Healthcare Admin Specialist - Operations MercorHealthcare Admin Specialist - OperationsNew York, New YorkRemote$40–$50 / hourDirect experience with payer portals (Availity, Optum/Change Healthcare, Waystar, Office Ally, or individual payer hubs like UHC Link, BCBS, Aetna). Evaluate and improve administrative workflows in healthcare settings, focusing on patient access and front-end operations .
Business Development Specialist Kids First ServicesBusiness Development SpecialistMontvale, NJWe're looking for an experienced Business Development Specialist who is passionate about building relationships, generating new business opportunities, and creating scalable sales processes that drive long-term growth. The ideal candidate enjoys meeting new people, building long-term business relationships, and executing a disciplined, repeatable approach to business development.
Credentialing Specialist | Brooklyn, NY · $65,000–$85,000 - 2465 BhiredCredentialing Specialist | Brooklyn, NY · $65,000–$85,000 - 2465Brooklyn, New YorkThe hands-on execution is handled by an offshore team, so this role is focused on oversight, accuracy, and catching what needs attention — a great fit for someone with real credentialing experience who can step in and start contributing right away. About the Role: A medical billing company in Brooklyn is looking for a Credentialing Oversight Specialist to manage quality control for a high-volume provider enrollment process, handling around 50 to 60 new enrollment requests daily.
Clinical Coordinator III (RN) - HHT Columbia UniversityClinical Coordinator III (RN) - HHTNew York, NY$112,000–$125,000 / yearThis position is responsible for delivering patient-centered nursing care, triaging patients remotely, coordinating diagnostic testing and specialty consultations, and serving as a key liaison among patients, providers, and multidisciplinary care teams. The Nurse Coordinator will provide clinical, care coordination, patient outreach, and research support for the Hereditary Hemorrhagic Telangiectasia (HHT) Center of Excellence at Columbia University Irving Medical Center/NewYork-Presbyterian Hospital.
Rev Cycle Specialist (Prior Authorizations) Prism Vision GroupRev Cycle Specialist (Prior Authorizations)New Providence, New Jersey$21.38–$44.40 / hourEducation/experience: High School Diploma or General Education Degree (GED) with 3 years prior hands-on experience in a fast-paced medical billing environment. • Pursue reimbursement from carriers by placing phone calls and documenting all communication in Athenahealth to ensure progress is made on outstanding accounts.
Medical Biller (Fertility Specialty) Actalent IncMedical Biller (Fertility Specialty)New York, NYRemote$62,400–$83,200 / yearWe are proud to be an Engineering News-Record (ENR) Top 500 Design Firm for our engineering design services and a ClearlyRated Best of Staffing winner for both client and talent service. If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email actalentaccommodation@actalentservices.com for other accommodation options.
Medical Biller Actalent IncMedical BillerNew York, NYRemote$62,400–$83,200 / yearWe are proud to be an Engineering News-Record (ENR) Top 500 Design Firm for our engineering design services and a ClearlyRated Best of Staffing winner for both client and talent service. If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email actalentaccommodation@actalentservices.com for other accommodation options.
Appeals Specialist MedReviewAppeals SpecialistNew York, NYThe Appeals Specialist I is responsible for performing triage, review, analysis, and resolution of facility-submitted appeals, involving non-clinical appeals, and clinical appeals where no new clinical information is received for review. Must be able to multitask, manage high volume case load, and work in a challenging environment to meet strict time sensitive deadlines.
DRG Downgrade Denial Specialist - FT - Day - Revenue Integrity & Denials Mgmt Lawrenceville NJ Capital HealthDRG Downgrade Denial Specialist - FT - Day - Revenue Integrity & Denials Mgmt Lawrenceville NJNJ$20.10–$26.13 / hourKnowledge and Skills: Working knowledge of DRG downgrade processes and third-party audit workflows Strong understanding of hospital billing systems and payer claim adjudication processes Ability to perform detailed tracking, documentation, and inventory management across multiple appeal levels Strong organizational skills and attention to detail Ability to perform root-cause analysis and identify recurring downgrade drivers Strong written communication skills for documentation and internal coordination. Ensures DRG downgrade cases are properly triaged, routed, documented, tracked, and submitted in accordance with payer and auditor requirements, while partnering with clinical resources to support successful appeal outcomes and denial prevention.
Manager or Senior Manager, R&D Tax Credits (AMCS) KPMG International CooperativeManager or Senior Manager, R&D Tax Credits (AMCS)NY$105,640–$223,100 / yearLicensed CPA, JD/LLM or completion of an advanced degree or professional certification/designation including: MBA (Masters of Business Administration), MCM (Masters of Construction Management), PHDE (PhD of Economics), PHE (Doctor of Engineering), ME (Masters of Engineering), MSRE (Masters of Science-Real Estate), AIA (Member, Amer Inst of Architects), Enrolled Agent, LEED (Leadership, Energy & Environmental Design) Certification, PE (Professional Engineer), or SIX SGMA (Six Sigma) Certification, in addition to others on KPMGs approved credential listing; any individual who does not possess at least one of the approved designations/credentials when their employment commences, has one year from their date of hire to obtain at least one of the approved designations/credentials; should you like to see the complete list of currently approved designations/credentials for the hiring practice/service line, your recruiter can provide you with that list. Work with KPMGs extensive network of specialists; enjoy access to our Ignition Centers, where deep industry knowledge merges with cutting-edge technologies to create innovative tax solutions.
Patient Access And Referral Specialist I Zufall HealthPatient Access And Referral Specialist IDover, NJ$17–$19.71 / hourAnswers inquiries of patients and public in person or via telephone regarding regulations and services; when necessary, refers inquiries to appropriate person or department. Reviews all faxed clinical documents received at the health center and directs reports and medical results to the appropriate provider or distributes faxes as needed.
Rehabilitation Specialist HealthSource ChiropracticRehabilitation SpecialistRoseland, New JerseyAccess ongoing support and join a community of chiropractors, rehab specialists, billing specialist, and front desk specialists to enhance your skills and advance your career. We are a fast-paced, upbeat chiropractic and progressive rehab clinic helping patients get back to doing what they love through chiropractic care, exercise therapy, and other wellness services.
Research Business Specialist Hackensack Meridian HealthResearch Business SpecialistClifton, New JerseyFull timeThe Research Business Specialist provides support to Hackensack Meridian Health, Office of Research Administration, for pre/post award financial management of Clinical Trial research and ongoing support for the management of the Oncore Clinical Trial Management System (CTMS) across the HMH Network. The posted rate of pay in this job posting is a reasonable good faith estimate of the minimum base pay for this role at the time of posting in accordance with the New Jersey Pay Transparency Act and does not reflect the full value of our market-competitive total rewards package.
Software Engineer III Kora/Support Cedar Cares IncSoftware Engineer III Kora/SupportNY$170,000–$215,000 / yearDiversity initiatives that encourage Cedarians to bring their whole selves to work, including three employee resource groups: be@cedar (for BIPOC-identifying Cedarians and their allies), Pridecones (for LGBTQIA+ Cedarians and their allies) and Cedar Women+ (for female-identifying Cedarians). The challenge is only getting worse, as high deductible health plans are the fastest growing plan design in the U.S. Cedar's mission is to leverage data science, smart product design and personalization to make healthcare more affordable and accessible.
Revenue Cycle Specialist-Revenue Integrity Pathology-REMOTE Weill Cornell Medical CollegeRevenue Cycle Specialist-Revenue Integrity Pathology-REMOTENew York, NYRemote$32.69–$36.76 / hourThe CBO partners with WCM Clinical Departments to increase and expedite service revenue, reduce aged AR, and trend denials for their root causes thereby driving efficiencies, to include clinical documentation improvement and coding denials prevention. Resolves outstanding accounts utilizing ancillary applications and websites as tools to retrieve medical documentation, claim status and billing guidelines to substantiate corrected claim submissions, written appeals, coding and medical necessity reviews.
Account Resolution Specialist Prime Healthcare Management IncAccount Resolution SpecialistDenville, New Jersey$17–$27.83 / hourFull timeThe exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure. Prime Healthcare operates 54 hospitals and has more than 360 outpatient locations in 15 states providing more than 3.0million patient visits annually.
Regional Clinical Sales Specialist (Bronx, NY) - Johnson & Johnson Medtech - Orthopaedics Johnson & JohnsonRegional Clinical Sales Specialist (Bronx, NY) - Johnson & Johnson Medtech - OrthopaedicsNew York, NY$54,000–$87,400 / yearThe overall responsibilities of the Regional Clinical Sales Specialist position include advancing the Company's sales of orthopedic surgical products by providing clinical and logistical expertise in hospitals and operating rooms - such as independent coverage of surgical cases, management of billing/purchase orders, logistics, and asset management. DePuy Synthes solutions, in specialties including joint reconstruction, trauma, craniomaxillofacial, spinal surgery and sports medicine, are designed to advance patient care while delivering clinical and economic value to health care systems worldwide.
Regional Clinical Sales Specialist (Bronx, NY) - Johnson & Johnson MedTech - Orthopaedics Johnson & JohnsonRegional Clinical Sales Specialist (Bronx, NY) - Johnson & Johnson MedTech - OrthopaedicsNew York, NY$54,000–$87,400 / yearThe overall responsibilities of the Regional Clinical Sales Specialist position include advancing the Company's sales of orthopedic surgical products by providing clinical and logistical expertise in hospitals and operating rooms - such as independent coverage of surgical cases, management of billing/purchase orders, logistics, and asset management. DePuy Synthes solutions, in specialties including joint reconstruction, trauma, craniomaxillofacial, spinal surgery and sports medicine, are designed to advance patient care while delivering clinical and economic value to health care systems worldwide.
NewRegional Clinical Sales Specialist (Bronx, NY) – Johnson & Johnson MedTech - Orthopaedics 6032-DePuy Synthes Sales Legal EntityRegional Clinical Sales Specialist (Bronx, NY) – Johnson & Johnson MedTech - OrthopaedicsNew York, New York$54,000–$87,400 / yearThe overall responsibilities of the Regional Clinical Sales Specialist position include advancing the Company’s sales of orthopedic surgical products by providing clinical and logistical expertise in hospitals and operating rooms - such as independent coverage of surgical cases, management of billing/purchase orders, logistics, and asset management. DePuy Synthes solutions, in specialties including joint reconstruction, trauma, craniomaxillofacial, spinal surgery and sports medicine, are designed to advance patient care while delivering clinical and economic value to health care systems worldwide.
NewRegional Clinical Sales Specialist (Bronx, NY) – Johnson & Johnson MedTech - Orthopaedics Johnson & JohnsonRegional Clinical Sales Specialist (Bronx, NY) – Johnson & Johnson MedTech - OrthopaedicsNew York, New York$54,000–$87,400 / yearThe overall responsibilities of the Regional Clinical Sales Specialist position include advancing the Company’s sales of orthopedic surgical products by providing clinical and logistical expertise in hospitals and operating rooms - such as independent coverage of surgical cases, management of billing/purchase orders, logistics, and asset management. DePuy Synthes solutions, in specialties including joint reconstruction, trauma, craniomaxillofacial, spinal surgery and sports medicine, are designed to advance patient care while delivering clinical and economic value to health care systems worldwide.