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.
Medical Specialist 2 (NY HELPS), New York City Children's Center, P27638 New York State Thruway AuthorityMedical Specialist 2 (NY HELPS), New York City Children's Center, P27638Bronx, NYDuties Description New York City Children's Center (NYCCC), an Office of Mental Health (OMH) Joint Commission accredited hospital, is recruiting a licensed and board-certified physician to join their team as a Medical Specialist 2. Medical Specialists at NYCCC collaborate with a multi-disciplinary team to ensure continuity of care by providing comprehensive and individualized treatment to children and adolescents including: Obtaining, reviewing, updating, and documenting information such as medical histories, test results, diagnoses, and treatments. If 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.
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.
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.
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.
Patient Access Specialist Ensemble Health PartnersPatient Access SpecialistWestwood, 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.
Cloud + Licensing Support Specialist Managed Solution LLCCloud + Licensing Support SpecialistNY$25–$31.25 / hourDesired Skill Sets/Experience: Minimum 2+ years of hands-on experience with Microsoft Cloud Solution Provider (CSP) programs and Partner Center, including subscription management, CPOR claims, co-sell deal registration, incentive program compliance, and GDAP relationship administration. Proven technical troubleshooting skills and ability to communicate complex concepts clearly to customers, including writing guidance documentation and resolving licensing provisioning issues, subscription transfers, and Partner Center operational problems.
NewAssociate Specialist, Patient Access (Morning Shift) Ensemble Health PartnersAssociate Specialist, Patient Access (Morning Shift)Montclair, New JerseyPatient 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.
Medical Office Associate I, Full Time, Days - AMG Primary Care - Monroe Atlantic Health SystemMedical Office Associate I, Full Time, Days - AMG Primary Care - MonroeMonroe, NJAtlantic Medical Group is a physician-led and physician-governed organization that delivers the highest quality health care, at the right place, the right price, and the right time. We are a multispecialty physician group with more than 1,000 doctors, nurse practitioners and physician assistants at over 300 locations throughout northern and central New Jersey and northeast Pennsylvania.
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.
Remote | Healthcare Denials & Appeals Review Consultant — Up to $70/hour 24-MagRemote | Healthcare Denials & Appeals Review Consultant — Up to $70/hourNew York, New YorkRemoteWe are sharing a specialised part-time consulting opportunity for United States-based healthcare revenue cycle professionals experienced in denials management, appeals operations, payer denial analysis, clinical and technical appeals, denial prevention, revenue recovery, and healthcare billing workflows. This role supports current and upcoming remote consulting opportunities focused on AI-assisted denials management evaluation, appeal content review, payer denial workflow assessment, root cause analysis, and high-quality project execution.
4437- Onsite Training Specialist Innovaccer Analytics4437- Onsite Training SpecialistNorth Bergen, New JerseyThis 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.
Patient Accounts Rep In Patient Financial Services |Full-Time Day Shift (22741) Bergen New Bridge Medical CenterPatient Accounts Rep In Patient Financial Services |Full-Time Day Shift (22741)Paramus, New JerseyAnalyze, identify and report areas of high-volume error, for enhanced automation opportunity in Paragon or Claims Administrator, or corrective actions in front end areas. Communicate with the front-end departments, i.e. Patient Access, Ancillary Departments, and Medical Records for edits related to the respective area.
NewGuest Experience Specialist Signature Aviation LtdGuest Experience SpecialistTeterboro, NJ$21–$23 / hourThis is a dynamic, hands-on position that requires flexibility to work varied schedules, including nights, weekends, and holidays, and the ability to operate in both indoor and outdoor environments, often near active aircraft and ground service equipment. Pay ranges vary based on multiple factors, including, without limitation, skill sets, education, shift worked, responsibilities, seniority, geographical market, merit, output, productivity, prior training or experience, and travel.
Sr Offshore Operational Specialist NYU Langone Medical CenterSr Offshore Operational SpecialistNew York, NY$75,000–$105,000 / yearThis 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.
Coding Auditor (ICD-10) Integrated Resources, IncCoding Auditor (ICD-10)Newark, New JerseyFull timeCoding Auditor (ICD-10)Position: Coding Auditor (ICD-10)Duration: Full-TimeLocation: Newark/Wall NJJob Summary:This position is responsible for conducting on site audits of hospital billing and coding practices and desk audits; forms development, profiling and tracking institutional audit trends. Knowledge:• Requires knowledge of medical terminology, detailed knowledge of anatomy & physiology, disease pathogenesis and treatment including procedural drug therapies, ancillary and diagnostic services.• Requires knowledge of principles of utilization management.•
Remote | Healthcare Payment Posting & Cash Reconciliation Consultant — Up to $65/hour 24-MagRemote | Healthcare Payment Posting & Cash Reconciliation Consultant — Up to $65/hourNew York, New YorkRemoteWe are sharing a specialised part-time consulting opportunity for United States-based healthcare revenue cycle professionals experienced in payment posting, cash reconciliation, electronic remittance processing, EOB interpretation, lockbox reconciliation, payer remittance workflows, and revenue cycle operations. Professional background in healthcare revenue cycle operations, payment posting, cash reconciliation, billing operations, accounts receivable, finance operations, or healthcare business office functions is highly relevant.