Senior Compliance Specialist New York University School of MedicineSenior Compliance SpecialistNew York, NY$84,577.92–$142,767.54 / yearConducts risk assessments to define audit priorities by evaluating previous audit findings, management priorities, ICD, APC, and DRG utilization patterns, national normative data, CMS, and PEPPER initiatives, OIG work plans and advisories, and healthcare industry best practices. The Senior Compliance Specialist (Hospital Billing Auditor) will support the Manager of Hospital Billing Compliance and the Director of Billing Compliance in the development and implementation of the Hospital Billing Compliance program at NYU Langone Health System to ensure adherence with federal and state billing regulations.
Medical Coding Specialist Capital Rx, Inc.Medical Coding SpecialistNew York, NY$70,000–$85,000 / yearJudi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including: Judi Rx, a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers, Judi Health, which offers full-service health benefit management solutions to employers, TPAs, and health plans, and. This role offers the opportunity to play a key part in ensuring accurate claims processing, supporting client implementations, and helping drive innovation within a growing healthcare technology organization.
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.
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.
Senior Operational Specialist New York University School of MedicineSenior 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.
NewNo-Fault Collections Specialist — Law Firm LAW OFFICE OF OLGA SKLYUT PCNo-Fault Collections Specialist — Law FirmBrooklyn, NY$52,000–$65,000 / yearFull timeA busy No-Fault law firm specializing in medical provider recovery seeks a Collections Specialist experienced in New York No-Fault (PIP) billing and collections . The ideal candidate is detail-oriented, familiar with the No-Fault regulatory framework, and comfortable working in a fast-paced, deadline-driven legal environment.
Authorization Specialist Westchester Medical Center Health NetworkAuthorization SpecialistPort Jervis, NYJob Category Job Category Advanced Clincial Providers Advanced Practice Providers Allied Health Prof/Technical Clerical/Administrative Support clerical/Administrative Supportc Executive/Management Finance/Info Systems Nursing Support Nursing/Nursing Management Physicians Professional/Non-Clinical Service/Trades. Job Details: The Authorization Specialist plays an intricate role in procuring payment for outpatient services by financially clearing accounts including specialty units, invasive interventional, clinical procedures and diagnostic testing within Good Samaritan, Bon Secours and St Anthony Community Hospitals.
NewQA Specialist-64541703 Institute for Comm LivingQA Specialist-64541703Brooklyn, NY$26.44 / hourPart timeEnsure clean claims are prepared and work with Finance to ensure all billing denials are addressed by identifying Medicaid eligibility issues, incorrect CIN, DOB, etc. and needed corrections are accurately reflected in the corresponding EHR. Communicate effectively with referral sources, Managed Care Plans, OMH, DOHMH, DOH, and other providers regarding referral, enrollment, and authorization for services/ level of service determination.
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.
Senior Operational Specialist NYU Langone HealthSenior Operational SpecialistNew York, NYFull timeApplies 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.
NewMedical Coding Specialist Capital Rx LLCMedical Coding SpecialistNew York, NY$70,000–$85,000 / yearJudi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including: Judi Rx, a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers, Judi Health, which offers full-service health benefit management solutions to employers, TPAs, and health plans, and. This role offers the opportunity to play a key part in ensuring accurate claims processing, supporting client implementations, and helping drive innovation within a growing healthcare technology organization.
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 .
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.
AR Follow-Up Specialist III - Coding and Complex Denials #Full Time #Remote 61st Street Service CorpAR Follow-Up Specialist III - Coding and Complex Denials #Full Time #RemoteFort Lee, NJRemote$28.72–$36.92 / hourThe AR Follow-Up Specialist III, Coding and Complex Denials is responsible for addressing and resolving complex coding-related denials and appeals in addition to following up on unpaid accounts with insurance companies and third parties. The Specialist III assists the unit supervisor and manager with complex cases, supports training efforts, and identifies denial trends to inform process improvements.
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.
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.
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.
Revenue Cycle Supervisor (Accounts Receivable) Columbia UniversityRevenue Cycle Supervisor (Accounts Receivable)Fort Lee, NJ$66,300–$78,000 / yearThe Revenue Cycle Supervisor (Accounts Receivable) is responsible for day-to-day supervision of a unit that is responsible for working and collecting on unpaid professional medical claims (government and all third-party payers). Ability to work collaboratively with a culturally diverse staff and patient/family population, strong customer service skills, demonstrating tact and sensitivity in stressful situations.
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.