Provider Contract Specialist - Hybrid EmblemHealth IncProvider Contract Specialist - HybridNew York, NY$56,160–$99,360 / yearEnsure the accuracy of provider demographic data in the Plan's database: review provider data for assigned Providers; handle provider requests for demographic changes; research provider address discrepancies identified by provider returned mail and potential provider demographic errors identified by other Plan departments or initiatives. Responsible for day-to-day operations for all activities related to contracts with minimal supervision and direction, contract optimization, implementation of new programs and to assist with provider issues, education materials, as well as communication of Plan policies and procedures.
Pharmacy Business & Analytics Specialist NYU Langone Medical CenterPharmacy Business & Analytics SpecialistNew York, NYOther key areas of focus include conversion factor maintenance, fileextractions & connectivity (ongoing support), IT/Epic/Willow support, general reporting and monitoring, compliance (GPOProhibition), reimbursement and cost report collaboration, assessing current and future opportunities, and inventorymaintenance and monitoring. As part of the Pharmacy Business & Analytics (PBA) team, this position monitors and manages Third Party Administrator(TPA) split-billing software reports to ensure regulatory compliance and optimization of 340B Program revenue.
Insurance Verification Auth Specialist MultiCare Health SystemInsurance Verification Auth SpecialistNY$23.20–$33.38 / hourThe Insurance Verification Auth Specialist is responsible for securing financial clearance and completing pre-authorization for patients undergoing complex, high-dollar inpatient and outpatient surgical procedures, hematology/oncology treatments, and infusion services. Responsibilities: Secure pre-authorizations from insurance companies for a broad range of complex, high dollar healthcare services including inpatient and outpatient surgical procedures, hematology/oncology treatments, and infusion services.
4437- Onsite Training Specialist Innovaccer4437- Onsite Training SpecialistNorth Bergen, NJThis role is responsible for providing onsite and virtual training, supporting front-end revenue cycle workflows, and helping practice teams successfully adopt revenue cycle processes and technology. The ideal candidate has experience working in a physician practice or medical billing environment and enjoys educating staff, improving workflows, and partnering with providers and practice leadership.
Clinical Staff EHR Data Transfer Specialist - Contract CircleLink HealthClinical Staff EHR Data Transfer Specialist - ContractNew York, NYRemote$20–$30 / hourCircleLink Health is seeking a detail-oriented Clinical Data Entry Specialist to support our care management programs by accurately transferring clinical documentation into customer EHR systems. We’re building a world-class Care Management platform to enable providers while accelerating the shift to preventative care instead of status quo reactive care.
Insurance Specialist Regional Cancer Care AssociatesInsurance SpecialistTeaneck, New Jersey$18.99–$29.22 / hourWhile performing the duties of this job, the employee is required to be present at the employee site during regularly scheduled business hours and regularly required to sit or stand and talk or hear. The position requires full range of body motion including handling and lifting patients, manual and finger dexterity, and eye-hand coordination.
Insurance Specialist I Regional Cancer Care AssociatesInsurance Specialist IHackensack, New Jersey$18.99–$29.22 / hourWhile performing the duties of this job, the employee is required to be present at the employee site during regularly scheduled business hours and regularly required to sit or stand and talk or hear. The position requires full range of body motion including handling and lifting patients, manual and finger dexterity, and eye-hand coordination.
Senior Case Manager (RN) ArloSenior Case Manager (RN)New York, New YorkWe do that by identifying fraud earlier, steering members toward higher-quality and lower-cost care, automating operational overhead, and eliminating vendors whose business exists mostly to take a cut. You'll review claims data, prior authorizations, and admission/discharge feeds to spot members who need help, then work directly with them and their providers to make sure the right care happens at the right time.
Senior Case Manager Railway Health IncSenior Case ManagerNY$100,000–$130,000 / yearYoull review claims data, prior authorizations, and admission/discharge feeds to spot members who need help, then work directly with them and their providers to make sure the right care happens at the right time. We do that by identifying fraud earlier, steering members toward higher-quality and lower-cost care, automating operational overhead, and eliminating vendors whose business exists mostly to take a cut.
Certified Medical Assistant - Family Medicine Trinity HealthCertified Medical Assistant - Family MedicinePASt. Mary Medical Center is a beautiful 53-acre state-of-the-art facility comprised of more than 700 physicians, nearly 3,000 colleagues, and 1,100 volunteers committed to providing quality care delivered with compassion and respect. Mary attracts top doctors, introduces cutting-edge technologies and implements advanced procedures to meet the healthcare needs of the people it serves, including the nearly 630,000 residents of Bucks County.
Sr Offshore Operational Specialist NYU Langone HealthSr Offshore Operational SpecialistNew York, NYFull timeThis role is responsible for resolving complex offshore-related A/R issues, identifying systemic performance or quality risks, and driving operational improvements across offshore teams. · Bachelor’s degree required in Healthcare Administration, Business Administration, Finance, Information Systems, or a related field OR equivalent combination of education and relevant hospital revenue cycle experience.
Student Accounts Assistant Director Bucks County Community CollegeStudent Accounts Assistant DirectorPA$55,660–$63,407 / yearThe Student Accounts Assistance Director supports the day-to-day operations of the Student Accounts office, managing staff coverage during office hours and College events, maintaining Cash Receipt controls, overseeing all third-party sponsorships (including Federal, State and Local entities), and will be expected to perform all necessary functions in the absence of the Student Accounts Director. The Student Accounts Assistant Director oversees Student Accounts Office activities which include student billing, accounts receivable, and collections activities while ensuring compliance with all federal state, local, and College policies and regulations.
Corporate Housing Specialist Allied Moving Services AustraliaCorporate Housing SpecialistNY$48,000–$53,000 / yearProvides corporate housing assistance to relocating employees and external prospects, using a network of housing providers and inventory units, manages the customer experience, with maintenance request, extensions and explanation of the corporate housing process and expectations. From corporate relocation and household goods to home sale and commercial moving and storage, our portfolio of brands (including Sirva, Allied, northAmerican, Global Van Lines, Alliance, and Sirva Mortgage) provide everything needed to move talent and deliver experience.
Pharmacy Business & Analytics Specialist NYU Langone HealthPharmacy Business & Analytics SpecialistNew York, NY$84,577.92–$165,000Full timeOther key areas of focus include conversion factor maintenance, file extractions & connectivity (ongoing support), IT/Epic/Willow support, general reporting and monitoring, compliance (GPO Prohibition), reimbursement and cost report collaboration, assessing current and future opportunities, and inventory maintenance and monitoring. As part of the Pharmacy Business & Analytics (PBA) team, this position monitors and manages Third Party Administrator (TPA) split-billing software reports to ensure regulatory compliance and optimization of 340B Program revenue.
NewClaims Analyst Pharmacy Revenue Cycle Boston Medical CenterClaims Analyst Pharmacy Revenue CycleNY$56,000–$78,500 / yearUnder the direction of the Revenue Cycle Supervisor Pharmacy, the Revenue Cycle Claims Analyst is responsible through extensive telephone and written correspondence, will pursue insurance companies for payment or underpayment of services rendered. Collaborates with team and other revenue cycle departments to improve denials, avoidable write-offs, Applies analytical skills to pre-established work processes that may require preparation of reports or documents for further review or analysis.
Personal Injury Paralegal Brandon J. BroderickPersonal Injury ParalegalMiddletown, New Jersey$80,000–$85,000 / yearE-Verify This employer participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. If E-Verify cannot confirm that you are authorized to work, this employer is required to give you written instructions and an opportunity to contact Department of Homeland Security (DHS) or Social Security Administration (SSA) so you can begin to resolve the issue before the employer can take any action against you, including terminating your employment. Communicate regularly with clients, attorneys, opposing counsel, courts, medical providers, expert witnesses, and court reporting services regarding case progression.
NewSupervisor - Registered Nurse - Manhattan Young Adult Institute, Inc.Supervisor - Registered Nurse - ManhattanManhattan, NY$100,625–$112,125 / yearAbility to meet essential physical demands of position including frequent walking, sitting, standing, bending, twisting, stooping, kneeling, crouching, pushing, pulling and reaching with hands and arms; use hands to handle, finger or feel objects, tools or controls; assisting with lifting/moving individuals of any weight with assistance of mechanical lifts or other equipment and/or pushing individuals in wheelchairs; lifting and/or moving up to 25 pounds on occasion; having the physical capacity to work with and implement emergency interventions as per the person's Behavior Support Plan if/as needed, including lifting/moving individuals of any weight with or without assistance of equipment and/or other staff. Responsible for ensuring safe and appropriate nursing services and medication administration for persons supported across assigned caseload, which may include a variety of program(s) and/or system(s), working in collaboration with regional, nursing and other leadership and interdisciplinary teams to ensure implementation of person-centered, individualized plans of nursing service by regularly monitoring, assessing and addressing program and person-specific needs through oversight of nursing staff.
Offshore Operational Specialist NYU Langone HealthOffshore Operational SpecialistNew York, NY$61,288.35–$68,856.81Full timeThe Offshore Operations Specialist serves as the primary operational liaison between onshore hospital A/R teams and offshore partners, monitoring performance, addressing workflow questions, escalating issues, and supporting consistent execution of hospital billing and follow-up processes. In this role, the successful candidate as the Offshore Operations Specialist, Revenue Cycle is responsible for the day-to-day operational oversight of offshore teams supporting hospital accounts receivable (A/R) functions.
Patient Service Representative SJRH Medical Practices Riverside Medical CenterPatient Service Representative SJRH Medical PracticesYonkers, NYResponsible for greeting incoming patients in a friendly and professional manner, instructing patients on how to complete paperwork, obtain complete and accurate information from the patient for billing and demographics purposes, update patient demographics and Insurance information as needed, all incoming calls to be answered in a friendly and professional manner before the third Ring, provide accurate information to the caller in a customer oriented manner, calls must be routed to the intended recipient in a timely and accurate manner, completes administrative duties that ensure the patients visit is smooth, billing can be processed accurately, and front office remains clutter free and organized. Serving the Westchester community from Yonkers to the river town communities of Hastings-on-Hudson, Ardsley, Dobbs Ferry and Irvington, St. John''s Riverside has been and continues to be a unique and comprehensive network of medical professionals dedicated to a tradition of service that spans generations.
Medical Receptionist Preventive PlusMedical ReceptionistParamus, NJFull timeYou will greet patients and prep their chart prior to arrival, book appointments, and answer phone calls, as well as attend to the needs of patients throughout their healthcare visit. · Perform all other clerical duties as assigned by Preventive Plus, including greeting patients at the front desk, assisting with the check-in process, stock inventory, and maintaining the reception area.