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Medical insurance claims jobs in New York, New YorkCreate job alerts

  • Medical Office Manager
    Medical Office Manager
    9 hours ago
    $66360 yearly
    Full-time
    Brooklyn Heights, Brooklyn

    Health Plus Management LLC (HPM) provides management services to medical practices specializing in the area of Pain Management and Physical Medicine & Rehabilitation. HPM manages 50 locations throughout Long Island, NYC including the 5 boroughs, Westchester, Upstate, NJ and CT. We provide management services that give the physician and therapists the opportunity to provide patient care without worrying about the administrative needs of the practice. We continually strive to support these practices by recruiting and retaining the most qualified and dedicated individuals. HPM provides an excellent path for personal and professional growth, along with competitive salary and benefits. Health Plus Management is seeking an Office Manager to oversee the business side of the operations in order to ensure the steady workflow and uninterrupted service for practice site. This position will drive excellence in staff engagement, process improvement and service to our patients. DUTIES & RESPONSIBILITIES • Manage single site location, implore company standards, and core values, • Ensure all filing and organizational systems for the practice are maintained and efficient, • Patient satisfaction, including troubleshooting when there is a complaint and developing and training a process improvement to prevent recurrences., • Regulatory compliance with HIPAA, OSHA, labor laws, and other federal, state, and local regulations., • Monitor and evaluate staff performance (reviews, rewards, recognition, and discipline), • Maintain and evaluate accuracy and follow through patient entry, reception, scheduling, paper flow, medical records, chart preparation, etc., • Supports/assists team with additional tasks as needed. EDUCATION & TRAINING • Bachelor’s degree in public health administration, Business, or related area, • 5-7 years medical office administration management, • 3 years supervisory for five or more employees KNOWLEDGE & EXPERIENCE • Knowledge and experience in all aspects of billing, • Knowledge of regulations related to Medicare, Medicaid, and commercial insurance, • Human resources experience in hiring, supervision, and performance reviews, • Knowledge of maintaining supplies and equipment for the medical setting, • Manage priorities between multiple sister locations, • Problem-solving skills regarding people and process, • Understanding of No Fault and Workers Comp claims, • Able to facilitate surgical authorizations, booking and billing SKILLS & ABILITIES • Professional demeanor and presentation skills, including face to face, email, telephone, and video conference., • Ability to communicate professionally with clinicians, administrative staff, frontline staff, contractors, insurance payers, patients, family members of patients, suppliers, and the public., • Skill in using healthcare software and computer systems, • Excellent customer service with an attention to detail, • Ability to meet high productivity and accuracy standards, • Bilingual in Spanish and English is required PHYSICAL REQUIREMENTS • Prolonged periods of sitting at a desk and working on a computer., • Must be able to lift up to 25 pounds at times. ADDITIONAL INFORMATION • Schedule: Full-Time, Monday-Friday, • Salary: Starting at $66,300/year

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  • Billing Associate
    Billing Associate
    2 days ago
    $19–$24 hourly
    Full-time
    Uniondale

    This position is primarily responsible for timely review and submission of medical claims to insurance companies via electronic and paper processes. Duties & Responsibilities: • Review insurance claims for accuracy and completeness as well as obtain and attach any missing documentation prior to submitting claim., • Carefully review procedures billed to ensure proper coding, • Review pre-billing dashboards for claim accuracy, • Preparation of paper claims, • Responsible for completing the proof of mailing, • Daily monitoring of claims with missing information, work closely with offices to obtain and ensure all claims are submitted timely to carriers, • Effectively communicate and correspond with team members and management Education & Training: • High School Diploma or equivalent required, • Certified Professional Coder preferred but not required, • Knowledge of No Fault/Worker’s Compensation guidelines preferred but not required, • 2+ years of experience with billing rules and regulations across multiple insurance carriers and specialties Knowledge and Experience: • Must have a strong knowledge of payers and medical insurance terminology, rules, and regulations, • Proficient in the use of computers, keyboarding with knowledge of Microsoft Excel and Word required, • Self-starter with strong problem-solving skills, • Ability to meet high productivity and accuracy standards, • Knowledge of ICD-10 and CPT codes Skills & Abilities: • Capable of working independently to accomplish individual and team objectives, • Excellent Communication Skills, verbal and written, • Ability to organize and prioritize work to meet strict deadlines, • Strong work ethic, • Excellent attention to detail Schedule: Full-Time, Monday-Friday Pay: $19 - $24/ hour Health Plus Management (HPM) is a Physician Support Organization and market leader in clinical practice management in the physical medicine and rehabilitation market with 50+ locations serving Westchester, NYC, NJ, CT & Upstate NY. HPM provides independent physician practices specializing in musculoskeletal care with professional business development, marketing and back-office support typically seen in much larger organizations, thereby enabling clients to start and / or grow their private practice beyond what might otherwise be feasible (while maximizing clinical service and patient care).

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  • Medical Accounts Receivable Specialist
    Medical Accounts Receivable Specialist
    10 hours ago
    $24–$26 hourly
    Full-time
    Uniondale

    Health Plus Management LLC (HPM) provides management services to medical practices specializing in Pain Management, PMN&R, and Orthopedics. HPM manages over 50 locations across Long Island, NYC (including the 5 boroughs), Westchester, NJ, CT, and Upstate New York. We enable physicians and therapists to focus on patient care by handling administrative needs. This position is primarily responsible for Accounts Receivable and Collections functions specifically related to No-Fault and Workers' Compensation for our practices. Key Responsibilities: • Manage insurance accounts receivable for various groups, specialties, and payors., • Proactively follow up with insurance companies on unpaid and denied claims., • Resolve claim errors and re-submit claims as necessary to ensure reimbursement., • Prepare and submit appeal letters to insurance carriers for denied claims where disagreement exists., • Identify and report payer issues, particularly those related to denial trends or payment changes., • Maintain meticulous documentation of all collection activity and notes for each account., • Assist with collection efforts in adherence to company policies and procedures, ensuring legal compliance., • Provide support to the team with additional assigned tasks as needed., • Communicate effectively with team members and management. Education & Training Requirements: • High School Diploma or equivalent is required., • 2+ years of experience in Accounts Receivable (A&R) or Denial Management across diverse insurance carriers and specialties. Knowledge & Experience: • 2+ years of experience with No-Fault & Workers' Compensation AR/Collection and Denial Management., • Strong understanding of payors and medical insurance terminology relevant to collections., • Knowledge of local coverage determinations policies, A/R follow-up procedures, and managed care regulations. Skills & Abilities: • Proficiency in computer usage, insurance web portals, and keyboarding., • Required knowledge of Microsoft Excel and Word., • Prior work experience with Athena is a plus., • Excellent verbal and written communication skills., • Strong work ethic and exceptional attention to detail., • Dedicated and effective team collaborator., • Ability to organize and prioritize work to meet deadlines. Physical Requirements: • Prolonged periods of sitting at a desk and working on a computer., • Ability to lift up to 25 pounds occasionally. Schedule: • Monday-Friday, 40 hours per week. Compensation: • $24 - $26 per hour.

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  • Surgical Scheduling Coordinator - Temp to Perm
    Surgical Scheduling Coordinator - Temp to Perm
    6 days ago
    $20–$25 hourly
    Full-time
    Cedarhurst

    The Surgical Scheduling Coordinator has the overall responsibility of scheduling patients for surgery, including preparing & completing the required surgical paperwork for submission to Hospitals & Surgical Centers. DUTIES & RESPONSIBILITIES • Coordination of Pre-Surgical Testing between the patient and facility, • Obtaining prior authorizations for all surgical procedures, • Verification of insurance and open claims for No-Fault Claims, • Answer incoming calls, take messages, and complete outreach to patients in a courteous and professional manner, • Maintain the daily operations of the office by following standard operating procedures and guidelines, • Contribute to team effort by smoothly transitioning into daily roles as needed, • Protect patient's privacy by maintaining confidentiality of personal information (HIPAA compliant), • Respond to inquiries, resolves risen issues, schedule patient appointments, • 1+ years of relevant medical administrative experience, preferred, • Experience with medical insurance/verification is a plus, • Knowledge of medical terminology & procedures, and the ability to intelligently and confidently converse with patients and referring doctors regarding treatment is preferred, • Experience with EMR, preferred, • Strong computer knowledge and windows program including Microsoft word/excel, • Experience with Athena EHR application highly preferred. SKILLS & ABILITIES Excellent verbal and written communication Outstanding customer service skills Exceptional organizational and time-managements skills - the ability to multi-task is a must Adaptability and flexibility while working in a fast-paced environment Problem-solving ability and aptitude Outcome-focused, with an ability to work under pressure A solution-oriented mindset A strong sense of urgency and focus in accomplishing tasks REQUIREMENTS • Prompt and regular attendance according to policy, • Comply with dress code and appearance standards., • Interact with patients, customers, management, team members the general public, in a professional, courteous, and tactful manner., • Functions and communicates respectfully with peers., • Participate in all mandatory job training and meetings., • Adhere to requirements, policies and procedures outlined in the Employee Handbook and/or other clinical practices.

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    No experience
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