Reconciliation Specialist (Onsite 3 Days/Week) VNS HealthReconciliation Specialist (Onsite 3 Days/Week)New York, NY$66,300–$72,000 / yearCenter for Medicaid and Medicaid Services (CMS), Department of Health (DOH), Local Department of Social Services (LDSS)/Human Resources Administration (HRA), Maximus), reports prepared by Third Party Administrator (TPA) and various VNS Health Plans department staff. Reviews Membership Files to validate adherence to processing timeframes and documentation in the appropriate membership systems (Facets, Salesforce, Pre-enrollment browser, Mainframe) to ensure timeliness of applicant and member correspondences.
Reconciliation Specialist | Hybrid – 3 Days Onsite VNS HealthReconciliation Specialist | Hybrid – 3 Days OnsiteNew York, New York$66,300–$72,000 / yearFull timeCenter for Medicaid and Medicaid Services (CMS), Department of Health (DOH), Local Department of Social Services (LDSS)/Human Resources Administration (HRA), Maximus), reports prepared by Third Party Administrator (TPA) and various VNS Health Plans department staff. Reviews Membership Files to validate adherence to processing timeframes and documentation in the appropriate membership systems (Facets, Salesforce, Pre-enrollment browser, Mainframe) to ensure timeliness of applicant and member correspondences.
Software Engineer III Kora/Support Cedar Cares IncSoftware Engineer III Kora/SupportNY$170,000–$215,000 / yearDiversity initiatives that encourage Cedarians to bring their whole selves to work, including three employee resource groups: be@cedar (for BIPOC-identifying Cedarians and their allies), Pridecones (for LGBTQIA+ Cedarians and their allies) and Cedar Women+ (for female-identifying Cedarians). The challenge is only getting worse, as high deductible health plans are the fastest growing plan design in the U.S. Cedar's mission is to leverage data science, smart product design and personalization to make healthcare more affordable and accessible.
Revenue Cycle Specialist-Revenue Integrity Pathology-REMOTE Weill Cornell Medical CollegeRevenue Cycle Specialist-Revenue Integrity Pathology-REMOTENew York, NYRemote$32.69–$36.76 / hourThe CBO partners with WCM Clinical Departments to increase and expedite service revenue, reduce aged AR, and trend denials for their root causes thereby driving efficiencies, to include clinical documentation improvement and coding denials prevention. Resolves outstanding accounts utilizing ancillary applications and websites as tools to retrieve medical documentation, claim status and billing guidelines to substantiate corrected claim submissions, written appeals, coding and medical necessity reviews.
Assistant Office Manager Salerno Duane GroupAssistant Office ManagerDenville, New JerseyIdentifies internal control issues by reviewing existing policies, verifying changes in authorized personnel, and communicating issues to the Assistant Controller. High School Diploma or General Education Diploma; and six months related experience and/or training; or equivalent combination of education and experience.
Senior Coding and Revenue Integrity Analyst Boston Medical CenterSenior Coding and Revenue Integrity AnalystNYRemote$78,000–$113,000 / yearREQUIRED EDUCATION AND EXPERIENCE: Associate's degree in Business, Healthcare, or a related field; and at least five (5) years of healthcare experience, including at least two years in an active role involving coding, auditing, finance, revenue cycle management, and/or physician billing (preferably within an Academic Medical Center setting); or equivalent combination of education and experience. ESSENTIAL RESPONSIBILITIES / DUTIES: Revenue Cycle Initiative Leadership: Leads complex revenue cycle initiatives and large-scale optimization projects across high-revenue-generating or at-risk clinical departments to improve overall revenue integrity, operational efficiency, and regulatory compliance.
Senior Coding/Revenue Integrity Analyst Boston Medical CenterSenior Coding/Revenue Integrity AnalystNYRemote$78,000–$113,000 / yearREQUIRED EDUCATION AND EXPERIENCE: Associate's degree in Business, Healthcare, or a related field; and at least five (5) years of healthcare experience, including at least two years in an active role involving coding, auditing, finance, revenue cycle management, and/or physician billing (preferably within an Academic Medical Center setting); or equivalent combination of education and experience. ESSENTIAL RESPONSIBILITIES / DUTIES: Revenue Cycle Initiative Leadership: Leads complex revenue cycle initiatives and large-scale optimization projects across high-revenue-generating or at-risk clinical departments to improve overall revenue integrity, operational efficiency, and regulatory compliance.
Director, Order to Cash Homecare Software Solutions LLCDirector, Order to CashNew York City, NY$141,000–$175,000 / yearOwn all customer contract transactions end-to-end - including renewals, closed-won new business, upsells, downsells, and terminations - partnering with Customer Success and Sales to ensure each is executed accurately and flows cleanly into downstream transaction setup and billing. This leader will develop a high-performing team, ensure accurate and timely execution across the entire order-to-cash flow, drive collections performance, and provide executive-level reporting that supports leadership decision-making.
Medical Coding Specialist Lead Weill Cornell Medical CollegeMedical Coding Specialist LeadNew York, NY$78,100–$84,500 / 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.
Transcription & Data Entry Supervisor Quest Diagnostics IncTranscription & Data Entry SupervisorWhite Plains, NY$58,656–$104,700 / yearSkills: Excellent leadership, interpersonal and communication skills (oral and written) necessary to effectively interact with customers and co-workers. Leads with metrics and tools - uses data, metrics and operational tools to assess performance, prioritize work, and improve team goals and results.
Patient Access and Referral Specialist I ZUFALL HEALTH CENTER, INC.Patient Access and Referral Specialist IDOVER, NJ$17–$19.71 / hourAnswers inquiries of patients and public in person or via telephone regarding regulations and services; when necessary, refers inquiries to appropriate person or department. Reviews all faxed clinical documents received at the health center and directs reports and medical results to the appropriate provider or distributes faxes as needed.
Director, Compliance Columbia UniversityDirector, ComplianceNew York, NY$150,000–$160,000 / yearThe Director contributes to the success of CUIMC's mission provides strategic direction and operational leadership for a team of compliance professionals, supports provider education and dispute resolution, and partners closely with Revenue Cycle, Clinical Departments, Legal, and Leadership to mitigate risk and promote compliant billing practices across a large academic medical center. Expert knowledge of the General Compliance Program Guidance issued by the HHS OIG and the DOJ's Evaluation of Corporate Compliance Programs, as well as fraud, waste, and abuse laws (Stark Law, Anti-Kickback Statute, False Claims Act).
NewDenials Specialist Westchester Medical Center Health NetworkDenials SpecialistHawthorne, NY$27.08–$34.04 / hourJob Category Job Category Advanced Clincial Providers Advanced Practice Providers Allied Health Prof/Technical Clerical/Administrative Support Executive/Management Finance/Info Systems Nursing Support Nursing/Nursing Management Physicians Professional/Non-Clinical Service/Trades. Company Company Bon Secours Charity Medical Group Bon Secours Community Hospital Good Samaritan Hospital HealthAlliance Hospital Margaretville Hospital MidHudson Regional Hospital Mountainside Residential Care Center NorthEast Provider Solutions Inc.
Medical Biller Ideal Option PLLCMedical BillerNYRemote$17.50–$18 / hourWe are looking for a Medical Biller to join our growing team and help us in our vision to give back lives, reunite families, and heal communities that are suffering from the devastating effects of substance use disorder. Maintains knowledge of current billing rules and trends for billing types assigned by attending seminars, workshops and watching webinars.
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.
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.
Therapist Blanton-Peale InstituteTherapistManhattan, NY$40–$50 / hourWe provide a full continuum of outpatient behavioral health services including individual, couples, family, and group therapy, as well as psychiatric evaluations and medication management, through our New York State Office of Mental Health (OMH) licensed Mental Health Outpatient Treatment and Rehabilitative Services (MHOTRS) counseling center. Utilize evidence-informed therapeutic approaches, which include but are not limited to psychodynamic therapy, psychoanalysis, CBT, EMDR, and spiritually integrated psychotherapy.
Professional Services Manager HEDIS & Risk Inovalon Holdings IncProfessional Services Manager HEDIS & RiskNY$95,800–$145,000 / yearThe Professional Services Manager works with customers to understand their Quality/HEDIS, CMS Stars, and/or Risk Adjustment goals, workflows, and challenges and helps translate those needs into effective use of Inovalon solutions and services. For our health plan and risk-bearing partners, working with Inovalon's Professional Services team will accelerate time to value, increase effective utilization of our products, and improve overall customer outcomes and satisfaction with Inovalon's products.
Lead, Info Security Systems Engineer 1 L3Harris Technologies IncLead, Info Security Systems Engineer 1Clifton, NJ$125,000–$232,000 / yearWorks with systems developers or commercial product vendors in the design and evaluation of state-of-the-art secure systems, networks, and database products using methods such as encryption technology, vulnerability analysis and security management. Throughout the lifecycle of system, works closely with customers to ensure that the security protection needs, concerns and requirements are defined and implemented with appropriate fidelity and rigor, early, and in a sustainable manner that will allow for the security authorization of the system of interest.
Lead, Project Engineer L3Harris Technologies IncLead, Project EngineerClifton, NJ$127,500–$236,500 / yearReviews status of engineering projects and budgets, manages schedules, drives execution, identifies opportunities, and delivers results through achieving payment milestones. With customers' mission-critical needs always in mind, our employees deliver end-to-end technology solutions connecting the space, air, land, sea and cyber domains in the interest of national security.