NewMedical Biller, SNF US Career PartnersMedical Biller, SNFNew JerseyAs a Medical Biller, you will be responsible for accurately and efficiently processing medical claims and ensuring timely reimbursement for services rendered. Company Overview: Our client is a leading SNF finance company that provides financial solutions to skilled nursing facilities across the country.
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.
Medical Billing Representative Easy ApplyMedical Billing RepresentativeBergen County, NJ$22–$26 / hourMedloop a large multi-specialty medical billing company servicing many clients across the US mostly in NY/NJ is looking for a talented and highly motivated Medical Billing Representative to resolve billing issues and work directly with clients to identify and manage efficient billing processes for optimal A/R outcomes. PREFERRED ADDITIONAL QUALIFICATIONS (not required): Working knowledge of Medicare, Medicaid, and Commercial payor claims and appeals processing requirements.
Senior Quantitative Scientist, Commercial-Facing Verana Health IncSenior Quantitative Scientist, Commercial-FacingNew York, NYRemote$141,441–$212,161 / yearBuilt on the values of continuous learning, cross-functional collaboration, and rigorous scientific research, the Data & Science team strives to improve patient care by innovating at the intersection of real world data, clinical context, and methodology with our partners to ensure all available data is being used to in the most efficient, data-driven way possible. Verana Health, a digital health company that delivers quality drug lifecycle and medical practice insights from an exclusive real-world data network, recently secured a $150 million Series E led by Johnson & Johnson Innovation - JJDC, Inc. (JJDC) and Novo Growth, the growth-stage investment arm of Novo Holdings.
Patient Account Representative Med-Metrix, LLCPatient Account RepresentativeRed Bank, NJPhysical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear. Ability to use various workflow system and client host system such as STAR, SMS, EAGLE and EPIC, as well as other tools available to them to collect payments and resolve accounts.
Patient Account Representative - Remote Med-Metrix, LLCPatient Account Representative - RemoteRed Bank, NJRemotePhysical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear. Ability to use various workflow system and client host system such as STAR, SMS, EAGLE and EPIC, as well as other tools available to them to collect payments and resolve accounts.
Analyst, Compliance Columbia UniversityAnalyst, ComplianceNew York, NY$80,000–$90,000 / yearProvide 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.
RCM Customer Service Specialist The Dermatology SpecialistsRCM Customer Service SpecialistLong IslandThe role handles inquiries via phone, email, and EMR-tasked billing requests, assists patients with billing questions, and ensures accurate interpretation of Explanation of Benefits (EOBs), payment postings, and claim denials. The CSR collaborates with the Revenue Cycle team and Ops team to support timely resolution, maintain high patient satisfaction, and improve financial outcomes for the dermatology practice.
Chief Radiation Therapist Hunterdon HealthChief Radiation TherapistFlemington, NJPreferred: Knowledge of MOSAIQ EMR systems, Varian TruBeam linear accelerator, brachytherapy procedures and workflows, in addition to radiation oncology coding and billing (ROCC certification) strongly preferred. Responsible for the daily clinical and administrative operations and activities of the radiation oncology department, including directly supervising radiation therapists, nursing and clerical staff, as well as volunteers and student interns.
Remote Certified Professional Coder/ PIP Adjuster EDI StaffingRemote Certified Professional Coder/ PIP AdjusterHamilton, NJRemoteInterpret medical documentation ensure accuracy of billed services IE: CPT, HCPCs codes. Qualifications and Experience: 3-5 years experience conducting code reviews; specifically NJ / NY PIP fee schedules.
Strategic Medical Director, PM&R / Post-Acute Care & DME Cohere Health Technologies LLCStrategic Medical Director, PM&R / Post-Acute Care & DMENYRemote$285,000–$305,000 / yearProvide physician leadership in the creation of comprehensive research packages, investigating specific clinical areas/offerings and strategic partners of interest to strengthen the offering, then execute on cultivating any external partnerships and/or vendor relationships as necessary. Build and expand client relationships by partnering with the Growth and Client Experience teams to uncover client pain points, deliver solutions, assign clients to managers as appropriate, and support upsell opportunities (e.g., Sleep programs).
Clinical Reimbursement Manager; DRG Manager; Mount Sinai Hospital Mount Sinai Health SystemClinical Reimbursement Manager; DRG Manager; Mount Sinai HospitalNew York, NY$79,720–$128,115.52 / yearMount 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. We 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.
Health Plan Claims Analyst I- Environmental Medicine Mount Sinai Health SystemHealth Plan Claims Analyst I- Environmental MedicineNew York, NY$64,526.72–$81,675 / yearMount 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. We 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.
NewCoding Compliance Audit Specialist Privia Health Group, IncCoding Compliance Audit SpecialistNY$70,000–$80,000 / 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. Technical Requirements (for remote workers only, not applicable for onsite/in office work): In order to successfully work remotely, supporting our patients and providers, we require a minimum of 5 MBPS for Download Speed and 3 MBPS for the Upload Speed.
NewDirector, Med Coding Merck & Co IncDirector, Med CodingRahway, NJ$173,200–$272,600 / yearThe Director, Medical Coding is accountable for the global leadership of Safety Data Management (SDM), Individual Case Safety Report (ICSR) management, medical coding operations, quality oversight, inspection readiness, system enablement, process optimization, and people leadership. Provide strategic leadership and oversight of global Safety Data Management (SDM) operations, ensuring compliant, high-quality execution of case processing, medical coding, documentation, and training activities.
Medical Office Manager - Brooklyn/ Manhattan The Dermatology SpecialistsMedical Office Manager - Brooklyn/ ManhattanBrooklyn, New York2 years’ + experience in Hospitality or Medical management as a minimum; Experience in managing a team; Ability to give direction with confidence; Hard-working and willing to be part of a team; Desire to grow with the practice; Flexible availability; and. Knowledge of health insurance policies, guidelines- including copays, coinsurances, referrals, verification of insurances; handling patients' records discretely, updating demographic and financial information; Protecting and securing medical records.
Medical Office Manager-Bronx The Dermatology SpecialistsMedical Office Manager-BronxNew York City2 years’ + experience in Hospitality or Medical management as a minimum; Experience in managing a team; Ability to give direction with confidence; Hard-working and willing to be part of a team; Desire to grow with the practice; Flexible availability. - Knowledge of health insurance policies, guidelines- including copays, coinsurances, referrals, verification of insurances; handling patients' records discretely, updating demographic and financial information; Protecting and securing medical records.
NewEverHealth - RCM Service Manager (Remote, US) EverCommerce IncEverHealth - RCM Service Manager (Remote, US)NYRemote$50,000–$60,000 / yearAs a leading service commerce platform, our modern digital and mobile applications create predictable, informed, and convenient experiences between customers and their service professionals in the areas of Home & Field Services, Health Services, and Wellness industries. The RCM Service Manager partners closely with internal billing, claims, coding, vendor, and operations teams to ensure timely and accurate revenue cycle execution.
DRG Reviewer MedReviewDRG ReviewerNew York, NYRemoteFull timeUnder the direction of the DRG Operations leadership team, the DRG Reviewer conducts reviews of inpatient claims to ensure coding accuracy and appropriate DRG assignment while identifying cases requiring clinical review to support coded diagnoses. Responsibilities: Analyze and review inpatient claims following the Official Coding and Reporting Guidelines to validate the reported ICD-10-CM/PCS codes to ensure proper DRG assignment for accurate billing.
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.
Compliance Auditor Talkspace IncCompliance AuditorNew York, NYRemote$77,000–$92,000 / yearWe encourage you to apply, even if you don't meet every qualification or if your path has been nontraditional - such as not completing a formal degree program, taking a career break, or having a prior criminal record - if you believe you could make a great addition to this team. Combining our passion for innovation along with our desire to help others overcome the stigma behind "getting help," we are transforming the way patients find the right care provider, making an otherwise impossible feat easily conquerable.
Research Scientist R37 Lab, R1 RCMResearch ScientistNew York, New YorkPhare Health is now part of R1 and its AI innovation engine, R37 Lab , bringing Phare’s frontier clinical reasoning technology together with one of the largest healthcare platforms in the U.S. At R37 and Phare, we are building the first AI-native Healthcare Revenue Operating System : a connected platform that reasons over full medical records, payer logic, and financial workflows to automate medical coding, billing, and follow-up. The Company’s employment practices, including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person’s age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law.
Billing Specialist, Per Diem (Athena Experience Preferred) VNS HealthBilling Specialist, Per Diem (Athena Experience Preferred)New York, NY$31.94–$38.20 / hourWorks with Clinical Director in preparing internal presentations, knowledge libraries, coding guidelines, and summary reports of coding review for department infrastructure, maintains professional communication with provider engagement team by assisting with analysis, trending, and presentation of audit/review findings, outcomes, and issues. Engages with medical practitioners to provide feedback and educational resources on best practices for medical coding and keeps current on new coding and billing guidelines, federal and state initiatives regarding claims and trains other staff in new/changes to regulations.
NewSr Software Engineer UnitedHealth Group IncSr Software EngineerBasking Ridge, NJ$91,700–$163,700 / hourThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. Sr Software Engineer at UnitedHealth Group ","FormTypeId":null,"UrlLanguageCode":null,"PreviewType":0,"DateCreated":"2026-03-13T13:45:39.5319907","DateUpdated":"2026-07-13T17:56:15.0506395"}, "site"); Caring.
Revenue Integrity Analyst (FGP) - Manhattan, CBO North Billing (CPC highly preferred) New York University School of MedicineRevenue Integrity Analyst (FGP) - Manhattan, CBO North Billing (CPC highly preferred)New York, NY$70,481.60–$94,605 / yearKnowledge of: Current Procedures Codes (CPT) and International Class of Diseases Codes (ICD9/10) utilized in medical billing; Medical billing software; Healthcare billing including Medicare, Medicaid, or other third-party payers; Terminology utilized in medical billing; English usage, grammar, and spelling; Basic math. Conducts special projects and special studies to facilitate revenue management as required for system conversions, new facilities/acquisitions, new departments, new service lines, changes in regulations, legal reviews, etc.
Senior Platform Software Engineer Oracle CorpSenior Platform Software EngineerNY$92,500–$209,500 / yearOwns moderately complex components within platform services or SDKs; leads team-level improvements to integration frameworks and developer tooling. Oracle maintains broad salary ranges for its roles in order to account for variations in knowledge, skills, experience, market conditions and locations, as well as reflect Oracle''s differing products, industries and lines of business.
Urgent Requirement - Certified Professional Coder Integrated Resources, IncUrgent Requirement - Certified Professional CoderEwing Township, New JerseyFull timeRequires current Registered Health Information Technologies (RHIT) or Certified Professional Coder designation from the American Academy of Professional Coders or a Certified Coding Specialist from the American Health Information Management (AHIMA). Handle internal and external areas requests to investigate current state and historical of changes made to a particular CPT-4/HCPC/Diagnosis code such as effective dates, messages used, parameter limitations.
Assistant Director (FGP), Revenue Optimization & Analytics - Radiology, Manhattan NYU Langone HealthAssistant Director (FGP), Revenue Optimization & Analytics - Radiology, ManhattanNew York, NY$121,792.22–$210,091.64Full timeWork closely with departmental and revenue cycle leadership on initiatives that target revenue optimization for radiology services, including identifying bottlenecks, analyzing root causes, and implementing corrective measures. Regularly meet with Department Chair and his leadership team to present revenue cycle insights, address payor issues, and review opportunities for improvement using practice-specific and departmental data.
Applied AI Scientist, Clinical AI Agents R37 Lab, R1 RCMApplied AI Scientist, Clinical AI AgentsNew York, New YorkPhare Health is now part of R1 and its AI innovation engine, R37 Lab , bringing Phare’s frontier clinical reasoning technology together with one of the largest healthcare platforms in the U.S. At R37 and Phare, we are building the first AI-native Healthcare Revenue Operating System : a connected platform that reasons over full medical records, payer logic, and financial workflows to automate medical coding, billing, and follow-up. You will be embedded in hard healthcare problems — clinical documentation integrity, medical coding, denial prevention, appeals, revenue cycle workflows, and payer logic — and will own the loop from problem framing to agent design, evaluation, deployment, trace analysis, and ongoing improvement.
Clinical Nurse Reviewer Zelis Healthcare, Inc.Clinical Nurse ReviewerMorristown, NJ$59,000–$75,050 / yearThe Nurse Reviewer is primarily responsible for conducting post-service, pre or post payment in-depth claim reviews based on accepted medical guidelines and clinical criteria, billing and coding rules, plan policy exclusions, and payment errors/overpayments. 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.
Assistant Director (FGP), Revenue Optimization & Analytics - Radiology, Manhattan New York University School of MedicineAssistant Director (FGP), Revenue Optimization & Analytics - Radiology, ManhattanNew York, NY$121,792.22–$210,091.64 / yearWork closely with departmental and revenue cycle leadership on initiatives that target revenue optimization for radiology services, including identifying bottlenecks, analyzing root causes, and implementing corrective measures. Regularly meet with Department Chair and his leadership team to present revenue cycle insights, address payor issues, and review opportunities for improvement using practice-specific and departmental data.
Revenue Integrity Analyst (FGP) - Manhattan, CBO North Billing (CPC highly preferred) NYU Langone HealthRevenue Integrity Analyst (FGP) - Manhattan, CBO North Billing (CPC highly preferred)New York, NY$70,481.60–$94,605Full timeKnowledge of: Current Procedures Codes (CPT) and International Class of Diseases Codes (ICD9/10) utilized in medical billing; medical billing software; healthcare billing including Medicare, Medicaid, or other third party payers; terminology utilized in medical billing; English usage, grammar, and spelling; basic math. Reporting to the Assistant Director, Professional Billing, the Revenue Integrity Analyst is responsible for managing, coordinating, and implementing charge capture initiatives and processes to improve revenue management and revenue protection and ensures the overall integrity of the charge capture process.
Site Administrator, Multispecialty, Clinton NJ St. Luke’s University Health NetworkSite Administrator, Multispecialty, Clinton NJClinton, New JerseyMaintains strong collaboration and connectivity with Access Center operations and centralized functions (e.g., POD, Capacity Management, etc.) to enable seamless operations and optimal patient/employee experiences (e.g., transfers, triage protocols, template changes, huddles, POD/practice connectivity, etc.). Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.
DRG Clinical Validation Lead Elevance Health IncDRG Clinical Validation LeadNew York, NY$89,520–$161,136 / yearPreferred Skills, Capabilities and Experiences: One or more of the following certifications are preferred: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Clinical Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. How you will make an impact: Conducts pre-certification, retrospective, out of network and appropriateness of treatment setting reviews to ensure compliance with applicable criteria, medical policy, and member eligibility, benefits, and contracts.
Palliative Care Nurse Practitioner CompassusPalliative Care Nurse PractitionerWall Township, NJThe Palliative Care Nurse Practitioner provides palliative care for patients facing chronic, complex, and /or life-threatening conditions at various locations within the flow of patient care. Meaningful Work: Make an impact every day by honoring the quality of life of our patients, supporting them and their families with compassion, and creating moments that truly matter.
Director of Patient Access Services-Patient Financial Services-Corporate 42nd Street-Full-Time Days Mount Sinai Health SystemDirector of Patient Access Services-Patient Financial Services-Corporate 42nd Street-Full-Time DaysNew York, NY$127,044–$190,565 / yearCollaborating with hospital and physician leadership, this position works closely with Revenue Integrity, Coding, Billing, Cash Posting, and Case Management in defining vision, strategy and priority setting for system wide-revenue operations system initiatives, including: The integration and distribution of information that contributes to the capture, management, and collection of hospital patient service revenue using a holistic perspective to ensure that the business processes are operating in an integrated, efficient state to achieve maximum effectiveness; Improving business processes to maximize and protect the assets of the enterprise by enhancing and maintaining a properly functioning revenue cycle process through a cross-department organizational structure; Establishing and maintaining key revenue cycle performance indicators for the enterprise in support of BMC's strategic plan. 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.
VP, RCM Business Operations oneOncologyVP, RCM Business OperationsNew York, NY$180,000–$230,000 / yearJob Description: This individual will be responsible for helping coordinate the day-to-day execution of all RCM functions, working with the Chief Revenue Officer ("CRO") and the other RCM Vice Presidents to optimize performance, ensure proactive communication with practices, manage risks and issues along with the overall OO RCM team. OneOncology is positioning community oncologists to drive the future of medical care through a patient-centric, physician-driven, and technology-powered model to help improve the lives of everyone living with cancer and other diseases.
Auditor And Educator - Professional Services/Remote Trinity Health CorporationAuditor And Educator - Professional Services/RemoteNewtown, PARemoteAs a "Auditor and Educator" you will: Provides high level technical competency & subject matter expertise analyzing coding and documentation review for professional services, including code selection of evaluation and management codes and procedural services. St. 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.
eService Call Center Asscociate Integrated Resources, InceService Call Center AsscociateNewark, New JerseyContractorThis is Direct Hire with our ClientJob DescriptionSkills Required:3+ years in a large call center with excellent customer service skillsBilingual in Spanish/English is a major plusSome experience in a call center or customer service role within the health insurance industry required. Core Individual Contributor Competencies: Personal and professional attributes critical to successful performance for IndividualContributors: Customer Focus, Accountable, Learn, CommunicateQualificationsEducation/Experience:High school degree or equivalent required.
Call Center Service Associate Integrated Resources, IncCall Center Service AssociateNewark, New JerseyContractorThis is Direct Hire with our ClientJob DescriptionSkills Required:3+ years in a large call center with excellent customer service skillsBilingual in Spanish/English is a major plusSome experience in a call center or customer service role within the health insurance industry required. Initiate investigation process based on the nature of the inquiry (claim, member information, benefits, enrollment, appeals, etc.).Utilize available resources to quickly and efficiently resolve or redirect inquiries in accordance with prescribed departmental process.
Full Time Profee Oncology Coder Remote Inventurus Knowledge Solutions LtdFull Time Profee Oncology Coder RemoteNYRemoteOur Care Enablement Platform delivers data-driven value and expertise across the care journey, and IKS is a partner for clinician enterprises looking to effectively scale, improve quality and achieve cost savings through forward-thinking solutions. IKS Health takes on the chores of healthcare, reducing administrative, clinical, and operational burdens so that staff can focus on their core purpose: delivering exceptional care.
Certified Professional Coder (CPC) Lead/Provider Liaison Integrated Resources, IncCertified Professional Coder (CPC) Lead/Provider LiaisonNewark, New JerseyContractorResponsibilities: Operates as the intermediary between the Risk Adjustment Management team and provider-facing staff to report and deliver commercial risk adjustment insightsWorks closely with the Risk Adjustment Management Business Analyst to monitor risk adjustment trends, provider coding performance and member health status using existing tools and performing ad hoc analysisCollaborates with the Network Management leadership in developing, monitoring and driving key performance metrics for Network Management Provider EducatorsCollaborates with the Network Management leadership in developing and delivering commercial risk adjustment educational content and materials for internal and external use, including clinicians and supporting staffValidates documentation against submitted claims diagnosis codes and prepares detailed reportsSupports Risk Adjustment Data Validation auditsDrives communication with pertinent staff and managers to ensure that interdependencies between the departments, other projects and functional work streams are accurately identified and addressedProvides status reports to managementQualificationsCertifications:AAPC Certified Professional Coder (CPC) or AHIMA Certified Coding Specialist (CCS)Knowledge:Understands key tenets of commercial risk adjustment and the HHS-HCC risk adjustment model Mastery of medical coding best practices Project management skills Experience displaying ability to think analytically Strong communications and presentation skills Computer skills: Outlook, Excel, Word & Powerpoint Location could be: Newark, NJ OR West Trenton OR Ewing OR Wall, NJDuration: Contract to HireJob Summary:The Provider Liaison is accountable for extracting insights specific to providers and provider groups regarding commercial risk adjustment and developing educational materials for Network Management professionals to communicate with providers and staff regarding client's risk adjustment programs.
Field Reimbursement Manager (Seattle, Denver or Salt Lake City) Recordati SpAField Reimbursement Manager (Seattle, Denver or Salt Lake City)Bridgewater, NJRemoteServe as subject matter experts on issues of coverage, access and reimbursement by providing compliant, limited support to US health care providers (HCPs) and their office staff in navigating the reimbursement landscape for products of Recordati Rare Diseases Inc. (RRD) after the HCP made an independent decision to prescribeCollaborate with HCP staff and Specialty Pharmacy to follow up with accounts that have outstanding prior authorization or appeals submissions. The FRM is responsible for providing access and reimbursement education to healthcare providers (HCPs)and office personnel, including information regarding medical policies, prior authorization requirements, coding and billing, product access via buybill or specialty pharmacy with the goal of minimizing barriers to therapy.
Claims Adjudication Associate Capital Rx, Inc.Claims Adjudication AssociateNew York, NY$98,800–$123,500 / 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. Manage and prioritize escalated claims-related workflows, including appeals, subrogation, payment issues, stop-loss, adjustments, and member/provider inquiries, based on contractual obligations, regulatory requirements, business risk, and client impact.
Documentation Review Nurse Hunterdon HealthDocumentation Review NurseFlemington, NJAssess emergency department documentation using Emergency Department E/M and Critical Care Facility Charge Assessment tool to ensure the patient documentation accurately reflects the patients clinical presentation, diagnoses, and captures all treatment and services provided. Utilize effective critical thinking skills to resolve issues and assess and implement improved methods for efficient capture of patient services in compliance with coding and documentation regulations to ensure revenue capture and reduce denials and appeals.
Billing Coordinator II Opportunities - Long Island NYU Langone HealthBilling Coordinator II Opportunities - Long IslandLong IslandFull timeCollaborate with the corporate Revenue Integrity Analysts to understand CPT and ICD-10 guidelines, payer policy and procedure manuals, updates, and CMS publications to ensure practices are compliant with current policies and procedures. Detail oriented with high level of accuracy for reviewing charge batch submissions, analyzing and correcting coding denials, preparing, and presenting analyses.
Manager, Clinical Bus Amin Columbia UniversityManager, Clinical Bus AminNew York, NYMaster's degree in healthcare administration, business administration, finance, accounting, or a related field preferred, with experience in an academic medical center, hospital, faculty practice organization, or similarly complex healthcare environment, and knowledge of healthcare operations, revenue cycle workflows, billing processes, clinical support arrangements, and related administrative practices strongly preferred. The Manager of Clinical Business Administration partners with operational stakeholders to monitor performance, audit billing and coding compliance, resolve issues, reduce risk, and identify opportunities to improve revenue and efficiency, while also supporting business planning and managing key affiliate agreements, contracts, and practice initiatives.
Patient Financial Coordinator #Full Time 61st Street Service CorpPatient Financial Coordinator #Full TimeNew York, NY$24.76–$33.17 / hourThis position acts as a crucial member of our patient care teams to coordinate the financial aspects of the patient’s care, while working together with our other dedicated team members in creating a positive and memorable patient experience. The PFC serves as a resource to patients regarding financially related matters such that they are accessible to patients for ongoing questions regarding this aspect of their care.
Revenue Cycle Supervisor (Self Pay and Specialty) Self Pay and SpecialtyRevenue Cycle Supervisor (Self Pay and Specialty)Fort Lee, New JerseyDemonstrated 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.
Revenue Cycle Supervisor (Self Pay and Specialty) Columbia UniversityRevenue Cycle Supervisor (Self Pay and Specialty)New York, NY$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.