NewDiagnosis Related Group Clinical Validation Auditor-Rn (Cdi, Ms-Drg, Ap-Drg And Apr-Drg) Elevance HealthDiagnosis Related Group Clinical Validation Auditor-Rn (Cdi, Ms-Drg, Ap-Drg And Apr-Drg)New York, NY$86,560–$155,808 / 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. Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5 years of experience working with ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG; or any combination of education and experience, which would provide an equivalent background.
Pharmacy Business & Analytics Specialist New York University School of MedicinePharmacy Business & Analytics SpecialistNew York, NYOther key areas of focus include conversion factor maintenance, file extractions & connectivity (ongoing support), IT/Epic/Willow support, general reporting and monitoring, compliance (GPO Prohibition), reimbursement and cost report collaboration, assessing current and future opportunities, and inventory maintenance and monitoring. As part of the Pharmacy Business & Analytics (PBA) team, this position monitors and manages Third Party Administrator (TPA) split-billing software reports to ensure regulatory compliance and optimization of 340B Program revenue.
Pharmacy Business & Analytics Specialist NYU Langone HealthPharmacy Business & Analytics SpecialistNew York, NY$84,577.92–$165,000Full timeOther key areas of focus include conversion factor maintenance, file extractions & connectivity (ongoing support), IT/Epic/Willow support, general reporting and monitoring, compliance (GPO Prohibition), reimbursement and cost report collaboration, assessing current and future opportunities, and inventory maintenance and monitoring. As part of the Pharmacy Business & Analytics (PBA) team, this position monitors and manages Third Party Administrator (TPA) split-billing software reports to ensure regulatory compliance and optimization of 340B Program revenue.
Insurance Verification Auth Specialist MultiCare Health SystemInsurance Verification Auth SpecialistNY$23.20–$33.38 / hourThe Insurance Verification Auth Specialist is responsible for securing financial clearance and completing pre-authorization for patients undergoing complex, high-dollar inpatient and outpatient surgical procedures, hematology/oncology treatments, and infusion services. Responsibilities: Secure pre-authorizations from insurance companies for a broad range of complex, high dollar healthcare services including inpatient and outpatient surgical procedures, hematology/oncology treatments, and infusion services.
Senior Product Manager, Revenue Cycle Management AI PointClickCare Technologies IncSenior Product Manager, Revenue Cycle Management AINY$207,900–$231,000 / yearPosition Summary: As a Senior Product Manager at PointClickCare, you will own and drive the AI product roadmap for Revenue Cycle Management, starting with Billing Advisor, our AI-powered platform that identifies potential billable events for skilled nursing and senior living facilities, and extending to the next generation of AI advisors across pre-billing validation, collections, and claims workflows. Partner with advanced technology, data science, engineering teams, and other cross-functional teams to evaluate model performance, define customer feedback loops, and close the gap between AI output quality and customer trust and adoption.
Clinical Staff EHR Data Transfer Specialist - Contract CircleLink HealthClinical Staff EHR Data Transfer Specialist - ContractNew York, NYRemote$20–$30 / hourCircleLink Health is seeking a detail-oriented Clinical Data Entry Specialist to support our care management programs by accurately transferring clinical documentation into customer EHR systems. We’re building a world-class Care Management platform to enable providers while accelerating the shift to preventative care instead of status quo reactive care.
Insurance Specialist I Regional Cancer Care AssociatesInsurance Specialist IHackensack, New Jersey$18.99–$29.22 / hourWhile performing the duties of this job, the employee is required to be present at the employee site during regularly scheduled business hours and regularly required to sit or stand and talk or hear. The position requires full range of body motion including handling and lifting patients, manual and finger dexterity, and eye-hand coordination.
Insurance Specialist Regional Cancer Care AssociatesInsurance SpecialistHackensack, New Jersey$18.99–$29.22 / hourTemporaryIn this vital role, you will help ensure patients receive the care they need by supporting accurate billing, timely payments, and exceptional service. Reviews reports, identifies denied claims, researches and resolves issues, may perform a detailed reconciliation of accounts, and resubmits claim to payer.
Office Manager and Bookkeeper Billing GeeksOffice Manager and BookkeeperNew York, New York$65,000You will be managing day to day operations, keeping the books in order, supervising and supporting staff, handling HR functions and making sure monthly invoices go out to clients like clockwork. You will also work directly with our CEO, which means your organizational skills will have a direct and meaningful impact on how this company runs every single day.
Surgical Collector Human HireSurgical CollectorTarrytown, NYYoull work closely with experienced revenue cycle professionals, manage real surgical billing complexity, and contribute directly to financial readiness ahead of a major system transition. This role focuses on surgical claims follow-up, insurance resolution, and patient balance collections as the organization prepares for an upcoming Epic implementation and wind-down of legacy A/R.
Service Center Clerical Support-FT Ward Transport & Logistics Corp.Service Center Clerical Support-FTSouth Plainfield, NJJob Title: Service Center Clerical Support-FT Advertising Title: Req #: 12590 Company: Ward Trucking, LLC Job Code: SVCCTRCS Location: South Plainfield Employment Status: Full Time City: South Plainfield Area of Interest: Administrative Support State: NJ Rate of Pay: $23.00 per hour. All linehaul driver envelopes are to include: trailer number, Pro number of one shipment on the trailer, road driver's name, tractor number, seal number, weight, driving (route) instructions and any hazardous placards that may be required (if applicable).
Guest Experience Specialist - HPN Signature Aviation LtdGuest Experience Specialist - HPNWhite Plains, NYThis is a dynamic, hands-on position that requires flexibility to work varied schedules, including nights, weekends, and holidays, and the ability to operate in both indoor and outdoor environments, often near active aircraft and ground service equipment. Effectively collaborate, cooperate, and work closely with all team members, guests, and other visitors to ensure services are promptly and correctly handled in a professional and courteous manner.
Senior Medical Assistant Westchester Medical Center Health NetworkSenior Medical AssistantSuffern, NY$21.72–$27.31 / 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 Case Manager - HIV/AIDS Program- Physician Practice Hackensack University Medical CenterMedical Case Manager - HIV/AIDS Program- Physician PracticePerth Amboy, NJKnowledge of growth and development and an understanding of the range of treatment needed as appropriate to the ages of those patients Age/Patient Population(s) served Adolescent(13-17 years) Adult(18-64 years) Geriatric(65years and older) Patient under isolation precautions Patient at end of life Patient with developmental delays Patient with exceptional communication needs Bariatric Patients:BMI greater than 40, or greater than 35 weight related comorbidities. A day in the life of a Medical Case Manager at Hackensack Meridian Health includes: The individual must be able to fulfill the functions of medical case management as specified by the US Department of Health and Human Services, HIV/AIDS Bureau, and the Health Resources Service Administration(HRSA).
Clinical Sales Specialist, Sports Medicine (Nassau County) - Johnson & Johnson Medtech - Orthopaedics Johnson & JohnsonClinical Sales Specialist, Sports Medicine (Nassau County) - Johnson & Johnson Medtech - OrthopaedicsNew York, NY$54,000–$87,000 / yearThe overall responsibilities of the Clinical Sales Specialist position include advancing the Company's sales of orthopedic surgical products by providing clinical and logistical expertise in hospitals and operating rooms - such as independent coverage of surgical cases, management of billing/purchase orders, logistics, and asset management. DePuy Synthes solutions, in specialties including joint reconstruction, trauma, craniomaxillofacial, spinal surgery and sports medicine, are designed to advance patient care while delivering clinical and economic value to health care systems worldwide.
SAP Business Analyst III - Finance Chesapeake Utilities CorpSAP Business Analyst III - FinanceNJThe position provides expertise in General Ledger, Accounts Payable, Accounts Receivable, Asset Accounting, Cost Center Accounting, Treasury, Banking, and financial reporting while supporting integrations with utility billing, customer information systems, vendor management, and third. What youll be working on: Configure SAP FICO modules, including General Ledger (GL), Accounts Payable (AP), Accounts Receivable (AR), Asset Accounting (AA), Cost Center Accounting (CCA), Internal Orders, and Profit Center Accounting.
Medical Office Specialist-(Nationally Certified MA) - 10:45 - 7pm with Saturdays (45 Rivington coverage if needed) Mount Sinai Health SystemMedical Office Specialist-(Nationally Certified MA) - 10:45 - 7pm with Saturdays (45 Rivington coverage if needed)New York, NY$32.93–$33.47 / hourMount 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. We 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.
Medical Office Specialist-Heart Institute Midtown Cardiology - BI- Multiple Offices (Union Square, Park Ave, Greenpoint, Sheepshead Bay, Park Slope)-Full Time- Days 9am-5pm- Few Saturdays Each Quarter Mount Sinai Health SystemMedical Office Specialist-Heart Institute Midtown Cardiology - BI- Multiple Offices (Union Square, Park Ave, Greenpoint, Sheepshead Bay, Park Slope)-Full Time- Days 9am-5pm- Few Saturdays Each QuarterNY$32.93–$33.47 / hourMount 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. We 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.
Engineering Manager (Claims) HeadwayEngineering Manager (Claims)New York City, NY$222,800–$278,500 / yearThat surface includes the claims lifecycle and status model, the APIs to file and refile claims, clearinghouse response processing (835 remittance parsing, 277 claim statuses, RARC/CARC handling), claims interpretation (issue types/subtypes, ERA confidence evaluation), the claim stack (claim-to-appointment aggregation, including multiple claims per appointment), and integration with invoices. Cross-functional partnership - working with leaders across the insurance group (benefits, eligibility, corrections) and adjacent groups (Claims Success, Billing Infrastructure, patient billing, payer partnerships, data platform) to keep the whole system coherent - including the explicit, guardrailed handoffs Project Switchboard depends on.
Medical Office Specialist-Mount Sinai Union Square - Float Pool - Full Time Days Mount Sinai Health SystemMedical Office Specialist-Mount Sinai Union Square - Float Pool - Full Time DaysNew York, NY$32.93–$33.47 / hourMount 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. We 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.