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At MVP Health Care, we're on a mission to create a healthier future for everyone - which requires innovative thinking and continuous improvement. To achieve this, we're looking for a Bilingual Enrollment Specialist to join #TeamMVP . This is the opportunity for you if you have a passion for health equity, your knack for strategic engagement, and your love for your community can flourish. What's in it for you: • Growth opportunities to uplevel your career, • A people-centric culture embracing and celebrating diverse perspectives, backgrounds, and experiences within our team, • Competitive compensation and comprehensive benefits focused on well-being, • An opportunity to shape the future of health care by joining a team recognized as a Best Place to Work for and one of the Best Companies to Work For in New York Qualifications you'll bring: • Two or more years in a customer service or sales environment, with some experience in the health care industry such as a hospital, medical office, or health insurance company, • Bilingual; the ability to speak more than one language (for example, English and Creole, Haitian, Spanish), • An Associate's Degree or equivalent combination of education and related experience, • Must have a valid driver's license, • The availability to work full-time, virtual, with some travel including nights and weekend hours required, • Curiosity to foster innovation and pave the way for growth, • Humility to play as a team, • Commitment to being the difference for our customers in every interaction Your key responsibilities: • Spearhead our membership growth initiatives in crucial target areas by identifying eligible individuals and seamlessly enrolling them in a variety of plans including Medicaid, Child Health Plus, Essential Plan, Qualified Health Plans (QHPs), HARP, Off-Exchange, Medicare Advantage (MA) products, and Dual Eligible Special Needs Plans (D-SNP)., • Conduct both individual and group outreach activities to present our innovative health care solutions on- and off-site at various events-from health fairs and community expos to festivals and holiday-themed gatherings-ensuring MVP's presence is both seen and felt. Your collaborative efforts alongside our Field Marketing and Community Engagement Representatives will be pivotal in driving growth and visibility in assigned territories., • Foster positive relationships with community-based organizations, medical provider partners, and community contacts to develop a robust network within your territory., • Generate, track, and convert qualified leads and referrals into MVP customers., • Lead two monthly events that highlight our progressive health solutions directly to the communities we serve, strengthening ties and enhancing our brand's impact., • Navigate the local landscape with required travel , embracing the opportunity to bring MVP's customer-centric philosophy to life across our footprint., • Participate in necessary screenings and provide proof of immunization as part of our commitment to community well-being., • Demonstrate the dynamic capability to transport up to 30 lbs. of promotional materials, which play a key role in educating and empowering our customers about their health care choices., • Contribute to our humble pursuit of excellence by performing various responsibilities that may arise, reflecting our collective goal of enhancing health care delivery and being the difference for the customer. Where you'll be: • Hybrid; local travel in Westchester County #CS Pay Transparency MVP Health Care is committed to providing competitive employee compensation and benefits packages. The base pay range provided for this role reflects our good faith compensation estimate at the time of posting. MVP adheres to pay transparency nondiscrimination principles. Specific employment offers and associated compensation will be extended individually based on several factors, including but not limited to geographic location; relevant experience, education, and training; and the nature of and demand for the role. We do not request current or historical salary information from candidates. MVP's Inclusion Statement At MVP Health Care, we believe creating healthier communities begins with nurturing a healthy workplace. As an organization, we strive to create space for individuals from diverse backgrounds and all walks of life to have a voice and thrive. Our shared curiosity and connectedness make us stronger, and our unique perspectives are catalysts for creativity and collaboration. MVP is an equal opportunity employer and recruits, employs, trains, compensates, and promotes without discrimination based on race, color, creed, national origin, citizenship, ethnicity, ancestry, sex, gender identity, gender expression, religion, age, marital status, personal appearance, sexual orientation, family responsibilities, familial status, physical or mental disability, handicapping condition, medical condition, pregnancy status, predisposing genetic characteristics or information, domestic violence victim status, political affiliation, military or veteran status, Vietnam-era or special disabled Veteran or other legally protected classifications. To support a safe, drug-free workplace, pre-employment criminal background checks and drug testing are part of our hiring process. If you require accommodations during the application process due to a disability, please contact our Talent team at .

Are you a seasoned medical insurance professional with a passion for leadership and operational excellence? FlexStaff is seeking a dynamic Claims Management Specialist for our client to oversee their Medicare, Medicaid, and Out-of-Network Insurance operations in beautiful Chappaqua, NY. If you thrive in a fast-paced environment, excel at team management, and have deep expertise in healthcare insurance billing, this is your chance to make a meaningful impact! Join the team and lead a dedicated group of insurance specialists, ensuring claims are processed accurately and efficiently while maintaining full compliance with government regulations. Bring your leadership skills, industry knowledge, and innovative mindset to help us deliver exceptional service and operational success. Responsibilities: • Lead and manage a team of insurance specialists handling Medicare, Medicaid, and out-of-network claims., • Monitor daily workflows to ensure timely and accurate claim submission, follow-up, and resolution., • Serve as a subject matter expert on government payer policies, billing guidelines, and regulatory changes., • Collaborate with internal departments such as billing, coding, and patient services to resolve complex claim issues., • Implement and oversee training programs to enhance team knowledge and performance., • Track and report on key performance indicators (KPIs), identifying trends and areas for improvement., • Foster a positive, collaborative team environment through coaching, feedback, and performance management. Qualifications: • Minimum of 3–5 years of experience in medical insurance billing and claims management, with a focus on Medicare, Medicaid, and Out-of-Network payers., • Prior leadership or supervisory experience preferred., • Strong understanding of insurance regulations, EDI transactions, and denial management., • Proficiency with healthcare billing software and Microsoft Office Suite., • Excellent communication, problem-solving, and organizational skills., • Ability to work independently and manage multiple priorities in a dynamic environment

Job Description Our client, a leading non-profit medical center in Westchester County, is seeking a Director of Clinical Care Management, LCSW, to lead a high-impact, multidisciplinary department focused on optimizing patient outcomes, enhancing operational efficiency, and ensuring appropriate financial reimbursement. This role carries 24/7 accountability and oversight for Access, Utilization Review, Denials and Appeals, Care Coordination, Discharge Planning, Clinical Social Work, Recovery and Disease Management, and Contracting. The Director will serve as a strategic resource to the Executive Team, partnering with internal departments, external payers, system partners, and community organizations to lead innovative care management strategies that are patient-centered, financially sustainable, and compliant with all regulatory requirements. This is a pivotal leadership role with a high-performing, mission-driven medical center known for its clinical excellence and commitment to the community. If you’re a strategic thinker who thrives in a collaborative environment and wants to make a measurable impact on patient care, this opportunity offers both purpose and growth. Key Responsibilities • Provide strategic and operational leadership for all Care Management services., • Manage daily operations, staffing, budgeting, and performance metrics for all areas under Clinical Care Management., • Lead, guide, and mentor Nurse Care Managers and Social Work Managers, ensuring alignment with departmental and organizational goals., • Develop and monitor department goals, policies, budgets, and quality metrics in line with the organization’s mission and strategic plan., • Ensure compliance with regulatory and accreditation standards across all care management functions., • Oversee the Care Management Dashboard, reporting, and key performance indicators (KPIs) including readmissions, denials, length of stay, and discharge planning effectiveness., • Facilitate interdisciplinary collaboration across the organization to support seamless transitions of care and optimal patient outcomes., • Participate in executive committees, performance improvement initiatives, and hospital-wide strategy development., • Maintain professional relationships with providers, payers, community partners, and vendors., • Lead the Utilization Review Committee and other assigned task forces., • Serve as a subject matter expert in managed care principles, clinical workflows, and value-based care strategies. Qualifications • Master’s in Social Work (MSW); LMSW or LCSW required., • CMAC or CCM certification preferred., • Minimum 1 year of acute care hospital experience., • At least 1 year in non-hospital-based healthcare settings (home care, insurance, outpatient, etc.)., • Prior experience managing a team or leading complex healthcare projects required., • Demonstrated leadership in human resource management, strategic planning, and change management., • Strong knowledge of:, • DRGs, Medicare regulations, and medical necessity criteria, • Patient rights, HIPAA, and regulatory compliance, • Clinical system assessments and risk stratification strategies, • Advanced capabilities in technical writing and data-driven program evaluation., • Strong interpersonal and communication skills with a collaborative and proactive leadership style., • High level of critical thinking and decision-making ability., • Proficiency in relevant healthcare IT systems and data analytics tools. Salary: The posted range is not a guarantee. The actual salary will be based on qualifications, experience, and education and could fall outside of this range. Contact us for more information.

Please Contact: To discuss this amazing opportunity, reach out to our Talent Acquisition Specialist Himanshi Pandits at email address can be reached on # 630-576-1935. We have Permanent role Supervisor-Patient Accounts for our client at White Plains, NY. Please let me know if you or any of your friends would be interested in this position. Position Details: Supervisor-Patient Accounts- White Plains, NY Location : 41 E Post Rd, White Plains, NY 10601 Project Duration : Fulltime / Permanent Salary : $69,257-$103,897 Yearly Shift Timing : M-F, 8a-4p Job Summary and Qualifications Job Summary: The supervisor of patient accounts provides assistance with overseeing, coordinating, and managing the daily operations related to the billing and collection of third-party accounts. Compiles and analyzes statistical data to measure and explain staff performance, accounts receivables, and progress towards financial targets. Identifies trends and recommends process improvements to enhance workflows, expand staff training and skills, advance productivity, and meet department goals. Provides technical guidance and assistance to the Revenue Cycle staff on complex billing, payment, and/ or follow up activities Essential Functions and Responsibilities Includes the Following: • Understands and adheres to the client Performance Standards, Policies and Behaviors, • Ensures accounts are billed and followed accurately, timely, and in a compliant manner, • Resolves routine questions and problems posed by support staff, referring more complex issues to the Manager, • Assist in updating policies and procedures as necessary. Develops and implements processes, procedures, and controls to identify and address discrepancies associated with third party payments received, • Compiles and organizes statistical data related to staff productivity and quality weekly. Identifies and communicates both positive and negative trends to the management team, • Manage and participates in performance discussions as requested by the Manager, • Assist with developing and conducting training for respective applications and staff, • Maintain training materials, job aides, competencies, and training records for all staff to manage individual performance, • Keeps abreast of all billing and reimbursement regulations and standards to ensure compliance with any published or anticipated changes issued by governmental agencies and/or third-party payers, • Shares knowledge with staff through verbal and prepared written communication. Ensures CHS managed care contracts terms and conditions are adhered to by support staff and contracted parties, • Actively leads and participates in payer meetings to communicate and resolve billing and reimbursement issues, • Assists Manager in preparing materials in advance, • Monitors the performance of outside agencies including reconciling inventories and invoices, • Troubleshoots and acts as a point of escalation for issues arising internally and externally as a result of a vendor partnership, • Recruits and trains new personnel. Assists Manager with evaluations and counseling when needed, • Prepare departmental and ad-hoc reports as requested, • Participates in special projects as requested by the Manager, • Keeps the Manager and Director informed as to the status of the department, • Develops and submits departmental goals and objectives as required by the Division Administrator, • Attends and participates in educational programs or activities to maintain current level of knowledge or expertise to manage department, • Supervises and controls the billing to all third-party agencies, • Reviews, completes, and prepares the Medicare Credit Balance Report on a quarterly basis, • Reviews pre-collection report and assists with preparation of accounts for transfer to bad debt for outside collection agencies, • Reviews trial balance reports as needed for monitoring staff performance, and/or adjustments, • Adheres compliance to all financial assistance policies and regulations regarding financial assistance, • Performs all other related duties as assigned Education & Experience Requirements • High School Graduate or GED required. Graduate of an accredited College with an Associate Degree in Business, Healthcare Administration or Accounting preferred, • Minimum of three years of previous experience in patient accounts, • Knowledge of hospital billing and reimbursement of insurance as well as third-party billing, • Ability to use basic office equipment and knowledge of CTR computer terminals, • Medical terminology helpful but not mandatory, • Effective 12/1/2022 the HBI (Healthcare Business Insights) one time certification course is required and must be completed during the onboarding period and prior to start date. Core Competencies • Ability to cooperate with others, • Must be able to speak, write understand and communicate the English language, • Effectively communicate with internal and external customers, • Integrity to handle the confidential aspects of work, • Retains composure under stress Physical/Mental Demands/Requirements & Work Environment • May be exposed to chemicals necessary to perform required tasks. Any hazardous chemicals the employee may be exposed to are listed in the hospital’s SDS (Safety Data Sheet) data base and may be accessed, • through the hospital’s Intranet site (Employee Tools/SDS Access). A copy of the SDS data base can also be found at the hospital switchboard, saved on a disc, • Must be able to remain in stationary position 50% of the time, • The person in this position needs to occasionally move about inside the office to access file cabinets, office machinery, etc, • The person in this position frequently communicates with insurance plans patients who have questions, must be able to exchange accurate information in these situations, • Must be able to greet patients arriving To discuss this amazing opportunity, reach out to our Talent Acquisition Specialist Himanshi Pandits at email address can be reached on # 630-576-1935.

Job Description Our client, a leading non-profit medical center in Westchester County, is seeking a Director of Clinical Care Management, RN, to lead a high-impact, multidisciplinary department focused on optimizing patient outcomes, enhancing operational efficiency, and ensuring appropriate financial reimbursement. This role carries 24/7 accountability and oversight for Access, Utilization Review, Denials and Appeals, Care Coordination, Discharge Planning, Clinical Social Work, Recovery and Disease Management, and Contracting. The Director will serve as a strategic resource to the Executive Team, partnering with internal departments, external payers, system partners, and community organizations to lead innovative care management strategies that are patient-centered, financially sustainable, and compliant with all regulatory requirements. This is a pivotal leadership role with a high-performing, mission-driven medical center known for its clinical excellence and commitment to the community. If you’re a strategic thinker who thrives in a collaborative environment and wants to make a measurable impact on patient care, this opportunity offers both purpose and growth. Key Responsibilities • Provide strategic and operational leadership for all Care Management services., • Manage daily operations, staffing, budgeting, and performance metrics for all areas under Clinical Care Management., • Lead, guide, and mentor Nurse Care Managers and Social Work Managers, ensuring alignment with departmental and organizational goals., • Develop and monitor department goals, policies, budgets, and quality metrics in line with the organization’s mission and strategic plan., • Ensure compliance with regulatory and accreditation standards across all care management functions., • Oversee the Care Management Dashboard, reporting, and key performance indicators (KPIs) including readmissions, denials, length of stay, and discharge planning effectiveness., • Facilitate interdisciplinary collaboration across the organization to support seamless transitions of care and optimal patient outcomes., • Participate in executive committees, performance improvement initiatives, and hospital-wide strategy development., • Maintain professional relationships with providers, payers, community partners, and vendors., • Lead the Utilization Review Committee and other assigned task forces., • Serve as a subject matter expert in managed care principles, clinical workflows, and value-based care strategies. Qualifications • RN with BSN or MSN required; Master's in Clinical or Healthcare Administration preferred., • CMAC or CCM certification preferred., • Minimum 1 year of acute care hospital experience., • At least 1 year in non-hospital-based healthcare settings (home care, insurance, outpatient, etc.)., • Prior experience managing a team or leading complex healthcare projects required., • Demonstrated leadership in human resource management, strategic planning, and change management., • Strong knowledge of:, • DRGs, Medicare regulations, and medical necessity criteria, • Patient rights, HIPAA, and regulatory compliance, • Clinical system assessments and risk stratification strategies, • Advanced capabilities in technical writing and data-driven program evaluation., • Strong interpersonal and communication skills with a collaborative and proactive leadership style., • High level of critical thinking and decision-making ability., • Proficiency in relevant healthcare IT systems and data analytics tools. Salary: The posted range is not a guarantee. The actual salary will be based on qualifications, experience, and education and could fall outside of this range. Contact us for more information.

Open Door Care Network provides health care and wellness programs to individuals and families in need throughout Westchester, Putnam and Ulster Counties. A pioneer Federally Qualified Health Center, Open Door provides more than 300,000 patient visits annually and serves nearly 60,000 individual patients who might not otherwise have access. Open Door offers integrated services and a holistic approach to building healthier communities. Primary medical care, dental care, integrated behavioral health care, clinical nutrition, wellness programs, and chronic disease management are the foundation of its clinical programs. Founded as a free clinic in 1972, Open Door’s mission of building healthier communities through accessible, equitable, culturally competent health care has led to site and service expansions. Today, Open Door operates centers in Brewster, Mamaroneck, Mount Kisco, Ossining, Port Chester, and Sleepy Hollow, in addition to eight School-Based Health Centers in the Port Chester and Ossining School Districts, a mobile dental van in Mount Kisco, and a new dental practice in Saugerties, NY. For more information, please visit our website at . Open Door is seeking a highly skilled and experienced Senior Controller to lead and manage financial operations and department staff and implement financial strategies. The Senior Controller responsibility is to provide day-to-day management of the finance, accounting, purchasing and revenue function, billing and payroll departments and their teams. Partners with lead department executives and leaders of multiple sites to deliver their goals. Works with CFO on budgets, grants, and the development of strategic plans. This position is located in our headquarters in Tarrytown, NY and has multiple direct reports. DUTIES AND RESPONSIBILITIES Financial Operations • Lead and manage all financial functions, including accounting, payroll, revenue analysis, accounts receivable, accounts payable, budgets, fixed assets, cash management, financial planning, banking relationships, purchasing, investments, general ledger, and required reporting, • Steward the development and finalization of operating, foundation, capital, and grant budgets, • Work with Controller to ensure monthly financial and operational reports are prepared on time and reviewed with CFO, including Income and Expense, Balance Sheet, Cashflow Analysis and Departmental Expense Reports and ensure compliance with accounting standards (GAAP/IFRS), • Review and correct analyses of regular monthly reports with Controller and review them with CFO, focusing on variance analysis, forecasting future financial performance, recommendations for correction, and, where appropriate, solutions to prevent recurrence, • Coordinate documentation of financial activities and preparation of annual audits by independent Auditor, in addition to documenting business and financial plans for funding agencies, • Implement and maintain strong internal controls to safeguard the organization’s assets and ensure data integrity, • Prepare the financial modeling and development of timely and accurate project plans for new grants, sites, and initiatives for review with CFO, • Coordinate budgets for all new ventures and future programs, • Stay updated on financial regulations and tax laws, • Oversee Cash Management including Projections, follow up on AIR Collections and Cash Disbursements, • Partner with executive leadership on financial planning, forecasting, and budgeting, • Leverage strengths of the current finance team members, help clarify their roles and responsibilities, develop and implement training programs in to order to maximize and reach outstanding individual, departmental and organization goals, • Provide leadership in strengthening internal communications with staff at all levels at the department; create and promote a positive work environment anchored in accountability, • Experienced in driving departmental success through performance management and annual at organizational, departmental, and individual levels, • Skilled and adaptable, with a focus on fostering teamwork and a strong sense of community, • Ensuring the delegation of responsibility is conducted with clarity, consistency and fairness, • Oversee daily management of monthly deliverables in an organized and efficient manner, • Provide regular developmental and corrective feedback to staff including mid-year and annual performance evaluations, • Acting as the primary report to the CFO, work closely to establish, implement and monitor annual benchmarks that align with Open Door's vision and business goals, • Oversees training and development of staff to improve quality and efficient work practices, • Demonstrated expertise in recruiting, developing, and retaining staff, • Bachelors’ Degree; Masters' degree in Finance or MBA with specialization in Finance is highly preferred, • 12-15+ years in finance, accounting, and related fields with increasing scope of responsibility, predominantly in health care, • 8-10+ years leading a department and with minimally 5+ direct reports, • 5+ years of healthcare finance experience in particular Medicare, Medicaid, and private insurance experience, • CPA, Certified Healthcare Financial Professional (CHFP) or Fellow of HFMA (FHFMA), • Significant experience in financial modeling and budgeting, • Highly experienced and successful coaching and mentoring direct reports focused on delivering measurable goals, • Exceptionally strong financial analysis and problem-solving skills, • Strong understanding of financial systems; proficiency with various financial reporting tools, • Proficiency with MS Office (Word, PowerPoint, Excel, Outlook, Access), • Responsive and comfortable working in a fast-paced, high accountability health care environment, • Outcome focused; able to understand current and changing organizational requirements and provide effective solutions, • Exceptional leadership, communication, and interpersonal skills At Open Door, we enjoy working in a team-based, patient-centered environment and value the benefits of a diversified workplace that values our patients and the communities we serve. If you want to make a difference in the lives of thousands of patients and clients, and if this position speaks to your capabilities, experience and commitment to improve the health of our communities, please send your resume and cover letter with salary requirements to with Senior Controller in the subject line. Open Door is an Equal Opportunity Employer

At MVP Health Care, we're on a mission to create a healthier future for everyone - which requires innovative thinking and continuous improvement. To achieve this, we're looking for a Clinical Investigator to join #TeamMVP. This is the opportunity for you if you have a passion for problem solving and investigations, commitment to compliance and ethical standards and dedication to continuous learning and improvement. What's in it for you: • Growth opportunities to uplevel your career, • A people-centric culture embracing and celebrating diverse perspectives, backgrounds, and experiences within our team, • Competitive compensation and comprehensive benefits focused on well-being, • An opportunity to shape the future of health care by joining a team recognized as a Best Place to Work For in the NY Capital District, one of the Best Companies to Work For in New York, and an Inclusive Workplace. Qualifications you'll bring: • A clinical investigator must have in addition to the above requirements: A duly licensed or authorized medical professional, including but not limited to MD or RN., • New York State Nursing license required (RN preferred). Experience in health insurance fraud investigations preferred., • Obtain CPC and/or COC credential., • Maintain nursing license and coding credentials through continuing education process as required., • Superior judgment skills, verbal and written communication, and presentation skills., • Extremely detail-oriented with excellent organizational and analytical skills., • Ability to utilize various data management tools to help identify potentially fraudulent activity., • Possess knowledge of CPT-4, ICD-9-CM, ICD-10-CM, HCPCS and CPT Assistant coding guidelines as they relate to claim data., • Working knowledge of MS Office (Word, Excel and Outlook), • Curiosity to foster innovation and pave the way for growth, • Humility to play as a team, • Working knowledge of Macess, Facets, CareRadius, Cognos, CMS web sites, and Encoder-Pro. Your key responsibilities: • Conduct clinical reviews of various forms of medical documentation and records obtained from providers and facilities including but not limited to medical charts, patient account records, and member interviews., • Organize and conduct highly complex investigations. Document findings and recommendations throughout the investigative process in a timely and efficient manner according to corporate and departmental SIU policies and procedures., • Act as an SIU liaison and interact with and analyze data in cooperation with Pharmacy, Medical Affairs, Operations, Provider Relations, Credentialing, Customer Care Center, Legal and other corporate personnel., • Assist in investigations conducted by government agencies, law enforcement, and other insurance company SIU staff., • Make recommendations for and conduct clinical re-audits of providers and facilities previously audited by SIU., • Testify in criminal and civil legal case proceedings as necessary and assist outside legal counsel especially concerning issues needing clinical decision making., • Participate in annual Corporate FWA training and training of new SIU personnel., • Keep abreast of Federal and State Anti-Fraud investigation and reporting requirements including HIPAA, CMS, Medicare, Medicaid, and any corporate compliance initiatives or policies., • Minimal travel may be required pertaining to investigations and audits., • Contribute to our humble pursuit of excellence by performing various responsibilities that may arise, reflecting our collective goal of enhancing healthcare delivery and being the difference for the customer. Where you'll be: Virtual; Must reside within Eastern or Central Time Zone #CS Pay Transparency MVP Health Care is committed to providing competitive employee compensation and benefits packages. The base pay range provided for this role reflects our good faith compensation estimate at the time of posting. MVP adheres to pay transparency nondiscrimination principles. Specific employment offers and associated compensation will be extended individually based on several factors, including but not limited to geographic location; relevant experience, education, and training; and the nature of and demand for the role. We do not request current or historical salary information from candidates. MVP's Inclusion Statement At MVP Health Care, we believe creating healthier communities begins with nurturing a healthy workplace. As an organization, we strive to create space for individuals from diverse backgrounds and all walks of life to have a voice and thrive. Our shared curiosity and connectedness make us stronger, and our unique perspectives are catalysts for creativity and collaboration. MVP is an equal opportunity employer and recruits, employs, trains, compensates, and promotes without discrimination based on race, color, creed, national origin, citizenship, ethnicity, ancestry, sex, gender identity, gender expression, religion, age, marital status, personal appearance, sexual orientation, family responsibilities, familial status, physical or mental disability, handicapping condition, medical condition, pregnancy status, predisposing genetic characteristics or information, domestic violence victim status, political affiliation, military or veteran status, Vietnam-era or special disabled Veteran or other legally protected classifications. To support a safe, drug-free workplace, pre-employment criminal background checks and drug testing are part of our hiring process. If you require accommodations during the application process due to a disability, please contact our Talent team at .

At MVP Health Care, we're on a mission to create a healthier future for everyone - which requires innovative thinking and continuous improvement. To achieve this, we're looking for a Manager, Healthcare Sales to join #TeamMVP. This is the opportunity for you if you have a passion for health equity, your knack for strategic engagement, and your love for your community. What's in it for you: • Growth opportunities to uplevel your career, • A people-centric culture embracing and celebrating diverse perspectives, backgrounds, and experiences within our team, • Competitive compensation and comprehensive benefits focused on well-being, • An opportunity to shape the future of health care by joining a team recognized as a Best Place to Work For in the NY Capital District, one of the Best Companies to Work For in New York, and an Inclusive Workplace. Qualifications you'll bring: • A Bachelor's d egree with six years' work experience or H.S. Diploma or Equivalent; plus 8 years' work experience., • 3 years of supervisory/leadership skills., • The availability to work full-time, hybrid with travel within Westchester County, NY., • Excellent written communication and interpersonal skills with ability to communicate with multiple audiences including internal and external customers., • Self-motivated, organized problem solver with an ability to inspire, lead, and work in a team-based environment., • Understanding of ethnic/cultural differences., • Familiarity with service area and sensitivity to Government Programs target market., • Access to reliable transportation is required., • Physical Demands - some lifting/transporting of heavy materials up to 20 lbs. (brochures, equipment etc.) might be required., • Curiosity to foster innovation and pave the way for growth., • Humility to play as a team., • Commitment to being the difference for our customers in every interaction. Preferred skills: • Experience in a Managed care retail setting, • NYSOH Marketplace facilitated enroller certification preferred (will need to be obtained within first 90 days of employment), • NY Health Insurance License preferred (will need to be obtained within first 90 days of employment), • Excellent presentation and communication skills, • Bilingual ability desirable (Spanish preferred) Your key responsibilities: • Outreach and promotion of MVP lines of business to individuals and community groups from target market., • Supervise diverse team of Outreach Representatives and Individual Product Advisors., • Responsible for overseeing Outreach and promotion of the Plan's Medicaid, Child Health Plus (CHP), Essential Plan (EP), HARP, On-Exchange Qualified Health Plans (QHP), Off-Exchange Plans, and Medicare Advantage plans to individuals at Federally Qualified Health Centers (FQHCs), medical provider offices, Community Based Organizations (CBOs), WIC Centers, churches, and schools., • Conduct regularly scheduled team meetings with staff., • Complete outreach site schedule and ensure it is updated and entered into Bookings scheduling program on a timely basis., • Facilitate and participate in all meetings scheduled for the Retail Outreach team. Track and interpret membership enrollment and engagement data in CRM (Dynamics 365) for assigned territories., • On a regular basis, review electronic applications in CRM (Dynamics 365) to ensure the integrity and quality of the enrollment process. Communicate with Leader, Field Operations to identify Individual Product Advisors and Outreach Representatives who may require additional follow-up and other training., • Understand enrollment process and ensure that all field staff is following the NYSOH & CMS guidelines, as well as all corporate enrollment processes (SMART)., • Conduct spot checks at outreach locations and events to ensure compliance with enrollment requirements., • Lead enrollment process to ensure staff is meeting assigned enrollment goals., • Complete monthly, quarterly, probationary, and annual staff performance appraisals., • Develop and maintain relationships with community-based organizations & provider partners., • Ensure enrollment sites compliance with NYSOH and MVP's guidelines., • Provide Weekly & Monthly Field Outreach Reports to Leader, Field Operations., • Together with Leader, Field Operations, collaborate with Field Marketing to obtain and provide coverage for appropriate events., • Contribute to our humble pursuit of excellence by performing various responsibilities that may arise, reflecting our collective goal of enhancing healthcare delivery and being the difference for the customer. Where you'll be: Hybrid; local travel within Westchester County, NY #CS Pay Transparency MVP Health Care is committed to providing competitive employee compensation and benefits packages. The base pay range provided for this role reflects our good faith compensation estimate at the time of posting. MVP adheres to pay transparency nondiscrimination principles. Specific employment offers and associated compensation will be extended individually based on several factors, including but not limited to geographic location; relevant experience, education, and training; and the nature of and demand for the role. We do not request current or historical salary information from candidates. MVP's Inclusion Statement At MVP Health Care, we believe creating healthier communities begins with nurturing a healthy workplace. As an organization, we strive to create space for individuals from diverse backgrounds and all walks of life to have a voice and thrive. Our shared curiosity and connectedness make us stronger, and our unique perspectives are catalysts for creativity and collaboration. MVP is an equal opportunity employer and recruits, employs, trains, compensates, and promotes without discrimination based on race, color, creed, national origin, citizenship, ethnicity, ancestry, sex, gender identity, gender expression, religion, age, marital status, personal appearance, sexual orientation, family responsibilities, familial status, physical or mental disability, handicapping condition, medical condition, pregnancy status, predisposing genetic characteristics or information, domestic violence victim status, political affiliation, military or veteran status, Vietnam-era or special disabled Veteran or other legally protected classifications. To support a safe, drug-free workplace, pre-employment criminal background checks and drug testing are part of our hiring process. If you require accommodations during the application process due to a disability, please contact our Talent team at .

Staff is seeking a dynamic Claims Management Specialist for our client to oversee their Medicare, Medicaid, Team Lead, Claims, Medical, Lead, Leadership, Insurance, Business Services.

Job Description ACCOUNT EXECUTIVE, HOME CARE VISTING NURSE SERVICES WESTCHESTER is the largest independent, not-for-profit, Medicare-certified home healthcare agency in the lower Hudson Valley Region. We are hiring an Account Executive in Home Healthcare to build relationships with providers, with the ultimate goal to generate patient referrals. Our mission is to promote and support the health and independence of residents through personalized home healthcare services. WE TAKE CARE OF OUR PEOPLE! VNS WESTCHESTER is known for its people oriented culture, great reputation in the community, professional development and is a "DESTINATION EMPLOYER". We cover Westchester, Putnam, and Dutchess Counties. Summary We are seeking Account Executives to join our dynamic team. In this role, you will play a crucial part in driving business growth and fostering relationships with clients. Your contributions will help us deliver exceptional healthcare services to our community. We are seeking someone that has selling experience in the same vertical (Hospitals, Physician Practices, Rehab Facilities, etc) Responsibilities • Develop and implement strategies for business growth within the home healthcare sector., • Build and maintain strong relationships with key clients and stakeholders., • Conduct negotiations to secure contracts and partnerships., • Collaborate with internal teams to ensure client satisfaction and service delivery., • Analyze market trends to identify new opportunities for expansion., • Manage account portfolios effectively to maximize revenue., • Prepare reports on sales activities and performance metrics., • Proven experience in B2B sales or account management, preferably in healthcare or related fields targeting providers to generate patient referrals., • Experience in selling to the provider market.(Hospitals, Physician practices, rehab facilities, nursing homes, etc.), • Home Health experience is strongly preferred., • Strong negotiation and business development skills., • Excellent communication and interpersonal abilities., • Familiarity with Salesforce or similar CRM software is a plus., • Ability to analyze market data and adapt strategies accordingly. The Base Salary range is between $75k and 82k, plus a Bonus Plan. Very comprehensive Benefits Package includes: -Pension -Medical, Dental, Vision • Life Insurance -Short and long term disability -Great tuition reimbursement plan -Call-To-Action • Opportunity for Growth If you're ready to make a meaningful impact in the lives of others while advancing your career, we invite you to apply today and join our dedicated team at VNS Westchester! Powered by JazzHR 4bf9696kth

Job Description Director, Care Management Registered Nurse or Licensed Social Workers are considered for this position Are you a strategic and experienced leader in care management? We are seeking a Director, Care Management to join our team! This full-time, day position (Monday - Friday, 9 AM - 5 PM) offers a $10,000 sign-on bonus and a competitive salary range of $130,000 - $190,000+ In this pivotal role, you'll be the central resource for our Executive Team, driving efficient, patient-centered strategies that ensure appropriate financial reimbursement. You'll have 24-hour accountability for planning and directing departments across Access, Utilization Review, Denials and Appeals, Care Coordination, Discharge Planning, Clinical Social Work, Recovery and Disease Management, and Contracting. You'll also collaborate across disciplines, with payers, and community agencies to optimize clinical outcomes within ethical, legal, and regulatory parameters. What You'll Do: • Lead Operations: Oversee daily operations of the Care Management Department, including hiring, education, discipline, and budget management., • Strategic Planning: Develop department goals aligned with the hospital's mission, manage personnel, and prepare and monitor departmental budgets., • Quality Assurance: Ensure the delivery of high-quality department and clinical services, adhering to hospital and regulatory standards., • Team Collaboration: Work closely with interdisciplinary teams, promoting a collaborative environment within your division and across the hospital., • Performance Improvement: Drive key departmental goals, including reducing length of stay, readmissions, and denials, while improving discharge satisfaction and transitional planning., • Regulatory Compliance: Ensure all departmental policies are compliant with regulatory requirements., • Mentorship: Guide and counsel Nurse Care Managers and Social Work Managers in their professional development and unit planning., • Committee Participation: Actively participate in various hospital committees, including overseeing the Utilization Review Committee Meeting. What You'll Bring: • Education:, • For RNs: BSN or MSN required, or a BSN with a Master’s degree in clinical or healthcare administration. CMAC (Certified as a Case Management Administrator) or CCM (Certified Case Manager) certification preferred., • For Social Workers: Master’s degree in social work, with a Licensed Social Worker (LMSW or LCSW) credential. CMAC or CCM certification preferred., • Experience:, • At least one year of acute hospital experience., • One year of experience in non-hospital-based healthcare (e.g., home care, insurance, outpatient)., • Previous experience managing staff or successful project implementation., • Knowledge:, • Strong computer skills, critical thinking abilities, understanding of DRGs, Medicare Regulations, Medical Necessity Criteria, Patient Bill of Rights, and HIPAA. If you're a results-oriented leader passionate about optimizing patient care and driving operational excellence, we encourage you to apply!

Job Description Are you passionate about providing excellent customer service in a fast-paced healthcare environment? Ambulatory Medical Practices MSO, Inc. (AMP), supporting ColumbiaDoctors, is currently seeking enthusiastic and professional Front Desk Medical Receptionists to join our growing team. AMP is a Management Services Organization (MSO) that provides clinical and administrative support for ColumbiaDoctors, one of the largest and most respected multi-specialty practices in the Northeast. Our providers specialize in Cardiology, Vascular Disease, Internal Medicine, Obesity, Gastroenterology, and Endocrinology. With more than 50 Columbia-affiliated providers and multiple locations throughout Westchester, Rockland, and Orange Counties, including Valhalla, Hawthorne, White Plains, Yonkers, Scarsdale, Suffern, and Monroe, we’re committed to delivering exceptional patient care across the region. Why Join Us? We offer a comprehensive and competitive total rewards package that includes: • Paid time off including vacation, sick and paid holidays., • Medical, dental, and vision coverage for individuals and families, effective 30 days from hire date, • Employer-paid Life and AD&D Insurance, short- and long-term disability, • Participation in a 401(k)-retirement plan, with a company match, • Optional Flexible Spending Accounts (FSA), Health Savings Account (HSA), and Commuter Benefits, • Tuition Reimbursement, Employee Discounts, and more! At AMP, we are dedicated to investing in the growth and development of our employees. We provide opportunities for career advancement through ongoing training, mentorship, and the chance to explore different roles within our organization. We believe in promoting from within and supporting our team members in reaching their full potential. We are proud to provide a supportive and inclusive work environment where diversity is celebrated. AMP values the unique perspectives and experiences that each team member brings and is committed to creating equal opportunities for all employees. Key Responsibilities: • Assist in the day-to-day front-end operations of a high-volume medical practice, including patient flow., • Meet and greet patients and visitors. Manage scheduling and confirming appointments for office visits and studies. including follow-up appointments, referrals and other related tests as requested by providers., • Register and process patient arrivals quickly and efficiently according to office protocols, utilizing EMR system and ensuring a smooth check-in., • Collect co-payments at time of service. Secure and record all types of monies collected throughout the day in accordance with office guidelines., • Verify and update patient information and insurance eligibility, obtain referrals and authorizations for services prior to medical visit., • Ensure patient and insurance data is accurately processed through systems applications, electronically, via website or telephone., • Provide support for general administrative tasks and maintain organized front desk area., • Knowledge of medical insurances (Medicare/Medicaid/Commercial), including referrals and pre-authorizations, • Ability to multi-task and be flexible with daily tasks, • Excellent customer service and communication skills, • 2 years of work experience in the medical field, • EPIC experience Salary Range: $20.00 – $23.00 per hour Job Type: Full-time The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered for this position at the time of this job ad and may be modified in the future. When determining a team member’s base salary and/or hourly rate, several factors may be considered as applicable (e.g., job type, location, years of relevant experience, education, credentials, budgets, and internal equity).

Job DescriptionAccounts Receivable Billing Coordinator, Medicare Visiting Nurse Services Westchester The Billing Coordinator will be responsible for the coordination of patient invoices and electronic billing of VNSW and WCAH private and MLTC accounts receivable. Visiting Nurse Services Westchester, established in 1901, is looking for Physical Therapy professionals in Westchester, Rockland, Putnam, and Dutchess Counties. As a Destination Employer, “WE TAKE CARE OF OUR PEOPLE! “ Responsibilities: • Review invoices before Patient Account Reps can bill., • Process adjustments of any change of services before billing., • Process the MLTC e-billing claims for WCAH., • Sorts Private Pay Invoices by payment type, check, credit card and ACH., • Prints weekly invoices and emails to Private Pay Clients., • Initiates collection process of overdue accounts immediately after the payment has not been received and exceeds the number of days agreed upon in the service agreement or collections policy., • Prepares monthly status report for collection agency, Tek-Collect., • Adds clients deemed uncollectable to the Tek-Collect collection system., • Make remote bank deposits via scanning for all checks received., • Back up for CCN Billing and LHCSA Private Pay LTC processing., • Associates Degree in Business Administration or related fields from an accredited college is preferred but not required., • Knowledge of billing process is preferred., • Ability to meet the necessary time and schedule requirements as related to the position., • Comprehensive understanding of Medicare, strong insurance billing experience is required., • Ability to work in close contact with Agency Managers and Departmental Staff., • Ability to communicate with patients, responsible parties, and other payer contacts.Salary : $24 to $26 per hourOutstanding benefits package which includes: • Medical, Dental, Vision, • Health Savings Account, • Tax Deferred Annuity, • Pension, • Short and Long term disability, • Generous PTO policy, • Life Insurance Powered by JazzHR YXLRsN2NFd

Job Description Patient Advocate White Plains, NY ChasmTeam is partnering with a growing national company, to build a team that provides real benefits to patients! We are seeking hard working, self starters who enjoy a challenge as we work together to help patients. The Patient Advocate plays a critical role in identifying, educating, and enrolling eligible hospital patients into the Health Insurance Premium Payment (HIPP) Program. You'll clearly explain program details, gather required documentation, and serve as a compassionate, professional advocate throughout each step of the enrollment process. This role demands mission-driven advocacy, proactive problem-solving, empathetic communication, and resilience—all while balancing compassion with an urgency to ensure patients receive timely support. By facilitating employer-sponsored health insurance coverage, the Patient Helper Program helps medically complex Medicaid beneficiaries access comprehensive care. We’re looking for driven individuals with a “can-do” spirit, unwavering perseverance, and the capacity to support diverse patient populations navigating complex healthcare systems. Key Responsibilities Patient Engagement & Advocacy • Educate patients and families in a clear, compassionate, and culturally sensitive manner about the HIPP program., • Assess family dynamics and adapt communication style to effectively meet their needs., • Obtain necessary authorizations and documentation from patients/families., • Foster trust with patients while maintaining appropriate professional boundaries., • Accurately collect all essential data for HIPP applications (e.g., employer information, insurance details)., • Employ proactive problem-solving to overcome barriers and ensure timely, accurate submissions., • Collaborate seamlessly with the Patient Financial Assistance team to finalize enrollments., • Clarify how employer-provided health insurance works in coordination with Medicaid., • Verify and update ongoing patient eligibility for HIPP to maintain continuity., • Utilize CRM/case management system to manage referrals and patient records., • Upload, scan, and securely transmit required documentation., • Record patient interactions meticulously in compliance with privacy and legal standards., • Represent the organization as the onsite 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-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. Salary: $50,000+/year based on experience plus $4,000+/year bonus potential

Job Description Supervisor, Patient Accounts Category: Management/Supervisory Department: Patient Accounting Employment Type: Full Time Shift: Day Schedule: Monday - Friday, 8:00 AM - 4:00 PM Salary Range: $70,000 - $104,000 Position Summary As the Supervisor of Patient Accounts, you will play a crucial role in overseeing, coordinating, and managing the daily operations related to the billing and collection of third-party accounts. You'll be responsible for compiling and analyzing statistical data to measure and explain staff performance, accounts receivables, and progress towards financial targets. This position involves identifying trends and recommending process improvements to enhance workflows, expand staff training and skills, advance productivity, and meet departmental goals. You will also provide essential technical guidance and assistance to the Revenue Cycle staff on complex billing, payment, and/or follow-up activities. Essential Functions and Responsibilities: • Ensures accounts are billed and followed accurately, timely, and in a compliant manner., • Resolves routine questions and problems posed by support staff, referring more complex issues to the Manager., • Assists in updating policies and procedures as necessary. Develops and implements processes, procedures, and controls to identify and address discrepancies associated with third-party payments received., • Compiles and organizes statistical data related to staff productivity and quality weekly. Identifies and communicates both positive and negative trends to the management team., • Manages and participates in performance discussions as requested by the Manager., • Assists with developing and conducting training for respective applications and staff., • Maintains training materials, job aides, competencies, and training records for all staff to manage individual performance., • Keeps abreast of all billing and reimbursement regulations and standards to ensure compliance with any published or anticipated changes issued by governmental agencies and/or third-party payers., • Shares knowledge with staff through verbal and prepared written communication. Ensures managed care contract terms and conditions are adhered to by support staff and contracted parties., • Actively leads and participates in payer meetings to communicate and resolve billing and reimbursement issues. Assists Manager in preparing materials in advance., • Monitors the performance of outside agencies, including reconciling inventories and invoices., • Troubleshoots and acts as a point of escalation for issues arising internally and externally as a result of a vendor partnership., • Develops and submits departmental goals and objectives as required by the Division Administrator., • Attends and participates in educational programs or activities to maintain current level of knowledge or expertise to manage department., • Supervises and controls the billing to all third-party agencies., • Reviews, completes, and prepares the Medicare Credit Balance Report on a quarterly basis., • Reviews pre-collection report and assists with preparation of accounts for transfer to bad debt for outside collection agencies., • Reviews trial balance reports as needed for monitoring staff performance and/or adjustments., • Adheres to compliance with all financial assistance policies and regulations regarding financial assistance. Education & Experience Requirements: • High School Graduate or GED required., • Graduate of an accredited College with an Associate Degree in Business, Healthcare Administration, or Accounting preferred., • Minimum of three years of previous experience in patient accounts., • Knowledge of hospital billing and reimbursement of insurance, as well as third-party billing., • Ability to use basic office equipment and knowledge of CTR computer terminals., • Medical terminology helpful but not mandatory., • Effective 12/1/2022, the HBI (Healthcare Business Insights) one-time certification course is required and must be completed during the onboarding period and prior to start date.