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Job Summary: This position is responsible for directing the overall functions of claims processing, including claims adjudication, provider relations, data analysis, reporting and process improvement. Provides oversight and supervision of the claims team. Essential Functions • Responds to complaints in a prompt and professional manner and deploys effective service recovery strategies to resolve the issue. Escalates unresolved complaints when appropriate., • Direct and coordinate the activities of claims and data entry areas including direct supervision of subordinates and the implementation of employment issues., • Maintenance of a working knowledge of Management Information System and the coordination of required software enhancements for efficient claims processing., • Assisting in the development and implementation of departmental policies and procedures, • Assurance of appropriate level of staff training, • Monitoring and documenting processing accuracy and productivity levels, • Preparing, submitting and monitoring various reports as required, • Oversee Medicare audit preparation, submission, and response processes, ensuring compliance with CMS regulations., • Review, track, and manage Medicare audit findings, coordinating corrective action plans and validation activities., • Ensure accurate Medicare coding, documentation integrity, and adherence to billing rules to minimize audit risk., • Responsible for managing and responding to claim appeals, including Medicare-related appeals, ensuring timely and accurate resolution., • Establishing department audit process and payment integrity, • Perform any other job related duties as requested. Education and Experience • Associates in business or related field required, • Bachelor's degree preferred, • Equivalent years of relevant work experience may be accepted in lieu of required education, • Five (5) years of healthcare claims experience required, • Previous financial experience in MLTC preferred, • Three (3) years Previous leadership experience required, • Experience with Medicare coding standards (ICD-10, CPT, HCPCS) and Medicare audit processes required Competencies, Knowledge and Skills • Advanced proficiency in Microsoft Word, Excel, and PowerPoint, • Data analysis and trending skills, • Experience in staffing and forecasting (preferred), • Understanding of managed care claims operations, • Knowledge of coding and billing processes (CPT, ICD-9, HCPCS), • Strong communication and negotiation skills, • Strategic and executive management abilities, • Supervisory and leadership experience, • Ability to work independently and collaboratively, • Attention to detail and critical thinking, • Familiarity with the healthcare field, • Technical writing and proper grammar usage, • Effective time management and decision-making skills, • Customer service orientation and proper phone etiquette Licensure and Certification • Medical Coding or billing certification preferred Working Conditions • General office environment; may be required to sit or stand for extended periods of time, • Travel is not typically required

Job title: Complaints Coordinator Job location: New York, NY 10004 Shift: Hybrid 9-5 Date Range: 03/30/2026 - 05/23/2026, Possible Extension Pay: $19- $20/hr without benefits Education: High School Diploma/ GED Skills: Assist Complaints Team leader with MACESS documentation inquiries/complaints. Assist specialists with escalated issues (transportation requests, specialty appointments). Support management with special projects (PCP monthly projects, MIS assignments, PCP error reports). Record and respond to customer contacts and update the tracking system with follow-up and closure. Provide member orientations (on-site and telephone). Process and resolve complaints and update information in the system. Assist with PCP selection/assignment and member demographic updates. Provide benefit/service information to members, prospective members, and providers. Perform retention efforts, handle Medicare overflow calls, and support outreach projects. Handle roster, disenrollment, provider, and claim billing inquiries. Schedule marketing appointments for prospective enrollees. Skills: Customer Focus, Functional/Technical Skills, Written/Oral Communication, Integrity and Trust. 1 year experience in Managed Care/call center handling high-volume calls. Duties: • Provide customer service to members, providers, and prospective members., • Document all customer contacts into the tracking system., • Process complaints and assist supervisory staff with complaints review., • Handle escalated issues and assist the management team with specialty projects., • Provide administrative support to the Fair Hearings and Complaints Team., • Data entry and intake of complaint and fair hearing cases into designated tools., • Retrieve documents from various systems to demonstrate compliance with state directives., • Collaborate with business partners to gather documentation for responses to state agencies related to complaints and fair hearing requests., • Perform other administrative duties as assigned. Pride Global offers eligible employees comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance, and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts.

Job Description Now hiring patient care coordinators to come join a wonderful company in White Plains, NY Overview: The Provider & Partnership Specialist plays a key role in building strong, trust-based relationships with local healthcare providers and organizations to ensure patients with Treatment-Resistant Depression (TRD) have access to innovative, evidence-based care options. This position focuses on education, collaboration, and co-management, not sales. Success is achieved by providing clinical value, fostering provider partnerships, and improving patient outcomes through seamless coordination and education. This organization is dedicated to advancing access to cutting-edge mental health treatments through education, clinical collaboration, and ethical partnership. The team is mission-driven, patient-centered, and committed to raising the standard of care for individuals living with complex mood disorders. Must have Minimum of 2 years in a B2B relationship, sales, or partnership role within a regulated industry (e.g., healthcare, pharmaceuticals, finance). What you will be doing: Educational Outreach * Conduct regular, high-quality outreach through in-person visits, calls, emails, and virtual meetings. * Plan and deliver education-focused presentations and "lunch & learn" sessions on TRD, treatment indications, regulatory processes, and collaborative care models. * Act as an ambassador of education to psychiatrists, therapists, hospital discharge planners, and primary care providers. * Promote awareness and understanding of advanced treatment options through a professional, education-first approach. Territory Planning & Strategy * Identify and segment potential referral partners (e.g., hospitals, psychiatric practices, IOPs, therapists) across the assigned region. * Develop and execute a comprehensive territory plan using CRM and other digital tools. * Regularly review territory performance to optimize outreach and engagement strategies. Relationship & Co-Management * Serve as the primary point of contact for partner providers. * Ensure a positive, “white-glove” experience for new referral partners. * Maintain clear communication between referring clinicians and internal care teams. * Establish feedback loops to share appropriate, de-identified patient progress updates. * Troubleshoot issues related to patient intake or prior authorization processes. Compliance & Administration * Maintain accurate and detailed documentation of all activities within the CRM system. * Adhere to all healthcare compliance regulations, including HIPAA, Anti-Kickback Statute (AKS), and Stark Law. * Manage administrative tasks efficiently, including expense reporting and field budgeting. What you must have: * Clinical Knowledge: Ability to confidently discuss Treatment-Resistant Depression (TRD), Major Depressive Disorder (MDD), and mechanisms of action for approved treatments. * Regulatory Expertise: Must become fluent in REMS processes and be able to explain them clearly to provider offices. * Insurance Familiarity: Understanding of payer landscapes (Medicare, Medicaid, commercial) and the Prior Authorization process for medical billing codes. * Compliance-Driven Mindset: Must operate with a strict adherence to healthcare regulations and ethical standards. * Professional Communication: Strong interpersonal skills, capable of engaging diverse clinical audiences. * Minimum of 2 years in a B2B relationship, sales, or partnership role within a regulated industry (e.g., healthcare, pharmaceuticals, finance). * Must demonstrate the ability to learn clinical content quickly and communicate it effectively. * Logistics: Comfortable spending 60% or more time in the field. Must have a reliable vehicle and a valid driver’s license with a clean driving record. If you would like to apply email your resume

Job Description Spire Orthopedic Partners is a growing national partnership of orthopedic practices that provides the support, capital and operational resources physicians need to grow thriving practices for the future. As a Management Services Organization (MSO), Spire provides the infrastructure for administrative operations that allows practices to operate at their highest level, so doctors can focus their efforts on what matters most – patient care. Rooted in the 100-plus-year legacy of its founding partners, the network spans the Northeast with 128 physicians, over 1100 employees, and 28 locations from Connecticut, New York, and Massachusetts. Responsibilities: • Provides physical therapy services including evaluations and treatment in accordance with policy and procedures of state laws and the professional code of ethics, • Designs, implements, and modifies therapeutic interventions that may include but are not limited to therapeutic exercise, functional training, manual therapy (including soft tissue and joint mobilization), physical agents or modalities, and patient-related instruction (including home exercise program), • Maintains accurate and legible documentation including but not limited to initial evaluations, SOAP notes and flow sheets for each patient visit, reevaluation (every 30 days or 10 visits for Medicare patients whichever comes first), and the documented discharge of the patient, • Completes documentation in a timely manner that is consistent with all laws and regulatory requirements, • Maintains complete and accurate billing practices and assists front desk in maintaining authorizations, • Practices in a safe manner that minimizes risk to patients, self, and others, • Updates clinical skills through continuing education programs, professional contacts, journal articles, and participation in professional organization, • Assists and participates in in-service presentations after attending continuing education courses or as requested, • Maintains work area in a clean and orderly fashion and provides care and maintenance of facility equipment including reporting faulty equipment, • Adheres to proper work schedule and does not have excessive tardiness or absenteeism, • Complies with dress code policy – wearing logo shirt or business casual attire, • Reports problems or issues to the Physical Therapy Manager, • Reports to the Physical Therapy Manager Qualifications: • Degree in Physical Therapy from an accredited DPT program, • New grads welcome, • Valid Physical Therapy license or eligibility to become licensed in NY, • Strong interpersonal, customer service and organizational skills required We are an equal-opportunity employer. Qualified Applicants are considered for positions and are evaluated without regard to actual or perceived race, color, creed, religion, national origin, ancestry, citizenship status, age, sex, or gender (including pregnancy, childbirth, and related medical conditions), gender identity or gender expression (including transgender status), sexual orientation, marital status, military service and veteran status, physical or mental disability, protected medical condition as defined by applicable state or local law, genetic information, or any other characteristic protected by applicable federal, state, or local laws and ordinances (referred to as “protected characteristics”).

Job Description ENGLEWOOD ORTHOPEDIC ASSOCIATES JOB DESCRIPTION Department: Billing Title: Medical Billing Manager Location: Englewood Cliffs Supervision Received: Practice Administrator Position Summary: The Medical Billing Manager oversees and coordinates all billing operations within a healthcare organization to ensure accurate and timely submission of claims, optimal reimbursement, and compliance with regulatory requirements. This role manages billing staff, implements best practices, and maintains efficiency in revenue cycle processes. Key Responsibilities: Billing Operations • Oversee daily billing functions, including claim submission, follow-up, and denial management., • Ensure accurate coding and billing in compliance with payer requirements and federal/state regulations., • Monitor accounts receivable and develop strategies to minimize claim denials and outstanding balances., • Supervise, train, and evaluate billing staff performance., • Assign workloads and set productivity goals to maintain efficiency and accuracy., • Analyze revenue cycle reports to identify trends, errors, and opportunities for improvement., • Work with clinical and administrative teams to resolve billing issues and improve workflow., • Maintain payer relationships and oversee contract compliance. Compliance and Quality Control • Ensure adherence to HIPAA, Medicare, Medicaid, and other payer regulations., • Keep up to date on billing and coding changes (ICD-10, CPT, HCPCS)., • Prepare regular reports on billing performance. Education: • Bachelor’s degree in Healthcare Administration, Business, Accounting, or related field (preferred)., • 3–5 years of experience in medical billing, coding, or revenue cycle management., • Strong knowledge of insurance processes, payer requirements, and reimbursement methodologies., • Proficiency in medical billing software and EHR systems (e.g., Epic, Athena)., • Excellent analytical, organizational, and leadership skills., • Strong communication and problem-solving abilities. Benefits: • Medical, • Dental, • Vision, • Flexible spending account, • Health saving account, • Life insurance, • Paid time off, • 401 (k)

Job DescriptionDescription: • EXCELLENT BENEFITS * GREAT TEAM * NEW GRADS WELCOME * THOSE ELIGIBLE FOR AETNA HEALTH INSURANCE 1ST OF THE MONTH AFTER DATE OF HIRE* SCHEDULES AVAILABLE • Full-Time EPIC Rehabilitation and Nursing at White Plains is a BEAUTIFUL 160-bed NEW skilled nursing & rehabilitation center opened in 2020 in the heart of White Plains. Come join a family of facilities in New York State. Intrinsic to each facility in the EPIC portfolio are the words “Rehabilitation & Healthcare”, as our overriding goal is to rehabilitate patients and successfully return them to their lives. For those who have come to reside permanently, we aim to create the best possible environment while optimizing their quality of life. • Certified Occupational Therapy Assistant, COTA will establish and perform treatment programs for assigned residents., • Certified Occupational Therapy Assistant, COTA will upgrade goods as appropriate and physician order recommendations., • Certified Occupational Therapy Assistant, COTA will enter billing information in an accurate and timely manner., • Certified Occupational Therapy Assistant, COTA will report resident progress in meetings, i.e. Medicare A Meetings. Consult with other members of rehabilitation team to coordinate occupational therapy with other therapeutic activities., • Provide residents with equipment as appropriate & inform Social Services of equipment needs at discharge. Requisitions supplies and equipment., • Design and construct special equipment for individuals and suggest adaptation of individual’s living environment., • Lay out materials for individual’s use and return equipment to appropriate place., • Conduct training programs for other workers/families in occupational therapy techniques and objectives for resident care., • Chart notes in an informative and descriptive manner that reflects the therapy provided to the residents as well as the resident’s response to the therapy., • Perform routine documentation as required and in accordance with our established charting and documentation policies and procedures. Sign and date all entries made in resident’s medical record., • Follow all facility policies and procedures., • Perform other related duties as required and assigned.Requirements:, • The Certified Occupational Therapy Assistant is trained and licensed, meeting the qualifications set forth by the NYS Board of Education and the NYS Rules and Regulation requirements., • Graduate of an approved Certified Occupational Therapy Assistant Program., • Training certification by the AOTCB and current licensure in good standing with the NYS Board of Education., • One (1) year experience in the skilled nursing facility setting, preferred., • Experience with MDS, PRI and Comprehensive Care Planning. Entry-level knowledge and professional competency of the practice of occupational therapy as set forth by the NYS Board of Education and the AOTA., • Candidate will have the physical ability to perform job related duties, which may require lifting, bending, stooping, stretching, pulling and pushing up to 50lbs or more as needed., • Work well under pressure & willing to work harmoniously with all staff, • Sincere desire to work with the elderly, chronically ill, and handicapped, • Excellent customer service skills, • Must be able to communicate well verbally with residents, families and staff, • Treat residents and fellow staff with respect, dignity, and compassion *Disclaimer: This is a general job summary for advertisement purposes only. A full comprehensive job description can be provided upon request or during the hiring process.

Job Description Job Summary Clinical Patient Liaison TEEMA GROUP Full-time In-Office | White plains , NY, United States Job Title: Clinical Patient Liaison Location: White Plains, NY Employment Type: Full-Time About Us: We are a patient-centered clinical practice located in White Plains, NY, dedicated to providing high-quality, compassionate care. We are seeking a motivated and personable Clinical Patient Liaison to join our team and help ensure every patient receives an exceptional experience from the moment they walk through our doors. Position Summary: The Clinical Patient Liaison serves as the primary point of contact between patients and the clinical team. This role supports patients throughout their care journey by coordinating appointments, facilitating communication, and ensuring that each patient feels informed, supported, and valued. Key Responsibilities: What you will be doing: Educational Outreach * Conduct regular, high-quality outreach through in-person visits, calls, emails, and virtual meetings. * Plan and deliver education-focused presentations and "lunch & learn" sessions on TRD, treatment indications, regulatory processes, and collaborative care models. * Act as an ambassador of education to psychiatrists, therapists, hospital discharge planners, and primary care providers. * Promote awareness and understanding of advanced treatment options through a professional, education-first approach. * Identify and segment potential referral partners (e.g., hospitals, psychiatric practices, IOPs, therapists) across the assigned region. * Develop and execute a comprehensive territory plan using CRM and other digital tools. * Regularly review territory performance to optimize outreach and engagement strategies. * Serve as the primary point of contact for partner providers. * Ensure a positive, “white-glove” experience for new referral partners. * Maintain clear communication between referring clinicians and internal care teams. * Establish feedback loops to share appropriate, de-identified patient progress updates. * Troubleshoot issues related to patient intake or prior authorization processes. * Maintain accurate and detailed documentation of all activities within the CRM system. * Adhere to all healthcare compliance regulations, including HIPAA, Anti-Kickback Statute (AKS), and Stark Law. * Manage administrative tasks efficiently, including expense reporting and field budgeting. Qualifications: * Clinical Knowledge: Ability to confidently discuss Treatment-Resistant Depression (TRD), Major Depressive Disorder (MDD), and mechanisms of action for approved treatments. * Regulatory Expertise: Must become fluent in REMS processes and be able to explain them clearly to provider offices. * Insurance Familiarity: Understanding of payer landscapes (Medicare, Medicaid, commercial) and the Prior Authorization process for medical billing codes. * Compliance-Driven Mindset: Must operate with a strict adherence to healthcare regulations and ethical standards. * Minimum of 2 years in a B2B relationship, sales, or partnership role within a regulated industry (e.g., healthcare, pharmaceuticals, finance). * Logistics: Comfortable spending 60% or more time in the field. Must have a reliable vehicle and a valid driver’s license with a clean driving record What We Offer: * Competitive compensation * Health and dental benefits * Paid time off and holidays * Opportunities for training and professional development * Supportive team environment

Job Description THIS POSITION IS NOT REMOTE Position reports to Director of Revenue Cycle Management and is responsible for various aspects related to outpatient billing including, but not limited to, eligibility verification, claims analysis of 837i files, and remittance management of Medicaid FFS/Managed Care & Medicare Part B EOB’s. Additionally, position will be responsible for maintenance of clinical EHR system ensuring accurate patient data such as patient demographics, current guarantor/eligibility, client ledger, etc., generating weekly client eligibility reports and routine updates to EHR system to ensure data integrity. Reporting requirements include management of payer remittances and remittance data, weekly reporting of services and volumes for clinic review, data management of EHR system generated reports, and various reporting projects as assigned. Required qualifications include a Bachelor’s degree and minimum 2 years of RCM experience in the field of healthcare revenue cycle management, knowledge of CPT/ICD-10 coding, claim submissions/resubmission/analysis, and EHR maintenance. Proficiency in Microsoft Word, Outlook, and Excel (data analysis tools) also required for position.

Job DescriptionTitle: Client Care Coordinator Reports To: Client Care Supervisor FLSA: Non-Exempt Status: Full-time Supervisory Responsibility: Not Applicable Purpose of the Role: Serve persons with mental health conditions, substance abuse issues and/or disabilities, responsible for day-to-day client interactions (face-to-face, telephone, email, etc.) and care coordination of assigned cases. Address immediate and emerging needs, set goals, resolve issues, advocate and connect clients to the needed resources such that their lives become stable, recovery centric and interactive (minimizing isolation). Essential Functions of the Role:  Upon assignment of a new client, contact the person, set appointment to come to CHOICE office for in-take meeting, and complete all required paperwork, proceeding within the required guidelines. For all assigned cases:  Set client goals.  Align care activities with client goals.  Monitor progress of goals, adjust care needs accordingly. o Collect and enter data and notes accurately, thoroughly and timely, documenting activities and outcomes into case management systems. o Plan and execute care activities in accordance with client goals and Medicare acuity rating, minimizing any potential issues with billing and reimbursement to the agency. o Plan and utilize time so that needed outcomes for the client are achieved and completed within the amount of time allotted by their respective acuity rating. Proactively communicate with Client Care Supervisor on any emerging issues and needed adjustments. o Connect with each assigned client minimally 1 x per month.  Review assigned case load with Client Care Supervisor 2 times per month to ensure effective case management (as noted above); make adjustments as needed.  Acting as an advocate, develop productive and results oriented relationships with mission critical persons at outside organizations, such as (but not limited to): Dept. of Social Services, Mental Health Providers, Primary Care Physicians, Probation Officers, Legal Services, District Attorney’s Office, etc. Using the full capacity of one’s ongoing experience and training, demonstrate progressive ability to problem solve, advocate, mediate and handle increasingly complex tasks related to care coordination.  Do not settle for “because that’s the way it has always been done”, rather be fearless in the pursuit of excellence and achieving the needed outcomes for our clients and the agency at large.  Other activities as assigned. Decision Making Authority: Decisions regarding client care and case management are to be made with guidance and collaboration of the Client Care Supervisor to whom the Client Care Coordinator (CCC) is assigned. It is expected that the CCC will show an increasing ability to make decisions independently on routine matters as knowledge and experience progresses. Working Relationships: Internal: Client Care Supervisor, Program Director, other CCC’s External: Dept. of Social Services, Mental Health Providers, Primary Care Physicians, Probation Officers, Legal Services, District Attorney’s Office, etc. Work Schedule: Monday – Friday, 9am – 5pm with some flexibility around client needs. Physical Environment: o Traditional office environment. o Must be comfortable attending appointments at various agencies, facilities and client’s home Physical Demands: Must be able to drive a motor vehicle and carry up to 20 lbs. Mental and Visual Demands: Flow of work and nature of duties involve normal coordination of mind and eyes much of the time. o Must be able to interact with persons having mental health issues, periods of instability (i.e. lack of shelter, food, clothing or support), recently released from an institution (i.e. hospital, prison), limited comprehension and/or ability to manage through complex scenarios. Qualifications for this Role:  Proven ability to empathize with the clients we serve.  Tenacity and passion for this work with the ability to balance objectivity with empathy.  Computer literacy required.  Valid Driver License required and a driving record that will permit the use of an Agency vehicle to transport clients to appointments or other activities as needed.  Bachelor’s Degree required.  Associates accepted with experience.  Bilingual English/Spanish a plus. Compensation Range: $36,500.00 - $40,000.00 per year

Job Description Patient Advocate Specialist White Plains, 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. 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 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 White Plains Hospital 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., • 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-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. 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.

Medicare Part B- Billing Representative. We need a Medicare Part B- Billing Representative with pharmacy experience in our Ridgefield Park, NJ location. Experience in New York pharmacy billing claims.

Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies.We guarantee 15-25 hours per week with an hourly pay of between $25 / hr.There is no payment required in order to apply or to work as an In-Home Usage Tester.You

Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies.We guarantee 15-25 hours per week with an hourly pay of between $25/hr.There is no payment required in order to apply or to work as an In-Home Usage Tester.You do

Certified Professional Coder / Bill Review Expert.Review medical bills related to MVA injuries sustained for NJ and or NY covered insureds.Conduct reviews of medical bills and supporting documentation to ensure proper codes assigned.Assign proper codes as needed based on review outcome.Use various r

Call Center / Remote] - Anywhere in U.Competitive pay / Medical, dental & vision / 401k / PTO - As a Customer Service Rep at Planet Home Lending, you will: Respond to borrower inbound calls concerning their account, ensuring high quality service and adhering to productivity and regulatory requiremen

Seeking participants for Focus Group and market research studies.Work part-time from home and earn up to $750 per week.Register to see if you are eligible.Data Entry experience not required.Remote Work From Home Data Entry Clerk - Part Time Market Research Panelists Our company is seeking individual

Medical Assistant/Receptionist FT Days - EHPN Dermatology.Englewood Health, a leading healthcare system comprising Englewood Hospital and the Englewood Health Physician Network, is committed to delivering exceptional patient care across northern New Jersey.We are dedicated to fostering a supportive

Medical Office Receptionist FT Days - EHPN PrimaryCare Eng Dr.Englewood Health, a leading healthcare system comprising Englewood Hospital and the Englewood Health Physician Network, is committed to delivering exceptional patient care across northern New Jersey.We are dedicated to fostering a support

Medical Assistant/Receptionist FT Dept.Englewood Health, a leading healthcare system comprising Englewood Hospital and the Englewood Health Physician Network, is committed to delivering exceptional patient care across northern New Jersey.We are dedicated to fostering a supportive and inclusive work

Collects rent checks from residents and family members and provides needed information to bookkeeping for billing.

FYZICAL in Lake Success, NY has expanding its operations, within a fully renovated, Class A office complex.We are presently seeking skilled front office support.FYZICAL, the fastest growing physical therapy company in America, is setting a new benchmark for the highest level of care.With locations a

Medical Assistant/Receptionist - Bergen Medical Alliance FT Englewood.Englewood Health, a leading healthcare system comprising Englewood Hospital and the Englewood Health Physician Network, is committed to delivering exceptional patient care across northern New Jersey.We are dedicated to fostering a

We are seeking a professional and reliable Front Office Specialist to join our team in the Yonkers, NY area.The ideal candidate will be bilingual in English and Spanish, have strong communication skills, and possess prior experience supporting front office operations.Experience in a medical or healt

Familiarity with insurance verification and billing processes. Assist with billing and insurance documentation as needed to support the revenue cycle process.

Medical Assistant/Receptionist Per Diem - East Campus Medical Suites.Englewood Health, a leading healthcare system comprising Englewood Hospital and the Englewood Health Physician Network, is committed to delivering exceptional patient care across northern New Jersey.We are dedicated to fostering a

As a Front Desk Receptionist at Essen Healthcare, you will be the first point of contact for our patients and visitors, playing a crucial role in providing a welcoming and organized environment.Your primary responsibilities include assisting patients, ensuring efficient patient flow, updating patien

Performs diversified secretarial duties supporting management and/or a physician.Performs diversified secretarial duties including, but not limited to:.Typing various forms of correspondence.Scheduling appointments, meetings, etc.Transmitting various documents using computer, mail, and/or fax.Mainta

Practice Administrative Associate.To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values.These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and p

Answer phones and assist guest/members with various questions including memberships, ancillary services, and billing inquiries. Assist management in administrative tasks including, but not limited to, billing calls and confirming appointments.

Milton CAT is looking for a Rental Sales Professional in our Clifton Park or Syracuse, NY location.The Representative drives revenue within their designated market by developing business relationships and providing customer focused solutions to our customers for Power Generation, Compressed Air, and

Seeking participants for Focus Group and market research studies.Work part-time from home and earn up to $750 per week.Register to see if you are eligible.Customer service representative agent experience not required.Remote Work From Home Customer Service Representative Agent - Part Time Market Rese