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.
NewAssociate, Payment Integrity IBR Oscar Health InsuranceAssociate, Payment Integrity IBRNew York, NY$91,908–$120,629 / yearThis is accomplished by leveraging a deep understanding of Oscar's claim infrastructure, workflows, workflow tooling, platform logic, data models, etc., to work cross-functionally to understand and translate friction from stakeholders into actionable opportunities for improvement. Proactively identify and document potential billing errors, including duplicate billing of items, services, or procedures as improper unbundling of services (e.g., separating components that should be billed together) and charges for non-covered or non-rendered services.
Offsite Billing Coordinator- Multispecialty, Bronx, New York, Full Time, Days Mount Sinai Health SystemOffsite Billing Coordinator- Multispecialty, Bronx, New York, Full Time, DaysBronx, NY$20–$28.98 / hourWe 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.
Medical Biller Affinity Med SolutionsMedical Billerpark ridge, NJFull timeAffinity Med Solutions a leader in out of network billing is seeking a detail-oriented and organized Medical Biller to join our team. The ideal candidate will be responsible for managing billing processes mainly calling insurance companies and following up on claims to complete resolution.
Certified Professional Coder (Accounts Receivable) Accounts ReceivableCertified Professional Coder (Accounts Receivable)Fort Lee, New JerseyThe salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to departmental budgets, qualifications, experience, education, licenses, specialty, and training. The Certified Professional Coder (CPC) is responsible for accurate coding of medical records and claims within the Clinical Revenue Office's Accounts Receivable department.
Medical Coder Surgical Care Affiliates LLCMedical CoderNYAs part of Optum, SCA Health is redefining specialty care by developing more accessible, patient-centered practice solutions for a network of more than 370 ambulatory surgical centers, over 400 specialty physician practice clinics and numerous labs and surgical hospitals. Beacon Orthopaedics & Sports Medicine is a nationally known and respected leader in providing sports medicine and orthopedic care for over twenty five years with 20+ locations in Southwest Ohio (Cincinnati and Dayton), Northern Kentucky and Southeastern Indiana.
Senior Consultant - Clinical Documentation Specialist Deloitte Touche Tohmatsu LtdSenior Consultant - Clinical Documentation SpecialistNew York, NY$110,700–$218,300 / yearOther skills include the ability to analyze, act and design action plans upon monthly and quarterly reports related to individual providers, facilities, MS-DRGs, APR, PSIs, severity of illness and risk of mortality, capture rates, quality metrics and can effectively prioritize their work activities. Clinical Payments Optimization: Assisting clients by validating that payments for clinical healthcare services comply with regulatory, clinical based evidence and contractual requirements while also determining that payments are appropriate for the type and level of care provided.
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.
Experienced Associate, Forensics BDO USA PCExperienced Associate, ForensicsNY$65,000–$85,000 / yearJob Summary: The Experienced Associate, Healthcare Forensics role is a highly analytical and detail-oriented individual responsible for identifying, analyzing, and resolving payment inaccuracies across healthcare claims as it relates to reimbursement disputes, fraud, waste, and abuse investigation, regulatory compliance, and litigation. Keywords: Forensic, Healthcare Coding, Payment Integrity, Revenue Integrity, Revenue Cycle Management, Consulting, Disputes, Litigation, Investigation, Fraud, Waste, Abuse, Coding Auditor, Charge Capture, Healthcare Compliance.
Certified Professional Coder, Special Investigations Unit (Aetna SIU) CVS Health CorpCertified Professional Coder, Special Investigations Unit (Aetna SIU)NJ$43,888–$93,574 / yearThe Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. Uses department resources regularly and follows workflows with minimal assistance or intervention to perform daily work to meet metrics.
Medical Assistant - Brooklyn Human HireMedical Assistant - BrooklynBrooklyn, NYHumanHire is a national executive search and staffing firm with a leadership team that has over 50 years of experience as trusted industry professionals specializing in direct hire, temp to hire, temporary and payrolling services. Responsibilities include patient intake, clinical and laboratory support, diagnostic testing, EMR documentation, and assisting providers in a fast-paced outpatient setting.
Medical Assistant - Brooklyn (Float West) Human HireMedical Assistant - Brooklyn (Float West)Brooklyn, NYHumanHire is a national executive search and staffing firm with a leadership team that has over 50 years of experience as trusted industry professionals specializing in direct hire, temp to hire, temporary and payrolling services. Responsibilities include patient intake, clinical and laboratory support, diagnostic testing, EMR documentation, and assisting providers in a fast-paced outpatient setting.
Chinese Speaking Medical Biller NY Otolaryngology PLLCChinese Speaking Medical BillerFlushing, NYFull timeAs a Medical Biller, you will be working closely with patients to answer questions related to billing, processing all forms needed for insurance billing purposes, and collecting necessary documentation from patients. You will also assist and follow-up inquiries to patients, communicate with physicians' offices and hospitals to obtain records, and accurately record patient information.
Medicaid Billing Administrator - Intern (Unpaid) Neuropath Healthcare SolutionsMedicaid Billing Administrator - Intern (Unpaid)Union, New JerseyThe Medicaid Billing Administrator Internship at Neuropath Behavioral Healthcare is designed to provide students and recent graduates with practical training and exposure to healthcare billing processes. Interns will gain hands-on experience in Medicaid claims processing, billing compliance, and healthcare administration while working under the direct supervision of experienced billing professionals.
Optometry Medical Biller Sew Eyes IncOptometry Medical BillerWayne, NJFull timeThe ideal candidate has excellent attention to detail, strong customer service skills, and is comfortable spending much of the day on the phone. As a Medical Biller, you will be working processing all forms needed for insurance billing purposes, and collecting necessary documentation.
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.
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, Queens The Dermatology SpecialistsMedical Office Manager, QueensRidgewood, New Jersey2 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; This position requires a hands-on manager with exceptional communication skills, a thorough knowledge of office operations, human resource management, business development and financial oversight.
NewMedical 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.
Medical Biller Preventive PlusMedical BillerParamus, NJPart timeAs a Medical Biller, you will be working closely with clients to answer questions related to billing, processing all forms needed for insurance billing purposes, and collecting necessary documentation from clients. You will also assist other Medical Billers with follow-up inquiries to clients, communicate with physicians' offices and hospitals to obtain records, and accurately record patient information.