18 jobs found in New Haven

Medical Billing Coder Fair Haven Community Health Care For over 54 years, FHCHC has been an innovative and vibrant community health center, catering to multiple generations with over 165,000 office visits across 21 locations. Guided by a Board of Directors, most of whom are patients themselves, we take pride in being a healthcare leader dedicated to delivering high-quality, affordable medical and dental care to everyone, regardless of their insurance status or ability to pay. Our extensive range of primary and specialty care services, along with evidence-based programs, empowers patients to make informed choices about their health. As we expand our reach to underserved areas, our commitment to prioritizing patient needs remains unwavering. FHCHC's mission is to enhance the health and social well-being of the communities we serve through equitable, high-quality, and culturally responsive patient-centered care. Remote in Connecticut, must be able to commute onsite. Job purpose...

Coding and Billing Assistant 1Working at Yale means contributing to a better tomorrow. Whether you are a current resident of our New Haven-based community, eligible for opportunities through the New Haven Hiring Initiative, or a newcomer, interested in exploring all that Yale has to offer, your talents and contributions are welcome. Discover your opportunities at Yale!Under the direction of Yale Medicine Administration (YMA) Coding and Billing, the Coding and Billing Assistant 1 is responsible for reviewing all aspects of charge submission for patient clinical services based on coding, documentation review, quality assurance, and compliance guidelines. Reviews charge submissions for compliance with established coding guidelines, all YMA policies and protocols, third party reimbursement policies, Federal payer regulations, and HIPAA guidelines. Performs effective workflow processes to file complete, accurate and timely billing of professional charges, while maintaining productivity...

Overview To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day. Reporting to the Supervisor of Outpatient Coding, The OP Senior Coder is a vital multifaceted role within the Outpatient Coding Department. This position provides support to the Outpatient Coding Department as a OP coding subject matter expert, educator, QA reviewer, and also focuses daily efforts on A/R management and oversight. Additionally, this person works with partner departments to problem solve issues and streamline processes. The OP Senior Coder is also required to mentor other team members and also prepare them for the role of OP Senior Coder. The OP Senior Coder possesses a strong level of OP clinical coding expertise, and has the ability to handle multiple priorities....

Description At BLS, we pride ourselves on providing high-quality financial services with a focus on supporting our clients’ unique needs. We are currently seeking an experienced Employee Benefit Plan Accountant to join our growing team. This position offers the opportunity to work with a dynamic group of professionals in an engaging and fast-paced environment. Job Responsibilities: Assist in the preparation and review of financial statements of employee benefit plans (including defined contribution (401(k), 403(b), etc.), defined benefit, and health & welfare plans) Assist in the preparation of Form 5500 and related filings Manage the audits of employee benefit plans and coordinate with clients and their service providers Ensure compliance with ERISA regulations and other applicable laws Perform related testing procedures including reconciliation of reports, analysis of certifications and trust reports, sample selection procedures, participant data, contribution,...

Medical Billing Specialist (Revenue Cycle Management) – Bilingual Spanish Preferred This is not a Remote position; it is in the Office Monday - Friday. This is not an entry-level role and requires independent ownership of revenue cycle processes. Position Summary Reliant Healthcare Group is seeking an experienced Medical Billing Specialist with demonstrated Revenue Cycle Management (RCM) expertise. This role is responsible for managing AR, payer follow-ups, and claim resolution to ensure timely reimbursement. Essential Duties & Responsibilities Manage full Revenue Cycle Management (RCM) processes Verify insurance eligibility and benefits for commercial and Medicaid MCO payers Follow up on Accounts Receivable exceeding 30 days Review AR aging reports and resolve outstanding balances Post payments and perform account reconciliations Obtain and manage insurance authorizations Review and correct claims to prevent denials Interpret payer contracts and reimbursement...

Outpatient Coder 1To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.Under the general direction of the OP Coding Supervisor, the Outpatient Coder 1 is responsible for a comprehensive review of medical record documentation and performs a variety of coding related activities in one complex outpatient coding service line. Work may include, but is not limited to: coding cases, prioritizing assigned coding tasks, resolving claim edits, handling individual coding workload, working stop bills (if assigned), and sending queries, as needed, to clinical staff.ResponsibilitiesReviews medical record documentation to determine appropriate ICD-10-CM codes in accordance with official coding guidelines.Reviews medical record documentation and accurately selects...

Yale University is hiring for a position focused on conducting medical billing audits within the Yale Medicine Administration. The role involves evaluating billing practices for 18 clinical departments and providing training to staff. This opportunity is remote, potentially based in CT, and requires a CPC certification. The candidates need a Bachelor's degree in a related field and five years of relevant experience. The salary range is $68,000 to $120,500 annually, alongside a comprehensive benefits package. #J-18808-Ljbffr

Yale University, based in New Haven, CT, is seeking an experienced QA auditor for human subject research within the Yale Center for Clinical Investigation (YCCI). The role focuses on auditing, quality improvement, and ensuring compliance with all applicable regulations and policies across Yale's clinical trials. The ideal candidate has strong knowledge of ICH GCP, regulatory requirements, and experience with FDA inspections. #J-18808-Ljbffr

Yale University in New Haven seeks a Quality Assurance Audit Manager to lead clinical research auditing and quality-improvement efforts for human subject research in the Yale School of Medicine. You will ensure compliance with ICH-GCP, federal regulations, and university policies, guiding investigators and study teams through audits and corrective actions. The role requires strong regulatory knowledge, experience in auditing or monitoring, and the ability to collaborate with YCCI leadership, #J-18808-Ljbffr

Yale Cancer Center is seeking a Compliance Specialist III to support compliance programs and conduct audits. This full-time position requires a Bachelor's degree and 5 years of relevant experience. The role involves collaboration with stakeholders and the training of compliance procedures. The ideal candidate has strong knowledge in healthcare billing and is a Certified Professional Coder (CPC). The position offers a remote work model based in New Haven, Connecticut. #J-18808-Ljbffr

GeBBS Healthcare Solutions is a leading provider of Revenue Cycle Management (RCM) and Risk Adjustment services, helping healthcare organizations optimize operations, improve financial performance, maintain compliance, and enhance the patient experience. Recognized as a KLAS® Top Performer, GeBBS combines innovative technology, industry expertise, and a commitment to excellence to deliver measurable results for clients across the healthcare industry. We are dedicated to being a trusted healthcare partner by upholding the highest standards of quality, information security, and compliance. At GeBBS, we foster a collaborative and growth-oriented culture where employees are empowered to develop their skills, advance their careers, and make a meaningful impact in transforming healthcare. We are seeking a detail-oriented and experienced Medical Biller 1 to join our team onsite in East Haven, CT. The ideal candidate will be responsible for scrubbing claims and correcting coding...

GeBBS Healthcare Solutions seeks a detail-oriented Medical Biller 1 to join our onsite team in East Haven, CT. You will scrub claims, correct denials, and ensure billing compliance to optimize revenue cycle processes. Requirements include ICD-10/CPT/HCPCS coding expertise and EPIC experience; FQHC MA experience is a plus. The role demands strong attention to detail, analytical skills, and effective communication in a collaborative environment. #J-18808-Ljbffr

Job Purpose Remote in Connecticut, must be able to commute onsite. Responsible for maintaining the professional reimbursement program. Ensure compliance with current payments and rules that impact billing and collection. Duties and Responsibilities Follow-up of any outstanding A/R all-payers, self-pay, and the resolution of denials Prepares and submits clean claims to various insurance companies either electronically or by paper. Handle the follow-up of outstanding A/R all-payers, including self-pay and/or the resolution of denials. Answers question from patients, FHCHC staff and insurance companies. Identifies and resolves patient billing complaints. Prepares reviews and send patient statements and manage correspondence. Handle all correspondence related to insurance or patient account, contacting insurance carriers, patients and other facilities as needed to get the maximum payments and accounts and identify issues or changes to achieve client profitability. Take call...

Fair Haven Community Health Care  For over 54 years, FHCHC has been an innovative and vibrant community health center, catering to multiple generations with over 165,000 office visits across 21 locations. Guided by a Board of Directors, most of whom are patients themselves, we take pride in being a healthcare leader dedicated to delivering high-quality, affordable medical and dental care to everyone, regardless of their insurance status or ability to pay. Our extensive range of primary and specialty care services, along with evidence-based programs, empowers patients to make informed choices about their health. As we expand our reach to underserved areas, our commitment to prioritizing patient needs remains unwavering. FHCHC's mission is to enhance the health and social well-being of the communities we serve through equitable, high-quality, and culturally responsive patient-centered care. Job purpose Responsible for maintaining the professional reimbursement program. Ensure...

Yale Cancer Center seeks a Medical Billing Auditor to coordinate audits for Yale Medicine Administration. This remote position requires expertise in ICD-10 and CPT-4 coding, strong communication skills, and data analysis capabilities. A Bachelor’s degree and 5 years’ experience in a relevant field are mandatory. Responsibilities include conducting audits, evaluating billing compliance, and training staff in accurate coding. CPC certification is required or must be obtained within the first year. #J-18808-Ljbffr

Yale is seeking a Medical Billing Auditor to coordinate and conduct audits of billing, coding and documentation across 18 clinical departments. You will train physicians and staff on compliance, identify coding gaps, and report findings to leadership, with a remote-eligible role based in CT. CPC certification should be pursued if not already held within 12 months. The position requires strong ICD-10 and CPT-4 expertise, solid data analysis, and proficiency in Word, Excel and Access, with #J-18808-Ljbffr

Current Saint Francis Employees - Please click HERE to login and apply. This position is ECB status - requires a minimum number of worked hours per month as needed by the department; limited benefit offerings. Variable Job Summary: The Coder III Specialist codes ER, Outpatient, Outpatient Surgeries, Observations and Inpatient records. Minimum Education: High School Diploma or GED. Licensure, Registration and/or Certification: Certified Coding Specialist (CCS) by AHIMA. Work Experience: Minimum of 3 years related experience and a score of 80% or above on the outpatient and inpatient coding exam. Knowledge, Skills and Abilities: Demonstrated knowledge of Basic ICD 10 training and anatomy and physiology. Demonstrated PC and Software proficiency. Must be able to score 80% or above on the outpatient and inpatient coding exam. Essential Functions and Responsibilities: Codes ER's, outpatients, outpatients surgeries, observations and inpatients. Works CCI/medical...

Yale Cancer Center is looking for a Senior Associate Director to address professionalism and leadership challenges within the School of Medicine. The role includes overseeing investigations into faculty conduct, developing initiatives for professional development, and collaborating with various university departments. The ideal candidate will possess a Bachelor's degree and have at least eight years of relevant experience, along with proven coaching and conflict resolution skills. This is a vital position that supports maintaining a healthy academic environment. #J-18808-Ljbffr