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Cardiothoracic Surgery Physician Assistant – First Assist Compensation: $76.05 – $92.05 per hour Location: Oceanside, NY (Long Island) Position Summary: A leading Long Island Level II Trauma Center is seeking an experienced Cardiothoracic Surgery Physician Assistant to support its open-heart surgery program. This role offers the opportunity to work alongside a highly respected cardiovascular surgical team in a high-acuity, fast-paced environment. The PA will play a critical role in managing patient care across the perioperative continuum, including surgical assisting and clinical coordination. This position requires strong clinical judgment, cardiac surgery experience, and the ability to collaborate effectively while providing leadership and mentorship within the PA team. Responsibilities Schedule/Shift: Full-time position with 12.5-hour day shifts Key Duties: • Assist in cardiothoracic surgical procedures, including serving as first assist in open-heart surgeries, • Manage perioperative patient care, including assessments, diagnostics, and treatment planning in collaboration with physicians, • Order and interpret labs and imaging, and prescribe medications within scope of practice, • Collaborate with multidisciplinary surgical and clinical teams to support comprehensive patient care, • Provide leadership and mentorship to PA team members while maintaining accurate EMR documentation Qualifications Education • Graduate of an Accredited Physician Assistant Program (Master’s preferred) Licensure and Certifications, • Active New York State Physician Assistant License, • NCCPA Certification, • DEA Registration, • BLS and ACLS certifications, • NYS Infection Control Certification Skills, • Recent operating room experience required, • Experience as a Cardiothoracic Surgery First Assist preferred, • Vessel harvesting experience strongly preferred, • Strong clinical decision-making and critical thinking skills, • Excellent communication and interpersonal skills About Us RCM Healthcare Services’ mission is to provide opportunities for qualified candidates across medical professions. We deliver timely results and have built a reputation of trust with our clients and candidates. Since 1975, we have been providing staffing solutions to many of the finest healthcare institutions across the nation and careers for thousands of candidates. As professional career opportunity matchmakers, we follow up and follow through to help our clients and candidates reach their career and life goals. We proudly hold the Joint Commission Gold Seal of Approval as well. Equal Employment Opportunity & Reasonable Accommodation RCM Technologies is an equal opportunity employer and values diversity. We are committed to providing reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act (ADA) and applicable state laws. If you require a reasonable accommodation to apply for or perform this role, please contact us and we will engage in an interactive process to support your needs. #AC1 #ACP

Job Description JOB SUMMARY: The Revenue Cycle Management (RCM) Director is a strategic leader responsible for overseeing and optimizing all aspects of revenue cycle operations across a large, multi-site surgical practice. The Director ensures financial integrity, drives operational performance, and supports compliance with all regulatory and payer requirements. This role collaborates closely with business operations, clinical leadership, and external vendors to support sustainable revenue growth and enhance the patient experience. RESPONSIBILITIES INCLUDE, BUT ARE NOT LIMITED TO: Leadership & Strategic Oversight Lead all Revenue Cycle Management functions, including Billing, Collections, Authorizations, and Credentialing Manage RCM operations across multiple office locations, including both on-site and remote teams Establish departmental goals, workflows, and KPIs to align with business objectives and compliance requirements Mentor, coach, and develop team members; provide training and ongoing performance evaluations Support recruitment and onboarding of revenue cycle staff; develop and maintain departmental training documentation Revenue Cycle Operations Oversee claim submission, payment posting, denial management, and accounts receivable follow-up Ensure timely and accurate prior authorizations and insurance verification processes Monitor billing compliance and coding accuracy, in accordance with federal, state, and payer-specific regulations Manage payer communications and disputes, including coordination and submission of IDR cases when applicable Maintain accurate and current provider credentialing with all contracted insurers Oversee all physician and provider credentialing, including initial applications, recredentialing, and payer enrollment for surgeons, physician assistants, and other billable staff Technology & Process Optimization Serve as liaison with EMR and billing system vendors to improve RCM tools and performance Implement process improvements to increase collections, reduce denials, and improve cash flow Develop and deliver regular performance reports, analysis, and dashboards for senior leadership Administrative & Cross-Functional Collaboration Collaborate with physicians, clinical staff, and front-office teams to improve billing workflows and financial transparency Ensure accurate data entry of referring provider and PCP information into the EMR system Support the creation of spreadsheets, audit reports, and PowerPoint presentations for internal projects Develop job aids and tools for collectors, including credential access guides, authorization logs, and accounts receivable audits EDUCATIONAL REQUIREMENTS: Bachelor’s Degree in Healthcare Administration, Business, or a related field required Master's Degree in Healthcare Administration, Business, or a related field preferred QUALIFICATIONS AND EXPERIENCE: Minimum 6-8 years progressive experience in healthcare revenue cycle management, with at least 4 years in a leadership role Strong working knowledge of the end-to-end revenue cycle, including health information, patient registration, coding, insurance verification, billing and claims processing, accounts receivable management, adjustments, remittance processing, and collections Deep understanding of prior authorizations, self-pay collections, Independent Dispute Resolution (IDR), and strategies for managing both payer-based and elective revenue streams Direct experience working with Medicare, Medicaid, commercial insurance plans, and Workers’ Compensation Experience in healthcare, surgical or specialty care setting is preferred Demonstrated leadership and team development capabilities Exceptional communication, organizational, and analytical skills Benefits & Perks: Competitive Salary with performance-based bonus potential Medical, Dental, and Vision Insurance Voluntary Aflac benefits, Pet Insurance & Discounts through PLUM and Working Advantage 401(k) Retirement Plan with employer contribution 19 Paid Time Off (PTO) and 8 paid holidays Employee Discounts on cosmetic and med spa services Wellness programs (Employee Assistance Program and discounted gym memberships) Professional Development Support and training opportunities Company DescriptionThe Bachrach Group (TBG) is a New York-based staffing and recruiting agency founded in 1974 by Richard Bachrach. The agency specializes in facilitating placements for professionals across various industries on a nationwide scale. TBG's overarching mission is to deliver tailored staffing solutions to its client base while simultaneously providing job seekers with career prospects. The company relies on its team of recruiters, who leverage their industry knowledge and networks to connect employers with top talent. TBG provides a comprehensive range of staffing services, including direct hire, temporary staffing, Recruitment Process Outsourcing (RPO), and contract staffing. The agency has consistently achieved notable rankings in Crain's lists, ranking as the largest search firm in NYC since 2020.The Bachrach Group (TBG) is a New York-based staffing and recruiting agency founded in 1974 by Richard Bachrach. The agency specializes in facilitating placements for professionals across various industries on a nationwide scale. TBG's overarching mission is to deliver tailored staffing solutions to its client base while simultaneously providing job seekers with career prospects. The company relies on its team of recruiters, who leverage their industry knowledge and networks to connect employers with top talent. TBG provides a comprehensive range of staffing services, including direct hire, temporary staffing, Recruitment Process Outsourcing (RPO), and contract staffing. The agency has consistently achieved notable rankings in Crain's lists, ranking as the largest search firm in NYC since 2020.

Job DescriptionDescription: Who we are: nimble solutions is a leading provider of revenue cycle management solutions for ambulatory surgery centers (ASCs), surgical clinics, surgical hospitals, and anesthesia groups. Our tech-enabled solutions allow surgical organizations to streamline their revenue cycle processes, reduce administrative burden, and improve financial outcomes. Join more than 1,100 surgical organizations that trust nimble solutions and its advisors to bring deep insights and actionable intelligence to maximize their revenue cycle. The Subject Matter Expert (SME) for Dispute Resolution is a strategic individual contributor responsible for providing deep expertise across all aspects of independent dispute resolution billing, payment dispute resolution, and Independent Dispute Resolution (IDR) arbitration processes. This role requires a proven expert who can drive operational excellence, optimize reimbursement strategies, minimize revenue leakage, and ensure regulatory compliance in an increasingly complex healthcare payment landscape. The SME will work closely with cross-functional teams and leadership to advance nimble's independent dispute resolution business solutions. Subject Matter Expertise & Thought Leadership • Serve as the primary subject matter expert for Independent Dispute Resolution, all aspects of the No Surprise Act, and state and federal Independent Dispute Resolution processes and regulations, • Provide expert guidance on independent dispute resolution, payment dispute resolution, payer relationship strategies, and negotiation approaches to maximize appropriate reimbursement, • Stay current on industry trends, regulatory changes, and emerging best practices in independent dispute resolution, revenue cycle management, and dispute resolution, • Provides consultative services to clients who receive nimble IDR services, • Provide sales support for future clients related to nimble IDR services Strategic Analysis & Process Improvement • Analyze complex independent dispute resolution scenarios and provide strategic recommendations to improvethe market competitiveness of current solutions, • Identify continuous improvement opportunities and recommend strategies to enhance productivity and quality metrics, • Utilize strong analytic skills to assess process effectiveness and lead process improvement initiatives, • Develop data-driven recommendations and performance metrics to support operational excellence, • Recommend strategies and tactics designed to positively impact key drivers such as price, risk profile, utilization, and revenue optimization Stakeholder Collaboration & Support • Collaborate with senior management and internal stakeholders across multiple departments, including Executive Leadership, Legal, HR, Finance, and Technology teams, • Work across the organization to support the development of comprehensive independent dispute resolution RCM solutions, • Partner with other lines of business to drive organizational efficiencies and alignment, • Support the development of infrastructure for future growth and contribute to the cultural shift toward streamlined, technology-enabled processes, • Assist in the sales process by providing subject matter expertise to support sales, growth, and market share objectives, • Solution Development & Client Support, • Contribute to the development, communication, and implementation of effective growth strategies for the independent dispute resolution Payer Strategy solution, • Support the creation and refinement of operational processes designed to accommodate rapid growth objectives, • Provide expert consultation to address client needs and support the development of deep client relationships, • Participate in the development of new payer strategy solutions to better support clients and ensure smooth delivery of innovative solutions, • Ensure all recommendations and solutions comply with HIPAA, HITECH, and patient confidentiality policies. Documentation & Communication • Develop and deliver expert-level presentations and communications to diverse audiences, including clients, leadership, and cross-functional teams, • Create comprehensive documentation of best practices, processes, and regulatory requirements, • Provide timely and helpful information to stakeholders across the organization, • Represent the company's expertise with clients and business partners as needed Requirements: • Juris Doctorate Degree -Preferred, but equivalent expertise and experience considered, • Minimum of 5 years of hands-on experience in healthcare related regulatory space, • 2 years of experience with independent dispute resolution processes for providers or payers, • Strong analytic skills and proven success leading or supporting process improvement initiatives and project management, • Advanced knowledge of the revenue cycle required; experience with ASC billing preferred, • Experience in a complex healthcare environment with exposure to strategic planning and operational excellence Specialized Knowledge / Skills: • Deep subject matter expertise in independent dispute resolution billing, all aspects of the No Surprise Act, and state and federal Independent Dispute Resolution processes and regulations, • Proven experience and expertise in supporting organizational transformation and strategic alignment initiatives, • Experience contributing to product development, new product launches, and innovative solution design, • Demonstrated experience in financial analysis and planning, • Strong ability to identify and address client needs and support relationship development, • Intermediate to advanced level of expertise with Microsoft Office Suite and data analysis tools, • Knowledge of and ability to comply with HIPAA, HITECH, and patient confidentiality policies Key Competencies Drives Results. Consistently achieves results, even under difficult circumstances. Takes initiative and readily tackles challenges. Identifies and seizes new opportunities. Persists despite setbacks or obstacles Communicates Effectively. Develops and delivers communications that convey a clear understanding of the unique needs of different audiences. Provides timely and helpful information across the organization. Encourages open expressions of diverse ideas and opinions. Adapts communication style to fit the situation Quality Decision-making. Makes sound recommendations, even in the absence of complete information. Consider all relevant factors and use appropriate decision-making criteria and principles. Shows courage in speaking up and driving appropriate recommendations based on sound risk/reward analysis Client Centricity. Gains insight into customer needs. Identifies opportunities that benefit the customer. Contributes to solutions that meet customer expectations. Collaboration & Influence. Works effectively across organizational boundaries. Build strong working relationships. Influences without direct authority. Partners effectively with diverse teams Location Open to remote or in-office position (New York City) Reports to senior leadership in the IDR business Role requires travel to clients and company offices, approximately <20%

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