Senior Compliance Specialist New York University School of MedicineSenior Compliance SpecialistNew York, NY$84,577.92–$142,767.54 / yearConducts risk assessments to define audit priorities by evaluating previous audit findings, management priorities, ICD, APC, and DRG utilization patterns, national normative data, CMS, and PEPPER initiatives, OIG work plans and advisories, and healthcare industry best practices. The Senior Compliance Specialist (Hospital Billing Auditor) will support the Manager of Hospital Billing Compliance and the Director of Billing Compliance in the development and implementation of the Hospital Billing Compliance program at NYU Langone Health System to ensure adherence with federal and state billing regulations.
Medical Coding Specialist Capital Rx, Inc.Medical Coding SpecialistNew York, NY$70,000–$85,000 / yearJudi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including: Judi Rx, a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers, Judi Health, which offers full-service health benefit management solutions to employers, TPAs, and health plans, and. This role offers the opportunity to play a key part in ensuring accurate claims processing, supporting client implementations, and helping drive innovation within a growing healthcare technology organization.
Medical Biller for Private Outpatient Psychiatry Practice Empire PsychiatryMedical Biller for Private Outpatient Psychiatry PracticeRockville Centre, NYRemotePart timePosition Summary : We are seeking a detail-oriented and compassionate Medical Biller/Prior Authorization Specialist to support our outpatient psychiatric practice. This dual role involves coordinating medication pre-authorizations, and supporting billing and administrative tasks.
Senior Operational Specialist New York University School of MedicineSenior Operational SpecialistNew York, NY$75,000–$105,000 / yearApplies the LEARN model when supporting service recovery in sensitive or high-impact billing situations, escalating to leadership when issues present elevated risk or reputational impact. Own the end-to-end resolution of complex, escalated hospital A/R accounts, including high-dollar balances, payer disputes, systemic billing defects, and regulatory-sensitive scenarios.
Accounts Receivable Specialist Release RecoveryAccounts Receivable SpecialistHarrison, NY$65,000–$75,000 / yearThis individual will work closely with the Director of Business Operations and Director of Revenue Operations to ensure that cash pay invoicing, contracting, and insurance claims are accurate, timely, and reimbursed in full. Manage extension requests and contracts, including communication with clients and guarantors regarding billing questions and account needs.
NewQA Specialist-64541703 Institute for Comm LivingQA Specialist-64541703Brooklyn, NY$26.44 / hourPart timeEnsure clean claims are prepared and work with Finance to ensure all billing denials are addressed by identifying Medicaid eligibility issues, incorrect CIN, DOB, etc. and needed corrections are accurately reflected in the corresponding EHR. Communicate effectively with referral sources, Managed Care Plans, OMH, DOHMH, DOH, and other providers regarding referral, enrollment, and authorization for services/ level of service determination.
Revenue Integrity Specialist-(Audits & Denials) Revenue Integrity-Corporate 42nd Street- Full-Time- Days- Hybrid Mount Sinai Health SystemRevenue Integrity Specialist-(Audits & Denials) Revenue Integrity-Corporate 42nd Street- Full-Time- Days- HybridNew York, NY$79,720–$119,580 / yearWe are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time - discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it.
Procedure Coordinator/Pre Auth Specialist Airport Plaza Spine & WellnessProcedure Coordinator/Pre Auth SpecialistHazlet, NJPart timeThe Procedure Coordinator/Pre-Auth Specialist will be responsible for coordinating and scheduling procedures, ensuring all necessary paperwork and documentation is completed accurately, obtaining all necessary pre-authorization for procedures, providing administrative support to the office staff, coordinating transportation if needed and being point of contact between patients, providers, office staff, billing company, insurance carriers and ASC facilities. · Completes pre-procedure phone calls, confirms appointment times with patients and manage phone calls during work day as well as after hours at time regarding inquiries related to procedures.
Insurance Relations Specialist Gottlieb and GreenspanInsurance Relations SpecialistFair Lawn, New Jersey$60,000–$65,000 / yearWe are seeking an experienced Insurance Relations Specialist to support our organization’s compliance with the No Surprises Act (NSA), the federal law designed to protect patients from unexpected out‑of‑network medical bills and establish structured insurer/provider payment dispute resolution processes. We are Gottlieb & Greenspan — a growing boutique law firm in Bergen County with a collaborative team and a workplace grounded in our core values: we are ethical, respectful of all people, accountable, positive and fun, driven, and committed to excellence .
Revenue Cycle Supervisor (Self Pay and Specialty) Columbia UniversityRevenue Cycle Supervisor (Self Pay and Specialty)New York, NY$66,300–$78,000 / yearDemonstrated skills in A/R management, Customer Service, problem assessment, and resolution, and collaborative problem-solving in complex and interdisciplinary settings, including strong proficiency in healthcare and payer guidelines as it pertains to billing and reimbursement. The Revenue Cycle Supervisor (Self Pay and Specialty) will also be responsible for day-to-day operations of the payment posting process, the International Business Line, Specialty billing, and the oversight of guarantor work queues.
New["Accounting Technician II - Jail Biller (Grant Funded)","Accounting Technician II - Jail Biller (Grant Funded)"] GovernmentJobs.com["Accounting Technician II - Jail Biller (Grant Funded)","Accounting Technician II - Jail Biller (Grant Funded)"]Mount Vernon$32.23–$34.55 / hourThe statements contained herein reflect general details as necessary to describe the essential functions of this position, the level of knowledge and skill typically required, and the scope of responsibility, but should not be considered an all-inclusive listing of work requirements. With the approval of the Public Health Director and the Human Resources Director, two years' experience in an essentially comparable accounting position, either within Skagit County or another government entity, may substitute for two of the years.
Front Office Specialist - Medication Management - Millburn, NJ OASIS MENTAL HEALTH CENTERS MEDICAL LLCFront Office Specialist - Medication Management - Millburn, NJMillburn, NJ$22–$24 / hourThe role includes basic front office responsibilities, occasionally submitting prior authorizations, managing provider follow-up scheduling, and cross-training for the opportunity to support our Transcranial Magnetic Stimulation (TMS) and Spravato clinic upstairs with on-the-job certification to directly administer depression treatment to patients with major depressive disorder. Collect, upload, and maintain new patient intake forms during first in-office visits, including registration documents, applicable consents/waivers, ID, insurance cards, and any required clinical forms — and transmit documents securely through the electronic health records (EHR) portal.
AR Follow-Up Specialist III - Coding and Complex Denials #Full Time #Remote 61st Street Service CorpAR Follow-Up Specialist III - Coding and Complex Denials #Full Time #RemoteFort Lee, NJRemote$28.72–$36.92 / hourThe AR Follow-Up Specialist III, Coding and Complex Denials is responsible for addressing and resolving complex coding-related denials and appeals in addition to following up on unpaid accounts with insurance companies and third parties. The Specialist III assists the unit supervisor and manager with complex cases, supports training efforts, and identifies denial trends to inform process improvements.
Tax Supervisor GrassiTax SupervisorWhite Plains, New York$90,000–$130,000 / yearSome of the ways we accomplish this include: Flexibility: Our work-life balance initiatives include generous paid time off, flexible “Dress for Your Day” dress code, telecommuting options, flex-time policies, and summer hours, enhanced by our Floating Summer Friday’s program, which allows team members three extra Fridays off during the summer months in addition to their PTO. Nationally ranked as one of the largest and fastest-growing accounting firms in the nation, Grassi is a leading provider of advisory, tax, and accounting services across key sectors including construction, architecture and engineering, not-for-profit, healthcare, manufacturing and distribution, financial services, real estate, and more.
NewDirector - Workday SHI InternationalDirector - WorkdaySomerset, New JerseyThis role orchestrates cross-functional IT workstreams (platform, integrations, data, reporting, security), governs scope, schedule, financials, and risk, and enables decision-making across SteerCo, Program Leadership, and HR stakeholder groups. Change Management: Can lead and model exceptional change management at all levels of the organization, can develop and implement change management strategies, and can coach others to improve their change management skills.
Special Investigations Unit Clinical Certified Coder Metroplus Health Plan IncSpecial Investigations Unit Clinical Certified CoderNew York, NY$100,000–$110,000 / yearMetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly-owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States, MetroPlusHealth network includes over 27,000 primary care providers, specialists and participating clinics.
New["Analyst, Compliance","Analyst, Compliance"] Columbia University in the City of New York["Analyst, Compliance","Analyst, Compliance"]New York$80,000–$90,000 / yearResponsibilities Provide oversight and perform, as needed, ongoing, risk-based, and ad hoc coding auditing of complex services, across multiple specialties, rendered by physician and non-physician practitioners using current coding guidelines, with attention to Medicare/Medicaid, medical necessity, and NCD/LCD requirements; including but not limited to retrospective audits for established providers and prospective audits for newly onboarded providers to ensure appropriate documentation, coding accuracy, and billing compliance. Support departmental compliance teams by providing advisory guidance and expert knowledge of CPT/HCPCS and ICD-10 guidelines across multiple specialties, as well as teaching facility guidance, professional fee billing, including global surgical package rules, modifier usage, incident-to services, split/shared services, and emerging regulatory changes.
Revenue Cycle Supervisor (Accounts Receivable) Columbia UniversityRevenue Cycle Supervisor (Accounts Receivable)Fort Lee, NJ$66,300–$78,000 / yearThe Revenue Cycle Supervisor (Accounts Receivable) is responsible for day-to-day supervision of a unit that is responsible for working and collecting on unpaid professional medical claims (government and all third-party payers). Ability to work collaboratively with a culturally diverse staff and patient/family population, strong customer service skills, demonstrating tact and sensitivity in stressful situations.
Senior Clinical Research Finance Specialist Iterative HealthSenior Clinical Research Finance SpecialistNew York, NY$85,000–$105,000 / yearThe Senior Clinical Research Finance Specialist is a critical member of Iterative Health's growing Finance team, partnering closely with the Research Finance Manager to own end-to-end accounts receivable operations across sponsor-funded clinical studies and internal research sites. We built a leading performance-driven network of 100+ sites across the US, Europe, India, and Australia, conducting research directly in the communities where care is delivered across gastrointestinal, hepatology, obesity, and cardiology.
Operations Specialist Encore Fire Protection LLCOperations SpecialistParsippany, NJ$55,000–$85,000 / yearWith a team of over 2,200 dedicated employees, we provide innovative, customized fire suppression, fire sprinkler, and fire alarm solutions that protect lives and properties every day. At Encore Fire Protection, we are proud to be the east coast''s largest full-service fire protection company, serving over 90,000 customers from Maine to Louisiana.