Duties: • Greet and check-in patients, ensuring a friendly and welcoming atmosphere, • Answer phone calls and schedule appointments using the appointment scheduling system -Check out pt and enter all billing -Give pts paperwork needed for testing ,labs and follow up appts • Maintain patient records and update information as necessary, • Assist with medical records management, including filing, scanning, and organizing documents, • Coordinate referrals to specialists and schedule follow-up appointments, • Handle patient inquiries and provide accurate information regarding clinic services, • Collaborate with medical staff to ensure efficient patient flow and timely communication., • Have experience with prior authorizations We are willing to train if you are willing to learn. If you are a dedicated individual with excellent customer service skills and the ability to multitask in a healthcare environment, we want to hear from you. Join our team as a Medical Receptionist and contribute to providing exceptional care to our patients. Hours are : Monday 9 to 6/630 Tuesday/Wednesday/ Thursday 9 to 5/530 Friday 9 to 430 We are a Drs office and sometimes hours can end early or extend a little later Please submit your resume along with a cover letter highlighting your relevant experience. Job Types: Full-time, Temporary Pay: $18.00 - $20.00 per hour Benefits: Free parking Health insurance On-the-job training Paid time off Work Location: In person

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