Trabajos medicare billing en New York, New York - Page 2Crear alertas

Job Description Benefits/Perks • Competitive Compensation, • Great Work Environment, • Assist with processing insurance claims through both private insurance and Medicaid/Medicare, • Note and process all necessary forms from the insurance, • Assist patients in navigating the billing and insurance landscape, including collecting all necessary forms and signatures, • Work with doctor’s offices and hospitals to obtain charge information and billing details, • Enter all billing and payment information into the system properly and without errors, • Follow up with clients and payments, as needed, • Answer phones, assist clients with questions, take messages, and screen calls, • Maintains the highest level of confidentialityQualifications, • Strong customer service skills, • Previous experience with medical coding or billing desired, • Strong organization skills, • Excellent attention to detail

Job DescriptionOur mission: to eliminate every barrier to mental health. At Spring Health, we're on a mission to revolutionize mental healthcare by removing every barrier that prevents people from getting the help they need, when they need it. Our clinically validated technology, Precision Mental Healthcare, empowers us to deliver the right care at the right time—whether it's therapy, coaching, medication, or beyond—tailored to each individual's needs. We proudly partner with over 450 companies, from startups to multinational Fortune 500 corporations, as a leading provider of mental health service, providing care for 10 million people. Our clients include brands you use and know like Microsoft, Target, and Delta Airlines, all of whom trust us to deliver best-in-class outcomes for their employees globally. With our innovative platform, we've been able to generate a net positive ROI for employers and we are the only company in our category to earn external validation of net savings for customers. We have raised capital from prominent investors including Generation Investment, Kinnevik, Tiger Global, Northzone, RRE Ventures, and many more. Thanks to their partnership and our latest Series E Funding, our current valuation has reached $3.3 billion. We're just getting started—join us on our journey to make mental healthcare accessible to everyone, everywhere. Reporting to the Senior Director of Product Management, the Lead Product Manager, Claims and Insurance Eligibility will own the development of systems and experiences that support eligibility verification, claims generation, and reimbursement. This role is part of the Care Foundations Product team and is critical to scaling our healthcare infrastructure and optimizing financial outcomes for members, Providers, and Spring. Please note that this is a hybrid role based in New York City, with an expectation to be in office 2-3 days a week. Our office is located at 60 Madison Avenue. What you'll do: • Define and drive the product roadmap for eligibility verification, claims processing, EDI integrations, and payer reimbursement workflows., • Partner with engineering, revenue cycle operations, data, and compliance teams to deliver reliable, accurate, and scalable systems., • Improve real-time eligibility checks and automate claims submission processes to reduce administrative overhead., • Ensure products meet HIPAA and other regulatory requirements while optimizing for user experience and operational efficiency., • Identify and resolve pain points that lead to claim denials, slow reimbursements, or friction for members and providers., • Measure and enhance the success of claims workflows through product analytics, stakeholder feedback, and A/B testing., • Strategically leverage AI and other technologies to gain large efficiencies, • High level of accuracy for eligibility checks, • Lower processing cost per appointment, • 90%+ claims auto-submitted, • Significant increase in "clean claims"/reduction in claim denial rates, • Improve revenue cycle automation to reduce manual interventions, • 5+ years of product management experience, including experience in healthcare tech, • Experience developing and delivering on strategic roadmaps tied to longer term company objectives, • Deep familiarity with claims workflows, eligibility checks, and healthcare billing standards (e.g., EDI, X12), • Demonstrated ability to lead cross-functional teams across operations, engineering, and compliance, • Strong technical acumen and systems thinking, especially with complex data workflows and the ability to improve them with AI and automation, • Experience with payer-provider systems or clearinghouses, • Familiarity with Medicare, Medicaid, or commercial insurance billing nuances, • Health, Dental, Vision benefits start on your first day at Spring. You and your dependents also receive access to One Medical accounts HSA and FSA plans are also available, with Spring contributing up to $1K for HSAs, depending on your plan type., • Employer sponsored 401(k) match of up to 2% for retirement planning, • A yearly allotment of no cost visits to the Spring Health network of therapists, coaches, and medication management providers for you and your dependents., • We offer competitive paid time off policies including vacation, sick leave and company holidays., • At 6 months tenure with Spring, we offer parental leave of 18 weeks for birthing parents and 16 weeks for non-birthing parents., • Access to Noom, a weight management program—based in psychology, that's tailored to your unique needs and goals., • Access to fertility care support through Carrot, in addition to $4,000 reimbursement for related fertility expenses., • Access to Wellhub, which connects employees to the best options for fitness, mindfulness, nutrition, and sleep in one subscription, • Access to BrightHorizons, which provides sponsored child care, back-up care, and elder care, • Up to $1,000 Professional Development Reimbursement a year. Ready to do the most impactful work of your life? Learn more about our values, what it's like to work here, and how hypergrowth meets impact at Spring Health: Our Values Our privacy policy: Spring Health is proud to be an equal opportunity employer. We do not discriminate in hiring or any employment decision based on race, color, religion, national origin, age, sex, marital status, ancestry, disability, genetic information, veteran status, gender identity or expression, sexual orientation, pregnancy, or other applicable legally protected characteristic. We also consider qualified applicants regardless of criminal histories, consistent with applicable legal requirements. Spring Health is also committed to providing reasonable accommodations for qualified individuals with disabilities and disabled veterans. If you have a disability or special need that requires accommodation, please let us know.

Job Description Knack RCM is a leading healthcare services company specializing in tech-enabled revenue cycle management (RCM) solutions for medical practices, ambulatory surgery centers, and specialty providers. Headquartered in Woodbridge, New Jersey, Knack RCM delivers end-to-end support — including patient access, coding, billing, A/R management, and credentialing — through a global delivery model that combines advanced automation with deep specialty expertise. Formerly known as Knack Global, the company rebranded in 2024 to reflect its specialty-focused approach and has since expanded through strategic acquisitions in anesthesia, eye care, and DME/HME RCM. With thousands of employees worldwide, Knack RCM partners with healthcare organizations to improve financial performance, streamline operations, and empower providers to focus on patient care. About the Role: The Provider Enrollment Account Manager will accept and be assigned clients to manage. · The Provider Enrollment Account Manager will be responsible for managing the clients assigned to them, being the client's primary point of contact, and delegating and assigning tasks and projects to the offshore team on a daily basis. The Provider Enrollment Account Manager will delegate projects and tasks to the offshore team and manage turnaround time, and quality of the completed work. Meet with and train offshore staff as needed. The Provider Enrollment Account Manager will also be responsible for working normal business hours and so they can be available to the offshore team for questions or concerns as well as clients. The Provider Enrollment Account Manager will mentor, train and coach the offshore team. The Provider Enrollment Account Manager will manage all phases of provider enrollment, re-enrollment, contracting, fee schedule review and negotiations, and expirable management ensuring the timely and accurate enrollment (and recredentialing) of providers into various payers utilizing the offshore team. • Instruct Offshore team which payer(s) should be contacted when follow up is needed, requesting network participation, and follow up on submitted applications., • The Provider Enrollment Account Manager will coordinate in obtaining necessary data needed for enrollment, contracting, and other related purposes from clients and will provide instructions to Offshore on how to handle all data within the software., • Oversee the completion and submission of provider enrollment applications for all clients., • Obtains required client signatures and forward the appropriate information when received to offshore for the process to be completed., • Communicate with Offshore to process all initial enrollments and re-enrollment applications, including revalidations for Medicare and/or Medicaid as requested by client., • Provide offshore a list of clients and projects that should be followed up on weekly basis · Provide each client a weekly status report and the email and status report should be uploaded into STAT., • Manage CAQH/CAQH re-attestations including expirable which should be performed by offshore., • Maintain the timelines on enrollment/credentialing schedules, communicate with providers and other departments to update as needed, clarify carrier information requirements, and maintain a strict level of confidentiality for all matters pertaining to provider credentials., • Works in all phases of provider enrollment, re-enrollment, contracting, fee schedule review and negotiations, and expirable management ensuring the timely and accurate enrollment (and recredentialing) of providers into various payers (Medicare, Medicaid, and commercial health insurance companies)., • Contacting payer(s) by phone, requesting network participation and follow up on submitted applications., • Coordinate's credentialing data needed for enrollment, contracting, and other related purposes., • Completion & Submission of provider enrollment applications. Works closely with providers to obtain missing documentation., • Obtains required client signatures and follows up with the carriers on documentation submitted on a weekly basis and per company policies., • Processes all initial enrollment and re-enrollment applications, including revalidations for Medicare and/or Medicaid as requested., • Follow-up and Follow-through on all submitted applications. Expirable management., • Bachelor’s degree in Healthcare Administration, Business, or a related field., • 5+ years of Payer Enrollment experience with Federal and Commercial payers, • Strong knowledge of healthcare payer enrollment processes, credentialing standards, and regulatory requirements., • Proficiency with provider enrollment software and databases., • Experience in working with an Offshore team preferred, • Certification in Provider Credentialing (e.g., CPCS) or related credentialing certification., • Experience working with multiple healthcare payers and understanding of various payer-specific enrollment requirements., • Familiarity with healthcare compliance regulations such as HIPAA and CMS guidelines., • Demonstrated ability to lead process improvement initiatives., • Advanced proficiency in data management tools and Microsoft Office Suite. Page Break

Job Description Benefits/Perks • Competitive Compensation, • Great Work Environment, • Assist clients with processing insurance claims through both private insurance and Medicaid/Medicare, • Note and process all necessary forms from the insurance, • Assist patients in navigating the billing and insurance landscape, including collecting all necessary forms and signatures, • Work with doctor’s offices and hospitals to obtain charge information and billing details, • Enter all billing and payment information into the system properly and without errors, • Follow up with clients and payments, as needed, • Answer phones, assist clients with questions, take messages, and screen calls, • Maintains the highest level of confidentialityQualifications, • Strong customer service skills, • Previous experience with medical coding or billing desired, • Strong organization skills, • Excellent attention to detail

Job DescriptionBenefits: • Bonus based on performance, • Competitive salary, • Paid time off, • Competitive Compensation, • Great Work Environment Responsibilities • Assist clients with processing insurance claims through both private insurance and Medicaid/Medicare, • Note and process all necessary forms from the insurance, • Assist patients in navigating the billing and insurance landscape, including collecting all necessary forms and signatures, • Work with doctors offices and hospitals to obtain charge information and billing details, • Enter all billing and payment information into the system properly and without errors, • Follow up with patients and payments, as needed, • Answer phones, assist patients with questions, take messages, and screen calls, • Maintains the highest level of confidentialityQualifications, • Strong customer service skills, • Must speaking Chinese and English, • Previous experience with medical coding or billing desired, • Previous EMR system, EPIC or MDland prefered, • Strong organization skills, • Excellent attention to detail

Job Description Job Title: Office Manager – Medical Practice Location: Brooklyn Heights, NY Employment Type: Full-Time Schedule: Full-Time | Monday–Friday Salary: $66,000 - $70,000 annually (DOE)*** Position Overview: We are seeking an experienced Office Manager to oversee the business operations of a medical practice site in Brooklyn Heights. This role ensures smooth daily operations, strong staff engagement, regulatory compliance, and excellent patient service. Key Responsibilities: • Manage day-to-day operations of a single-site medical office, • Maintain efficient patient flow including reception, scheduling, records, and chart preparation, • Ensure compliance with HIPAA, OSHA, labor laws, and healthcare regulations, • Supervise staff performance, including reviews, recognition, and discipline, • Address patient concerns and implement process improvements, • Oversee billing processes and insurance workflows, • Assist with surgical authorizations, scheduling, and billing, • Bachelor’s degree in Public Health Administration, Business, or related field, • 5–7 years of medical office administration management experience, • Medical billing and insurance processes, • Medicare, Medicaid, and commercial insurance regulations, • Workers’ Compensation and No-Fault claims, • Strong leadership and organizational skills, • Professional communication with staff, clinicians, and patients, • Experience with healthcare software systems, • High attention to detail and customer service focus Competitive Salary, Paid Time Off Medical Dental Vision 401(k) Legal Insurance Pet Insurance. Company DescriptionLanceSoft is rated as one of the largest staffing firms in the US by SIA. Our mission is to establish global cross-culture human connections that further the careers of our employees and strengthen the businesses of our clients. We are driven to use the power of our global network to connect businesses with the right people, and people with the right businesses without bias. We provide Global Workforce Solutions with a human touch.LanceSoft is rated as one of the largest staffing firms in the US by SIA. Our mission is to establish global cross-culture human connections that further the careers of our employees and strengthen the businesses of our clients. We are driven to use the power of our global network to connect businesses with the right people, and people with the right businesses without bias. We provide Global Workforce Solutions with a human touch.

Job DescriptionPayer Contract Specialist - Contract - Wayne, NJ LHH is seeking an experience Contract Specialist for our client in Wayne, NJ. In this role, you will be responsible for negotiating and managing payer contracts and payer relations, including contract terms and reimbursement methods. The ideal candidate will have 2 or more years of experience in payer contract negotiations, payer relations, or related. Summary, • Employment type: Contract; possible for fulltime hire, • Location: 100% onsite in Wayne, • Hours: 9AM-5PM, Monday - Friday, • Hourly pay rate: $28-32/hour Responsibilities include,, • Analyzing payer contract terms, including payment fee structures and methods, • Negotiating with payers, managing contracts and payer relations issues, • Monitoring compliance in relation to payer contracts and resolving issues, • Working between billing, revenue cycle, and clinical teams; acting as primary point of contact for payer-related issues or inquiries Qualifications include,, • 2 or more years of experience in payer relations, contract negotiations, or related, • Strong knowledge of multiple payers, including major commercial and Medicaid/Medicare, • Strong communication skills, verbal and written, • Analytical mindset, comfortable in creating and submitting reports to leadership teams, • Intermediate to proficient technology skills, including Microsoft products Pay Details: $28.00 to $32.00 per hour Search managed by: Marissa Osorio Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable. Equal Opportunity Employer/Veterans/Disabled Military connected talent encouraged to apply To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable: • The California Fair Chance Act, • Los Angeles City Fair Chance Ordinance, • Los Angeles County Fair Chance Ordinance for Employers, • San Francisco Fair Chance OrdinanceMassachusetts Candidates Only: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Job DescriptionAbout Baba Baba is rebuilding healthcare for older adults. Navigating healthcare can be overwhelming. By 2030, over 65 million older adults will make up nearly a quarter of the U.S. population, creating one of the largest and most urgent challenges in healthcare. Baba makes it easier by pairing older adults with an expert advocate (usually a nurse or social worker) who coordinates their care. Baba's insurance-covered advocates have supported thousands of families by writing insurance appeals, researching specialists, getting medical equipment and cheaper medications, and scheduling appointments. Baba's investors include General Catalyst, Genius Ventures, Soma Capital, and Ground Up Ventures, along with angel investors who were founders or executives of leading companies. More than 50% of the Baba team are former founders, with backgrounds from MIT, Carnegie Mellon, Stripe, Palantir, and Liquid AI. The Role We're looking for a Clinical Operations leader to build and run the engine that powers Baba's care delivery, the people, processes, and systems that turn a patient into consistent, high-quality advocacy, and follow through on the KPIs for positive, high NPS outcomes. Today, Baba's advocate team is growing fast. We need someone who has actually built and managed a clinical workforce at scale, hiring, training, supervising, and holding accountable a distributed team of community health workers, social workers, nurses, and care coordinators. Someone who understands what it takes to deliver measurable outcomes for complex elderly patients. This is not a "strategy and decks" role. You'll be in the weeds, building scheduling and assignment systems, designing QA processes for clinical documentation, establishing supervision structures between advocates and physicians, and creating the operational playbook that lets us 10x the team without quality falling apart. You’ll also be instrumental in new product and service offerings to create a scalable platform. You'll work closely with our product, engineering, and growth teams to shape how Baba scales. What You'll Do * Build the clinical workforce machine. Own recruiting pipelines, onboarding, training curricula, and competency assessments for healthcare advocates. Design tiered staffing models (CHWs, social workers, RNs) matched to patient acuity and service requirements. * Create systems for quality and compliance. Build audit-ready QA processes, chart reviews, peer supervision, and corrective action workflows. * Design and manage the advocate-physician supervision model. Define escalation pathways, clinical oversight cadence, and co-signature workflows that satisfy Medicare requirements without creating physician bottlenecks. * Operationalize patient panels and caseload management. Build assignment logic, capacity planning, and workload balancing across a distributed remote team. Define what "right-sized" caseloads look like for different advocate tiers and patient complexity levels. * Own clinical outcomes and operational KPIs. Track and improve engagement rates, documentation completion, billing capture rates, patient satisfaction, and downstream outcomes (readmission reduction, care plan adherence). Build dashboards and reporting cadences that surface problems before they compound. * Partner with product and engineering. Shape EHR workflows, AI tools, and care coordination features based on frontline clinical reality. Translate operational pain points into product requirements. Pressure-test new features with the team before rollout. * Expand clinical programs. Support the launch of adjacent services. Define clinical protocols, staffing models, and supervision structures for each new line. What You Bring * 7+ years in clinical operations, care management, or social work leadership within a health system, managed care organization, or post-acute provider. You've personally built and managed a team of 20+ clinical staff (social workers, care managers, CHWs, nurses). * Experience with care transitions and post-acute populations. You've worked at the intersection of hospitals, SNFs, home health, and community-based services. You know the discharge planning ecosystem and its failure modes intimately. * Operational builder, not just operator. You've created clinical programs, training curricula, QA systems, or workforce models from scratch, not just managed inherited ones. You're comfortable with ambiguity and can design v1 systems that work today while scaling tomorrow. * Comfort with technology and data. You work fluently with EHRs and care management platforms. You can define metrics, read dashboards, and use data to drive decisions. You don't need to code, but you need to think in systems. * Clinical licensure or credential (LCSW, RN, LMSW, or equivalent) preferred. What matters more is that you can credibly lead, train, and evaluate clinicians. Nice to Have * Experience at a healthcare startup or high-growth environment where you built clinical operations from early stage. * Background in social work leadership within a large health system (managing social work and case management departments across multiple sites). * Exposure to value-based care contracts and outcomes-based reporting. * MSW, MPH, MBA, or equivalent advanced degree. Compensation & Benefits * Competitive base salary + equity * Health, dental, and vision insurance * Unlimited PTO * Work in our beautiful SoHo, NYC office * The opportunity to define how consumer healthcare works for millions of families

Job DescriptionPOSITION SUMMARYSupports the VP of Revenue Cycle Operations and Optimization in managing aspects of revenue cycle optimization, including maintaining relationship and monitoring of third-party billing organization and EPIC hosting organization, identifying and implementing revenue optimization strategies, regulatory compliance with third-party insurers (Medicaid, Blue Cross/Blue Shield, etc.), and maintenance of billing and reporting systems. Supports fee schedule, contract review and credentialing activities for managed care contracts. ESSENTIAL JOB DUTIES AND RESPONSIBILITIES Management (10%) · Recruits, retains and develops a diverse and highly qualified staff; provides ongoing performance feedback and maintains a safe and professional work environment.· Trains or assists in training staff in other departments on revenue cycle related areas (both administrative and program) as needed.· Evaluates staff in a timely manner in accordance with PPGNY’s policies.· Performs other training and mentoring related duties as required. Revenue Cycle Optimization and Revenue Cycle Liaison (55%)· Performs analysis of revenue cycle trends and identifies areas of focus to reduce denials and increase overall collections.· Performs root cause analysis for areas identified, proposes solutions to achieve overall enhancement of revenue and implements changes.· Develops workplans to address billing corrections needed, works closely with EPIC hosting organization to implement automated solutions· Collaborates with third party RCM vendor and health center operations to implement process changes.· Collaborates with cross functional teams to ensure alignment between clinical operations and PPGNY billing practices· Tracks adherence to process changes implemented and quantify financial impact.· Monitor health centers’ adherence to charge reconciliation processes and metrics measured by key performance indicators and work with HC leadership to address issues/ trends identified· Ensure changes within the charge description master (CDM) coincide and are implemented with clinical systems· Review changes in CPT®, HCPCS, and revenue codes for accuracy, compliance with applicable billing guidelines, and optimization of reimbursement· Develop, deliver, and revise integrity education and training programs in coordination with clinical operations and leadership· Perform revenue integrity reviews and present findings for corrective actions Monitoring tools (25%)· Develops and implements reporting tools to identify revenue cycle trends, including root cause of denials.· Builds reporting tools to monitor productivity and quality of work performed by staff that impacts RCM results, including front desk, financial counselors, and third-party RCM vendor.· Creates reports to monitor the impact of RCM enhancements and ensure compliance with new processes.· Works closely with Data Analytics team to develop dashboards, scorecards and other tools to monitor performance. Monitoring tools (25%)· Develops and implements reporting tools to identify revenue cycle trends, including root cause of denials.· Builds reporting tools to monitor productivity and quality of work performed by staff that impacts RCM results, including front desk, financial counselors, and third-party RCM vendor.· Creates reports to monitor the impact of RCM enhancements and ensure compliance with new processes.· Works closely with Data Analytics team to develop dashboards, scorecards and other tools to monitor performance. Education and Training (10%) · Evaluates the results of the periodic coding audits conducted by an outside agency, and partners with the VP of Revenue Cycle Operations and Optimization and clinical services leadership to provide training and feedback to the clinical providers on their performance and areas for improvement.· Actively maintains an up-to-date knowledge base of developments in third-party billing, such as changes in Medicaid reporting requirements. Identifies changes required to department procedures in response to such developments.· Responsible for identification of training needs for all registration areas and provide training material working in conjunction with RDO of operations. · Maintain up to date knowledge of CMS billing rules and payer requirements to proactively identify policy changes· Remain current on payer billing requirements· Remain current on Epic reporting tools CORE COMPETENCIES· A demonstrated commitment to PPGNY’s mission related to bodily autonomy, health equity, gender and racial justice · A demonstrated commitment to learning about and enhancing practices related to racial equity and its impact on healthcare systems. · Strong relationship building and communication skills, including an ability to work and build trust across cultural differences related to related to race, class, age, gender, gender identity and expression, sexual orientation, religion, ethnicity, national origin or ability; and to reflect on one’s personal identity with humility. · Strong knowledge of data and analytics to ensure good decision making, performance measurement and financial analysis.· Ability to work collaboratively in cross-organization workgroups.· Customer service and interpersonal skills and the ability to coordinate work with others, both internally and externally, to accomplish tasks. · Engages in mutual problem solving · Facilitates continuous process improvements · Strong time management skills, including ability to work in a high distraction environment and to juggle multiple deliverables at one time · Strong project management skills, identifying all steps required to meet a deliverable, key stakeholders, deliverables by other units in order to achieve goals, and barriers to success. REQUIRED SKILLS/ABILITIES:Interpersonal · Excellent customer service and communication skills · Ability to remain focused and calm in stressful situations · Excellent interpersonal, written and verbal skills · Ability to develop and maintain effective, professional relationships with internal and external stakeholders · Ability to work effectively as part of team Technical · Proficient with Microsoft Office Suite; Advanced Excel skills including Pivot Tables and V Look Ups· Deep understanding of EMR systems; Experience in an EPIC environment· Strong data management and data analysis skills; research oriented with the ability to critically analyze large data sets Subject Matter Knowledge · In-depth knowledge of Medicare/Medicaid regulations, including billing, coding, and documentation requirements. · Strong experience in revenue cycle management and optimization· Previous experience with Charge Master Management· Experience with principles of process improvement Work Habits/Attributes · Excellent organizational skills · Outstanding time management skills, including the ability to work under deadline · The ability to produce high quality work in a fast-paced environment with changing and/or competing priorities · Ability to exercise sound judgment and independent decision-making skills · Ability to produce reliable, high-quality work with minimal direct supervision · Ability to exercise discretion in the handling of confidential information · Possess strong work ethic REQUIRED QUALIFICATIONS • Minimum of an associate degree in business administration, accounting, healthcare administration, or other related degree., • 10 years of experience related to billing, coding, denial management and underpayment analysis, • Demonstrated leadership skills, • Two years’ experience with EPIC Reporting. Preferred Qualifications:, • Bachelor's degree in Finance or IT related areas of focus, • EPIC related certifications and reporting experience, • Coding certification (e.g. CCS, RHIA, RHIT) or applicable experienceTYPICAL PHYSICAL DEMANDS, • Requires prolonged sitting and repetitive tasks including use of a computer. Periodic standing, walking, bending. Requires lifting or moving of up to 15 pounds. Visual acuity sufficient to perform frequent work on a computer screen and review printed reports and other materials. Requires the ability to hear and to communicate orally with others. This role routinely uses standard office equipment such as computers, phones, photocopiers, and filing cabinets, and will require reaching, grasping, pushing and pulling.TYPICAL WORKING CONDITIONS

Job DescriptionABOUT VITALIEF Vitalief is a trusted partner to Sponsors, CROs, and Sites across the research and clinical trials landscape. By blending deep subject matter expertise with strong business acumen, we deliver Consulting and Functional Service Provider (FSP) solutions that empower organizations to do more with less, streamlining operations, reducing costs, and accelerating breakthroughs that ultimately benefit patients. POSITION OVERVIEW We are seeking a highly experienced, strategic yet hands-on Clinical Research Operations Leader to join our delivery team as a full-time, fully benefited employee. In this role, you will partner with a multi-location community hospital system to transform its research enterprise into a scalable, high-performing, world-class clinical research operation. As the primary subject matter expert (SME), this leader will collaborate closely with the Vitalief delivery team to design and implement enterprise-level operational initiatives, with a strong emphasis on Non-Oncology programs and enhancing cross-system communication and coordination. A central focus of the role will be leading the operational build-out and execution of a Cardiovascular clinical trials pilot, including infrastructure development, staffing strategy, workflow optimization, and technology deployment. WHY VITALIEF? • Professional Growth: Join a team of experienced practitioners who bring both business acumen and domain expertise., • Impactful Work: Contribute to scientific advancements that directly improve patient lives., • People-First Culture: Thrive in an environment that fosters growth, innovation, and collaboration., • Comprehensive Benefits: Enjoy 20 PTO days, 9 paid holidays, company-paid life insurance, short- and long-term disability, a 401(k) retirement plan, and robust healthcare options., • Flexible Work Location: Hybrid role with 2–3 days per week onsite in the Orange, NJ area., • Successful design, launch and operational stabilization of a scalable Cardiovascular research pilot across multiple hospital campuses and ambulatory sites., • Aligned research strategy with institutional priorities through close partnership with executive, clinical, and administrative leadership., • Established standardized workflows, SOPs and enterprise-wide performance metrics for research operations., • Strengthened investigator engagement and increased research participation across service lines., • Established scalable infrastructure and service line activation frameworks, in collaboration with investigators and sponsors, to reduce study activation timelines, enhance start-up predictability, and support sustainable research growth., • Successfully managed cross-functional initiatives within matrixed reporting environments and complex academic-clinical governance structures., • Bachelor’s degree required; Master’s degree in Clinical Research Administration, Public Health, Nursing, or related field strongly preferred., • Minimum of 7 to 10 years of progressive clinical research operations experience, including 3 to 5 years in leadership or management roles., • Experience building and launching a clinical research multi-location operation from scratch, enabling timely initiation of multiple studies across diverse therapeutic areas., • Demonstrated experience leading and supporting complex multi-site clinical research settings, including academic medical centers, affiliated and non-academic health systems, and disparate research locations., • Demonstrated experience managing complex drug, device, adaptive, or multi-arm trials., • Cardiovascular clinical research experience strongly preferred., • Expertise in study start-up optimization, IRB processes, and regulatory compliance., • Experience with CTMS platforms (e.g., OnCore) and Epic research integration., • Strong knowledge of research billing compliance and Medicare clinical trial requirements., • Proven ability to develop SOPs, quality systems, and performance dashboards., • Experience strong relationships with sponsors and CRO partners to enhance site reputation and repeat business opportunities., • Strong executive presence with the ability to influence across matrixed environments. IMPORTANT NOTE: Vitalief partners with clients such as major medical centers and academic institutions that often requires all on-site resources such as prospective Vitalief consultants to be inoculated annually for Influenza and successfully pass a Mantoux Tuberculin Skin Test (TST) for Mycobacterium Tuberculosis. Powered by JazzHR r6vZMkintD

Job Description Benefits Pulled from the full job description • Paid training, • Parental leave, • Health insurance, • Paid time off, • Vision insurance, • Dental insurance, • Paid sick time Full job description Position Summary The Receptionist/ Patient Care Coordinator will strive to deliver five-star concierge-level customer service to every patient from their initial evaluation through each subsequent contact until discharge. This includes fielding and responding to patient questions and requests and providing prompt, thorough follow-up. The ability to travel between offices and flexibility (with notice) to cover additional shifts or work extended ours is required Accountabilities The Receptionist / Patient Care Coordinator is the face of the practice and must make an excellent first impression. Friendly, outgoing, engaging, with a positive, can-do attitude, commitment to delivering an excellent patient experience, and the highest standards of professionalism and courtesy are required. This position reports to the Office Manager who may at times not be onsite and therefore requires confidence, resourcefulness, an entrepreneurial spirit, and superior problem-solving capabilities, as well as the ability to work independently without direct day-to-day supervision. Success will be measured based upon the following: • Displaying top notch professional etiquette in all interactions with both patients and H&D staff., • Articulate and strong communication skills both written and verbal, including use of correct grammar, spelling, and punctuation., • Attention to details and consistent follow-up to ensure accuracy and process completion., • Crisis management skills; the ability to triage unexpected events to help mitigate any adverse effects on the practice or patient., • Discretion when handling confidential information., • Check in patients for their appointments and collect copays., • Cancel and/or reschedule patients as needed., • Assist new patients in completion of intake paperwork., • Respond to all phone and email queries., • Monitor and follow-up on needed referrals., • Fill last minute cancellations from the clinic’s waitlist., • Close-out and reconciliation of daily receipts., • Run copay reports daily to ensure optimal collection rates., • Daily quality assurance checks., • Basic office technology skills including Microsoft Office Suite (Outlook, Word, Excel, Teams), PDF, Scanners, copy machines and fax machines, Telephone, • Electronic Medical Records (EMR) systems and online scheduling (we use PromptEMR), • High School Diploma (associate degree or higher preferred), • Minimum of 1-year front desk experience in a healthcare setting (required) H&D Physical Therapy is a therapist-owned, family-oriented practice that prioritizes personalized, one-on-one care over the pressures of large-scale, high-volume settings. With locations across Manhattan and Brooklyn and onsite partnerships at top firms, we foster a supportive, collaborative environment for both our patients and our team. We specialize in: • Orthopedics and sports rehab, • Pelvic floor therapy (all genders), • Vestibular and balance disorders Better Begins Here. With us—and with you. Job Type: Full-time Pay: $20.00 - $24.00 per hour Expected hours: 40 per week Benefits: • Dental insurance, • Health insurance, • Paid sick time, • Paid time off, • Paid training, • Parental leave, • 8 hour shift

Job Description Covid Vaccination required. Full Time Spanish speaking a plus. Front desk team is responsible for verifying insurance, scheduling appointments, check in, check out, collecting copayments and balances. You must be able to demonstrate fluency in Medicare, Medicaid, and other commercial insurances. Deep understanding of different kinds of health insurance and differences of in- and out-of-network benefits along with payment expectations at time of visit. As the first point of contact, you will make a positive, professional, and upbeat impression that reflects our commitment to delivering a positive patient experience. This position requires an outgoing, high-energy personality, good listening skills, resourcefulness, superior problem-solving and the ability to work as a team, as well as to accept direction on others. Primary Responsibilities · Reviews all patient demographic and insurance information prior to benefit verification. · Verifies with insurance carrier the patient eligibility, network participation, billing requirements and specific benefits for services. · Utilize online verification tools, as well as call insurance companies as required. · Obtains plan specific requirements including but not limited to in network referrals. · Add notes in EMR system with detailed explanation of benefit coverage. · Check in/out and collect payments. · Maintain HIPAA compliance in all interactions. · Bilingual candidates with Spanish language skills are highly desirable. · Strong organizational skills with the ability to multitask effectively in a busy environment. · Excellent verbal and written communication skills are essential for interacting with patients and staff. If you are passionate about providing outstanding service in a healthcare setting and possess the necessary skills, we encourage you to apply for this rewarding opportunity as a Front Desk Receptionist. Company DescriptionMulti-physician private Dermatology practice. Open seven days a week.Multi-physician private Dermatology practice. Open seven days a week.

Job Description Overview At Essen Health Care, we care for that! As the largest privately held multispecialty medical group in the Bronx, we provide high-quality, compassionate, and accessible medical care to some of the most vulnerable and under-served residents of New York State. Guided by a Population Health model of care, Essen has five integrated clinical divisions offering urgent care, primary care, and specialty services, as well as nursing home staffing and care management. Founded in 1999, our over 20-year commitment has fueled an unwavering dedication toward innovating a better healthcare delivery system. Essen has expanded from a single primary care office to an umbrella organization offering specialties from women’s health to endocrinology, from psychiatry to a vast array of other specialties. All clinical services are offered via telehealth or in-person at over 35 medical offices and at home through the Essen House Calls program. Essen Health Care is the place Where Care Comes Together! We are looking for the most talented and effective individuals to join our rapidly growing company. With over 1,100 employees and 400+ Practitioners, we care for over 250,000 patients annually in New York City and beyond. From medical providers to administration & operational staff, there is a career here for you. Join our team today! Job Summary The Billing and Coding Compliance Specialist is responsible for ensuring that all billing and coding activities across the organization are accurate, compliant with applicable laws and regulations, and aligned with internal policies. Responsible for ensuring timely responses to Insurances regarding audit requests. This role works closely with billing staff, coders, healthcare providers, and compliance officers to identify risk, provide education, and ensure integrity in revenue cycle operations. Responsibilities • Respond in a timely manner to Insurance audit requests., • Review clinical documentation and coding to ensure appropriate CPT, ICD-10, and HCPCS codes are assigned, and documentation meets coding billing submitted., • Identify and report compliance risks and recommend corrective actions to mitigate risk., • Collaborate with customer service and billing staff to provide guidance and feedback on patient disputes., • Formally escalate identified compliance risks, adverse audit findings, potential regulatory exposure, and patterns of non-compliance to Medical Directors and Executive Leadership in accordance with the organization’s compliance and governance framework., • Oversee and ensure full-cycle audit compliance management, including receipt, risk assessment, investigation, corrective action planning, payer response submission, monitoring, and documented closure of all external audits to ensure regulatory adherence and defensible outcomes., • Assist in the development, implementation, and enforcement of policies and procedures related to billing and coding compliance., • Investigate and resolve coding or billing discrepancies., • Prepare and maintain documentation of audit results, findings, and improvement plans., • Support external audits and respond to requests for documentation or clarification., • Stay current on updates to coding regulations, payer policies, and compliance requirements., • Participate in compliance committees and contribute to continuous improvement initiatives., • Ethico patient grievances related to billing and coding. KPIs • Documentation completeness: 100% of audits maintained with complete audit trails, including findings, responses, remediation, and closure sign-off., • Repeat finding reduction: ≥ 25% year-over-year reduction in repeat audit findings related to billing and coding non-compliance., • Corrective action completion rate: 100% of approved corrective action plans are implemented and validated within defined timelines., • Audit closure turnaround time: ≥ 90% of audits fully resolved and formally closed within payer or regulatory deadlines., • Education & Certification: Experience: Skills & Competencies: Working Conditions: * • High School Diploma or equivalent required; associate or bachelor's degree preferred., • Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent credential required., • Certified in Healthcare Compliance (CHC) a plus., • Minimum of 3 years of experience in medical billing, coding, or compliance auditing., • Strong knowledge of Medicare, Medicaid, and commercial payer rules., • Familiarity with EHR and billing systems (e.g.,EWC)., • Strong attention to detail and analytical skills., • Excellent communication and interpersonal skills., • Ability to handle confidential information with integrity., • Proficiency in Microsoft Office Suite, especially Excel and Word., • Primarily office-based with occasional travel for training or audits. 2 days in office required at a minimum Essen Health care is proud to be an equal opportunity employer, and we seek candidates who desire to work in and serve an ethnically diverse population.

Job Description Job Title: Medical Office Manager Location: Brooklyn Heights, NY Job Type: Full-Time Salary: $66,000 – $96,000 per year (DOE) About the Opportunity A busy and well-established medical practice in Brooklyn Heights, NY is seeking an experienced Medical Office Manager to lead the administrative and operational functions of the office. This role is ideal for a highly organized professional with strong leadership skills and experience managing healthcare office operations, staff, and patient workflows. The Medical Office Manager will ensure efficient daily operations, maintain regulatory compliance, support staff development, and deliver an exceptional patient experience. Key Responsibilities • Oversee day-to-day operations of a single-site medical office, • Manage office workflow including patient scheduling, records management, and front desk operations, • Ensure compliance with HIPAA, OSHA, labor laws, and healthcare regulations, • Supervise and support administrative staff, including performance evaluations, coaching, and training, • Address patient concerns and implement improvements to enhance patient satisfaction, • Oversee reception, patient intake, scheduling, and chart preparation, • Manage medical billing processes and insurance workflows, • Coordinate surgical authorizations, scheduling, and billing, • Maintain office supplies, medical inventory, and equipment, • Support additional administrative and operational tasks as needed Qualifications • Bachelor’s degree in business administration, Public Health Administration, Healthcare Management, or related field, • 5–7 years of experience in medical office administration or healthcare operations, • 3+ years of supervisory experience managing teams of five or more employees, • Strong knowledge of healthcare office operations and regulatory compliance Required Experience • Medical billing and insurance processing, • Medicare, Medicaid, and commercial insurance regulations, • Human resources processes including hiring, onboarding, and performance management, • Workers’ Compensation and No-Fault claims, • Surgical authorization and scheduling coordination Skills • Strong leadership and organizational skills, • Excellent communication with physicians, staff, and patients, • Experience with electronic medical records (EMR) and healthcare software, • Strong attention to detail and ability to manage multiple priorities, • Commitment to providing excellent patient service Additional Requirements • Bilingual in Spanish and English (Required) Physical Requirements • Prolonged periods of sitting and working on a computer, • Ability to occasionally lift up to 25 pounds Benefits • Competitive Salary, • Paid Time Off (PTO), • Medical, Dental & Vision Insurance, • 401(k) Retirement Plan, • Legal Insurance, • Pet InsuranceCompany DescriptionLanceSoft is rated as one of the largest staffing firms in the US by SIA. Our mission is to establish global cross-culture human connections that further the careers of our employees and strengthen the businesses of our clients. We are driven to use the power of our global network to connect businesses with the right people, and people with the right businesses without bias. We provide Global Workforce Solutions with a human touch.LanceSoft is rated as one of the largest staffing firms in the US by SIA. Our mission is to establish global cross-culture human connections that further the careers of our employees and strengthen the businesses of our clients. We are driven to use the power of our global network to connect businesses with the right people, and people with the right businesses without bias. We provide Global Workforce Solutions with a human touch.

Job Description JOB SUMMARY: Under the supervision and direction of the program administrative supervisor, the Administrative Assistant provides administrative and clerical support to the program staff and functions as the liaison between agency departments and programs. The Administrative Assistant is responsible for managing client records, operating and coordinating the management information system, maintaining accounting and budget records for recipient and program expenditures and performing reception activities such as triaging calls and coordinating communication between the program and recipients. This work is carried out under varying conditions of direction and availability of guidelines and by the skilled use of various kinds of equipment, such as computers with a variety of software packages (e.g. CORE, Anasazi, Microsoft Office) and other automated systems. ESSENTIAL JOB FUNCTIONS: • Responsible for overall office management keeps the staff office area organized and operating efficiently, including all filing, keeping the office equipment in good working order, maintains a supply of all forms and updates bulletin boards in a timely manner., • Responsible for Purchase Order management: monitors the inventory of program and office supplies and prepares purchase orders as needed. Follows through with the purchasing process by placing orders, confirming deliveries and providing documentation to and from the Finance department., • Responsible for development of program monitoring systems, such as client chart tracking systems, to ensure that chart forms that need updating are completed on time by the staff. Ensure that all monthly reports are typed, submitted and routed on time to the appropriate person., • Provides reception services receives phone calls and visitors with courtesy and professionalism, takes accurate phone messages, directs incoming and outgoing calls and faxes in a timely and accurate manner., • Cleans and maintains equipment and resolves routine problems with equipment and systems., • Develop and revises work methods as needed., • Maintains inventory and requisitions office supplies., • May be required to take minutes at meetings and produce a final typed copy for distribution to appropriate individuals either by hard-copy or electronically., • Designs, sets up and maintains electronic and hard-copy files of correspondence/documents, codes and files material, searches for requested material and periodically purges obsolete material for storage in records center or for appropriate disposal., • Types and distributes meeting notes, correspondence and reports. Organizes the flow of paper in the office., • Greets visitors, recipients, answers telephones, responds to standard inquiries concerning program activities and procedures, and refers more technical questions to appropriate staff., • Develops, maintains and updates program manuals and information., • Transmits instructions from supervisor to appropriate staff orally, in writing or electronically and follows-up to see that instructions are followed and deadlines are met., • Other related duties that may be assigned., • Greets visitors, recipients, answers telephones, responds to standard inquiries concerning program activities and procedures, and refers more technical questions to appropriate staff., • Develops, maintains and updates program manuals and information., • Transmits instructions from supervisor to appropriate staff orally, in writing or electronically and follows-up to see that instructions are followed and deadlines are met., • Review and update Medicaid information in CORE for monthly billing., • Reviews and confirms that appropriate billing documentation has been obtained., • Secures medical documentation required by program for billing ex. Physician authorization., • Runs assigned daily billing reports to determine account needs and updates files with current billing information., • Maintains knowledge of Medicaid and Medicare guidelines and applies that knowledge to billing as required by individual programs., • Understands Medicaid/Medicare and Insurance billing including coordination of benefits., • Works collaboratively with clinical staff and other staff to ensure that correct diagnosis/procedures are reported to Medicaid/Medicare and third-party insurance carriers., • Monitors electronic transmission of claims to avoid delay in processing. Check and balance all claims/services were loaded and file was received., • Identifies monitors and corrects errors made on electronic and paper claims and follows up until service is properly documented and resubmits claims., • Works with Supervisor to maintain accuracy of reference materials and implementation of new billing codes and fee schedules., • Multi-tasks in various computer applications to gather billing and collection information., • Works unbilled revenue reports to verify pending claims and bring them closure., • Committed to the active promotion of ICL values and goals., • Ability to become proficient with EHR software., • Knowledge of Medicare, Medicaid and Managed Care guidelines., • Ability to establish effective working relationships with a variety of people at all levels of the organization., • Knowledge of office and secretarial practices and procedures., • Knowledge of proper grammatical usage, punctuation and spelling., • Knowledge of agency policies and program policies, procedures and functions., • Ability to use office equipment (e.g. computer, fax, copy machine, scanner, etc.)., • Ability to organize office operations., • Ability to produce letters, tables, documents, etc., using an alphanumeric keyboard., • Ability to design and maintain filing systems., • Ability to resign forms for the collection of information., • Ability to maintain program accounts., • Knowledge of agency procedures, formats and guidelines for the receipt, processing and distribution of correspondence, forms, memoranda, documents and other material., • Ability to use and maintain office equipment and systems., • Ability to manipulate an alphanumeric keyboard (computer and typewriter) to produce documents, such as letters, memos, reports, charts and forms, with a high degree of accuracy and within required time frames., • Ability to format, use and prepare forms, charts, tabular listings and other documents., • Ability to organize materials to establish and maintain electronic and hard-copy files., • Ability to understand and use basic office reference material, such as equipment manuals, procedure manuals and dictionaries., • Ability to proofread and correct errors., • Committed to the active promotion of ICL values and goals., • Ability to become proficient with EHR software., • Knowledge of Medicare, Medicaid and Managed Care guidelines., • Ability to establish effective working relationships with a variety of people at all levels of the organization., • Knowledge of office and secretarial practices and procedures., • Knowledge of proper grammatical usage, punctuation and spelling., • Knowledge of agency policies and program policies, procedures and functions., • Ability to use office equipment (e.g. computer, fax, copy machine, scanner, etc.)., • Ability to organize office operations., • Ability to produce letters, tables, documents, etc., using an alphanumeric keyboard., • Ability to design and maintain filing systems., • Ability to resign forms for the collection of information., • Ability to maintain program accounts., • Knowledge of agency procedures, formats and guidelines for the receipt, processing and distribution of correspondence, forms, memoranda, documents and other material., • Ability to use and maintain office equipment and systems., • Ability to manipulate an alphanumeric keyboard (computer and typewriter) to produce documents, such as letters, memos, reports, charts and forms, with a high degree of accuracy and within required time frames., • Ability to format, use and prepare forms, charts, tabular listings and other documents., • Ability to organize materials to establish and maintain electronic and hard-copy files., • Ability to understand and use basic office reference material, such as equipment manuals, procedure manuals and dictionaries., • High School Diploma or GED plus at least two years of clerical or secretarial experience, or graduate of secretarial school. Preferably education should include coursework in bookkeeping/business., • AA degree preferred but not required. Post-high school courses in Medicare/Medicaid billing, data processing, medical terminology or Accounting highly desirable. At least one year of Medical Billing or other insurance billing preferred., • Must be able to satisfactorily use computer work processing equipment and programs (Microsoft Word) and type letters, reports, forms and other documents.

Job Description JOB SUMMARY: Under the supervision and direction of the program administrative supervisor, the Program Assistant/Biller provides administrative and clerical support to the program staff and functions as the liaison between agency departments and programs. The Program Assistant is responsible for managing client records, operating and coordinating the management information system, maintaining accounting and budget records for recipient and program expenditures and performing reception activities such as triaging calls and coordinating communication between the program and recipients. This work is carried out under varying conditions of direction and availability of guidelines and by the skilled use of various kinds of equipment, such as computers with a variety of software packages (e.g. CORE, Anasazi, Microsoft Office) and other automated systems. ESSENTIAL TASKS: • Responsible for overall office management: keeps the staff office area organized and operating efficiently, including all filing, keeping the office equipment in good working order, maintains a supply of all forms and updates bulletin boards in a timely manner., • Responsible for Purchase Order management: monitors the inventory of program and office supplies and prepares purchase orders as needed. Follows through with the purchasing process by placing orders, confirming deliveries and providing documentation to and from the Finance department., • Responsible for development of program monitoring systems, such as client chart tracking systems to ensure that chart forms that need updating are completed on time by the staff. Ensure that all monthly reports are typed, submitted and routed on time to the appropriate person., • Provides reception services: receives phone calls and visitors with courtesy and professionalism, takes accurate phone messages, directs incoming and outgoing calls and faxes in a timely and accurate manner., • Cleans and maintains equipment and resolves routine problems with equipment and systems., • Develops and revises work methods as needed., • Maintains inventory and requisitions office supplies., • May be required to take minutes at meetings and produce a final typed copy for distribution to appropriate individuals either by hard-copy or electronically., • Designs, sets up and maintains electronic and hard-copy files of correspondence/documents, codes and files material, searches for requested material and periodically purges obsolete material for storage in records center or for appropriate disposal., • Types and distributes meeting notes, correspondence and reports. Organizes the flow of paper in the office., • Greets visitors, recipients, answers telephones, responds to standard inquiries concerning program activities and procedures, and refers more technical questions to appropriate staff., • Develops, maintains and updates program manuals and information., • Transmits instructions from supervisor to appropriate staff orally, in writing or electronically and follows-up to see that instructions are followed and deadlines are met., • Review and update Medicaid information in CORE for monthly billing., • Reviews and confirms that appropriate billing documentation has been obtained., • Secures medical documentation required by program for billing ex. Physician authorization., • Runs assigned daily billing reports to determine account needs and updates files with current billing information., • Maintains knowledge of Medicaid and Medicare guidelines and applies that knowledge to billing as required by individual programs., • Understands Medicaid/Medicare and Insurance billing including coordination of benefits., • Works collaboratively with clinical staff and other staff to ensure that correct diagnosis/procedures are reported to Medicaid/Medicare and third party insurance carriers., • Monitors electronic transmission of claims to avoid delay in processing. Check and balance all claims/services were loaded and file was received., • Identifies monitors and corrects errors made on electronic and paper claims and follows up until service is properly documented and resubmit claims., • Works with Supervisor to maintain accuracy of reference materials and implementation of new billing codes and fee schedules., • Multi-tasks in various computer applications to gather billing and collection information., • Works unbilled revenue reports to verify pending claims and bring them closure., • Ability to become proficient with EHR software., • Knowledge of Medicare, Medicaid and Managed Care guidelines., • Ability to establish effective working relationships with a variety of people at all levels of the organization., • Knowledge of office and secretarial practices and procedures., • Knowledge of proper grammatical usage, punctuation and spelling., • Knowledge of agency policies and program policies, procedures and functions., • Ability to use office equipment (e.g. computer, fax, copy machine, scanner, etc.)., • Ability to organize office operations., • Ability to produce letters, tables, documents, etc., using an alphanumeric keyboard., • Ability to design and maintain filing systems., • Ability to resign forms for the collection of information., • Ability to determine priorities., • Ability to maintain program accounts., • Ability to interact with consumers in a respectful and professional manner., • Knowledge of agency procedures, formats and guidelines for the receipt, processing and distribution of correspondence, forms, memoranda, documents and other material., • Ability to use and maintain office equipment and systems., • Ability to manipulate an alphanumeric keyboard (computer and typewriter) to produce documents, such as letters, memos, reports, charts and forms, with a high degree of accuracy and within required time frames., • Ability to format, use and prepare forms, charts, tabular listings and other documents., • Ability to organize materials to establish and maintain electronic and hard-copy files., • Ability to understand and use basic office reference material, such as equipment manuals, procedure manuals and dictionaries., • Ability to proofread and correct errors., • Ability to communicate basic information clearly and politely by telephone or in person., • Ability to report for work as scheduled on a consistent basis., • Ability to understand and adhere to internal and external laws, rules and policies. High School Diploma or GED plus at least two years of clerical or secretarial experience, or graduate of secretarial school. Preferably education should include coursework in bookkeeping/business. AA degree preferred but not required. Post-high school courses in Medicare/Medicaid billing, data processing, medical terminology or Accounting highly desirable. At least one year of Medical Billing or other insurance billing preferred. Must be able to satisfactorily use computer work processing equipment and programs (Microsoft Word) and type letters, reports, forms and other documents.

Job Description As a Customer Care Representative, you will interact directly with patients, assisting them with their medical equipment needs, processing orders, verifying insurance, and providing general administrative support. You will play an essential role in ensuring patients receive the right equipment on time while maintaining excellent customer service and a high level of professionalism. Wage: Competitive and negotiable, based on experience Key Responsibilities: * Patient Interaction & Front Desk Support: Greet and assist patients in a friendly, professional manner, both in person and over the phone. Address patient inquiries regarding product availability, insurance coverage, and order status. * Patient Registration & Information Collection: Collect and verify required patient information, including insurance details, medical history, and prescription information to ensure compliance with all Medicare/Medicaid requirements. * Medicare/Medicaid Verification & Authorization: Verify patient insurance coverage and eligibility through Medicare/Medicaid portals. Assist with obtaining prior authorizations as needed to ensure patient coverage for durable medical equipment. * Order Processing & Coordination: Assist patients in selecting appropriate medical equipment, process orders, and coordinate delivery schedules. Ensure all required paperwork is completed accurately and promptly. * Insurance & Billing Support: Work closely with the billing department to ensure accurate submission of claims, following up on any rejected or unpaid claims. Ensure all billing information aligns with Medicare/Medicaid regulations. * Patient Education: Provide clear instructions to patients on the proper use and care of their medical equipment. Address any concerns regarding warranties, returns, or troubleshooting of equipment. * Problem Resolution: Proactively address any patient concerns or issues regarding products, billing, insurance, or service delivery, and escalate matters to the appropriate department if necessary. * Documentation & Record Keeping: Maintain accurate, up-to-date patient records, ensuring all information is in compliance with HIPAA and other regulatory requirements. Document all interactions and updates in the patient management system. * Collaboration with Internal Teams: Collaborate with sales, billing, and delivery teams to ensure smooth communication and fulfillment of patient needs. Qualifications: * Experience: • Experience working with Medicare/Medicaid policies, billing procedures, and insurance verification is strongly preferred. Education: • High School diploma or equivalent; Associate's or Bachelor’s degree in healthcare administration or a related field is a plus. Knowledge & Skills: • Knowledge of Medicare/Medicaid billing and coverage policies, specifically related to Durable Medical Equipment (DME)., • Familiarity with DME products, healthcare regulations, and compliance standards., • Ability to manage patient inquiries efficiently and with a high level of empathy and professionalism., • Proficient in using office software (Microsoft Office Suite) and Electronic Health Records (EHR) systems., • Strong verbal and written communication skills, with the ability to clearly explain complex healthcare processes to patients. Customer Service Focus: • A patient-centered approach with a strong ability to handle sensitive situations with compassion and professionalism., • Excellent organizational and multitasking skills with a keen eye for detail. Problem-Solving Abilities: • Capable of resolving patient issues and concerns quickly and effectively while maintaining a positive experience.

Physician Billing Specialist (Epic | Medicare/Medicaid | Insurance Follow-Up) Experience: 1–2 Years | Healthcare Revenue Cycle Job Summary We are seeking a detail-oriented Physician Billing Specialist with hands-on experience in insurance billing, claims follow-up, and denial management. This role

Job DescriptionDescription: Why Join ADAPT? It's more than a job; it's a calling. It's where passion meets purpose. ADAPT Community Network, formerly United Cerebral Palsy (UCP) of NYC provides a multitude of services to people with developmental disabilities. At ADAPT, we are 3,000 strong, and it takes every one of us to empower the lives of the people we support. With caring and great resources at hand, we know what it takes to help people live fuller, happier, healthier lives. Our employees show their commitment to the people we support every day, and we all deliver on our promise to provide innovative and comprehensive services to individuals with developmental disabilities. For your next career move, apply with us at ADAPT Community Network! Wherever you work among our many locations around New York City, ADAPT offers paid training, competitive benefits, and we foster a team culture of learning, support, collaboration and career growth. SUMMARY Under the general supervision of senior leadership, the Billing Manager is responsible for overseeing the revenue cycle for OPWDD programs and Article 28 clinical services. This position ensures accurate, compliant, and timely billing in accordance with ADAPT Community Network policies and procedures, applicable federal and state regulations, payer requirements, and professional standards. The Billing Manager leads billing operations, monitors compliance with regulatory requirements, optimizes reimbursement, resolves billing discrepancies, and supports financial reporting and revenue integrity initiatives in collaboration with Finance, Compliance, Quality Assurance, and Program leadership. ESSENTIAL DUTIES AND RESPONSIBILITIES The key duties and responsibilities of the Billing Manager include but are not limited to: OPWDD Billing & Compliance • Manage billing processes for OPWDD services including but not limited to Community Habilitation, Day Habilitation, Respite, Supported Employment, Care Coordination / Health Home Care Management, Residential Services, Assistive Supports, and Representative Payee Unearned Income, • Ensure compliance with OPWDD, DOH, Medicaid, and HCBS waiver billing requirements., • Oversee accurate service documentation, encounter data, and billing submission timelines., • Conduct routine audits to ensure clean claims and correct service authorizations (e.g., DDP-2, LOCs, TABS/CHRC consistency)., • Track and resolve billing edits and rejections in eMedNY and managed care portals., • Manage billing for clinics licensed under Article 28, including primary care, behavioral health, specialty services, rehabilitation services, and ancillary testing., • Oversee claims submission for Medicaid FFS, Medicare, Medicaid Managed Care, and commercial payers., • Verify patient insurance eligibility, authorizations, referrals, and required documentation., • Ensure compliance with Article 28 billing standards, APGs (Ambulatory Patient Groups), and DOH regulations., • Oversee coding (ICD-10, CPT, HCPCS) accuracy and collaborate with clinical staff on documentation improvement., • Supervise billing team members, establishing clear performance expectations and productivity standards., • Develop workflows, SOPs, and KPI dashboards for improved billing efficiency and revenue performance., • Train staff on OPWDD and Article 28 billing practices, system updates, and compliance requirements., • Maintain proficiency in billing and EHR systems (e.g., eMedNY, EPaces, billing software, clearinghouses, and EMRs)., • Generate monthly revenue cycle reporting on AR aging, collections, denial rates, and payer trends., • Partner with the Finance team to support month-end close and revenue forecasting., • Identify billing risks and opportunities, recommending process improvements and system enhancements., • All other duties as required. QUALIFICATIONS To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. REQUIRED • Bachelor’s degree in Health Care Administration, Accounting, or related field required., • Minimum five (5) years of healthcare billing experience required., • Minimum three (3) years of supervisory experience required., • Demonstrated experience with OPWDD and Article 28 billing required., • Knowledge of Medicaid, Medicare, Managed Care, and regulatory billing requirements., • Knowledge of CPT, HCPCS, and ICD-10 coding standards., • Experience with electronic medical record and billing software systems., • Strong analytical, organizational, communication, and problem-solving skills., • Experience with OPWDD billing and compliance platforms., • Familiarity with state billing portals and encounter reporting systems., • Experience with value-based payment or quality incentive programs., • Advanced spreadsheet and financial reporting skills. COMPENSATION: $70,000 - $80,000 Annually + Industry-Leading Benefits! At ADAPT, we value diversity, equity, inclusion, accessibility, and belonging. We strive to ensure that our employees are comfortable bringing their whole, authentic self to work and that the people we support can also be their authentic selves. We value diverse backgrounds, opinions, ideas, and ways of thinking. We aim to build an inclusive and diverse workforce that is empowered and supported with leaders who create diverse and inclusive teams. We continuously seek opportunities for the organization to foster a more positive, respected, united, and collaborative culture. ADAPT Community Network is proud to be an equal opportunity employer and is committed to creating an inclusive environment for all employees. Qualified candidates of diverse ethnic and racial backgrounds and status are encouraged to apply for vacant positions at all levels. Requirements:

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 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 Patient Advocate Specialist Northwell Health - Queens, 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 DescriptionDescription: Founded in 1866, The Floating Hospital (TFH), is one of the last remaining charity hospitals in New York City. Our commitment is the same as it was more than 150 years ago: unrestricted healthcare to all who walk through our doors, regardless of immigration and insurance status, or the ability to pay. The Floating Hospital welcomes individuals of all ages, from infants, school age children (5+), youth and adults. TFH is a Federally Qualified Health Center and the largest provider to homeless families living in family shelters and domestic violence safe houses throughout all five boroughs. • Receives electronic coded claims for all Medical and Dental services rendered from all locations in the Practice Management System. • Review Accounts Receivable reports and provide feedback on a weekly basis to the billing supervisor and include common trends that impact the revenue cycle such as coding or eligibility issues. • Contact supervisor to escalate issues that require resolution by the PM Vendor, • Work closely with the supervisors to ensure denials are corrected and appealed as appropriate in a timely manner., • Review the Athena worklist and Dentrix AR report for initial claims submission or denied claim., • Handle follow-up and appeals with assigned payers for unpaid, denied, and underpaid claims., • Contact payers directly and work with the supervisor to resolve issues., • Determine the reasons for the denials, correct the issue, and resubmit the claims., • Contact the payer for additional information about non-payment., • Utilize the various insurance portals to obtain additional information for rebilling claims., • Reviews and submits all billable claims to insurance payers, third-party payers, and self-pay services in Dentrix system., • Prepare daily batches of claim submissions in the Dentrix system and review the clearinghouse batch report., • Review Athena worklist queue daily and follow up on denied claims., • Assist with the maintenance of the daily claim submission tracking log., • Receives and properly posts all electronic and manual payments and adjustment from insurance companies and patients into Dentrix system., • Reviews and sends patient statements in Dentrix coordinating with the Billing Manager prior to submission., • Analyzes electronic and paper remittances received for Dental: a. Determines reasons for claim denials and makes corrections for resubmission. b. Determines managed care plan payment for Medicaid Wrap claim submission. c. Determines reasons for other claim errors and reports to the Billing Manager for review. • Reviews self-pay accounts for medical and dental and locate id numbers for billing and assist with the retroactive review and billing for self-pay patients. • Assists with billing claims project and appeal submission to the insurance companies., • Sort and categorize incoming mail for delivery to the contacts at various sites., • Maintains Athena correspondence dashboard., • Reconciles Cash received in the Athena and Dentrix system., • Prepares deposit for cash and check received., • Retrieves/obtains capitation rosters from the various insurance companies and updates the capitation file on the shared drive., • Retrieves/obtains PCMH rosters from the various insurance companies and updates the file on the shared drive., • Retrieves/obtains per member per month rosters from the various insurance companies and update the files on the shared drive for UDS and MCVR reporting. • Maintains the unpotable dashboard in Athena., • Maintains the Unapplied credit dashboard in Athena., • Processes Credit card payments and HIM Receipts., • Processes patient refunds., • Maintain a current knowledge of payer guidelines including Medicaid, Medicare, and Third Party., • Maintain a system knowledge of the practice management systems – Dentrix and Athena., • Attends meetings and training with the approval of the Supervisors., • Complete special projects and report findings to management., • Must comply with all HIPAA laws regarding electronic health records and patient information., • Any other duties as assigned. This is a Hybrid position. Requirements: The Billing Associate position requires two to five years of experience in the medical billing environment. Some college backgrounds in health care or a financial field are highly recommended. The Associate must be familiar with medical and coding terminology and have excellent analytical and meticulous organizational skills. The candidate must possess strong skills in MS Office, MS Excel, and use of the various insurance portals. Must have experience working with Athena Practice Management System. Must be able to work effectively in a remote environment.

Job DescriptionDescription: Why Join ADAPT? It's more than a job; it's a calling. It's where passion meets purpose. ADAPT Community Network, formerly United Cerebral Palsy (UCP) of NYC provides a multitude of services to people with developmental disabilities. At ADAPT, we are 3,000 strong, and it takes every one of us to empower the lives of the people we support. With caring and great resources at hand, we know what it takes to help people live fuller, happier, healthier lives. Our employees show their commitment to the people we support every day, and we all deliver on our promise to provide innovative and comprehensive services to individuals with developmental disabilities. For your next career move, apply with us at ADAPT Community Network! Wherever you work among our many locations around New York City, ADAPT offers paid training, competitive benefits, and we foster a team culture of learning, support, collaboration and career growth. SUMMARY The Vice President of Clinical Services provides executive leadership, strategic direction, and operational oversight for ADAPT Community Network’s clinical service delivery system, including all Article 28 Clinics and the organization’s medical affiliate, ADAPT Medical Professional Services (MPS). This role is responsible for ensuring the delivery of high-quality, accessible, person-centered healthcare services to individuals with disabilities across a broad spectrum of medical, rehabilitation, and mental health services. The VP of Clinic Services ensures regulatory compliance, financial sustainability, clinical excellence, and alignment with ADAPT’s mission, values, and strategic priorities. ESSENTIAL DUTIES AND RESPONSIBILITIES The key duties and responsibilities of the Vice President of Clinical Services include but are not limited to: • Provide executive leadership and oversight for all Article 28 clinics and ADAPT Medical Professional Services (MPS)., • Set the strategic vision and direction for clinical services in alignment with ADAPT’s mission, values, and organizational goals., • Ensure delivery of high-quality, accessible, person-centered care for individuals with disabilities across all service lines., • Oversee the full continuum of services, including primary and specialty care, rehabilitation therapies, adult physiatry, care coordination, and mental health services., • Lead and supervise clinical staff, ensuring accountability for performance, outcomes, and compliance., • Ensure effective integration and coordination among medical, rehabilitation, mental health, and care coordination teams., • Promote a wellness philosophy that supports active participation of individuals and families in all phases of care., • Ensure compliance with Article 28 regulations, Medicaid and Medicare requirements, Patient-Centered Medical Home standards, HIPAA, and all applicable laws and regulations., • Provide executive oversight of Quality Assurance and Performance Improvement activities across all clinical programs., • Monitor clinical outcomes, patient experience data, incident trends, and risk indicators, and direct corrective actions as needed., • Ensure timely, accurate, and complete reporting to regulatory agencies, payors, and funding sources., • Partner with Finance and Operations leadership to develop, manage, and monitor clinical budgets and financial performance., • Oversee clinician productivity, service utilization, billing integrity, and revenue cycle performance., • Analyze operational and financial data to support program growth, service line development, and operational efficiency., • Leads recruitment, hiring, onboarding, scheduling, supervision, and performance management of all program staff; initiates corrective action and termination procedures when needed., • Foster a culture of accountability, collaboration, inclusion, and continuous improvement., • Support succession planning and leadership development within clinical operations., • Represent ADAPT with regulatory bodies, healthcare partners, community organizations, and external stakeholders., • Support outreach, marketing, and partnership initiatives to expand access to clinical services., • Stay informed of industry trends, regulatory changes, and best practices impacting healthcare delivery., • Investigate and resolve high-level clinical, operational, and patient-related concerns., • Serve on agency-wide committees, task forces, and leadership initiatives. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. • Master’s degree required in Healthcare Administration, Public Health, Nursing, Social Work, or a related clinical or healthcare field., • Minimum of ten (10) years of progressively responsible leadership experience in healthcare or clinical operations, including oversight of multi-site programs., • Extensive knowledge of Article 28 regulations, Medicaid and Medicare reimbursement, managed care, and healthcare compliance requirements., • Demonstrated experience leading interdisciplinary clinical teams across medical, rehabilitation, and behavioral health services., • Strong understanding of Patient-Centered Medical Home models, care coordination, and value-based care principles., • Proven ability to oversee complex budgets, analyze financial and operational data, and drive sustainable growth., • Exceptional leadership, strategic planning, and change management skills., • Highly developed interpersonal skills and the ability to build positive relationships with the people we support, families, staff, and external partners., • Excellent written and verbal communication skills with the ability to engage effectively with executive leadership, clinicians, staff, and external stakeholders., • Proficiency in electronic health records, data analytics, and healthcare information systems., • Strong commitment to ADAPT’s mission and to advancing equitable, accessible healthcare for individuals with disabilities., • Ability to maintain strict confidentiality, including compliance with HIPAA regulations., • Proven supervisory and leadership skills with the ability to coach, mentor, and motivate staff., • Passion for ADAPT's mission and demonstrates a commitment to the non-profit disability sector. COMPENSATION: $130,000 - $140,000 Annually + Industry-Leading Benefits! At ADAPT, we value diversity, equity, inclusion, accessibility, and belonging. We strive to ensure that our employees are comfortable bringing their whole, authentic self to work and that the people we support can also be their authentic selves. We value diverse backgrounds, opinions, ideas, and ways of thinking. We aim to build an inclusive and diverse workforce that is empowered and supported with leaders who create diverse and inclusive teams. We continuously seek opportunities for the organization to foster a more positive, respected, united, and collaborative culture. ADAPT Community Network is proud to be an equal opportunity employer and is committed to creating an inclusive environment for all employees. Qualified candidates of diverse ethnic and racial backgrounds and status are encouraged to apply for vacant positions at all levels. Requirements:

Job Description JOB SUMMARY: Under the general supervision of the Program Director or designee and the guidelines provided by ICL and the NYS OMH for the Mental Health provides program and administrative oversight for the treatment activities of the Program. The Supervisor is responsible for assigning, monitoring and controlling personnel and fiscal resources to accomplish team, agency and program goals and for evaluating team programs. Establishes and maintains systems to ensure that program operations meet or exceed agency and regulatory guidelines and that documentation and billing conform to all applicable targets, rules and regulations. Oversees the provision of crisis intervention services to participants 24 hours a day, seven days a week. ESSENTIAL JOB FUNCTIONS: List all essential job duties. (To perform this job successfully, an individual must be able to perform each essential duty listed satisfactorily with or without a reasonable accommodation. Reasonable accommodations may be made to enable qualified individuals with a disability to perform the essential duties unless this causes undue hardship to the agency.) Provides Clinical Oversight to Case Management Staff: • Oversees intake and screening activities of case managers to ensure that service recipients are appropriate for enrollment in the program and that potential payers for services are identified., • Supervises the assessment and reassessment activities of staff; ensuring that appropriate determinations and medical evaluations are made, that eligibility determinations, identification of gaps in service and assessment of service needs and strengths are performed with due consideration of the client’s social, ethnic, cultural, educational and spiritual strengths and needs., • Supervises the development and implementation of comprehensive written case management and service coordination plans and ensures that they are maintained in a timely, accurate and complete manner and that they include consideration of the client’s cultural and ethnic background, customs, needs, beliefs, and primary language, • Supervises case management staff in the provision of crisis intervention services; reviews crisis management plan and revisions of case management plan as appropriate., • Assures that quality services, identified in the case management plan are delivered in a cost-conscious manner, and that the client is satisfied with the services provided., • Supervises the counseling and exit planning provided by case managers, and ensures that appropriate discharge planning is provided., • Supervises the development of data, records and/or reports as requested and required by agency and/or regulatory policies., • Immediately reports serious incidents, allegations of abuse, (including the reporting of child abuse or neglect), or sensitive situations and completes incident reports in accordance with applicable agency and regulatory policies., • Ensures that all positions are filled as expeditiously as possible. Participates in the recruitment, selection, orientation and on-going training of staff., • Establishes and maintains work schedules in accordance with agency policy. Responsible for managing the completion of time clock edits and related time and attendance reporting of staff within the guidelines and deadlines established by the Human Resources Department., • Responsible for performance management of staff: provides regular feedback to supervisees, both orally and in writing, invoking the disciplinary process as needed., • Holds periodic staff meetings and conferences to discuss treatment programs, policies, and procedures, to obtain input from team members to the goal-setting process and to periodically evaluate goal accomplishment., • Ensures on-going safety training of employees, manages employee accident reporting and initial submission of workers' compensation claims., • Monitors employee morale and the climate of the work environment to stop or eliminate sexual harassment or any form of employee harassment or employee discrimination. Responsible for taking complaints of sexual harassment, informing the Human Resources Department of the complaint, and investigating the complaint (as directed)., • Monitors employee accrual totals, approves or recommends approval of employee requests for time off, and notifies the Department of Human Resources when an employee should be placed on or taken off Family and Medical Leave (FMLA). Maintains contact with staff while out on FMLA., • Maintains accountability and serviceability of all ICL property assigned to the program to include vehicles. Reports lost stolen, missing, or damaged property in accordance with ICL policy. Conducts initial investigations of property that is lost, stolen, missing, or damaged., • Ensures internal program compliance with federal, state, city, and agency regulatory requirements. Monitors the quality of the services provided to clients., • Responsible for the development of a program mission statement and program goals that support the division and agency mission statements and goals., • Coordinates with the Quality Assurance/Corporate Compliance Department and the appropriate corporate administrative departments in preparations for audits., • Develops as requested, initial plans of corrective action, incident reports, and program evaluation reports and addresses areas that need improvement., • Exercises control over budgets through planning, prioritizing of spending, and monitoring of spending patterns., • Approves/disapproves all purchase orders and financial requests from staff and submits approved purchase orders and financial requests to supervisor for approval., • Ensures adherence by staff to all internal and external funds management (wrap-around funds, Metro Card) procedures and accountability measures., • Promotes Mental Health educational activities in local communities; maintains liaison between local elected officials and community boards, educates citizens in the community on mental illness., • Educates staff and residents/consumers on the importance of a constructive relationship with local elected officials, community boards, and community citizens., • Cooperates with other organizations in development of understanding and interest participating in long range planning for mental health program development. ADDITIONAL TASKS: • May be involved in hosting visitors from community, regulatory offices, and/or other agencies., • May be chairperson or member of an agency or division committee(s)., • Committed to equity, diversity, inclusion and belonging, and active promotion of the ICL values and goals., • Ability to become proficient with EHR software., • Knowledge of Medicare, Medicaid and Managed Care guidelines., • Ability to establish effective working relationships with a variety of people at all levels of the organization., • Knowledge of office and secretarial practices and procedures., • Knowledge of proper grammatical usage, punctuation and spelling., • Knowledge of agency policies and program policies, procedures and functions., • Ability to use office equipment (e.g. computer, fax, copy machine, scanner, etc.)., • Ability to organize office operations., • Ability to produce letters, tables, documents, etc., using an alphanumeric keyboard., • Ability to design and maintain filing systems., • Ability to resign forms for the collection of information., • Ability to determine priorities., • Ability to maintain program accounts., • Ability to interact with consumers in a respectful and professional manner., • Knowledge of agency procedures, formats and guidelines for the receipt, processing and distribution of correspondence, forms, memoranda, documents and other material., • Ability to use and maintain office equipment and systems., • Ability to manipulate an alphanumeric keyboard (computer and typewriter) to produce documents, such as letters, memos, reports, charts and forms, with a high degree of accuracy and within required time frames., • Ability to format, use and prepare forms, charts, tabular listings and other documents., • Ability to organize materials to establish and maintain electronic and hard-copy files., • Ability to understand and use basic office reference material, such as equipment manuals, procedure manuals and dictionaries., • Ability to proofread and correct errors., • Ability to communicate basic information clearly and politely by telephone or in person., • Ability to report for work as scheduled on a consistent basis., • Ability to understand and adhere to internal and external laws, rules and policies. Master’s degree in a human services field, plus a minimum of two years’ year experience in providing case management services to individuals with mental illness. Supervisory or managerial experience for a mental health program desirable. #ICLOTHER

Job DescriptionIf you have a passion for helping others and enjoy interacting with the general public, FYZICAL, the leading physical therapy company in the country, has a Customer Service Representative opening in West Caldwell, NJ, that is a perfect fit for you! As the first and last person our amazing clients see when they enter and leave our cutting-edge facility, your role as Customer Service Representative is central to our daily operations. Here, you will join a champion team that works together to help grateful patients get back to the lives they love. We are committed to changing the PT industry by creating non-traditional, individualized treatment plans and want you along on that important journey. As part of the FYZICAL family, you can take advantage of advancement opportunities, state-of-the-art technology and grow your career under a practice leader who is fully invested in you. This excellent opportunity will not last long! Apply for FYZICAL's Customer Service Representative job opening today! Are you looking to join an innovative company where you can establish yourself and advance your career as part of a top-rated team? If so, you should consider our Customer Service Representative position in West Caldwell, NJ! We are an innovative physical therapy facility that bypasses traditional approaches to care. We work together, using the most modern technology and cutting-edge tools to provide our patients with the individualized care they need and deserve. As our Customer Service Representative, you will enjoy the easy flow of a supportive team that succeeds together. You also will have the chance to access our unparalleled continuing education opportunities, opening the door to further career growth. Start down your exciting career path today by applying for our Customer Service Representative job opening!Responsibilities • Handle patient scheduling, appointments, multi-phone line, • Gather new patient data; keep track of all patient referrals, • Disseminate information to patients; act as a go-between for patients and physicians, • Send and keep a log of all reports sent to doctors, • Collect all payments; insurance verification, • Collect/open mail; distribute mail to proper areas/people, • Send benefits paperwork to billing companies, • Handle all scheduling and ensuing communication, • Answer phones, act as a patient liaison, answer any questions from potential or current patients, • Schedule patients; coordinate evaluations, re-evaluations, appointment reminders and cancellations, • Collect new patient intake information; track all clinic referrals, • Fax reports to physicians; keep a log of incoming reports, • Verify Insurance and track insurance-covered visits; take copayments, • Check mail; keep track of Explanation of Benefits sent from mail and fax to billing company, • Communicate with the office manager and clinicians about scheduling/patient arrival, • Monitor marketing campaigns and schedule appointments from leads generated, • Work on credentialing new clinical staff with Medicare and various insurance providers, • Develop and update content on social media outlets, • Update marketing content and provide regular feedback to marketing campaign providers, • Other administrative tasks as neededRequired Skills, • High school diploma, GED certificate or equivalent, • Valid driver's license and reliable transportation, • Great communicator and multitasker, detail-oriented, • Positive attitude, good work ethic, integrity and empathetic toward people that are in pain, • Up-to-date DL and a dependable vehicle, • Experience with social media marketing, • EMR authorization and verification experience, • Medical reimbursements/billing, • Managing patient appointments and billing, • Managing marketing campaigns, • Processing medical credentialing

Job DescriptionJob Overview As a Patient Liaison for a specialty pharmacy, you will serve as a key connection between the pharmacy, healthcare providers, and patients. Your primary responsibility will be to facilitate the timely processing, approval, and ensuring dispensing of prescribed medications. This role requires a blend of clinical knowledge, communication skills, and organizational and sales acumen. You will support patients referred from medical offices by assisting with prescription clarifications, benefits coordination, and addressing medication access issues. Additionally, you will cultivate strong relationships with prescribers and insurance providers to ensure seamless care and optimal outcomes for patients. You will act as a relationship manager for medical providers and their offices. You will proactively build and maintain trusted partnerships, encouraging them to refer new patients and strengthening ongoing collaboration to ensure positive outcomes for all parties. Responsibilities • Serve as a liaison between specialty pharmacies, prescribers, and insurance providers to ensure seamless access to prescribed medications and clarify any prescription-related needs., • Monitor market trends and competitor activity to adjust strategies, identify potential growth areas, and implement best practices for marketing and patient access., • Focus on sales/marketing efforts to promote the pharmacys services and secure referrals from providers, contributing to growth in patient enrollment and medication access., • Utilize sales strategies to target and expand market presence, identify new opportunities, and increase awareness of the pharmacys offerings among key stakeholders in the healthcare ecosystem., • Provide exceptional customer service, ensuring that both internal and external customers (patients, providers, pharmacy staff) receive timely and accurate support., • Maintain frequent communication with patients, providers, and pharmacies, clarifying prescription orders and resolving any issues., • Coordinate efforts with providers and specialty pharmacies to improve patient turnaround times and ensure optimal medication access., • Manage and prioritize multiple initiatives, resolving complex cases independently and efficiently, while maintaining a focus on customer satisfaction and outcomes., • Leverage marketing tactics, including digital communication, educational resources, and outreach, to effectively promote the pharmacys services and increase patient engagement.Seasonal Responsibilities: During immunization season (such as flu, RSV, covid, etc.) liaison is expected to do the following: • Manage and Coordinate Seasonal Immunization Clinics, • at store level/on site, • at community level (community centers, community drives, centralized location(s)), • Promote and manage marketing materials for immunization seasons, • Managing flyers and promotional materials, • Coordinate at doctor/physician offices, • Outreach to the community, • Coordinate with insurance carriers including Medicare and Medicaid for billing purposes Requirements, • Preferred experience in a health care setting, preferably within a specialty pharmacy environment., • Strong understanding of medication administration processes and patient care standards., • Familiarity with medical terminology related to pharmacy practices, medications and prior authorization process., • Previous experience as a pharmacy technician is highly desirable., • Excellent communication skills with the ability to build rapport with healthcare professionals and patients alike., • Ability to work independently and as part of a collaborative team focused on enhancing patient service., • Commitment to ongoing professional development in the field of specialty pharmacy.Qualifications:, • High School Diploma or GED required, • Associate or bachelors degree preferred, • 1+ years of pharmacy/medical work experience or related field, • Strong customer service, communication, and sales skills, • Proven ability to manage multiple accounts and projects independently, • Understanding of product and payer reimbursement landscapes, • Ability to work collaboratively with a variety of stakeholders, including medical offices, pharmacies, and insurance companies, • Valid drivers license required, • Must be willing and able to drive from office to office within the assigned area (TBD)Preferred Skills:, • Previous experience in sales, marketing, or customer relationship management within the healthcare industry, • Full Time, • On-siteSchedule:, • Monday to Friday, • 40 Hours weeklyPay Rate:, • Bi-weekly, • $22-30 hourly (based on experience)Benefits:, • Paid time Off, • Medical Insurance, • 401k (Matching), • Travel Stipend, • Bonus based on PerformanceLocation: Queens

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 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 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 JOB SUMMARY: The Clinical Supervisor is responsible for ensuring the provision of services, assisting with the oversight of administrative processes, and clinical supervision of staff in the Staying OnTrack program setting. The “Staying OnTrack,” is a step-down community-based, peer-led continuing care model designed to bridge the gap between OnTrack NY discharge and readiness for outpatient services. This trauma-informed, client-centered program provides flexible, lower-intensity support tailored to individual needs, helping participants sustain progress and prepare for long-term recovery. The Staying OnTrack participants will receive clinical support (psychiatric assessments, medication management, care coordination, counseling & case management, peer support, wellness & psychoeducation, coaching on coping skills, self-management, and social integration ESSENTIAL JOB FUNCTIONS: List all essential job duties. (To perform this job successfully, an individual must be able to perform each essential duty listed satisfactorily with or without a reasonable accommodation. Reasonable accommodations may be made to enable qualified individuals with a disability to perform the essential duties unless this causes undue hardship to the agency.) • Assist with oversight of the day-to-day clinical operation of the clinic, including intake assessment, service planning, clinical interventions, and discharge planning, • Provide direct individual & group clinical supervision to program staff, • Provide relevant trainings to staff (e.g., co-occurring disorders, motivational interviewing), • Model and coach staff in recovery-oriented, trauma-informed, and culturally competent care, • Ensure provision of evidence-based practices for youth and adults with behavioral health needs who have been involved in the criminal justice system., • Promote the integration of risk-need-responsivity & risk assessment/ management practices into clinical operations, • Conduct Quality Assurance documented chart review and audit ensuring compliance with OMH and ICL standards, • Assist with review and maintenance of high-risk lists; participate in the clinic Incident Review Committee (IRC); function as on-site point person for crisis or high-risk clinical situations; manage 24/7 crisis phone service, • Committed to the active promotion of ICL values and goals., • Ability to work in a fast-paced environment and meet expectations and deadlines., • Ability to prioritize, think logically and follow procedures and instructions, • Ability to support clinic mission, vision and values, standards and the code of ethical behavior, • Ability to effectively communicate and interact with auditors, regulatory bodies, clients, staff, colleagues, public, other agencies and their staff and third-party insurance personnel., • Ability to work with clients, families, and staff in a caring and respectful manner, and with due understanding of and consideration of cultural differences., • Ability to develop, evaluate, implement and modify a treatment plan, meeting all deadlines and productivity standards, • Ability to prepare accurate and timely documentation, reports and other written material as assigned using computers and computer software assigned (e.g., IMA, Word, Anasazi, etc.), • Ability to understand and adhere to internal and external laws, rules, and policies, • Ability to secure the cooperation of and work effectively with others, • New York State Licensed Mental Health Counselor. Minimum of one year of clinical supervision experience preferred. Knowledge of Part 599 regulations for NYS OMH licensed Article 31 clinics. Experience working with justice-involved individuals with behavioral health needs helpful, • Maintenance of licensure and current registration is mandatory for continued employment as is eligibility for full and unconditional participation in the Medicaid and Medicare programs. #ICLRN

Job Description The ICL PROS (Personalized Recovery Oriented Services) Program offers rehabilitation, counseling, therapeutic activities, and peer support each day to individuals living with severe mental illness. The Associate program director is a professional and administrative position with responsibilities for planning, developing, evaluating, and administering services as defined by the NYS Office of Mental Health for a PROS program. The mission of the PROS Program is to provide a safe, supportive, and therapeutic environment where an individual with mental illness can explore, identify, and strive to achieve recovery from the disabling effects of their mental illness. ESSENTIAL JOB FUNCTIONS: List all essential job duties. (To perform this job successfully, an individual must be able to perform each essential duty listed satisfactorily with or without a reasonable accommodation. Reasonable accommodations may be made to enable qualified individuals with a disability to perform the essential duties unless this causes undue hardship to the agency.) • Partners with the Program Director to lead and oversee all aspects of program operations, ensuring the delivery of high-quality clinical, recovery, and rehabilitative services for adults with mental health. Assist in managing program operations, including budget oversight and service delivery., • Supervise assigned clinical staff and conduct regular supervision meetings, • Provide direct services and crisis management to a limited caseload, conduct intakes, • Monitor case records and documentation to ensure compliance with internal and external standards., • Conduct psychosocial assessments and formulate treatment recommendations., • Coordinate referrals and ensure access to ancillary and support services., • Support preparation for audits and ensure adherence to OMH and other regulatory guidelines., • Assist in recruiting, training, and evaluating staff., • Maintain partnerships with community providers to support coordinated care., • Help manage billing systems and service hour documentation., • Prepare required reports and assume leadership in the Program Director’s absence., • Committed to equity, diversity, inclusion and belonging, and active promotion of the ICL values and goals., • Ability to master Electronic Health Record and all other software required to operate the program., • Ability to lead a multi-disciplinary staff of professionals and paraprofessionals in providing treatment services and ability to form and maintain effective teams., • Good knowledge of the policies and organization of the regulatory agency and applicable legislation, regulations, and rules., • Good knowledge of the principles and practices of supervision and leadership., • Basic knowledge of best practices, evidence-based treatment, and general treatment techniques., • Ability to form and maintain effective relationships with community and local and state government representatives., • Ability to assist in the preparation of written proposals for new or expanded treatment services., • Ability to identify from the record and from observation of deficiencies in individual treatment plans. Education: Licensed Psychologist or Licensed Clinical Social Worker with current, valid NYS registration Preferred, LMSW, LMHC required Continued employment is conditioned on the ability to maintain professional licensure, current registration and unrestricted participation in the Medicaid and Medicare programs Experience: Four years minimum postmaster’s clinical experience providing services to adults with serious mental illness and co-occurring substance use disorder. At least 2 years minimum progressive administrative and/or supervisory experience. Must have an excellent understanding of state and city OMH, and Medicaid regulations Preferred: Experience with PROS program is preferable though not required; trainings in Wellness Self-Management, Family Psychoeducation and Motivational Interviewing #ICLRN

Job Description We are seeking a compassionate and experienced Registered Nurse (RN) to join our Certified Home Health Agency (CHHA) team. The CHHA RN is responsible for providing and coordinating multidisciplinary healthcare services for patients in the community. This role works closely with physicians and interdisciplinary team members to implement and monitor individualized plans of care. The ideal candidate is skilled in home health nursing, documentation, and patient care coordination, and is comfortable traveling to patient homes within the assigned service area. Pay: Starting at $105,000/year Key ResponsibilitiesPatient Care & Clinical Oversight * Provide and coordinate patient care that is cost-efficient and reimbursable under the patient's insurance plan. * Conduct initial assessments, case openings, and ongoing patient evaluations. * Travel to patient homes or facilities to provide direct nursing care. * Complete in-person OASIS assessments reflecting accurate clinical and functional patient status. * Utilize diagnosis coding skills to accurately rate acuity of diagnoses within OASIS documentation. * Evaluate patient diagnoses and collaborate with physicians and supervisors to determine the appropriate primary diagnosis. * Establish and update individualized plans of care based on patient needs and interdisciplinary team input. * Monitor patient progress and adjust care plans as needed. * Educate patients and families on disease management, self-care techniques, and prevention strategies. Care Coordination * Coordinate services among the multidisciplinary care team, including PT, OT, home health aides, and physicians. * Participate in weekly PPS meetings to review patient progress, service frequencies, and discharge planning. * Ensure adherence to physician-ordered service frequencies and duration. * Communicate regularly with therapy staff and other care team members. Documentation & Compliance * Complete 485 physician orders in accordance with insurance authorization and OASIS scoring. * Document all patient services, progress notes, and communications in the electronic health record. * Maintain accurate documentation of home health aide supervision and care plans. * Ensure all documentation is completed accurately and in a timely manner. Home Health Aide Supervision * Supervise aides providing personal and health care services through home visits. * Maintain and review aide care plans with aides and patient families. * Document weekly supervision of aide services. Case Management & Program Participation * Manage an assigned patient caseload. * Facilitate patient admissions and discharges from the program. * Participate in staff orientation and training as needed. * Maintain productivity standards aligned with agency goals. On-Call Responsibilities * Participate in rotating 24-hour on-call coverage with other nurses. * Respond to patient calls and document all on-call communications in the EHR. * Carry a cell phone and respond promptly to all calls during on-call shifts. * Assume holiday on-call coverage as assigned. Additional Responsibilities * Perform community outreach and maintain communication with hospitals and referral sources. * Complete other duties and special projects as assigned. Required Skills & Competencies * Strong clinical nursing skills in home health care * Knowledge of Medicare PPS system and split billing * Experience with OASIS documentation and its impact on reimbursement * Diagnosis coding proficiency * Excellent care coordination and documentation abilities * Strong organizational and prioritization skills * Computer proficiency and experience with electronic health records * Ability to work independently and collaboratively within a team Qualifications * Active Registered Nurse (RN) license in New York State * Graduate of an accredited nursing program (BSN preferred) * Minimum 1 year of CHHA experience preferred * Minimum 1 year of LTHHCP experience preferred * Valid driver's license and ability to travel to patient homes Physical Requirements This position requires the ability to: * Travel to patient homes including walk-ups, apartment buildings, and private residences * Work in varied home environments * Stand, walk, bend, reach, and climb stairs * Lift up to 50 pounds unassisted and up to 325 pounds with assistive devices * Drive or utilize public transportation within the assigned service region Reasonable accommodations may be made to enable individuals with disabilities to perform essential job functions without compromising patient care. Health Requirements All employees must comply with New York State health requirements, including: * Pre-employment health assessment * Annual health assessment * Compliance with applicable immunization and health regulations Job Posted by ApplicantPro

Job Description JOB SUMMARY Under the clinical supervision of Senior Psychiatrist and administrative oversight of a Program Director, the Medical Director for Psychiatry Education supervises Psychiatric Nurse Practitioners and develop monthly psychiatry education sessions. Provides psychiatric evaluations, prescribes and monitors medications, and participates in interdisciplinary treatment planning. They deliver comprehensive psychiatric care across various ICL settings, including mobile teams, outpatient clinics, transitional housing and specialist programs. ESSENTIAL JOB FUNCTIONS: List all essential job duties. (To perform this job successfully, an individual must be able to perform each essential duty listed satisfactorily with or without a reasonable accommodation. Reasonable accommodations may be made to enable qualified individuals with a disability to perform the essential duties unless this causes undue hardship to the agency.) • Conduct psychiatric evaluations and assess medical data., • Prescribe and manage psychiatric medications; explain effects to clients and families., • Perform individual, group, and family therapy; provide crisis intervention as needed., • Participate in treatment planning and approve client plans., • Ensure documentation and billing compliance through chart reviews and audits., • Advise clinical staff and contribute to quality assurance and peer review., • Committed to the active promotion of ICL values and goals., • 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 communicate effectively with team members, other providers, community members, clients and their families., • Ability to effectively respond to and manage psychiatric emergency situations. Adult Programs: Board Eligible: • Unrestricted license to practice medicine in New York Stare and completion of post-graduate residency training program in General Psychiatry approved by the American Board of Psychiatry and Neurology for entrance into their examination, and, • License to practice medicine in New York State and certification in General 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. 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 DescriptionDescription: PromptCare is seeking an experienced Accounts Receivable Billing Specialist to join our team in the Homecare Infusion industry. The ideal candidate is responsible for all patient billing and collections and must be proficient in all phases of insurance data collection, verification, and authorization. Documentation and computer input of the new referral and subsequent patient admission from start to finish is critical and must always follow PromptCare’s policies and procedures. If you are a detail-oriented individual with a passion for healthcare billing and collections, we encourage you to apply for this exciting opportunity in the Homecare Infusion industry. Job Type: Full-Time position, 40 hours per week, Monday -Friday with a Hybrid Schedule Job Location: Hybrid our of New Providence, NJ or open to remote Requirements: • High School Diploma or equivalent., • 2-3 years of experience in electronic claims submission and medical collections preferred, • Working knowledge of insurance plans including but not limited to Medicare and Medicaid preferred, • Industry experience with billing/collections in DME, home infusion and/or enteral preferred, • Accounts receivable and accounting experience preferred, • Knowledge of CPR+ software preferred Job Responsibilities, included but not limited to: • Assist the PBM and Billing Specialist with issues, billing backlogs and end-of-month processes, • Assist with collections as needed and identified in an overall weekly A/R review done by the Reimbursement Manager, • Assist the Cash Poster as needed and identified by the Reimbursement Manager, • Field and troubleshoot calls from patients regarding benefit, claims and patient balances, • Pro-actively seek resolutions to any billing issues that may arise, • Reporting/Documentation:, • Billing documents as requested, • Claim adjudication, • Collection efforts and resolutions, • Weekly status reports, • Other duties as assigned Physical Demands The physical requirements listed here indicate what an employee must meet to effectively perform this role's essential functions. The employee frequently needs to communicate verbally, listen attentively, and spend prolonged periods sitting at a desk and working on a computer. The role also requires lifting files, opening filing cabinets, and bending or standing as needed. Benefits & Perks • Comprehensive Medical, Dental, and Vision Package, • 401(k) Plan with Company Match, • Generous PTO: Vacation, Sick Time, Personal Days, and Paid Holidays, • Life Insurance: Standard coverage with optional enhancements, • Employee Assistance Program: Free counseling and coaching sessions, • Emotional Well-being and Work-Life Balance Resources, • Short & Long-Term Disability: Company-paid with optional supplements, • Accidental Death and Dismemberment Insurance, • FSA and HSA: Manage healthcare expenses, • Commuter Spending Programs, • Volunteer and Engagement Opportunities, • Employee Referral Bonuses, • Exclusive Discounts on entertainment, travel and various other supplemental and cellphone plans Equal Employment Opportunity The PromptCare Companies is committed to Equal Employment Opportunity (EEO) and prohibits employment discrimination on the basis of race, color, age, national origin, religion, gender, gender identity, sexual orientation, pregnancy, marital status, genetic disposition, disability, veteran's status or any other characteristic or classification protected by State/Federal/Local laws. We foster a work environment in which diversity and inclusion are embraced, people are hired and advanced on their merits, and employees are treated with mutual respect and dignity.

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

Coordinating with the billing department to resolve patient billing questions. Familiarity with billing statements and billing codes. Basic Medical billing experience is a plus.

Insurance verification and billing knowledge. Collect co-pays and assist with billing procedures.

Heights Pediatrics is looking for a warm, organized, and dedicated Medical Receptionist to join our family.If you thrive in a fast-paced environment, take initiative, and enjoy being part of a collaborative team, we'd love to meet you!.Duties and Responsibilities includes but are not limited to: .H

Three years experience Knowledge of ICD10.High School Diploma/GED, AHIMA, RHIA or RHIT and/or CCP, CCS.Must have EPIC and 3M experience CCS OR CPC certification required.Ideal candidate has minimum 4+ years of outpatient coding experience.Medical coding in an acute care setting; must possess profici

Coding compliance and billing regulations.

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

Our client in Newark, NJ is looking for a Billing Specialist for a full time direct hire position. Successful candidate will be editing proformas, assisting with the various tasks associated with eBilling, following up on Client's Receivables, and assisting with revenue adjustments. Accounts Receiva