Medical billing/collections Goldstar StaffingMedical billing/collectionsWoodmere, New YorkReview and analyze medical records and claims to ensure accurate coding and billing- Utilize knowledge of medical terminology, ICD-9, ICD-10, and DRG systems to assign appropriate codes- Verify insurance coverage and obtain necessary authorizations for medical procedures- Communicate with healthcare providers, patients, and insurance companies to resolve billing issues- Follow up on unpaid claims and appeal denials as necessary- Maintain patient confidentiality and comply with HIPAA regulations. ```Skills```- Strong understanding of medical office procedures and practices- Proficiency in medical coding and billing systems- Knowledge of ICD-9, ICD-10, and DRG coding principles- Familiarity with medical terminology and procedures- Excellent attention to detail and accuracy in data entry- Strong communication skills to interact effectively with healthcare professionals, patients, and insurance companies- Ability to work independently and prioritize tasks in a fast-paced environment.
Billing Specialist Atlantic Eye PhysiciansBilling SpecialistEatontown, New JerseyAs a Billing Specialist at Atlantic Eye, you’ll drive our financial workflow by managing accurate claims submissions, processing payments, and resolving denials to keep our operations running smoothly. We pride ourselves on creating an environment where our staff genuinely thrives, which is why we're honored to be officially recognized as Monmouth County's 2025 Best Place to Work as well as Best Eye Care Clinic for 3 years in a row.
Healthcare Billing Manager Poel Group Staffing Inc.Healthcare Billing ManagerBrooklyn, NYThe ideal candidate has strong healthcare billing knowledge, understands coding and reimbursement processes, and can improve workflows while leading a high-performing team. A growing healthcare medical supply company is seeking an experienced Healthcare Billing Manager to lead and oversee its billing department.
Senior Billing Specialist - Psychiatry - Harmlem Center - Full Time/Days Mount Sinai Health SystemSenior Billing Specialist - Psychiatry - Harmlem Center - Full Time/DaysNew York, NYWe 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.
Associate, Payment Integrity IBR Oscar Health IncAssociate, Payment Integrity IBRNew York, NY$91,908–$120,629 / yearThis is accomplished by leveraging a deep understanding of Oscar''s claim infrastructure, workflows, workflow tooling, platform logic, data models, etc., to work cross-functionally to understand and translate friction from stakeholders into actionable opportunities for improvement. Proactively identify and document potential billing errors, including duplicate billing of items, services, or procedures as improper unbundling of services (e.g., separating components that should be billed together) and charges for non-covered or non-rendered services.
Associate, Payment Integrity IBR Oscar HealthAssociate, Payment Integrity IBRNew York, New York$91,908–$120,629 / yearThis is accomplished by leveraging a deep understanding of Oscar's claim infrastructure, workflows, workflow tooling, platform logic, data models, etc., to work cross-functionally to understand and translate friction from stakeholders into actionable opportunities for improvement. Proactively identify and document potential billing errors, including duplicate billing of items, services, or procedures as improper unbundling of services (e.g., separating components that should be billed together) and charges for non-covered or non-rendered services.
Associate, Payment Integrity IBR Oscar Health InsuranceAssociate, Payment Integrity IBRNew York, NY$91,908–$120,629 / yearThis is accomplished by leveraging a deep understanding of Oscar's claim infrastructure, workflows, workflow tooling, platform logic, data models, etc., to work cross-functionally to understand and translate friction from stakeholders into actionable opportunities for improvement. Proactively identify and document potential billing errors, including duplicate billing of items, services, or procedures as improper unbundling of services (e.g., separating components that should be billed together) and charges for non-covered or non-rendered services.
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.
Senior Consultant - Clinical Documentation Specialist DeloitteSenior Consultant - Clinical Documentation SpecialistNew York, NY$95,600–$188,400 / yearOther skills include the ability to analyze, act and design action plans upon monthly and quarterly reports related to individual providers, facilities, MS-DRGs, APR, PSIs, severity of illness and risk of mortality, capture rates, quality metrics and can effectively prioritize their work activities. Clinical Payments Optimization: Assisting clients by validating that payments for clinical healthcare services comply with regulatory, clinical based evidence and contractual requirements while also determining that payments are appropriate for the type and level of care provided.
Senior Consultant - Clinical Documentation Specialist Deloitte Touche Tohmatsu LtdSenior Consultant - Clinical Documentation SpecialistNew York, NY$110,700–$218,300 / yearOther skills include the ability to analyze, act and design action plans upon monthly and quarterly reports related to individual providers, facilities, MS-DRGs, APR, PSIs, severity of illness and risk of mortality, capture rates, quality metrics and can effectively prioritize their work activities. Clinical Payments Optimization: Assisting clients by validating that payments for clinical healthcare services comply with regulatory, clinical based evidence and contractual requirements while also determining that payments are appropriate for the type and level of care provided.
Certified Professional Coder, Special Investigations Unit (Aetna SIU) CVS Health CorpCertified Professional Coder, Special Investigations Unit (Aetna SIU)NJ$43,888–$102,081 / yearThe Certified Professional Coder (CPC) will perform medical claim reviews to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do.
Medical Biller, SNF US Career PartnersMedical Biller, SNFNew JerseyAs a Medical Biller, you will be responsible for accurately and efficiently processing medical claims and ensuring timely reimbursement for services rendered. Company Overview: Our client is a leading SNF finance company that provides financial solutions to skilled nursing facilities across the country.
Compliance Auditor Talkspace IncCompliance AuditorNew York, NYRemote$77,000–$92,000 / yearWe encourage you to apply, even if you don't meet every qualification or if your path has been nontraditional - such as not completing a formal degree program, taking a career break, or having a prior criminal record - if you believe you could make a great addition to this team. Combining our passion for innovation along with our desire to help others overcome the stigma behind "getting help," we are transforming the way patients find the right care provider, making an otherwise impossible feat easily conquerable.
Medical Assistant - Brooklyn Human HireMedical Assistant - BrooklynBrooklyn, 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. Responsibilities include patient intake, clinical and laboratory support, diagnostic testing, EMR documentation, and assisting providers in a fast-paced outpatient setting.
Medical Assistant - Brooklyn (Float West) Human HireMedical Assistant - Brooklyn (Float West)Brooklyn, 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. Responsibilities include patient intake, clinical and laboratory support, diagnostic testing, EMR documentation, and assisting providers in a fast-paced outpatient setting.
NewClaim Benefit Specialist CVS Health CorpClaim Benefit SpecialistNJ$17–$28.46 / hourAnalyzes claims data and generate reports to identify trends, patterns, or areas for improvement to help inform process enhancements, policy changes, or training needs within the claims processing department. Performs claim documentation review, verifies policy coverage, assesses claim validity, communicates with healthcare providers and policyholders, and ensures accurate and timely claims processing.
Medicaid Billing Administrator - Intern (Unpaid) Neuropath Healthcare SolutionsMedicaid Billing Administrator - Intern (Unpaid)Union, New JerseyThe Medicaid Billing Administrator Internship at Neuropath Behavioral Healthcare is designed to provide students and recent graduates with practical training and exposure to healthcare billing processes. Interns will gain hands-on experience in Medicaid claims processing, billing compliance, and healthcare administration while working under the direct supervision of experienced billing professionals.
Medical Office Assistant/Medical Biller EXPRESS IT OF TOMS RIVER LLCMedical Office Assistant/Medical BillerHazlet, NJPart timeJoin EXPRESS IT OF TOMS RIVER LLC as a Medical Office Assistant/Medical Biller in Hazlet, NJ, where you will play a crucial role in supporting our healthcare team. Our commitment to providing quality healthcare services is matched by our focus on creating a supportive and rewarding work environment for our employees.
Medical Office Manager-Bronx The Dermatology SpecialistsMedical Office Manager-BronxNew York City2 years’ + experience in Hospitality or Medical management as a minimum; Experience in managing a team; Ability to give direction with confidence; Hard-working and willing to be part of a team; Desire to grow with the practice; Flexible availability. - Knowledge of health insurance policies, guidelines- including copays, coinsurances, referrals, verification of insurances; handling patients' records discretely, updating demographic and financial information; Protecting and securing medical records.
Medical Office Manager - Brooklyn/ Manhattan The Dermatology SpecialistsMedical Office Manager - Brooklyn/ ManhattanBrooklyn, New York2 years’ + experience in Hospitality or Medical management as a minimum; Experience in managing a team; Ability to give direction with confidence; Hard-working and willing to be part of a team; Desire to grow with the practice; Flexible availability; and. Knowledge of health insurance policies, guidelines- including copays, coinsurances, referrals, verification of insurances; handling patients' records discretely, updating demographic and financial information; Protecting and securing medical records.