<p>We are looking for a skilled Medical Coding Specialist to join our team in New York, New York. In this contract position, you will play a pivotal role in ensuring the accuracy and efficiency of medical claims processing and coding. This is an excellent opportunity for professionals with expertise in medical coding to contribute to a high-performing healthcare organization.</p><p><br></p><p>Responsibilities:</p><ul><li>Review medical records, reports, and claim files to determine applicable diagnoses and procedures.</li><li>Assign accurate ICD-10 codes to support claim analysis and reporting.</li><li>Collaborate with claims professionals to clarify medical details and ensure coding accuracy.</li><li>Assist with reporting medical malpractice claims to the New York State Department of Health (NYS DOH), as needed.</li><li>Maintain confidentiality and adhere to all compliance standards.</li><li>Participate in training and review sessions to ensure consistency and quality in coding practices.</li><li>Demonstrate flexibility in adapting to evolving processes and a willingness to take on new challenges. </li><li>Engage proactively with team members to support shared goals and continuous improvement. </li><li>Uphold professional conduct and business etiquette in all communications and interactions.</li></ul><p><br></p>
<p>A Senior Software Business Analyst is needed to play a crucial role in connecting business requirements to technical solutions. This role involves engaging with stakeholders to gather and analyze requirements, transforming them into actionable functional specifications. Responsibilities include evaluating existing processes, offering solutions to drive business value, and ensuring project success under tight timelines. The position also includes mentoring junior analysts, leading cross-departmental projects, and fostering innovation. Strong analytical and communication skills, along with a solid understanding of software development life cycles, are essential to succeed in this fast-paced environment.</p><p>The ideal candidate will work closely with development and QA teams to monitor project milestones, provide updates to stakeholders, and address any project risks and challenges. A proactive approach to improving application usability and efficiency will be critical. Focusing on the specialty pharmacy sector, the organization provides end-to-end solutions including hub services, pharmacy network management, group purchasing (GPO) services, cutting-edge technology platforms, and more. With a strong presence as an industry advocate, the focus remains on delivering strategic channel management, advanced products, and tailored services to optimize patient outcomes and improve healthcare delivery.</p><p><br></p><p><strong>** Qualified candidates should have experience with pharmacy insurance, medical insurance, and claims processing **</strong></p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Collect and translate business requirements into detailed functional specifications for new and existing systems.</li><li>Perform gap analyses between current system capabilities and business needs using tools like Confluence, flowcharts, and wireframes to document workflows.</li><li>Create use cases for review during functional testing phases by developers and QA teams.</li><li>Work with IT teams to evaluate project scope and affected systems, providing strategic insights.</li><li>Assess new methodologies for feasibility and implementation efficiency.</li><li>Gain in-depth knowledge of internal software platforms and their underlying functionalities.</li><li>Analyze and optimize existing processes to identify inefficiencies and propose re-engineering solutions.</li><li>Host regular meetings with development teams to resolve obstacles and track progress.</li><li>Provide project status reports to business stakeholders.</li><li>Identify potential risks and escalate issues as required.</li><li>Continuously explore opportunities to improve application functionality, making recommendations for enhancements.</li><li>Maintain compliance with HIPAA regulations and related amendments</li></ul>
Are you an experienced Medical Billing Specialist looking for a rewarding direct permanent opportunity? Join a team of healthcare professionals dedicated to providing exceptional patient care and operational efficiency. In this role, you will leverage your expertise to: <br> Code charges and bill for medical procedures. Research and resolve billing issues, including identifying refunds, credits, and write-offs. Submit claims electronically or by mail and follow up on unpaid claims and denials for timely reconciliation. Collaborate with staff, physicians, and offices to gather updated patient demographic and billing information. Conduct insurance investigations to obtain patient benefits and eligibility, authorizations, and referrals. What We’re Looking For: 5+ years of proven experience in medical billing or a similar field. Proficiency with ICD-10 and CPT coding standards and third-party platforms like PEAR, NaviNet, and Availity. Surgical Center experience preferred but not required. Strong communication skills and ability to work as part of a team. High attention to detail and proficiency with Microsoft Office and medical billing systems. This direct permanent position offers more than just a job – it’s an opportunity to be a vital part of a growing team dedicated to healthcare excellence. Apply now to take the next step in your career!
We are looking for a detail-oriented Medical Billing Specialist to join our team on a contract basis in Ridgefield, Connecticut. In this role, you will focus on accurately posting payments and ensuring billing processes run smoothly within a healthcare setting. This position, lasting 4–5 months, offers an excellent opportunity to apply your expertise in medical billing and insurance reconciliation.<br><br>Responsibilities:<br>• Accurately record insurance and patient payments in the practice management system.<br>• Investigate and resolve discrepancies involving underpaid claims and contracted rates.<br>• Reconcile daily payment batches to maintain accurate financial records.<br>• Prepare and submit appeals for claims when necessary.<br>• Analyze explanation of benefits (EOBs) and electronic remittance advices (ERAs) to ensure correct payment posting.<br>• Assist with additional billing-related tasks as assigned by management.<br>• Ensure compliance with industry standards and regulations during all billing activities.<br>• Collaborate with team members to optimize billing workflows and processes.
<p>We are looking for a skilled P& C Insurance Specialist to join our team in the Tinton Falls, New Jersey area. In this role, you will be responsible for managing and optimizing the company's insurance programs, ensuring compliance, and coordinating claims efficiently. This position plays a key role in protecting the company’s assets while maintaining strong relationships with insurance carriers, legal teams, and internal departments.</p><p><br></p><p>Responsibilities:</p><p>• Coordinate the renewal process for all insurance policies, including management, construction, workers’ compensation, and auto coverage.</p><p>• Review, process, and track insurance invoices while maintaining accurate records of premium payments.</p><p>• Provide Certificates of Insurance to lenders, homeowners, and other stakeholders as required.</p><p>• Monitor deductible expenses and contribute to the effective management of insurance-related costs.</p><p>• Maintain organized and up-to-date records of insurance documentation and correspondence.</p><p>• Collect and submit necessary documentation for insurance claims, including property, liability, and auto-related incidents.</p><p>• Collaborate with the legal department to address litigation matters related to insurance claims.</p><p>• Track the progress of claims and ensure timely follow-ups with insurance carriers and relevant internal parties.</p><p>• Verify that all insurance policies comply with regulatory requirements and contractual obligations.</p><p>• Assist in preparing data for audits and internal reporting, supporting senior leadership with insurance-related collections and reconciliations.</p>
<p>We are looking for a motivated Customer Service Supervisor to lead a dynamic team. This role offers an exciting opportunity to oversee customer service operations while ensuring exceptional service quality and efficiency. You will play a pivotal role in managing workflows, resolving inquiries, and driving process improvements. This position offers a competitive salary between $70,000 and $80,000. The benefits include Healthcare (Health, Vision, Dental), HSA dollar for dollar match, Paid Holidays Off, 2 weeks PTO, Short/Long Term Disability 100% Company Paid, Life Insurance 100% Company Paid, 401K, and Employee Discounts. </p><p><br></p><p>Responsibilities:</p><p>• Oversee daily workflow and ensure customer service operations are running smoothly.</p><p>• Approve expedited shipping for replacements and warranty claims as necessary.</p><p>• Process order cancellations and warranty replacement orders using internal systems.</p><p>• Address and resolve representative inquiries to support issue resolution.</p><p>• Review and release orders placed on hold to maintain efficient processing.</p><p>• Create and process accounting-related documents for wholesale, dropship, and marketplace accounts.</p><p>• Identify and correct errors in orders, including line, header, and address discrepancies.</p><p>• Monitor queues and track inbound call volumes to optimize team responsiveness.</p><p>• Approve partial refunds and ensure proper documentation is maintained.</p>
<p>We are looking for an experienced Expense Processor to join our team on a contract basis in Monmouth County, New Jersey. This role is integral to ensuring the accurate and timely handling of employee expenses, company credit card transactions, and administrative tasks. The ideal candidate will bring strong organizational skills, a proactive approach, and the ability to work independently in a remote setting.</p><p><br></p><p>Responsibilities:</p><p>• Oversee and manage the company's credit card program, ensuring smooth administration and compliance.</p><p>• Process employee expense reimbursements promptly and accurately, adhering to company policies.</p><p>• Conduct monthly reconciliations of company credit card accounts, resolving any discrepancies.</p><p>• Investigate and address issues related to transaction errors or missing documentation.</p><p>• Collect necessary approvals and process payments through accounting software.</p><p>• Handle administrative tasks related to expense processing, such as document management and record maintenance.</p><p>• Retrieve, organize, and distribute company mail from Central Jersey mailboxes once a week.</p><p>• Assist with scanning, filing, and maintaining internal documentation to support operational efficiency.</p><p>• Collaborate on ad hoc projects and provide administrative support across departments when needed.</p>
