Revenue Cycle Denials Analyst Richmond Medical CenterRevenue Cycle Denials AnalystStaten Island, New YorkFamiliarity with UB-04 facility billing, payer remits, CARC/RARC codes, and OPPS/APC/DRG methodologies strongly preferred. Works with Patient Access, Coding, Utilization Review, Billing, Managed Care, and clinicians to reduce denial root causes.
Director, Payment Integrity Capital Rx LLCDirector, Payment IntegrityNew York, NY$206,400–$258,000 / yearPosition Summary: The Director, Payment Integrity will build and lead Judi Health''s payment integrity program from inception, establishing the infrastructure, processes, and team that will ensure claims are paid correctly, compliantly, and efficiently across our commercial plan population. By delivering true price transparency, eliminating unnecessary middleman fees, and leveraging advanced AI-powered care delivery, Judi Health helps clients achieve unprecedented operational efficiency and service levels.
Billing Compliance Specialist Weill Cornell Medical CollegeBilling Compliance SpecialistNew York, NY$79,400–$90,200 / yearCornell 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." Cornell University embraces diversity in its workforce and seeks job candidates who will contribute to a climate that supports students, faculty, and staff of all identities and backgrounds.
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.
Certified Professional Coder Apprentice (CPC-A) Acentus Practice Management LLCCertified Professional Coder Apprentice (CPC-A)Mt. Laurel, NJRemoteDaily duties of a CPC-A include resolving charge review edits to ensure accurate coding and billing, researching and clearing claim edits prior to claim submission, and investigating and working coding-related claim denials and payor rejections. In this role, you will play a crucial part in ensuring our professional medical billing and coding processes run smoothly, making a significant impact on our ability to help provide exceptional care to patients.
Supervisor, Education/Audit, Physician Billing Hackensack University Medical CenterSupervisor, Education/Audit, Physician BillingEdison, NJRemoteUnder the general direction of the Physician Billing (PB) Director of Coding and Manager of Education and Audit, the Supervisor, Education/Audit, Physician Billing will supervise the Coding Education and Audit team and conducts audits for medical provider documentation while adhering to Centers for Medicare and Medicaid Services (CMS) and Office of Inspector General (OIG) guidelines for Hackensack Meridian Health (HMH). At Hackensack Meridian Health we help our patients live better, healthier lives - and we help one another to succeed.
Clinical Trials Medicare Coverage Analyst VitaliefClinical Trials Medicare Coverage AnalystNew Brunswick, NJRemote$75,000–$100,000 / yearTHE ROLE We are seeking a full-time, fully benefited Vitalief employee to serve as a Clinical Trials Medicare Coverage Analyst in a fully remote capacity, supporting Vitalief’s client, a leading academic clinical research center in the Chicago area. KEY RESPONSIBILITIES Conduct Medicare Coverage Analyses (MCA) for a mixture of oncology and non-oncology clinical trial protocols identifying which procedures and services are billable to Medicare versus those considered research related.
Front Desk Coordinator - Full Time RestorixHealthFront Desk Coordinator - Full TimeRahway, NJResponsible for scheduling patients, precertification, insurance verification, charge entry and daily reconciliations, this position will wear many hats. When you join our team, you have the opportunity to develop your career based on your strengths and potential, including the possibility to move functionally, geographically, laterally and vertically.
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.
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.
ML Engineer R37 Lab, R1 RCMML EngineerNew 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. As a ML Engineer, you’ll lead the development of early-phase, high-impact ML systems; own the internal ML dev environment (instrumentation, benchmarking, experimentation); and help bring scientific rigor into production environments, so ideas move rapidly from research to validated pipelines.
Software Engineer - MLOps R37 Lab, R1 RCMSoftware Engineer - MLOpsNew York, New York$140,000–$300,000 / yearPhare 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. System Reliability: You use progressive delivery with automated rollouts/rollbacks, and you build end-to-end observability (metrics, logs, traces, and model telemetry for drift/regression) plus actionable alerting, runbooks, and incident response.
Engineering Manager R37 Lab, R1 RCMEngineering ManagerNew York, New York$140,000–$300,000 / yearPhare 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. 3+ years of experience hiring and leading teams as an engineering manager; with expertise in recruiting exceptional talent to build high-performing teams that deliver outcome-driven solutions.
Front Desk Coordinator - Full Time Project RestorixFront Desk Coordinator - Full TimeRahway, NJQualifications: High school diploma or equivalentExperience in front desk role in a hospital outpatient or medical practice setting preferredIntermediate Microsoft Office skills (Word, Excel, Outlook)Exceptional customer service skills, able to promote a positive environment. When you join our team, you have the opportunity to develop your career based on your strengths and potential, including the possibility to move functionally, geographically, laterally and vertically.
Lead, Medical Network Claims Pricer Capital Rx, Inc.Lead, Medical Network Claims PricerNew York, NY$128,000–$160,000 / yearApply Medicare-based pricing, Reference-Based Pricing (RBP), fee schedules, resource-based relative value methodologies, diagnosis-related groups, ambulatory payment classifications, per-diem rates, case rates, percent-of-charge arrangements, stop-loss provisions, and other approved reimbursement approaches. Advanced knowledge of procedure, revenue, diagnosis, and modifier logic; physician fee schedules; resource-based relative value methodologies; diagnosis-related groups; ambulatory payment classifications; per-diem, case-rate, percent-of-charge, and other medical reimbursement arrangements.
Clinical Documentation Specialist I - Remote Mount Sinai Health SystemClinical Documentation Specialist I - RemoteNew York, NYRemote$65,885–$98,827 / yearWe are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time - discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it.
Developmental Optometrist Dart Healthcare 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.
ConvergeHEALTH - Forward Deployed Engineer, Data Studio Revenue Cycle - Innovation_Delivery_Transformation Deloitte Touche Tohmatsu LtdConvergeHEALTH - Forward Deployed Engineer, Data Studio Revenue Cycle - Innovation_Delivery_TransformationNew York, NY$105,400–$207,800 / yearWorking knowledge of the retrieval and knowledge layer behind agentic systems - RAG pipelines, embeddings and vector stores, and increasingly knowledge graphs - including how to ground use cases in large volumes of unstructured healthcare data (e.g., clinical notes, payer policies, contracts) alongside structured sources. Partner with Health Care consulting teams and Converge for Healthcare's account and product teams during the sales cycle - running technical discovery, demonstrations, and use-case fit assessments - such as denial prevention, prior authorization automation, or AR follow-up - that qualify client needs and shape a credible path to production value.
Convergehealth - Forward Deployed Engineer, Data Studio Revenue Cycle - Innovation_Delivery_Transformation DeloitteConvergehealth - Forward Deployed Engineer, Data Studio Revenue Cycle - Innovation_Delivery_TransformationNew York, NY$105,400–$207,800 / yearWorking knowledge of the retrieval and knowledge layer behind agentic systems - RAG pipelines, embeddings and vector stores, and increasingly knowledge graphs - including how to ground use cases in large volumes of unstructured healthcare data (e.g., clinical notes, payer policies, contracts) alongside structured sources. Partner with Health Care consulting teams and Converge for Healthcare's account and product teams during the sales cycle - running technical discovery, demonstrations, and use-case fit assessments - such as denial prevention, prior authorization automation, or AR follow-up - that qualify client needs and shape a credible path to production value.
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.