Medical Biller / Reimbursement Coordinator McKesson CorporationMedical Biller / Reimbursement CoordinatorEdison, NJ$17.44–$23.53 / hourResponsibilities Key Responsibilities:- Submit and follow up on insurance claims (commercial, Medicare, Medicaid)- Verify patient insurance eligibility and benefits- Review and resolve claim denials and rejections promptly- Manage accounts receivable and aging reports- Post payments and reconcile accounts accurately- Coordinate prior authorizations for chemotherapy, infusions, and specialty medications- Ensure compliance with coding and billing regulations (ICD-10, CPT, HCPCS)- Communicate effectively with patients, providers, and insurance companies regarding billing inquiries- Maintain accurate and up-to-date patient billing records Qualifications Qualifications:- Minimum 2+ years of medical billing experience (oncology/hematology preferred)- Strong knowledge of insurance guidelines, reimbursement processes, and prior authorizations- Relevant certifications such as Certified Professional Biller (CPB), Certified Coding Specialist (CCS), or Certified Professional Coder (CPC) are preferred but not required.- Familiarity with oncology-specific billing (infusion services, J-codes, drug billing) is highly desirable- Experience with EHR/PM systems (e.g., Athena, Centricity, ONCOEmr)Preferred Skills:- Experience handling high-dollar claims and specialty drug reimbursement- Knowledge of Medicare guidelines for oncology services- Ability to work independently and as part of a team in a fast-paced environmentPHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
Revenue Cycle Supervisor (Self Pay and Specialty) Columbia UniversityRevenue Cycle Supervisor (Self Pay and Specialty)Fort Lee, NJ$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.
Accounts Receivable Specialist Geode HealthAccounts Receivable SpecialistNYRemote$22–$24 / hourDemonstrates flexibility to meet the needs of all internal and external customers including changes to workflows, work volume and work schedules. Joining Geode Health will put you on the front-end of a rapidly growing movement to increase access and improve outcomes for mental health patients and providers across the nation.
Insurance Follow-Up Specialist IVX HealthInsurance Follow-Up SpecialistNYRemote$22–$25 / hourOur Insurance Follow Up Specialists are a vital part of the patient care journey, ensuring that every claim is handled with precision, empathy, and a clear understanding of how billing impacts both access to care and peace of mind. IVX Health is a national provider of infusion and injection therapy for individuals managing complex chronic conditions like rheumatoid arthritis, Crohn's disease, and multiple sclerosis.
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 .
Patient Account Specialist Regional Cancer Care AssociatesPatient Account SpecialistTeaneck, New JerseyRemote$20.35–$27.43 / hourMakes appropriate financial arrangements for payment of patient accounts; follows up to determine if payment arrangements are being met; contacts patients to resolve problems; responds to correspondence or telephone calls from patients about accounts. Receives and resolves patient billing complaints and questions; initiates adjustments as necessary; follows up on all zero payment explanations of benefits and exercises all options to obtain claim payments.
Scheduling Specialist Concierge - Day Shift Trinity HealthScheduling Specialist Concierge - Day ShiftLanghorne, PASt. 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.
NewAuto Claims Specialist Revecore TechnologiesAuto Claims SpecialistNYMust reside in the United States within one of the states listed below: Alabama, Arkansas, Delaware, Florida, Georgia, Illinois, Iowa, Indiana, Kansas, Kentucky, Louisiana, Massachusetts, Maine, Michigan, Minnesota, Missouri, Mississippi, North Carolina, Nebraska, New Hampshire, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Carolina, South Dakota (CST Time Zone), Tennessee, Texas (CST Time Zone), Vermont, Virginia, Wisconsin, and West Virginia. As an Auto Claims Specialist at Revecore, you will make high-volume, outbound calls to investigate, bill, and maximize payments on medical claims to insurance companies, on behalf of our clients (hospitals and medical providers).
Medical Office Assistant/Medical Biller EXPRESS IT OF TOMS RIVER LLCMedical Office Assistant/Medical BillerHazlet, NJPart timeJoin EXPRESS IT OF TOMS RIVER LLC as a Medical Office Assistant/Medical Biller in Hazlet, NJ, where you will play a crucial role in supporting our healthcare team. Our commitment to providing quality healthcare services is matched by our focus on creating a supportive and rewarding work environment for our employees.
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.
NewManager, Finance Operations Allied UniversalManager, Finance OperationsNY$65,000–$75,000 / yearThe Manager, Finance Operations manages all diverse activities that are required for the production of contractually valid and accurate invoices to customers identified within the Enterprise portfolio of customers. QUALIFICATIONS: Must possess one or more of the following: Bachelor's degree in Accounting, Finance, Business Management with a minimum of five (5) years of relevant experience including managing a centralized billing function.
Medical Biller SportsMed Physical TherapyMedical BillerGlen Rock, NJ$20–$24 / hourEnsure all billing changes, charge offs, escalations, interactions etc. are correctly documented in billing and/or HRM software in a timely manner. Minimum 3 years' experience with medical billing required (1 year with 2-year college degree or greater).
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.
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.
Scheduling Specialist Concierge - Day Shift Trinity Health CorporationScheduling Specialist Concierge - Day ShiftLanghorne, PASt. 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.
Clinical Research Operations Specialist - Clinical Trial Budgets NYU Langone HealthClinical Research Operations Specialist - Clinical Trial BudgetsNew York, NY$70,481.60–$91,000Full timeCollaborates with Research Finance to load an appropriate budget into PeopleSoft and create the chart string Enters finalized sponsor invoicing terms and entered into Clinical Research Management system, including appropriate visit descriptions and payments, invoiced separately procedures, optional procedures, subject stipend and travel terms and other reimbursable items. Serves as the primary liaison between the department/investigator and central office on all matters of study preaward budget processes Releases the study for activation when central office processes are complete and budget and contract are final.
NewTraining & Support Specialist (Revenue Cycle) NYU Langone HealthTraining & Support Specialist (Revenue Cycle)New York, NY$70,481.60–$102,900Full timeIn this role, the successful candidate as the Training and Support Specialist is responsible for providing training, curriculum development, project organization, and implementation, as well as quality assurance, functions across the Revenue Cycle enterprise at all locations. Responsible for all aspects of revenue cycle compliance auditing, and improvement implementation which includes documenting processes, technical analysis and training program design, testing, and final implementation.
Outpatient Clinical Denial Specialist - FT - Day - Revenue Integrity & Denials Mgmt Lawrenceville NJ Capital HealthOutpatient Clinical Denial Specialist - FT - Day - Revenue Integrity & Denials Mgmt Lawrenceville NJNJ$20.10–$26.13 / hourOther Credentials: Knowledge and Skills: Working knowledge of outpatient clinical denial categories, including payer medical policy, experimental/investigational, and clinical criteria denials Familiarity with payer authorization processes and outpatient clinical documentation workflows Ability to perform detailed tracking, documentation, and inventory management across multiple appeal levels Strong organizational skills and attention to detail Ability to identify root causes and recurring outpatient denial drivers Strong written communication skills for documentation and internal coordination Proficiency with hospital billing systems, EMR navigation, and payer portals. Ensures outpatient clinical denial cases are properly triaged, routed, documented, tracked, and prepared for appeal in accordance with payer requirements, while partnering with clinical and operational resources to support timely resolution and denial prevention.
Inpatient Clinical Denial Specialist - FT - Day - Revenue Integrity & Denials Mgmt Lawrenceville NJ Capital HealthInpatient Clinical Denial Specialist - FT - Day - Revenue Integrity & Denials Mgmt Lawrenceville NJNJ$20.10–$26.13 / hourOther Credentials: Knowledge and Skills: Working knowledge of inpatient clinical denial categories, including medical necessity, patient status, and readmissions Familiarity with utilization review processes and clinical documentation workflows Ability to perform detailed tracking, documentation, and inventory management across multiple appeal levels Strong organizational skills and attention to detail Ability to identify root causes and recurring denial drivers Strong written communication skills for documentation and internal coordination Proficiency with hospital billing systems, EMR navigation, and payer portals Proficiency with Microsoft Office applications, including Excel. Ensures inpatient clinical denial cases are properly triaged, routed, documented, tracked, and prepared for appeal in accordance with payer requirements, while partnering with clinical and operational resources to support timely resolution and denial prevention.
Surgical Scheduler - FT - Day - Endocrinology Specialists Mountainview NJ Capital HealthSurgical Scheduler - FT - Day - Endocrinology Specialists Mountainview NJMountainview, NJ$18.57–$23.23 / hourPerforms all medical receptionist duties, including but not limited to, answering phone calls, scheduling appointments, filing information into medical records, checking patients in and out, collecting co-pays and fees from patients and completing computer and paperwork associated with these functions. When determining base salary and/or rate, several factors may be considered including, but not limited to location, years of relevant experience, education, credentials, negotiated contracts, budget, market data, and internal equity.