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Reimbursement specialist jobs in New York, New YorkCreate job alerts

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  • Medical Accounts Receivable Specialist
    Medical Accounts Receivable Specialist
    8 hours ago
    $24–$26 hourly
    Full-time
    Uniondale

    Health Plus Management LLC (HPM) provides management services to medical practices specializing in Pain Management, PMN&R, and Orthopedics. HPM manages over 50 locations across Long Island, NYC (including the 5 boroughs), Westchester, NJ, CT, and Upstate New York. We enable physicians and therapists to focus on patient care by handling administrative needs. This position is primarily responsible for Accounts Receivable and Collections functions specifically related to No-Fault and Workers' Compensation for our practices. Key Responsibilities: • Manage insurance accounts receivable for various groups, specialties, and payors., • Proactively follow up with insurance companies on unpaid and denied claims., • Resolve claim errors and re-submit claims as necessary to ensure reimbursement., • Prepare and submit appeal letters to insurance carriers for denied claims where disagreement exists., • Identify and report payer issues, particularly those related to denial trends or payment changes., • Maintain meticulous documentation of all collection activity and notes for each account., • Assist with collection efforts in adherence to company policies and procedures, ensuring legal compliance., • Provide support to the team with additional assigned tasks as needed., • Communicate effectively with team members and management. Education & Training Requirements: • High School Diploma or equivalent is required., • 2+ years of experience in Accounts Receivable (A&R) or Denial Management across diverse insurance carriers and specialties. Knowledge & Experience: • 2+ years of experience with No-Fault & Workers' Compensation AR/Collection and Denial Management., • Strong understanding of payors and medical insurance terminology relevant to collections., • Knowledge of local coverage determinations policies, A/R follow-up procedures, and managed care regulations. Skills & Abilities: • Proficiency in computer usage, insurance web portals, and keyboarding., • Required knowledge of Microsoft Excel and Word., • Prior work experience with Athena is a plus., • Excellent verbal and written communication skills., • Strong work ethic and exceptional attention to detail., • Dedicated and effective team collaborator., • Ability to organize and prioritize work to meet deadlines. Physical Requirements: • Prolonged periods of sitting at a desk and working on a computer., • Ability to lift up to 25 pounds occasionally. Schedule: • Monday-Friday, 40 hours per week. Compensation: • $24 - $26 per hour.

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  • Nursing Home Medicaid Specialist
    Nursing Home Medicaid Specialist
    13 days ago
    Full-time
    Hewlett

    Job Overview We are seeking a dedicated and detail-oriented Nursing Home Medicaid Specialist to join our team. In this vital role, you will serve as a key resource in navigating the complex Medicaid reimbursement process for nursing home residents. Your expertise will ensure compliance with state and federal regulations, facilitate accurate documentation, and support residents' access to necessary benefits. This position offers an exciting opportunity to make a meaningful impact on patient care and facility operations through proactive case management and thorough knowledge of healthcare policies. Duties • Review and interpret medical records, discharge summaries, and clinical documentation to determine Medicaid eligibility for nursing home residents, • Collaborate with social workers, healthcare providers, and discharge planners to gather necessary documentation and ensure timely processing of Medicaid applications, • Conduct intake assessments, verify patient information, and facilitate the submission of Medicaid claims in accordance with state guidelines, • Utilize CPT (Current Procedural Terminology) coding, ICD-9, and ICD-10 coding systems to accurately classify diagnoses and procedures for billing purposes, • Maintain comprehensive medical records, ensuring HIPAA compliance and confidentiality at all times, • Assist with case management by coordinating services, supporting discharge planning, and addressing behavioral health or pediatric needs when applicable, • Proven experience in hospital or healthcare settings, particularly with acute care environments or discharge planning processes, • Strong knowledge of medical terminology, CPT coding, ICD-9/ICD-10 coding systems, and medical records management, • Familiarity with social work practices, behavioral health considerations, pediatrics (if applicable), and patient service protocols, • Understanding of HIPAA regulations to safeguard patient information during all stages of case management, • Excellent organizational skills with the ability to manage multiple cases efficiently under tight deadlines, • Effective communication skills to collaborate across multidisciplinary teams and explain complex processes clearly

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  • Financial Advisor
    Financial Advisor
    2 months ago
    $75000–$100000 yearly
    Full-time
    Manhattan, New York

    We are seeking an eager, strategic, and definitive candidate to fill an open Financial Advisor Role that offers room for growth and a promising career. Our ideal candidate will be driven by the need to help clients identify and achieve their financial goals through a variety of planning services. Northwestern Mutual’s proprietary planning software helps you educate your clients and deliver holistic financial plans—including investments for growth, insurance for protection, and annuities for guaranteed income in retirement—that helps you have a bigger impact on your clients and community. Becoming a business owner allows you to shape your workday around your life and achieve uncapped earning potential through a performance-based compensation structure. At our Midtown, Manhattan location, representatives and advisors strive to understand their client's goals and objectives in order to develop comprehensive solutions that will help their clients reach financial success. We believe there’s more than one way to start, build, and grow your practice. As an entrepreneur, you can build your business in a way that aligns with your long-term vision & goals like opening an office, joining a sophisticated team, or becoming an advanced advisor. Training, Licensing & Designations: Northwestern Mutual has been recognized for maintaining one of the best-trained sales forces in the country. We are committed to your continued training and development throughout your career. That starts with our award-winning curriculum designed to support your first three years in the business. In the program, you’ll hear from industry experts, learn the art of client acquisition to drive longevity in the career, and have access to our national network of tenured financial advisors to learn the business through first-hand experience. To become a financial advisor, you must obtain the following licenses: Life/Accident & Health Certifications, Securities Industry Essentials (SIE), and Series 6, 7, and 63. Northwestern Mutual provides pre-payment/reimbursement* for course tuition fees and books. Why Join Northwestern Mutual: • Top 5 US Independent Broker-Dealers, • Unsurpassed financial strength with total company assets of $366 billion, • Fortune 500® company (June 2024), • #1 Amongst Life Insurers Most Admired Companies for Financial Soundness, • Recognized for Financial Soundness, Quality of Products/Services, Social Responsibility, and Quality of Management, • Forbes' Best Employers for Diversity Perks at a Glance: • Growth & Development - There are various paths within this career and we are devoted to helping each person grow personally, professionally, and financially, • Culture - Be a part of our "work hard, play hard" office culture. We are an inclusive and diverse family-oriented team. Individually and collectively, we are driven to make a positive impact on people's lives and our communities., • Benefits - full comprehensive benefits, • Work/life balance Job Responsibilities: • Grow your client base by making new connections, maintaining a strong referral networks, and providing a great client experience, • Collaborate with our financial planning team, mentors, and specialists to develop tailored solutions and build personalized, holistic financial plans tailored to every client’s unique needs, • Grow relationships with clients to support them through every stage of life, • Lead and maintain a life of continuing education to ensure your clients are getting your best Compensation & Benefits: • 100% Commission - Average advisor annual earnings of $61K-$119K (based on 2018-2023 company average for representatives in the first 3 years). Top 25% advisor annual earnings of $137K-$250K (based on 2018-2023 company data for top quartile advisors in the first 3 years), • Career launch stipend program eligibility, • Commission structure design to support early development, • Bonus Programs and Production Allowance eligibility, • Support for insurance licensing, SIE, Series 6, Series 7, Series 63, CFP®, • Retirement Package and Pension Plan, • Medical, Dental, Vision, Life Insurance and Disability Income Insurance, • Parental benefits at every stage of family planning Schedule: • Monday - Friday, • Full-time, On Site Ideal Candidates Have: • 4-year College Degree or higher, • Legal authorization to work in the US without sponsorship, • Residence within (or planning to relocate to) a reasonable commuting distance to NY, NY, 10022, • Values of integrity and honesty, • A pleasant attitude and dependable judgment, • Entrepreneurial ambitions and a strong sense of motivation and drive, • Excellent time-management, communication, and critical thinking skills, • A history of success in relationship-building or client-facing roles, • A basic understanding of the role of a financial advisor or financial consultant, as well interest in the financial industry and financial products is necessary

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