Certified Coder St. Joseph's Healthcare SystemCertified CoderPaterson, NJThe combined efforts of the organization's outstanding physicians, superb nurses, and dedicated clinical and professional staff have made us one of the most highly respected healthcare organizations in the state, the largest employer in Passaic County, and one of the nation's "100 Best Places to Work in Health Care". This role works closely with providers, clinical staff, and revenue cycle teams to review medical records, validate documentation completeness, apply correct CPT, ICD-10-CM, and HCPCS codes, and educate providers on documentation best practices.
Radiology Scheduler Call Center UnitedHealth Group IncRadiology Scheduler Call CenterMount Kisco, NYClinical ›Corporate and business operations ›Customer and support services ›Early careers›Sales and account management ›Technology and data›Physicians›Advanced practice clinicians›Pharmacy›Behavioral health›Nursing›Medical coding›Clinical support›U.S. Performs certain follow-up services for patients in a prompt and courteous manner such as scheduling specialist appointments scheduling follow-up appointments and obtaining copies lab results or specialist reports.
Clinical Documentation Quality Improvement Specialist II-Mount Sinai Brooklyn - Full-time - Day Mount Sinai Health SystemClinical Documentation Quality Improvement Specialist II-Mount Sinai Brooklyn - Full-time - DayBrooklyn, NY$79,720–$108,709 / yearThe Clinical Documentation Quality Improvement Specialist II is responsible for improving the overall quality and completeness of clinical documentation; facilitates modifications to clinical documentation through extensive interaction with physicians, nursing staff, other patient caregivers, and medical records coding staff to ensure that documentation reflects complete and accurate level of service rendered to patients. 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.
Patient Services Representative UnitedHealth Group IncPatient Services RepresentativeWest Nyack, NYConsider number of unauthorized or unscheduled absences a pattern of before and after-weekend absences tardiness and early departures and long meal periods in accordance with the policy Promotes a positive work attitude fostering teamwork and acceptance of management decisions Supports on-site training initiative for new Patient Services employees Assist co-workers whenever possible to achieve office goals and patient satisfaction Works independently takes initiative in completing assignments and does so without reminder Completes all miscellaneous work assigned by Director Assistant Director Manager Supervisor Team Leader or Physician accurately and in a timely manner Opens office as needed turns on copiers terminals and printers and updates computer for current days session Communicate with clinical staff to keep patient informed of appointment status Verifies insurance eligibility and coverage by phone independent website RTE or EPIC at time of service Verifies patient demographic and insurance information at time of visit. Act on notations and complete the check in process successfully Schedules Cancels Reschedules patient appointments as ordered by the physician adhering to scheduling policies and procedures Obtains HMO insurance referrals as required for maximum reimbursement of services rendered Notifies management or other departments appropriately using Clerical Templates for various issuesrequestsreasons Maintains supply inventories and equipment necessary for the effective performance of the job communicates supply needs to the office supervisor in a timely manner Maintains a neat organized orderly environment in the reception and waiting room areas including physician business cards brochures signage etc Closes office as needed ensuring all patients accounted for and discharged.
Per Diem, Advanced Practice Clinician VNS HealthPer Diem, Advanced Practice ClinicianNew York, New York$58.30–$77.72 / hourPer diemLicense and current registration to practice as a Registered Professional Nurse in New York State required Certificate (license) and current registration to practice as a Nurse Practitioner in the State of New York, with a specialty in adult health, family health or gerontology required Valid driver's license, as determined by operational/regional needs may be required Maintains credentialed status with VNS Health Medical Care at Home and associated managed care plans required Maintains NPI, Medicaid and Medicare provider numbers preferred Maintains a collaborative practice agreement with a physician in compliance with New York State regulations preferred Must be certified by ANCC or another accrediting Nurse Practitioner body – in order to bill Medicare and meet credentialing requirements required For Psychiatric Nurse Practitioners only: Current PMHNP-BC certification required. Minimum of two years of experience as a nurse practitioner utilizing full scope of practice preferred Clinical home care experience or two years managerial experience preferred Demonstrated knowledge of Hedis and QARR quality measures, ICD-10 and CPT coding for reimbursement of services required Bilingual skills, as determined by operational needs required For Psychiatric Nurse Practitioners only: Minimum of two years of experience as a psychiatric nurse practitioner utilizing full scope of practice required.
Advanced Practice Clinician (Bilingual Chinese required) VNS HealthAdvanced Practice Clinician (Bilingual Chinese required)Brooklyn, New York$109,900–$146,500 / yearFull timeManages and provides comprehensive, advanced nursing care, including post-discharge aftercare visits, annual comprehensive assessment visits, palliative care-care management program onboarding, and change in condition assessment visits (including physical examination, comprehensive history, screening for physical and/or psychological conditions, and point of care testing). Provides care in one or more care settings based on the clinical requirements: virtually, telephonically or travels to patients’ homes and/or other facilities with varying environments (e.g., elevated buildings, walk-ups, care facilities, single/multiple family homes, presence of pets, etc.) using approved transportation options.
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.
NewEmployed Optometrist- New York, NY- LensCrafters EssilorLuxottica SAEmployed Optometrist- New York, NY- LensCraftersNew York, NY$65.19–$91.39 / hourIf you would like to provide feedback regarding an active job posting, or if you are an individual with a disability who would like to request a reasonable accommodation, please call the EssilorLuxottica SpeakUp Hotline at 844-303-0229 (be sure to provide your name, job id number, and contact information so that we may follow up in a timely manner) or email EmployeeRelations@luxotticaretail.com. LensCrafters is part of EssilorLuxottica, a global leader in the design, manufacture and distribution of world-class vision care products, including iconic eyewear, advanced lens technology and cutting-edge digital solutions.
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.
Ed Business Associate | Full-Time Day Shift E/O Weekend (25516) Bergen New Bridge Medical CenterEd Business Associate | Full-Time Day Shift E/O Weekend (25516)Paramus, New JerseyArranges for the efficient and orderly admission of patients presenting to the Emergency Department, ensuring that all required patient information pertinent to registration is obtained and accurately entered into the EMR per EMTALA and HIPAA compliance regulations. Admits, discharges and transfers patients to and from units such as Emergency Room, Skilled Nursing Facility, Psychiatric Services, SDS, etc.
Ed Business Associate | Full-Time Night Shift E/O Weekend (25517) Bergen New Bridge Medical CenterEd Business Associate | Full-Time Night Shift E/O Weekend (25517)Paramus, New JerseyArranges for the efficient and orderly admission of patients presenting to the Emergency Department, ensuring that all required patient information pertinent to registration is obtained and accurately entered into the EMR per EMTALA and HIPAA compliance regulations. Admits, discharges and transfers patients to and from units such as Emergency Room, Skilled Nursing Facility, Psychiatric Services, SDS, etc.
NewEmployed Optometrist- Yonkers, NY- LensCrafters at Ridge Hill EssilorLuxottica SAEmployed Optometrist- Yonkers, NY- LensCrafters at Ridge HillYonkers, NY$65.19–$91.39 / hourIf you would like to provide feedback regarding an active job posting, or if you are an individual with a disability who would like to request a reasonable accommodation, please call the EssilorLuxottica SpeakUp Hotline at 844-303-0229 (be sure to provide your name, job id number, and contact information so that we may follow up in a timely manner) or email EmployeeRelations@luxotticaretail.com. LensCrafters is part of EssilorLuxottica, a global leader in the design, manufacture and distribution of world-class vision care products, including iconic eyewear, advanced lens technology and cutting-edge digital solutions.
Senior Inpatient Coder Westchester Medical Center Health NetworkSenior Inpatient CoderValhalla, NY$39.66–$49.86 / hourJob Details: Job Summary: The Senior Inpatient Coder is responsible for addressing appeals to insurance companies and coding highly complex medical records using the current International Classification of Diseases (ICD10 CM/PCS codes) and entering coded information into an automated grouper system. Job Category Job Category 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.
Registered Nurse (RN) - Home Visits Help at Home LLCRegistered Nurse (RN) - Home VisitsForest Hills, NYOverview\n \nAs the nation's leading provider of high-quality home care services, we empower our clients to live independently, safely, and with dignity in their own homes. One year of nursing experience.\n \nThe above statements are intended to describe the general nature and level of work being performed by people assigned to this classification.
IBR Senior Analyst Zelis Healthcare, Inc.IBR Senior AnalystNJ$79,000–$99,750 / yearThis 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. The Itemized Bill Review Senior Analyst will be responsible for analyzing hospital claims for adherence to proper billing guidelines and will work closely with Expert Claims Review staff to efficiently adhere to policies and procedures for claims processing.
NewPre Service Rep - Patient Access Central - Full Time Day Shift (23944) Bergen New Bridge Medical CenterPre Service Rep - Patient Access Central - Full Time Day Shift (23944)Paramus, New JerseyThe preservice representative assures that all patients have all information they need so that they will arrive on time and prepared for their appointment and the hospital has all the information required to properly bill or services. Additionally, we are committed to the personal and professional growth of our employees, offering robust tuition reimbursement and continuing education programs to help support our employees ongoing development.
NewOncology Authorization Specialist St. Joseph's Healthcare SystemOncology Authorization SpecialistPaterson, NJThe combined efforts of the organization's outstanding physicians, superb nurses, and dedicated clinical and professional staff have made us one of the most highly respected healthcare organizations in the state, the largest employer in Passaic County, and one of the nation's "100 Best Places to Work in Health Care". Key responsibilities include verifying insurance coverage, obtaining necessary authorizations, and providing clear cost estimates to patients, thereby promoting transparency and reducing financial uncertainty.
Associate Product Manager- Denials AI Med-Metrix, LLCAssociate Product Manager- Denials AIParsippany-Troy Hills, 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. Orient new hires and provide in-services and training, continuing education, and development related to those functional areas of responsibility.
Remote Pediatric Medical Coder - PICU / Neonatology (ProFee) UCSF Medical CenterRemote Pediatric Medical Coder - PICU / Neonatology (ProFee)NYRemote$50.61–$63.01 / hourThe University of California, San Francisco (UCSF) is a leading university dedicated to promoting health worldwide through advanced biomedical research, graduate-level education in the life sciences and health professions, and excellence in patient care. Resolve Claims Manager and Epic edits to ensure correct coding of services provided, including review of documentation for correct coding, evaluation and management (E/M) leveling, diagnosis coding, bundling issues, and modifier usage.
DRG QA and Trainer MachinifyDRG QA and TrainerNY$85,000–$95,000 / yearThis position plays a key role in auditing the work of both new hires and current staff while conducting training to ensure team members are equipped with the knowledge and skills needed to succeed. Deployed by over 85 health plans, including many of the top 20, and representing more than 270 million lives, Machinify brings together a fully configurable and content-rich, AI-powered platform along with best-in-class expertise.