162 jobs found in Melville, NY

Job Description Job Description This role is Hybrid ( Could be 2 - 3 days in office)   Summary of Responsibilities: Analyzes and Code medical charts, all service area, Inpatient, Ambulatory Surgery, Cardiology, Observation, Interventional Radiology, Emergency Medicine, Clinics, Nursing Home, to ensure proper ICD-10-CM, CPT, HCPCS. Assists and assigned physicians in selecting proper CPT, Diagnoses and Modifier for medical procedures performed. Analyzes appropriate manually charge posted batches to ensures accuracy of ICD-10-CM and CPT code assignment.   Essential Duties and Responsibilities *Analyze provider documentation for assigning all diagnosis, procedures, modifier, Date of service and Place of service following billing and coding guidelines. *Codes and/or validates all out patient service area, Diagnosis, E&M and Modifiers meeting productivity levels of 90-100 charts per day. Not limited to number of transactions filed. *Codes Inpatient, ASU and...

TEKsystems is now hiring Medical Billers for a large healthcare system in Melville, NY This is a permanent opportunity Fully on site, Mon - Fri 9am -5pm Pay Rate: $25 -$27/hr based off experience Essential Duties and Responsibilities *Follow up on Accounts receivable *Analyze accounts to determine improper payment patterns *Analyze accounts to determine other patterns/practices from insurers which delay or deny payments *Identify internal and/or front end issues that cause delays/denials of payment and report findings to appropriate areas *Review Monthly Aged trial balance reports. *Submit appeals/disputes to third party payers and follow up *Review medical records to determine if all charged items and services are documented and respond to denials from third party payers by providing documentation and support; *Review itemized/detailed bills to determine if charges for all documented items/services are valid and respond to denials from third party payers *Review...

Medix is hiring a Medical Biller in Melville, NY to support a large healthcare organization! This is a full time, on-site position. Responsibilities/ Job Duties: Processing of billing for Medicare, Medicaid and/or commercial payers. Posting of payments and adjustments to patients' accounts. Review denials from payer sources and provide necessary follow-up. Work on Accounts Receivable reports to maintain that all payments have been received and posted accurately. Follow-up with outstanding accounts either electronically or speaking to insurance companies. Obtain necessary insurance verification for coverage. Run reports in Epic as necessary for financial or statistical purposes. Schedule/ Shift: Monday- Friday 8AM-4PM Minimum Education and Experience Qualification Requirements: 1+ year of medical billing experience Excellent organizational skills. Ability to troubleshoot and investigate rate discrepancies. Computer experience with insurance companies. Personal...

Overview: Catholic Health is one of Long Islands finest health and human services agencies. Our health system has over 16,000 employees, six acute care hospitals, three nursing homes, a home health service, hospice and a network of physician practices across the island. At Catholic Health, our primary focus is the way we treat and serve our communities. We work collaboratively to provide compassionate care and utilize evidence based practice to improve outcomes to every patient, every time. We are committed to caring for Long Island. Be a part of our team of healthcare heroes and discover why Catholic Health was named Long Island's Top Workplace! Job Details: Position Responsibilities: Thoroughly read and interpret the documentation contained in every medical record to identify all diagnoses and procedures to which codes must be affixed. Assess the adequacy of documentation to ensure that it supports the principle diagnosis, principle procedure,...

Job Description Job Description As a Medical Coder Coordinator you will be responsible for coding for multiple Orthopedic Surgeons Qualifications High school diploma or equivalent; Associate's degree or certification in medical billing and coding preferred AAPC-CPC coding certificate Thorough understanding of medical terminology, ICD-10 and CPT coding Strong analytical and problem-solving skills Ability to work independently and manage multiple tasks and deadlines Experience with orthopedic healthcare is a plus Required Skills Knowledge of Medical Terminology, ICD-10, CPT codes and the correct use of modifiers Adheres to HIPAA regulations and guidelines Excellent organizational skills with strict attention to detail Read and analyze patient records to determine correct codes for billing to insurance provider Comprehensive knowledge of timely filing for Commercial and WC/NF carriers

Job Description Job Description Certified Medical Coders needed to analyze and code medical charts, all service areas to ensure proper ICD-10, CPT, HCPCS. Analyzes appropriate manually charge posted batches to ensure accuracy of ICD and CPT assignment. MUST be certified as a Medical Coder with 3 years of Inpatient/Outpatient coding experience. This position is hybrid will need to train in office for one month! Responsibilities: Analyze provider documentation for assigning all diagnosis, procedures, modifier, Date of service and Place of service following billing and coding guidelines. Codes and/or validates all outpatient service area, diagnosis, E&M and Modifiers meeting productivity levels of 90-100 charts per day. Codes Inpatient, ASU and Surgical chart, edit and or validate the physician procedures according to services performed, meeting productivity levels 65 charts not limited to number of transactions filed. Review assigned work-queues charts to ensure all...

Req Number 24265 Job Description Job Description Performs periodic medical record reviews to ensure physician documentation supports complete and accurate coding. Reconciles medical record documentation, coding, claims and reimbursement data to ensur Coder, Senior, Healthcare, Staffing, Physician, Professional

Job Description Job Description Medical Biller (Part-Time) Needed: 3 days/week - days/times to be discussed Preferred Experience with: Insurance Verification Explanation of Benefits Reprocessing Claims IDR Experience Required candidate to have excellent customer service skills, be detailed-oriented and a team player in this fast-paced office. Salary is based on experience. Please submit resume and contact information to be considered.       Company Description Surgeon's Office with AAAASF accredited Surgical Suite Company Description Surgeon's Office with AAAASF accredited Surgical Suite

Quality is in our DNA -- is it in yours? You put the pro in medical laboratory professional. Youve got problem-solving instincts, a passion for patient care, and the technical training to deliver quality results. Youre also looking for great benefi Billing Specialist, Medical Billing, Medical, Specialist, Healthcare, Billing

Job Functions, Duties, Responsibilities and Position Qualifications: Quality is in our DNAis it in yours? You put the pro in medical laboratory professional. You've got problem-solving instincts, a passion for patient care, and the technical training to deliver quality results. You're also looking for great benefits, the support of an all-star team, and an opportunity to grow your career. Join our front line of #HealthcareHeroes! Our mission is to advance the health and wellbeing of our communities as a leader in clinical laboratory solutions. LOCATION: 250 Miller Place, Hicksville, NY 11801 HOURS: Flexible Daytime Hours FULL TIME: Benefits eligible ** Hybrid On-Site - Position requires in office attendance to be at least 1-3 days per week, not fully remote In this role you will: Research and reconcile denied and unpaid medical claims, no fault, and workers' compensation claims Collect reimbursements for services rendered by reviewing insurance carriers...

Job Description Job Description Benefits: 401(k) 401(k) matching Bonus based on performance Company parties Competitive salary Dental insurance Employee discounts Flexible schedule Health insurance Opportunity for advancement Paid time off Training & development Tuition assistance Wellness resources Airway Health/Sleep Apnea Medical Billing Specialist "Treating people like family for over 41 years and creating an experience that exceeds an expectation" Become a part of the dynamic and vibrant team at Babylon Dental Care, where the focus extends beyond dental care to making a profound impact on our community and enhancing the lives of our patients. As a foundational provider of general, specialty dental services, and Sleep/Airway Disorder treatments, Babylon Dental Care is recognized for its commitment to excellence, compassion, and unmatched patient care. We are currently seeking an Airway Health/Sleep Apnea Medical Billing Specialist to infuse new...

Position Summary At Stony Brook Medicine, the Medical Record Coder will be responsible for selecting and assigning accurate codes from the current version of coding systems including ICD-10 CM, ICD-10 PCS, CPT and HCPCS codes. Duties of a Medical Record Coder may include the following but are not limited to: Demonstrates proficiency with Microsoft Office Applications, Citrix and Adobe Reader in using required computer systems with minimal assistance. Review the medical record and all applicable documentation to determine the appropriate codes to assign for the services and diagnoses. Utilize coding resources along with any other applicable reference material available to ensure accuracy in coding for all of the assigned services. Follow all HIPAA regulations and uphold a higher standard around privacy requirements. Demonstrates the technical competence to use the facility encoder as it interfaces with the hospital mainframe and/or EMR in a remote setting....

Welcome to Ovation Healthcare! At Ovation Healthcare, we've been making local healthcare better for more than 40 years. Our mission is to strengthen independent community healthcare. We provide independent hospitals and health systems with the support, guidance and tech-enabled shared services needed to remain strong and viable. With a strong sense of purpose and commitment to operating excellence, we help rural healthcare providers fulfill their missions. The Ovation Healthcare difference is the extraordinary combination of operations experience and consulting guidance that fulfills our mission of creating a sustainable future for healthcare organizations. Ovation Healthcare's vision is to be a dynamic, integrated professional services company delivering innovative and executable solutions through experience and thought leadership, while valuing trust, respect, and customer focused behavior. We're looking for talented, motivated professionals with a desire to help independent...

Job Description Job Description Company: PsychiaTreat About Us: At PsychiaTreat, we are committed to enhancing mental health services through quality care and innovative approaches. We are currently seeking a knowledgeable and experienced Senior Medical Coder to join our team. This role is vital in ensuring accurate coding and billing processes, contributing to our mission of delivering exceptional mental health care. Job Summary: As a Senior Medical Coder, you will be responsible for reviewing and coding medical records, ensuring compliance with coding guidelines and regulations. You will provide leadership and training to junior coders, assisting in the development of coding policies and best practices. Key Responsibilities: Review and code complex medical records accurately and efficiently using ICD-10, CPT, and HCPCS coding systems. Ensure compliance with all relevant coding regulations and guidelines. Provide training and mentorship to junior coding staff....

Job Description Job Description About Us: Psychiatreat is a veteran-owned mental health services company focused on providing accessible, insurance-covered care for veterans, first responders, and their families. Our mission is to bridge the gap in mental health care by offering quality, compassionate, and dedicated service to those who have served us. Join a team that values your expertise and supports your growth in a meaningful industry. Job Description: We are seeking a detail-oriented and experienced Certified Medical Biller to join our dynamic team. This is a full-time, on-site position where you will play a key role in managing our billing processes to ensure accurate and timely reimbursements. You will work closely with our healthcare providers, insurance companies, and patients to handle the financial aspects of the care we provide. Responsibilities: Process claims for insurance reimbursement accurately and in a timely manner Verify insurance coverage and...

Job Description Job Description PsychiaTreat's mission is to provide comprehensive, personalized, compassionate, and evidence-based care to people suffering from mental health disorders. We are dedicated to offering a wide range of therapeutic modalities ranging from medication management, psychotherapy, and cutting-edge treatments. We deliver an in-depth psychiatric evaluation that determines the best treatment for the individual. This can include pharmacologic management as well as individual or group psychotherapy. Every treatment plan is tailor-made to the patient’s needs. PsychiaTreat is also a safe and welcoming space for all people including the LGBTQAI+ community. In addition to in-person visits we also offer telehealth services. Our medical billing specialists are responsible for correctly coding mental healthcare claims in order to obtain reimbursement from insurance companies. They review claims data to ensure that assigned diagnosis and CPT codes meet required...

Job Title: Senior Medical Biller Location: Westbury, NY Salary: $30 - $35 per hour Employment Type: Full-Time About Us: Join our dynamic outpatient psychiatric facility in Westbury, where we are committed to providing exceptional mental health care. As a startup, we are looking for motivated individuals who thrive in a fast-paced environment and are eager to contribute to our mission. Position Overview: We are seeking a skilled and experienced Senior Medical Biller to join our team. The ideal candidate will have a strong background in medical billing, particularly in the mental health field, and the ability to manage the unique challenges of a startup. You will play a crucial role in ensuring accurate billing processes and compliance with industry standards. Key Responsibilities: Manage all aspects of medical billing, including charge entry, claims submission, payment posting, and accounts receivable follow-up. Ensure accurate and timely submission of claims to...

About Us: Psychiatreat is a veteran-owned mental health services company focused on providing accessible, insurance-covered care for veterans, first responders, and their families. Our mission is to bridge the gap in mental health care by offering quality, compassionate, and dedicated service to those who have served us. Join a team that values your expertise and supports your growth in a meaningful industry. Job Description: We are seeking a detail-oriented and experienced Certified Medical Biller to join our dynamic team. This is a full-time, on-site position where you will play a key role in managing our billing processes to ensure accurate and timely reimbursements. You will work closely with our healthcare providers, insurance companies, and patients to handle the financial aspects of the care we provide. Responsibilities: Process claims for insurance reimbursement accurately and in a timely manner Verify insurance coverage and eligibility Follow up on unpaid claims...

Job Description Job Description Benefits: 401(k) Free uniforms Health insurance Benefits/Perks Competitive Compensation Great Work Environment Career Advancement Opportunities Job Summary We are seeking a Medical Biller / Front dek manager to join our outpatient cardiology clinic in uptown manhattan! As a Medical Biller, you will be working closely with patient, staff and the doctor to answer questions related to billing, processing all forms needed for insurance billing purposes, and collecting necessary documentation from clients. You will also assist other Medical Billers with follow-up inquiries to clients, communicate with physicians' offices and hospitals to obtain records, and accurately record patient information. The ideal candidate has excellent attention to detail, strong customer service skills, and is comfortable spending much of the day on the phone. Responsibilities Assist with processing insurance claims through both private insurance and...

Job Description Seeking RN - BSN or MSN candidates with a HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist-Clinical. Conducts Home Health Resource Group (HHRG) Validation to ensure the diagnostic information leading to the assignment can be substantiated by the documentation in the Medical Record. Job Responsibility Audits and reviews Medicare/non-Medicare charts to ensure that proper standards are maintained in compliance with Federal and State regulations. Applies coding rules and regulations to the validation review process. Reviews codes on Medicare/non-Medicare charts for compliance to rules and conventions. Instructs professional staff in code changes, as needed. Assists clinical staff and nursing supervisors in providing appropriate documentation in the Medical Record. Identifies appropriate coding changes necessary to provide the most valid documentation in compliance with Federal and State regulations. Reports to...

Req Number 125752 Job Description Seeking RN - BSN or MSN candidates with a HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist-Clinical. Conducts Home Health Resource Group (HHRG) Validation to ensure the diagnostic information leading to the assignment can be substantiated by the documentation in the Medical Record. Job Responsibility Audits and reviews Medicare/non-Medicare charts to ensure that proper standards are maintained in compliance with Federal and State regulations. Applies coding rules and regulations to the validation review process. Reviews codes on Medicare/non-Medicare charts for compliance to rules and conventions. Instructs professional staff in code changes, as needed. Assists clinical staff and nursing supervisors in providing appropriate documentation in the Medical Record. Identifies appropriate coding changes necessary to provide the most valid documentation in compliance with Federal and State regulations....

FemmPro OB/GYN is seeking a full-time, sharp, highly motivated individual who can keep up in a high paced environment for our thriving OB/GYN and Midwifery Practice. Job Responsibilities include, but are not limited to : •Proactively research and resolve claims based on assignment. •Contacting payers via phone or website, writing appeals, and facilitating their direction for submission, and all other activities that lead to the successful adjudication of eligible claims •Handles Re-Credentialing whenever required by insurance companies •Manage and resolve unpostables, manage remittance and, all correspondence in each of the dashboards daily •Manage and resolve Zero-Pay Worklist, Unpaid claims, Fully Worked Receivables, Review and respond to adjustments / payment data with approval (or initiate appeal) communicate trends and root issues through proper lines of reporting •Illustrate excellent knowledge of healthcare industry regarding the revenue cycle, coding, claims, and state...

Job Description Job Description Responsibilities: Verify insurance details for all patient interactions. Update patient demographics and insurance data in Nextech. Create to-do tasks for claims over $10,000 or any emergency claims to ensure timely tracking. Send Non-Par letters to new patients seen at the practice (hospital or office). Analyze operative reports and accurately extract information for coding. Update the EMR and the "Scheduled Not Billed" report to ensure prompt claim submission. Complete all workers' compensation and no-fault forms. Review and generate daily charge entry reports for accuracy. Help manage the A/R by performing all aspects of the account follow up on insurance claims to ensure timely collection Collect delinquent accounts by establishing payment arrangements with patients that include monitoring payments as well as following up with payments when lapses occur  Requirements: 3+ years of high-volume medical collections or medical...

Job Overview: We are seeking a skilled and detail-oriented Medical Biller to join our team. As a Medical Biller, you will be responsible for accurately coding and billing medical procedures and services. Your role will be crucial in ensuring timely reimbursement for medical services provided. Duties: - Review and analyze medical records to determine appropriate codes for billing - Enter coded data into billing software systems - Submit claims to insurance companies electronically or by mail - Follow up on unpaid or denied claims - Communicate with insurance companies to resolve any billing issues - Maintain accurate and up-to-date patient records - Collaborate with medical office staff to ensure proper documentation and coding practices - Assist with medical collections as needed To excel in this role, you should have the following skills: Minimum of 5 years medical billing experience Out-of-network billing experience strongly preferred Excellent communication...