Utilization Review Discovery Institute of Addictive Disorders Inc.Utilization ReviewMarlboro Township, NJThe Utilization Review (UR) Specialist is responsible for obtaining and maintaining insurance authorizations for clients receiving substance use disorder treatment services. Minimum of two years of utilization review, case management, medical billing, or behavioral healthcare experience preferred.
Software and AI Product Owner Supreme TalentSoftware and AI Product OwnerMonsey, NYYou will analyze and troubleshoot the existing system, define what gets built next, and lead a major upgrade across multiple areas of the software, including new AI and automation capabilities. Design and implement AI and automation capabilities such as document intake and OCR, LLM assisted review, denial prediction, auto routing, exception handling, and automated reporting.
Coding Education Specialist Boston Medical CenterCoding Education SpecialistNY$62,500–$91,000 / yearCERTIFICATES, LICENSES, REGISTRATIONS REQUIRED: Must be a Certified Coding Specialist (CCS), Certified Coding Specialist - Physician(CCS-P) through AHIMA(American Information Management Association) or AAPC's (American Academy of Professional Coders) Certified Professional Coder(CPC) credential or Certified Professional Coder-Hospital (CPC-H). The hospital is also the primary teaching affiliate of the nationally ranked Boston University School of Medicine (BUSM) and a founding partner of Boston HealthNet - an integrated health care delivery systems that includes many community health centers.
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.
Sr. Performance Marketing Manager, Paid Social SunoSr. Performance Marketing Manager, Paid SocialNew York, NY$145,000–$170,000 / yearWe are backed by leading investors including Bond Capital, Menlo Ventures, Lightspeed Venture Partners, IVP, Forerunner, Union Square Ventures, Alkeon, Quiet, Matrix Partners, Schroders Capital and, NVentures (venture arm of NVIDIA). For the right people, it's incredibly rewarding: a chance to shape a new medium, work with a small team that cares deeply about quality, make music, drink too much coffee, and build something that millions of people use to express themselves in ways that were never before possible.
Sr. Performance Marketing Manager, Paid Social Suno, Inc.Sr. Performance Marketing Manager, Paid SocialNew York, NY$145,000–$170,000 / yearWe are backed by leading investors including Bond Capital, Menlo Ventures, Lightspeed Venture Partners, IVP, Forerunner, Union Square Ventures, Alkeon, Quiet, Matrix Partners, Schroders Capital and, NVentures (venture arm of NVIDIA). For the right people, it's incredibly rewarding: a chance to shape a new medium, work with a small team that cares deeply about quality, make music, drink too much coffee, and build something that millions of people use to express themselves in ways that were never before possible.
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.
Prior Authorization Specialist Actalent IncPrior Authorization SpecialistSparta, NJ$18–$21 / hourThe Prior Authorization Specialist supports both front-office and clinical workflows, ensuring patients feel welcomed, informed, and efficiently guided through their visits. 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.
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.
NewSr. Platform Specialist Privia Health Group, IncSr. Platform SpecialistNY$72,000–$85,000 / yearThe Privia Platform is led by top industry talent and exceptional physician leadership, and consists of scalable operations and end-to-end, cloud-based technology that reduces unnecessary healthcare costs, achieves better outcomes, and improves the health of patients and the well-being of providers. The Senior Platform Specialist will work closely with end-users and the Privia Clinical IT team to understand functional business requirements, configure and customize athenaOne content to support these needs and be the subject matter expert in athenaOne functionality.
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.
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.
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 .
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.
EDI Registration Specialist Radiology Partners IncEDI Registration SpecialistNY$19–$21 / hourUsing a proven healthcare services model, Radiology Partners provides consistent, high-quality care to patients, while delivering enhanced value to the hospitals, clinics, imaging centers and referring physicians we serve. POSITION SUMMARY: Submit and manage EDI, ERA, and EFT enrollments for government and commercial payers while resolving payment misrouting issues and maintaining accurate payer information.
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.
NewData Entry Specialist - Overnight Sonic Healthcare USAData Entry Specialist - OvernightHicksville, NYIn this role you will: Data Entry Specialists are responsible for entering patient, client, billing and test information into the Laboratory Information System. Job Functions, Duties, Responsibilities and Position Qualifications: We're not just a workplace - we're a Great Place to Work certified employer!
NewData Entry Specialist - Overnight (On-Site) Sonic Healthcare USAData Entry Specialist - Overnight (On-Site)Hicksville, NYIn this role you will: Data Entry Specialists are responsible for entering patient, client, billing and test information into the Laboratory Information System. Job Functions, Duties, Responsibilities and Position Qualifications: We're not just a workplace - we're a Great Place to Work certified employer!
Account Resolution Specialist Prime Healthcare Services IncAccount Resolution SpecialistDenville, NJ$17–$27.83 / hourThe 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.
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.