Medical Lab Assistant Memorial Sloan Kettering Cancer CenterMedical Lab AssistantNew York, New YorkThis includes reviewing appropriateness of requests, accessioning, centrifugation, aliquotting, placing samples on analyzers, performed waived lab tests, archiving and sample preparation for specimens sent to another laboratory for testing. Informed by basic research done at our Sloan Kettering Institute, scientists across MSK collaborate to conduct innovative translational and clinical research that is driving a revolution in our understanding of cancer as a disease and improving the ability to prevent, diagnose, and treat it.
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!
NewPer 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.
Rev Cycle Specialist (Prior Authorizations) Prism Vision GroupRev Cycle Specialist (Prior Authorizations)New Providence, New Jersey$21.38–$44.40 / hourEducation/experience: High School Diploma or General Education Degree (GED) with 3 years prior hands-on experience in a fast-paced medical billing environment. • Pursue reimbursement from carriers by placing phone calls and documenting all communication in Athenahealth to ensure progress is made on outstanding accounts.
Senior Benefits Specialist TandymSenior Benefits SpecialistIselin, New Jersey$50–$55 / hourA services organization in New Jersey is seeking a Senior Benefits Specialist to support day-to-day U.S. benefits administration and guide open enrollment activities. Administer leave of absence processes and coordinate related employee, manager, and payroll interactions.
AI Engineer Joyful HealthAI EngineerNew York City, New YorkThe healthcare payment system is a complex and inefficient maze - healthcare practices leave $125 billion in revenue uncollected each year, lost in the chaos of fragmented financial data, manual workflows, and opaque payer systems. We're looking for a talented and ambitious machine learning engineer with 5+ years of experience building production AI systems who's excited to solve one of the toughest challenges in healthcare - automatically resolving claim denials.
Customer Service Representative -(#26-11790) US Tech Solutions, Inc.Customer Service Representative -(#26-11790)whipanny, NJ$19–$20.90 / hourThis individual is part of a highly concierge ‘white glove’ service team that will manage the patient experience from start to finish by providing program information, eligibility, reimbursement support, and general assurances and ease of use in supporting our client’s copay assistance programs. 8:30am-5pm Under the supervisor's direction, The Patient Support Specialist is responsible for providing patient health care services, enabling access to care for prescription medications.
Medical Records Specialist Swift Staffing GroupMedical Records SpecialistMonsey, New YorkThe ideal candidate is highly detail oriented, able to identify missing or incomplete documentation, and comfortable working in a fast paced environment. The Medical Records Specialist will be responsible for managing, reviewing, and organizing medical records to support billing and operational processes.
Physician Educator III University HealthCare AlliancePhysician Educator IIINewark, New JerseyProvides on-site specialty specific training to individuals or groups of clinicians regarding documentation of services and appropriate coding of level of service, diagnoses, and procedures; including tips and techniques to help clinicians work more efficiently in Epic. Educates and guides healthcare providers and staff on accurate clinical documentation and coding practices, particularly concerning Hierarchical Condition Categories (HCCs) and risk adjustment methodologies.
Patient Support Specialist ConnectiveRxPatient Support SpecialistWhippany, New Jersey$15.26–$21.50 / hourFull timeThis individual is part of a highly concierge ‘white glove’ service team that will manage the patient experience from start to finish by providing program information, eligibility, reimbursement support, and general assurances and ease of use in supporting our client’s copay assistance programs. Focus on patient empathy and the consumer experience with the goal to assure our patients on ease of use of program goals and ultimately driving access to care and medication adherence.
Surgical Scheduler - FT - Day - Endocrinology Specialists Pennington NJ Capital HealthSurgical Scheduler - FT - Day - Endocrinology Specialists Pennington NJHopewell, New JerseyPerforms all medical receptionist duties, including but not limited to, answering phone calls, scheduling appointments, filing information into medical records, checking patients in and out, collecting co-pays and fees from patients and completing computer and paperwork associated with these functions. When determining base salary and/or rate, several factors may be considered including, but not limited to location, years of relevant experience, education, credentials, negotiated contracts, budget, market data, and internal equity.
Supervising Residential Specialist (Temporary), Domestic Violence Shelter, Parrish Safe Horizon BrandSupervising Residential Specialist (Temporary), Domestic Violence Shelter, ParrishNew York, New Yorkhappen from a trauma informed perspective; Provide staff with bi-weekly individual and monthly group supervision that is reflective and prioritizes improvement of CCP skills and includes discussions about vicarious trauma; client center practice and safety assessment and risk management. Our spaces respect survivors’ right to self-determination and focus on giving families and individuals the space, both emotional and physical, to heal from the victimization and trauma they have experienced.
Supervising Residential Specialist - Domestic Violence Shelter, Rose Safe Horizon BrandSupervising Residential Specialist - Domestic Violence Shelter, RoseNew York, New YorkUsing neutral and non-judgmental language when responding to the needs and requests of residents and ensuring that Residential Specialist are meeting this expectation; Provide crisis intervention including mediation and de-escalation skills to diffuse situations between resident’s family members and/or roommates; Monitoring intake calls to assure staff are exploring and implementing immediate safety needs and a risk management plan during screening calls for shelter placement; Mediating disputes and addressing grievances from a trauma informed perspective. happen from a trauma informed perspective; Provide staff with bi-weekly individual and monthly group supervision that is reflective and prioritizes improvement of CCP skills and includes discussions about vicarious trauma; Responsible for recruiting, supervising and managing performance of residential specialists, which include disciplinary actions as needed.
Supervising Residential Specialist - Domestic Violence Shelter, Prelude Safe Horizon BrandSupervising Residential Specialist - Domestic Violence Shelter, PreludeStaten Island, New Yorkhappen from a trauma informed perspective; Provide staff with bi-weekly individual and monthly group supervision that is reflective and prioritizes improvement of CCP skills and includes discussions about vicarious trauma; Responsible for recruiting, supervising and managing performance of residential specialists, which include disciplinary actions as needed. Our spaces respect survivors’ right to self-determination and focus on giving families and individuals the space, both emotional and physical, to heal from the victimization and trauma they have experienced.
Quality Assurance Specialist Daybreak Independent ServicesQuality Assurance SpecialistNew York CityPosition Summary : The Quality Assurance (QA) Specialist is responsible for supporting the agency's Quality Assurance and Compliance Program by conducting audits, monitoring documentation, reviewing service delivery practices, tracking corrective actions, and ensuring compliance with federal, state, local, and agency regulations. The QA Specialist works collaboratively with program leadership to promote continuous quality improvement and person-centered services for individuals with intellectual and developmental disabilities (IDD).
Financial Specialist Sea Mar Community Health CentersFinancial SpecialistMount Vernon, NYSea Mar Community Health Centers, a Federally Qualified Health Center (FQHC) founded in 1978, is a community-based organization committed to providing quality, comprehensive health, human, housing, educational and cultural services to diverse communities, specializing in service to Latinos in Washington State. Job Description: Position Summary The Financial Specialist provides financial screening and patient account management to Sea Mar clients in the mental health, homeless, domestic violence and substance use disorder programs.
Outpatient Payment Integrity Production Coder MedReviewOutpatient Payment Integrity Production CoderNew York, NY$58,000–$65,000 / yearPerform outpatient coding reviews using medical records, itemized bills, claim lines, payer requirements, CPT/HCPCS guidance, ICD-10-CM guidelines, revenue codes, modifier rules, NCCI edits, APC/EAPG logic, and supporting documentation. The Outpatient Payment Integrity Production Coder is responsible for completing claim-level outpatient coding reviews to identify inaccurate coding, unsupported billing, documentation gaps, and potential overpayments.
Associate Specialist, Patient Access Ensemble Health PartnersAssociate Specialist, Patient AccessWestwood, New JerseyPatient Access staff are responsible for assigning accurate MRNs, completing medical necessity / compliance checks, providing proper patient instructions, collecting insurance information, receiving, and processing physician orders, and utilizing an overlay tool while providing excellent customer service as measured by Press Ganey. Responsible for accurately screening of medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare and distribution of the ABN as appropriate.
Patient Access Specialist Ensemble Health PartnersPatient Access SpecialistWestwood, New JerseyPatient Access staff are responsible for assigning accurate MRNs, completing medical necessity / compliance checks, providing proper patient instructions, collecting insurance information, receiving, and processing physician orders, and utilizing an overlay tool while providing excellent customer service as measured by Press Ganey. Responsible for accurately screening of medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare and distribution of the ABN as appropriate.