Inpatient DRG Reviewer Zelis Healthcare, Inc.Inpatient DRG ReviewerNJ$79,000–$99,750 / yearWhere the regrouped 'new DRG' differs from what was originally claimed by the provider, write a customer facing 'rationale' or 'findings' statement, highlighting the problems found and justifying the revised choices of new codes and DRG, based on the clinical evidence obtained during the review. This is a place for builders with a growth mindset who act with agility, embrace change, and use modern technology to shape smarter solutions, exceptional experiences, and the future of our industry for our clients, customers, and our culture.
Senior Benefits Specialist TandymSenior Benefits SpecialistIselin, New Jersey$50–$55 / hourA services organization in New Jersey is seeking a Senior Benefits Specialist to support day-to-day U.S. benefits administration and guide open enrollment activities. Administer leave of absence processes and coordinate related employee, manager, and payroll interactions.
Float Phlebotomist / Administrative Assistant-Meatpacking One Medical of NY, PCFloat Phlebotomist / Administrative Assistant-MeatpackingNew York, NY$25.75–$27.75 / hourWhat you'll likely work on: Use impeccable C-I-CARE (a framework containing the key elements of a great interaction and effective communication that we use with patients and each other) in all patient interactions, both clinical and administrative, and ensure a fluid and positive in-office experience through patient intake, same day schedule management, appropriate follow up scheduling, strong knowledge of billing and insurance, monitoring patient feedback and assisting with outreach as necessary. As a One Medical Float Phlebotomist/Administrative Assistant (internally known as Flex Lab Services Specialist/Member Support Specialist) at one of our offices, you'll provide an exceptional experience for our patients and help them accomplish an important part of their care journey by providing venipuncture as well as other clinical support services.
Float Phlebotomist / Administrative Assistant-Upper East Side One Medical of NY, PCFloat Phlebotomist / Administrative Assistant-Upper East SideNew York, NY$25.75–$27.75 / hourWhat you'll likely work on: Use impeccable C-I-CARE (a framework containing the key elements of a great interaction and effective communication that we use with patients and each other) in all patient interactions, both clinical and administrative, and ensure a fluid and positive in-office experience through patient intake, same day schedule management, appropriate follow up scheduling, strong knowledge of billing and insurance, monitoring patient feedback and assisting with outreach as necessary. As a One Medical Float Phlebotomist/Administrative Assistant (internally known as Flex Lab Services Specialist/Member Support Specialist) at one of our offices, you'll provide an exceptional experience for our patients and help them accomplish an important part of their care journey by providing venipuncture as well as other clinical support services.
Float Phlebotomist / Administrative Assistant-Rockefeller Center One Medical of NY, PCFloat Phlebotomist / Administrative Assistant-Rockefeller CenterNew York, NY$25.75–$27.75 / hourWhat you'll likely work on: Use impeccable C-I-CARE (a framework containing the key elements of a great interaction and effective communication that we use with patients and each other) in all patient interactions, both clinical and administrative, and ensure a fluid and positive in-office experience through patient intake, same day schedule management, appropriate follow up scheduling, strong knowledge of billing and insurance, monitoring patient feedback and assisting with outreach as necessary. As a One Medical Float Phlebotomist/Administrative Assistant (internally known as Flex Lab Services Specialist/Member Support Specialist) at one of our offices, you'll provide an exceptional experience for our patients and help them accomplish an important part of their care journey by providing venipuncture as well as other clinical support services.
Patient Support Specialist ConnectiveRxPatient Support SpecialistWhippany, New Jersey$15.26–$21.50 / hourFull timeThis individual is part of a highly concierge ‘white glove’ service team that will manage the patient experience from start to finish by providing program information, eligibility, reimbursement support, and general assurances and ease of use in supporting our client’s copay assistance programs. Focus on patient empathy and the consumer experience with the goal to assure our patients on ease of use of program goals and ultimately driving access to care and medication adherence.
Medical Specialist 2 (NY HELPS), Mid-Hudson Forensic Psychiatric Center, Part Time, P27657 New York State Thruway AuthorityMedical Specialist 2 (NY HELPS), Mid-Hudson Forensic Psychiatric Center, Part Time, P27657NYIf appointed, you may be required to become an enrolled Medicare provider; obtain and provide to your employer a National Provider Identifier (NPI) number issued by the National Plan and Provider Enumeration System (NPPES); and otherwise actively participate to the degree necessary to allow for your services to be billed through Medicare and Medicaid. Minimum Qualifications Candidates from outside State Service can be considered for hire under the Hiring for Emergency Limited Placement - Statewide (NY HELPS) program if they are licensed to practice medicine in New York State and have certification by Member Board of the American Board of Medical Specialties (ABMS) in your specialty.
Field Reimbursement Manager-Ophthalmology - Minnesota, Wisconsin Regeneron Pharmaceuticals IncField Reimbursement Manager-Ophthalmology - Minnesota, WisconsinNY$165,600–$209,600 / yearProactively educate accounts on support services to ensure patient access to care and work with leadership to monitor and track the impact of support services and its interaction/services offered to providers. Familiarity with health insurance claim forms including UB-04, CMS-1500, explanation of benefits, and prior authorization forms, and super bills charge tickets to troubleshoot cases where billing, claims submission or documentation errors may occur.
NewFinancial Services Specialist Interstate Waste ServicesFinancial Services SpecialistTeaneck, New JerseyOverview: Interstate Waste Services is the most progressive and innovative provider of solid waste and recycling services in the greater New York, New Jersey and Connecticut markets with a rail-served landfill in Ohio. During periods of lower inquiry volume, support core finance operations including accounts receivable follow up, billing review, cash application, collections activities, and payment reconciliation based on business needs and individual experience.
Medical Front Desk Receptionist Inland Physicians Medical GroupMedical Front Desk ReceptionistMontclair, New JerseyOur medical group also includes hospitalist service that continue to deliver the highest quality care at San Antonio Regional Hospital, Pomona Valley Hospital Medical Center, Montclair Hospital, Chino Valley Medical Center, and Kindred hospitals by working closely with other specialists. IPMG has more than 30 years of establishment and experience in treating various illnesses including but not limited to COPD, asthma, pneumonia, lung cancer, chronic cough, pulmonary fibrosis and pulmonary hypertension.
Medical Records Specialist Swift Staffing GroupMedical Records SpecialistMonsey, New YorkThe ideal candidate is highly detail oriented, able to identify missing or incomplete documentation, and comfortable working in a fast paced environment. The Medical Records Specialist will be responsible for managing, reviewing, and organizing medical records to support billing and operational processes.
Quality Assurance Specialist Daybreak Independent ServicesQuality Assurance SpecialistNew York CityPosition Summary : The Quality Assurance (QA) Specialist is responsible for supporting the agency's Quality Assurance and Compliance Program by conducting audits, monitoring documentation, reviewing service delivery practices, tracking corrective actions, and ensuring compliance with federal, state, local, and agency regulations. The QA Specialist works collaboratively with program leadership to promote continuous quality improvement and person-centered services for individuals with intellectual and developmental disabilities (IDD).
Supervising Residential Specialist - Domestic Violence Shelter, Prelude Safe Horizon BrandSupervising Residential Specialist - Domestic Violence Shelter, PreludeStaten Island, New Yorkhappen from a trauma informed perspective; Provide staff with bi-weekly individual and monthly group supervision that is reflective and prioritizes improvement of CCP skills and includes discussions about vicarious trauma; Responsible for recruiting, supervising and managing performance of residential specialists, which include disciplinary actions as needed. Our spaces respect survivors’ right to self-determination and focus on giving families and individuals the space, both emotional and physical, to heal from the victimization and trauma they have experienced.
Supervising Residential Specialist (Temporary), Domestic Violence Shelter, Parrish Safe Horizon BrandSupervising Residential Specialist (Temporary), Domestic Violence Shelter, ParrishNew York, New Yorkhappen from a trauma informed perspective; Provide staff with bi-weekly individual and monthly group supervision that is reflective and prioritizes improvement of CCP skills and includes discussions about vicarious trauma; client center practice and safety assessment and risk management. Our spaces respect survivors’ right to self-determination and focus on giving families and individuals the space, both emotional and physical, to heal from the victimization and trauma they have experienced.
Supervising Residential Specialist - Domestic Violence Shelter, Rose Safe Horizon BrandSupervising Residential Specialist - Domestic Violence Shelter, RoseNew York, New YorkUsing neutral and non-judgmental language when responding to the needs and requests of residents and ensuring that Residential Specialist are meeting this expectation; Provide crisis intervention including mediation and de-escalation skills to diffuse situations between resident’s family members and/or roommates; Monitoring intake calls to assure staff are exploring and implementing immediate safety needs and a risk management plan during screening calls for shelter placement; Mediating disputes and addressing grievances from a trauma informed perspective. happen from a trauma informed perspective; Provide staff with bi-weekly individual and monthly group supervision that is reflective and prioritizes improvement of CCP skills and includes discussions about vicarious trauma; Responsible for recruiting, supervising and managing performance of residential specialists, which include disciplinary actions as needed.
Accounts Receivable Specialist Placer Labs IncAccounts Receivable SpecialistNYRemote$60,000–$70,000 / yearOur growth reflects the market''s demand: we reached $100M in annual recurring revenue within just 6 years of launching, achieved unicorn status with a $1B+ valuation in 2022, and continue to expand rapidly as one of North America''s fastest-growing tech companies. Named one of Forbes America''s Best Startup Employers and a Deloitte Technology Fast 500 company, we''re building a culture where innovation thrives, collaboration is the norm, and every team member contributes to reshaping how the world understands location.
Case Development Specialist Capital Rx, Inc.Case Development SpecialistNew York, NY$64,000–$80,000 / 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 position supports audit and investigative activities by evaluating incoming referrals, conducting risk-based case assessments, performing FWA tip triage, developing case files, analyzing data, and producing reports used to support audit, investigative, compliance, and program integrity initiatives.
Member Revenue Analyst Progyny IncMember Revenue AnalystNew York, NY$65,000–$75,000 / yearHeadquartered in New York City, Progyny has been recognized for its leadership and growth as a TIME100 Most Influential Company, CNBC Disruptor 50, Modern Healthcare's Best Places to Work in Healthcare, Forbes' Best Employers, Financial Times Fastest Growing Companies, Inc. 5000, Inc. Our benefits solution empowers patients with concierge support, coaching, education, and digital tools; provides access to a premier network of fertility and women's health specialists who use the latest science and technologies; drives optimal clinical outcomes; and reduces healthcare costs.
Associate Specialist, Patient Access (Night Shift) Ensemble Health PartnersAssociate Specialist, Patient Access (Night Shift)Montclair, NJ$17–$18.15 / hourJob Responsibilities: Patient Access staff are responsible for assigning accurate MRNs, completing medical necessity / compliance checks, providing proper patient instructions, collecting insurance information, receiving, and processing physician orders, and utilizing an overlay tool while providing excellent customer service as measured by Press Ganey. Responsible for accurately screening of medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare and distribution of the ABN as appropriate.
Associate Specialist, Patient Access Ensemble Health PartnersAssociate Specialist, Patient AccessWestwood, NJ$17–$18.15 / hourJob Responsibilities: Patient Access staff are responsible for assigning accurate MRNs, completing medical necessity / compliance checks, providing proper patient instructions, collecting insurance information, receiving, and processing physician orders, and utilizing an overlay tool while providing excellent customer service as measured by Press Ganey. Responsible for accurately screening of medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare and distribution of the ABN as appropriate.