Operational Specialist NYU Langone Medical CenterOperational SpecialistNew York, NY$61,288.35–$80,136 / yearThis role focuses on reviewing accounts, supporting resolution of complex billing issues, and assisting with implementation of workflow improvements identified through escalations and operational review. In this role, the successful candidate reporting to the Manager, Revenue Cycle Operations, the Operational Specialist supports hospital A/R process improvement efforts and escalation resolution through detailed analysis, workflow execution, and operational support.
Appeal Analyst RN I Integrated Resources, IncAppeal Analyst RN IHopewell, NJ$40–$42 / hourStrong knowledge of medical terminology, anatomy and physiology, disease processes, treatment protocols, procedural drug therapies, ancillary services, and diagnostic procedures. Additionally, the role provides guidance and education to stakeholders regarding ICD-10-CM coding, DRG assignment, payment methodologies, and audit processes.
Senior Operational Specialist NYU Langone Medical CenterSenior Operational SpecialistNew York, NY$75,000–$105,000 / yearApplies the LEARN model when supporting service recovery in sensitive or high-impact billing situations, escalating to leadership when issues present elevated risk or reputational impact. •Own the end-to-end resolution of complex, escalated hospital A/R accounts, including high-dollar balances, payer disputes, systemic billing defects, and regulatory-sensitive scenarios.
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.
Front Office Specialist - Medication Management - Millburn, NJ OASIS MENTAL HEALTH CENTERS MEDICAL LLCFront Office Specialist - Medication Management - Millburn, NJMillburn, NJ$22–$24 / hourThe role includes basic front office responsibilities, occasionally submitting prior authorizations, managing provider follow-up scheduling, and cross-training for the opportunity to support our Transcranial Magnetic Stimulation (TMS) and Spravato clinic upstairs with on-the-job certification to directly administer depression treatment to patients with major depressive disorder. Collect, upload, and maintain new patient intake forms during first in-office visits, including registration documents, applicable consents/waivers, ID, insurance cards, and any required clinical forms — and transmit documents securely through the electronic health records (EHR) portal.
NewDirector - Workday SHI InternationalDirector - WorkdaySomerset, New JerseyThis role orchestrates cross-functional IT workstreams (platform, integrations, data, reporting, security), governs scope, schedule, financials, and risk, and enables decision-making across SteerCo, Program Leadership, and HR stakeholder groups. Change Management: Can lead and model exceptional change management at all levels of the organization, can develop and implement change management strategies, and can coach others to improve their change management skills.
Certified Professional Coder Integrated Resources, IncCertified Professional CoderHopewell, NJ$35–$38 / hourThe role involves designing audit protocols, handling special projects, and performing/finalizing per diem audits, bill verification, DRG validation (utilization review audits), and credit balance reviews. This position is responsible for leading on-site and desk audits of hospital billing and coding practices, including forms development, audit profiling, and tracking institutional audit trends.
Special Investigations Unit Clinical Certified Coder Metroplus Health Plan IncSpecial Investigations Unit Clinical Certified CoderNew York, NY$100,000–$110,000 / yearMetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly-owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States, MetroPlusHealth network includes over 27,000 primary care providers, specialists and participating clinics.
Manager - Arbitration Operations MaximusManager - Arbitration OperationsNewark, NJFull timeMaximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. - Frequent interaction with subordinate employees, customers, and/or functional peer group managers, normally involving matters between functional areas, other company divisions or units, or customers and the company.
New["Analyst, Compliance","Analyst, Compliance"] Columbia University in the City of New York["Analyst, Compliance","Analyst, Compliance"]New York$80,000–$90,000 / yearResponsibilities Provide oversight and perform, as needed, ongoing, risk-based, and ad hoc coding auditing of complex services, across multiple specialties, rendered by physician and non-physician practitioners using current coding guidelines, with attention to Medicare/Medicaid, medical necessity, and NCD/LCD requirements; including but not limited to retrospective audits for established providers and prospective audits for newly onboarded providers to ensure appropriate documentation, coding accuracy, and billing compliance. Support departmental compliance teams by providing advisory guidance and expert knowledge of CPT/HCPCS and ICD-10 guidelines across multiple specialties, as well as teaching facility guidance, professional fee billing, including global surgical package rules, modifier usage, incident-to services, split/shared services, and emerging regulatory changes.
NewLogistics Manager FiLogistics ManagerNew York, NY$95,000–$140,000 / yearOwn the fulfillment cost line end to end, cost per order, cost per unit, storage, value-add spend, outbound parcel, and build the cost-to-serve view by channel so we know what DTC actually costs versus Amazon or retail. You think in landed cost, cost per unit, and cost per order, can build and defend a fulfillment cost model, can tell a rate problem from a mix problem, and hold your own in a budget conversation with finance.
NewLogistics Manager Fi Smart Dog CollarLogistics ManagerNew York, New YorkOwn the fulfillment cost line end to end, cost per order, cost per unit, storage, value-add spend, outbound parcel, and build the cost-to-serve view by channel so we know what DTC actually costs versus Amazon or retail. You think in landed cost, cost per unit, and cost per order, can build and defend a fulfillment cost model, can tell a rate problem from a mix problem, and hold your own in a budget conversation with finance.
Medicaid Authorization & Documentation Specialist Volunteers of America - Greater New YorkMedicaid Authorization & Documentation SpecialistRahway, NJThis position plays a key role in ensuring services are authorized, documentation is accurate, and claims are submitted efficiently to Medicaid Managed Care Organizations (MCOs). Minimum of 2-4 years of experience in Medicaid managed care, healthcare, or social services is preferred, including prior authorizations, documentation review.
Senior Clinical Research Finance Specialist Iterative Scopes IncSenior Clinical Research Finance SpecialistNew York, NY$85,000–$105,000 / yearThe Senior Clinical Research Finance Specialist is a critical member of Iterative Health''s growing Finance team, partnering closely with the Research Finance Manager to own end-to-end accounts receivable operations across sponsor-funded clinical studies and internal research sites. We built a leading performance-driven network of 100+ sites across the US, Europe, India, and Australia, conducting research directly in the communities where care is delivered across gastrointestinal, hepatology, obesity, and cardiology.
NewMedical Coding Specialist Therapymatch, Inc.Medical Coding SpecialistNY$60,520–$89,000 / yearA notice to Headway applicants: To protect yourself against phishing and recruitment fraud, please note that Headway only accepts applications through our official careers page at https://headway.co/careers . Determine whether a flagged finding is accurate - confirming genuine documentation and coding errors, and identifying findings that were flagged incorrectly so they can be corrected and escalated.
Patient Acctg Govt. Specialist ExternalPatient Acctg Govt. SpecialistBrooklyn, New YorkWorks with Medical Records,Utilization Managerment, Patient Access, clinics, guarantor, physician,etc to obtain and/or clarify required billing data that errors out in DDE and billing. Works the Medicare's 72 hour rule report daily and Medicaid's APG reports to combine.
AI Engineer Joyful HealthAI EngineerNew York City, New York$150,000–$275,000 / yearThe healthcare payment system is a complex and inefficient maze - healthcare practices leave $125 billion in revenue uncollected each year, lost in the chaos of fragmented financial data, manual workflows, and opaque payer systems. We're looking for a talented and ambitious machine learning engineer with 5+ years of experience building production AI systems who's excited to solve one of the toughest challenges in healthcare - automatically resolving claim denials.
Reconciliation Specialist Global Business Travel Group IncReconciliation SpecialistNY$72,100–$133,900 / yearIn this role, you will support end-to-end credit and invoice reconciliation processes with primary responsibility for reconciling all travel-related central billing to US cost centers while providing comprehensive billing support to the travel management, TMC, and traveler services teams. Supplier Billing: Maintain preferred travel supplier account billing by processing monthly incoming invoices from ground transportation, rental car, and hotel suppliers; conduct PO reconciliation to support Finance and Recruiting quarterly and year-end reporting.
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.
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.