Medical reviewer jobs in New York, NYCreate job alerts

Key Responsibilities: Review and process patient billing data accurately and in a timely manner. Submit claims to Medicare, Medicaid, and private insurance companies. Follow up on unpaid claims and conduct necessary resubmissions for denied claims. Handle appeals for rejected claims and ensure timely resolution. Communicate effectively with insurance companies, patients, and healthcare providers to resolve billing issues. Maintain up-to-date knowledge of billing regulations and homecare policies. Process and verify medical codes for patient services, ensuring compliance with state and federal regulations. Work closely with the clinical team to ensure accurate billing for services rendered. Maintain organized and accurate billing records. Qualifications: 3+ years of medical billing experience, preferably in homecare or healthcare settings. Experience with resubmissions and appeals processes. Proficiency in billing software and working knowledge of medical terminology and coding. Strong knowledge of Medicare, Medicaid, and private insurance billing and reimbursement policies. Excellent attention to detail and organizational skills. Strong communication skills to interact with insurance companies, patients, and internal teams. Ability to work independently and manage multiple tasks efficiently.

Title: Medical Office Receptionist. Hours: 43 hours per week / 35 hours per week. Compensation: $20 per hour (W2). Must have ability to pay taxes. Position Overview: We are seeking 2 full-time Korean and English speaking medical office secretaries to join our Ophthalmology practice. Seeking an intelligent, responsible, detail-oriented person to join our private Ophthalmology practice. No prior experience necessary. On the job training will be provided. The ideal candidate should have excellent communication skills, attention to detail, and a strong ability to multitask in several different job roles. Job roles will be decided at a later date. Possible Key Responsibilities: - Patient Interaction: Greet and check-in patients, ensuring a warm and professional first impression. Provide assistance with initial paperwork and guide patients through the check-in process. - Customer Service: Address patient inquiries and concerns, both in person and over the phone, in a professional and empathetic manner. Facilitate communication between patients and medical staff, ensuring clarity and satisfaction. - Appointment Scheduling: Efficiently manage the scheduling of patient appointments, coordinating with medical staff to optimize the practice’s schedule and accommodate patient needs. - Records Management: Maintain accurate and up-to-date patient and medical records, ensuring confidentiality and compliance with HIPAA regulations. Manage electronic and physical files, organizing them for easy access and retrieval. - Administrative Support: Provide general administrative support to office staff, including filing, data entry, and managing office supplies. Assist in various clerical tasks to ensure the smooth operation of the office. - Check patient’s insurance eligibility, prior authorization and referrals online. - Review, send and start prior authorization for medications online. - Responsible to book eye surgeries and to carefully follow thru to its completion. - Help with medical billing inquires and completion of daily medical billing needs. Qualifications: - High school diploma or equivalent. - Prior experience in a medical office or customer service role is preferred. - Strong interpersonal and communication skills. - Ability to work independently and as part of a team. - Proficiency in basic computer skills, including basic familiarity with scheduling software and electronic medical records (EMR) systems. - Detail-oriented with strong organizational skills. ** Benefits:** - 40 hours Personal Time Off - 2 weeks vacation time after full 1 year employment. - Friendly and kind office environment.

Medical Accounts Receivable Specialist. Responsibilities include but are not limited to; Responsibilities - Conduct medical collections for outstanding accounts, ensuring timely payments and resolution of billing discrepancies. - Utilize knowledge of medical terminology to accurately review and update patient records. - Apply expertise in ICD-10 coding to ensure proper coding and billing procedures. - Handle outpatient billing processes, including CPT coding, to facilitate accurate reimbursement. - Demonstrate strong communication skills when interacting with patients, insurance companies, and healthcare providers. - Collaborate with team members to optimize medical billing procedures and enhance overall efficiency. - Utilize computer networking systems to access and update electronic medical records efficiently.

Independent Retail Pharmacy located in the Bronx is looking for a full-time / part-time Pharmacist. Responsibilities : - Pharmacist will be responsible for reviewing prescriptions, organizing the pharmacy, delivering and labeling medications, and providing information and advice to patients. - Pharmacist dispense prescription medications and provide information to patients about the drugs and their use. Requirements: - Current and valid NYS pharmacist license. - Excellent communication and interpersonal skills. - Commitment to providing high-quality patient care and ensuring patient safety. Looking forward for positive response . Retiree are welcome to apply .