MEDICAL PRACTICE MANAGER CenterLight Healthcare Pace CenterMEDICAL PRACTICE MANAGERBrooklyn, NY$80,000–$95,000 / yearMinimum of one (1) year of experience working with a frail or elderly population or, if the individual has less than one (1) year of experience but meets all other requirements, must receive appropriate training from the PACE organization on working with a frail or elderly population upon hiring. Audio Hearing and Motor Skills (language) Requirements - Must be able to listen attentively and document information from patients, community members, co-workers, clients, providers, etc., and intake information through audio processing with accuracy.
Medical Office Associate I, Full Time, Days - AMG Vascular - Freehold and Old Bridge Atlantic Health SystemMedical Office Associate I, Full Time, Days - AMG Vascular - Freehold and Old BridgeFreehold, NJResponsible for providing day-to-day support operations by performing administrative tasks and ensuring high-quality customer service to patients. Medical office associate manages both the front and back of the office, including billing support, scheduling, coding, patient communication, and filing.
Chinese Speaking Medical Biller CbChinese Speaking Medical BillerFlushing, New York$25–$35 / hourAs 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.
Audit Coordinator II (Repricing), Healthcare ExlService Holdings IncAudit Coordinator II (Repricing), HealthcareNYRemote$21.63–$26.44 / hourJoin our growing team as an Audit Coordinator II - Repricing, where you'll play a critical role in ensuring accurate claim payments, maximizing savings, and supporting top-tier healthcare clients. EXL harnesses the power of data, analytics, AI, and deep industry knowledge to transform operations for the world's leading corporations in industries including insurance, healthcare, banking and financial services, media and retail, among others.
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.
Training Manager ExlService Holdings IncTraining ManagerNYRemote$100,000–$120,000 / yearEXL never requires or asks for fees/payments or credit card or bank details during any phase of the recruitment or hiring process and has not authorized any agencies or partners to collect any fee or payment from prospective candidates. The ideal candidate will bring strong people leadership capability, a proven ability to develop high-performing teams, and experience driving training strategy, operational execution, and learner outcomes.
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.
Outpatient Auditor III ExlService Holdings IncOutpatient Auditor IIINYRemote$70,000–$90,000 / yearAs a Remote Certified Outpatient Facility Auditor, you will apply your in‑depth knowledge of CPT/HCPCS coding, APC payment methodologies, and outpatient regulatory guidelines to audit UB‑04 facility claims only, ensuring accurate APC assignment, proper packaging, and compliant facility billing. Conduct audits across infusion therapy, outpatient surgeries, imaging, and interventional radiology, such as: Verifying correct APC assignment for chemotherapy and non-chemotherapy infusions, hydration services, and observation-related services.
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.
Developmental Optometrist SM StaffingDevelopmental OptometristLakewood, New JerseyIn this vital role, you will provide comprehensive eye examinations focused on pediatric and developmental vision needs, helping children and patients of all ages improve their visual skills and overall quality of life. Your expertise will contribute to early detection of visual disorders, guiding patients through tailored treatment plans, and fostering a welcoming environment that emphasizes exceptional patient care.
NewPatient Advocate Specialist Firstsource Solutions LtdPatient Advocate SpecialistNYRemote$17–$19 / hourE. The goal of the Patient Advocate Specialist is to successfully resolve account balances for medical services provided by multiple healthcare facilities to patients by, contacting the patients by telephone and screen them to determine if the patient is eligible for state, county, and federal assistance programs. Follow-up with assigned accounts until every avenue is exhausted in trying to secure benefits for the patients or the patient is approved for a program and billing information is obtained.
Co-Founder & CEO - AI Clinical Documentation Compliance FutureSightCo-Founder & CEO - AI Clinical Documentation ComplianceNew York, NY$80–$85 / hourYou’ll co-create with a proven studio team, led by John Carbrey (4x entrepreneur, $100M ARR), Krista LaRiviere (3x exited, E&Y Top Women Entrepreneur), Alan Smith (Strategyzer co-founder, $120M in products built), Prathna Ramesh (former MD of Maple Leaf Angels, $275M in follow-on capital), and Johnny Tong (0-to-1 builder, acquired by SAP and Stripe) bring a rare combination of operator exits, institutional investing, and AI product depth. The market signal is incredibly strong: Unprompted Product Pull: Every single lead described the exact product we want to build: a pre-billing, real-time, EHR-integrated flagging layer that checks documentation against payer-specific rules before claims are submitted.
Inpatient Coder ApolisInpatient CoderTeaneck, NJRemote$35–$40 / hourWe are seeking an experienced Inpatient Coder with strong AHIMA credentials and extensive inpatient coding experience in Academic/Trauma Level 1 facilities. At least 3 years of inpatient coding experience in an Academic/Trauma Level 1 facility.
NewCoder Quality Auditor Ensemble Health PartnersCoder Quality AuditorWest New York, NJRemoteMinimum Education:Associates degree or equivalent experienceRequired Certifications:Candidates must have and keep current at least one of the following professional certifications (CPC, CPMA or CCS Preferred):CPC (Certified Professional Coder)CCS-P (Certified Coding Specialist-Phys Based)CCS (Certified Coding Specialist)CMPA (Certified Professional Medical Auditor)RHIA (Registered Health Information Administrator)RHIT (Registered Health Information Technician)#LI-HB1#LI-REMOTE. CAREER OPPORTUNITY OFFERING:Bonus IncentivesPaid CertificationsTuition ReimbursementComprehensive BenefitsCareer AdvancementThis position pays between $57,400 to $99,000 annually based on experienceThe Coder Quality Auditor conducts monthly and quarterly quality assessments of individual codes.
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.
Field Access Director, Rare Disease Ipsen SAField Access Director, Rare DiseaseNew York City, NY$165,000–$235,000 / yearEnsure access pull-through for all Ipsen Rare Disease therapies by proactively educating HCPs, office staff, and specialty pharmacy partners on coverage requirements, payer policies, prior authorization pathways, and patient out-of-pocket costs across commercial, Medicare Part D, and Medicaid channels. The FAD provides education and reimbursement support to Healthcare Providers (HCPs), healthcare institutions, prior authorization staff, and financial counselors, and addresses patient-specific access challenges including affordability, prior authorization, coverage gaps, and reimbursement.
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.
Insurance Authorization Specialist - NYC Human HireInsurance Authorization Specialist - NYCNew York, 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. If this is not the ideal position for you but are still interested in hearing about what other job opportunities are in your area, please visit www.humanhirellc.com and email your resume to jobs[at]humanhirellc.com!
Configuration and Quality Audit Manager | Hybrid NY HealthfirstConfiguration and Quality Audit Manager | Hybrid NYNew York, NY$103,400–$149,430 / yearManage, coach, and develop analysts responsible for claim configuration audits, payment validation, data analysis, issue documentation, and remediation tracking; assign work, monitor productivity, and ensure timely completion and consistent quality across all audit activities and deliverables; provide technical guidance, peer review, and feedback to ensure findings are well-supported, consistently documented, and appropriately risk rated. The Manager serves as a reimbursement and configuration audit subject matter expert, leads analysts, partners with operational and technical stakeholders, and reports audit results, root causes, financial impact, and corrective action status to leadership.
Clinical Documentation Integrity Specialist Episcopal Health ServicesClinical Documentation Integrity SpecialistFar Rockaway, New YorkAdditionally, St. John's is proud to be redesignated as a Baby-Friendly® Hospital by Baby-Friendly USA – the accrediting body and national authority for the Baby-Friendly Hospital Initiative (BFHI) in the United States. The hospital is a recipient of the Gold-Plus Get with the Guidelines®-Stroke Quality Achievement Award and the Gold-Plus Get with the Guidelines®-Heart Failure Quality Achievement Award from the American Heart Association.
Clinical Information Specialist CVS Health CorpClinical Information SpecialistPaterson, NJ$17–$34.15 / hourScribes receive extensive on-the-job training in clinical workflows, value-based medicine, preventative care for chronic conditions, accurate and specific documentation, population health data streams, and team based care. This is an excellent opportunity for pre-med track individuals looking to gain practical, paid experience in a clinical setting before applying to an MD/DO/PA/NP program, as well as those pursuing careers in Health Informatics, Public Health, Healthcare Administration, Medical Coding, and other related fields.
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.
ProFee Audit Specialist- PRN Datavant LLCProFee Audit Specialist- PRNNYRemote$35–$45 / hourWhat We're Looking For: As a Profee Auditing Specialist, you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, and coding workflow operations reviews. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies.
Clinical Statistical Programmer - II (Associate) Clinical Statistical Programmer - II (Associate) MindlanceClinical Statistical Programmer - II (Associate) Clinical Statistical Programmer - II (Associate)Florham Park, NJBachelors, Master or post-graduate degree (eg, PhD, DrPH, PharmD) in Health Economics, Biostatistics, Health Services Research, Public Health, Epidemiology, Pharmacy Administration, or other relevant discipline, with experience in coding and developing analytical datasets and conducting statistical analysis. " Extensive work experience with large US insurance claims databases, electronic medical records, registry databases for health outcomes research (e.g., Premier, IBM-marketscan, THIN European database, Humedica, IMSPharmetrics +, GEhealth, Flatiron, OMNY etc.).
Remote | Revenue Cycle Analytics & Decision Support Consultant — Up to $80/hour 24-MagRemote | Revenue Cycle Analytics & Decision Support Consultant — Up to $80/hourNew York, New YorkRemoteWe are sharing a specialised part-time consulting opportunity for United States-based healthcare revenue cycle professionals experienced in revenue cycle analytics, reporting, decision support, financial modeling, KPI dashboards, data governance, business intelligence, and healthcare financial performance improvement. This role supports current and upcoming remote consulting opportunities focused on AI-assisted revenue cycle analytics evaluation, healthcare financial reporting review, decision-support workflow assessment, and high-quality project execution.
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.
Principal Platform Software Engineer Oracle CorpPrincipal Platform Software EngineerNY$104,500–$234,600 / yearContinuous Improvement: Develops ideas, recommends updates, and/or collaborates on the implementation of process improvements to increase the efficiency and effectiveness of processes, protocols, and workflows across teams, and evaluates the impact on key stakeholders. Implements comprehensive software testing (e.g., functional and non-functional testing), quality assurance processes, software error logging, monitoring, and observability for effective debugging, sharing work with manager and/or lead upon completion.
Senior Application Software Engineer Oracle CorpSenior Application Software EngineerNY$87,000–$187,000 / yearOracle 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. Implements software testing (e.g., functional and non-functional testing), quality assurance processes, software error logging, monitoring, and observability for effective debugging, ensuring review by manager and/or lead throughout the process.
NewDiagnosis Related Group (DRG) / Inpatient Rehabilitation Facility (IRF) Auditor ExlService Holdings IncDiagnosis Related Group (DRG) / Inpatient Rehabilitation Facility (IRF) AuditorNYRemote$70,000–$110,000 / yearWhat You'll Do: Conduct comprehensive IRF payment integrity audits using the IRF-PAI, UB-04/final bill, acute inpatient discharge summary, complete IRF medical record, therapy documentation, physician orders and notes, nursing notes, MAR, history and physical, pre-admission screening, individualized overall plan of care, and interdisciplinary team documentation. Identify documentation, coding, and reimbursement discrepancies that may impact IRF payment, including unsupported diagnoses, comorbidities not treated or not clinically supported during the IRF stay, or diagnoses carried forward from the prior acute inpatient stay without IRF-level support.
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.
Staff Software Engineer, Billing ZocDoc, Inc.Staff Software Engineer, BillingNew York, NY$211,100–$285,000 / yearAs a technical leader, you won't just be writing code; you'll be driving high-visibility projects from conception to launch, mentoring talented engineers, and making the architectural decisions that will define how Zocdoc scales its billing platform for years to come. You will lead the evolution of our billing systems into a flexible, best-in-class platform capable of supporting diverse and fair pricing models-ranging from our core marketplace to new AI-driven innovations like Zo, our AI Phone Assistant.
Revenue Cycle Supervisor (Self Pay and Specialty) Columbia UniversityRevenue Cycle Supervisor (Self Pay and Specialty)Fort Lee, NJ$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.
Securities Settlements Engineering Developer, Vice President Citigroup IncSecurities Settlements Engineering Developer, Vice PresidentJersey City, NJ$142,320–$213,480 / yearMust-Have Skills: 10+ years of total experience in financial services software development Programming - Kotlin, Python & Java System Architecture for real-time high throughput performance optimization. This role requires deep expertise in system design, hands-on coding, and strong problem-solving skills to create resilient, high-performing, and secure applications.
Medical Assistant - Urology UnitedHealth Group IncMedical Assistant - UrologyLake Success, 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. › Ireland & UK › India › Philippines › Culture of Belonging› Employee Benefits› Blog. Technology and data Artificial intelligence Architecture Business systems analysis Data analytics Data engineering Data science Network infrastructure Product management & development Security and risk Software engineering.
Services Capital Allocation and Management, Lead Analyst - VP Citigroup IncServices Capital Allocation and Management, Lead Analyst - VPNew York, NY$142,320–$213,480 / yearPossess a Client Mindset, i.e familiarity with client perspective as well as banking solutions and products including cash management, trade, payments, securities services, foreign exchange, commodities, fixed income, loans (including syndicated, bilateral) and capital market product. The successful candidate will execute current client-oriented capital programs and accountability framework within Trade and Working Capital Solutions and expand them to the Services-wide level in order to deploy capital across highest returning clients and products.
Medical Billing Associate Human HireMedical Billing AssociateFair Lawn, NJOur Healthcare team is comprised of experts in the healthcare space, partnering with organizations ranging from large hospital systems to local specialty practices, leveraging over 50 years of combined industry experience to connect high-quality candidates with exciting, career-building opportunities. Keywords: Medical Billing Specialist, Commercial Insurance Billing, Accounts Receivable, A/R Follow-Up, Payment Posting, Denial Management, Appeals, EOB Review, Revenue Cycle, Medical Claims, Healthcare Billing, Insurance Collections.
NewDevOps Engineer Genesis10DevOps EngineerNew York, NYRemote$70–$90 / hourTemporaryContractorFull timeThis role requires far more than GitLab source control experience—you will own automated software delivery pipelines, implement governance and security best practices, and enable reliable deployments across multiple application stacks and cloud environments. Candidates should understand the unique CI/CD requirements of each platform, including dependency management, build optimization, testing frameworks, artifact creation, security scanning, containerization, and deployment strategies.
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.
NewSr Financial Navigation Specialist-REMOTE Weill Cornell Medical CollegeSr Financial Navigation Specialist-REMOTENew York, NYRemote$33.24–$36.32 / hourThe Sr Financial Navigation Specialist is responsible for strengthening the departments ability to deliver accurate insurance education, financial clearance, and patient support through targeted training and real-time operational support. Cornell welcomes students, faculty, and staff with diverse backgrounds from across the globe to pursue world-class education and career opportunities, to further the founding principle of "any person, any study."
Executive Director, Enterprise Billing Strategy, Bureau of Office of Chief Medical Officer City of New YorkExecutive Director, Enterprise Billing Strategy, Bureau of Office of Chief Medical OfficerQueens, NYA master's degree from an accredited college in hospital administration, public health, community health, health administration, emergency preparedness planning/management, emergency medical services, fire safety, law enforcement, homeland security, project management, public administration, business administration, management, or administration and three years of full-time satisfactory experience in a health services setting such as a laboratory, hospital, or other patient care facility, or in a public health, community health, environmental health, school health, social services, or mental hygiene program, of which at least 18 months of experience must have been in a managerial or administrative capacity requiring independent decision-making concerning program management, planning, evaluation for quality improvement and assurance, allocation of resources, and the scheduling and assignment of work; or. The Executive Director must bring a demonstrated, hands-on track record of personally standing up billing infrastructure for non-traditional provider types community health workers, doulas, peer specialists, and health educators in a Medicaid-dominant payer environment, from initial design through first revenue generation, with measurable financial results.
Senior Data Scientist - Clinical AI CVS Health CorpSenior Data Scientist - Clinical AINY$101,970–$203,940 / yearA&BC leverages advanced analytics, clinical informatics, and hypothesis-driven approaches to transform data into actionable, customer-centric insights that drive growth, improve health outcomes, and expand access to healthcare across all CVS Health businesses. Leverage large language models where they add clear value (e.g., training data creation, entity extraction, zero-shot classification) while knowing when traditional ML, rules-based approaches, or simpler statistical methods are the right tool for the job.
CDI Specialist- Remote Med-Metrix, LLCCDI Specialist- RemoteParsippany-Troy Hills, NJRemoteThe Clinical Documentation Integrity Specialist performs concurrent chart reviews to validate that the clinical documentation in the medical record appropriately describes the patient's severity of illness, complexity of care, and risk of mortality to facilitate appropriate coding. Physical 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.
Medical Scribe CVS Health CorpMedical ScribeBronx, NY$17–$34.15 / hourScribes receive extensive on-the-job training in clinical workflows, value-based medicine, preventative care for chronic conditions, accurate and specific documentation, population health data streams, and team based care. This is an excellent opportunity for pre-med track individuals looking to gain practical, paid experience in a clinical setting before applying to an MD/DO/PA/NP program, as well as those pursuing careers in Health Informatics, Public Health, Healthcare Administration, Medical Coding, and other related fields.
Medical Biller / Reimbursement Coordinator McKesson CorporationMedical Biller / Reimbursement CoordinatorEdison, NJ$17.44–$23.53 / hourResponsibilities Key Responsibilities:- Submit and follow up on insurance claims (commercial, Medicare, Medicaid)- Verify patient insurance eligibility and benefits- Review and resolve claim denials and rejections promptly- Manage accounts receivable and aging reports- Post payments and reconcile accounts accurately- Coordinate prior authorizations for chemotherapy, infusions, and specialty medications- Ensure compliance with coding and billing regulations (ICD-10, CPT, HCPCS)- Communicate effectively with patients, providers, and insurance companies regarding billing inquiries- Maintain accurate and up-to-date patient billing records Qualifications Qualifications:- Minimum 2+ years of medical billing experience (oncology/hematology preferred)- Strong knowledge of insurance guidelines, reimbursement processes, and prior authorizations- Relevant certifications such as Certified Professional Biller (CPB), Certified Coding Specialist (CCS), or Certified Professional Coder (CPC) are preferred but not required.- Familiarity with oncology-specific billing (infusion services, J-codes, drug billing) is highly desirable- Experience with EHR/PM systems (e.g., Athena, Centricity, ONCOEmr)Preferred Skills:- Experience handling high-dollar claims and specialty drug reimbursement- Knowledge of Medicare guidelines for oncology services- Ability to work independently and as part of a team in a fast-paced environmentPHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
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.
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.
Consultant, Outcomes Research Stats Analyst Artech LLCConsultant, Outcomes Research Stats AnalystFlorham Park, NJRemote$84.84 / hourBachelors, Master or post-graduate degree (eg, PhD, DrPH, PharmD) in Health Economics, Biostatistics, Health Services Research, Public Health, Epidemiology, Pharmacy Administration, or other relevant discipline, with experience in coding and developing analytical datasets and conducting statistical analysis. • Extensive work experience with large US insurance claims databases, electronic medical records, registry databases for health outcomes research (e.g., Premier, IBM-marketscan, THIN European database, Humedica, IMSPharmetrics +, GEhealth, Flatiron, OMNY etc.).
Certified Coder I Hospital for Special SurgeryCertified Coder INew York, NYThe salary of the finalist selected for this role will be determined based on various factors, including but not limited to: scope of role, level of experience, education, accomplishments, internal equity, budget, and subject to Fair Market Value evaluation. Enters ICD-10 and CPT codes and updates patients' information as needed into hospital financial system or computerized department abstracting system which can be used reliably for hospital reimbursement, research, education, and strategic planning.
Medical Scribe (Bilingual Spanish Required) CVS Health CorpMedical Scribe (Bilingual Spanish Required)New York, NY$17–$34.15 / hourScribes receive extensive on-the-job training in clinical workflows, value-based medicine, preventative care for chronic conditions, accurate and specific documentation, population health data streams, and team based care. This is an excellent opportunity for pre-med track individuals looking to gain practical, paid experience in a clinical setting before applying to an MD/DO/PA/NP program, as well as those pursuing careers in Health Informatics, Public Health, Healthcare Administration, Medical Coding, and other related fields.
Accounts Receivable Representative I Hospital for Special SurgeryAccounts Receivable Representative INew York, NYThe salary of the finalist selected for this role will be determined based on various factors, including but not limited to: scope of role, level of experience, education, accomplishments, internal equity, budget, and subject to Fair Market Value evaluation. Maintains Documentation & Manages Information - Maintains tracking logs Creates and maintains tracking logs for Insurance Payor issues and accountability for closing out items.