152 jobs found in Stamford, CT

Position Summary The WPPA Medical Biller is responsible for timeliness & accuracy of charge entry, denial management and monitoring of non-payments. This position is an important role for the day to day management of the front end revenue cycle. Essential Functions and Responsibilities Includes the Following : 1. Understands and adheres to the WPH Performance Standards, Policies and Behaviors. 2. Monitor the clean billing of claims in the physician practice and ensures that all claims are billed expeditiously 3. Demonstrates a complete understanding of all Insurance companies; their policies, guidelines and contracts. 4. Takes initiative to remain informed as changes in coding rules/guidelines, actively reads/researches and keeps abreast of changes in the industry. 5. Identify/trend denials and provides recommendations to improve processes/provide additional training to front end staff etc. 6. Monitor write-offs with the objective of minimizing these losses. 7....

Job Description Job Description Responsibilities: · Working EOB denials · Contacting carrier on denied claims · Contacting carrier for post claim negotiation of fee · Prepare written claim appeals · Sending/following up on appeals to insurance carriers paper and electronically · Contacting insurance carriers on unpaid claims · Submitting corrected claims to insurance carriers when necessary · Maintain strict confidentiality · Experience: · Knowledge of claim appeal processes and guidelines · Knowledge of electronic appeal submissions · Knowledge of Microsoft Word and Excel · Knowledge of regulatory standards and compliance requirements · Medical billing experience Qualifications: · Attention to detail and accuracy · Good verbal and written communication skills · Organizational skills · Problem analysis and problem solving skills · Team member · Able to work independently with minimal supervision · Time management skills

Job Description Job Description F ull Time Day Mon-Fri 8a-4p Position Summary       Responsible for diagnosis coding for all Laboratory records according to established guidelines. Assists with Laboratory Outreach registrations as the need arises. ICD-10 Coding coordination and follow-up with physician offices. Performs other duties as assigned.    Essential Functions and Responsibilities Includes the Following:                                                                                                                                                                              Understands and adheres to the Performance Standards, Policies and Behaviors. Review and confirmation of all Outreach Laboratory requisitions for appropriate diagnosis coding. Enters appropriate ICD-10 diagnosis codes in the HIS. Coordinate contacts with physician offices for diagnosis and/or ICD-10 codes if not provided on the referring prescription. Documents phone conversation...

Responsibilities: •Working EOB denials •Contacting carrier on denied claims •Contacting carrier for post claim negotiation of fee •Prepare written claim appeals •Sending/following up on appeals to insurance carriers paper and electronically •Contacting insurance carriers on unpaid claims •Submitting corrected claims to insurance carriers when necessary •Maintain strict confidentiality • Experience: •Knowledge of claim appeal processes and guidelines •Knowledge of electronic appeal submissions •Knowledge of Microsoft Word and Excel •Knowledge of regulatory standards and compliance requirements •Medical billing experience Qualifications: •Attention to detail and accuracy •Good verbal and written communication skills •Organizational skills •Problem analysis and problem solving skills •Team member •Able to work independently with minimal supervision •Time management skills

Job Description Job Description Busy private ophthalmology practice looking for friendly, experienced medical biller / receptionist to work full-time on weekdays.

Inpatient Coder Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Clerical/Administrative Support Department: Health Info Mgmt-WMC Health Union: No Position: Per Diem Hours: 15 Shift: Evening Req #: 41231 Posted Date: Dec 17, 2024 Hiring Range: $47.00 Apply Now External Applicant link (https://pm.healthcaresource.com/cs/wmc1/#/preApply/28191) Internal Applicant link Job Details: Job Summary: The Coder is responsible for coding medical records, including all diagnoses and operative and diagnostic procedures in patient medical records, using the current International Classification of Diseases (ICD) for diagnoses and procedures, and entering coded information into an automated grouper system. Does related work as required. Responsibilities: Using the current ICD coding systems for diagnoses and procedures, assigns and records an accurate code to all diagnoses, procedures, and operations as documented by the attending physician in the...

Job Details: Job Summary: The Coder is responsible for coding medical records, including all diagnoses and operative and diagnostic procedures in patient medical records, using the current International Classification of Diseases (ICD) for diagnoses and procedures, and entering coded information into an automated grouper system. Does related work as required. Responsibilities: Using the current ICD coding systems for diagnoses and procedures, assigns and records an accurate code to all diagnoses, procedures, and operations as documented by the attending physician in the indicated patient's medical record. Ensures that all factors necessary for assigning an accurate DRG are present, and that all diagnoses are ranked properly. Makes appropriate contacts in order to acquire or clarify necessary information. Enters final diagnostic code numbers and narrative descriptions of diagnoses and procedures into an automated grouper system. Provides information to and...

RESPONSIBILITIES: Maintains financial accounts on automated systems. Responds to inquiries from patients, patient's family, departmental staff, insurance representatives, and third party payers in writing or by telephone. Corrects and trends electronic denials and suspended and rejected claims from Medicaid or third party payers. Investigates and resolves account discrepancies and determines potential insurance/patient refunds. Investigates denials, follows up with additional information, and rebills or adjusts as necessary. Performs cash posting duties and posts vouchers from various commercial insurance companies; identifies and corrects errors, verifies posting when receipt received from cash. Photocopies and refers denials for follow up. Maintains electronic and manual financial records related to payments from patients. Prepares cash and checks for deposit, and maintains records of deposits. Maintains confidentiality of patient information. Effectively uses...

Job Description Job Description REQUIREMENTS · A minimum of 2 years of medical billing experience, including filing claim appeals · Strong organizational skills and attention to detail · Proper phone etiquette and communications skills, both verbal and written · Appropriate computer hardware including secure Wi-Fi and double monitors, to temporarily work a hybrid schedule from home due to COVID   RESPONSIBILITIES · Reviews insurance payments for accuracy based on agreed upon fee schedules · Prepares and sends appeals for underpaid or incorrectly denied claims · Makes follow up calls to insurance carriers on outstanding balances · Answers patient telephone calls during business hours · Completes other daily tasks as assigned Company Description Our company provides anesthesia practice management services for approximately 500 anesthesiologists and certified registered nurse anesthetists in the Tri-state area. We are affiliated with Northwell Health, New York’s...

Job Description: We are seeking a dedicated and detail-oriented Assistant Medical Biller to join our Durable Medical Equipment (DME) company specializing in wound care and compression devices. The ideal candidate will have a minimum of 3 years of experience in medical billing, specifically with NYS Medicaid, Medicare, and commercial insurance plans. This role requires proficiency in processing orders and claims referred to by providers, ensuring accuracy and efficiency in all billing tasks. Key Responsibilities: Act as a liaison between field sales representatives, referring to facilities, and physicians to ensure complete orders for billing and dispensing. Verify insurance information, obtain authorizations, and secure single-case agreements. Follow up with patients and referrals regarding authorization and order status. Process claims with Medicare, Medicaid, Integra Partners, private pay orders, and commercial insurance plans. Handle medical records requests...

**Description** The Director has responsibility for pharmacovigilance risk management activities of marketed and/or investigational compounds on global level. This may include a portfolio of products/investigation compounds within an assigned disease area or TA. In addition to reporting to US line management, this position may matrix report into a Head Risk Management TA X, Global Pharmacovigilance. As an employee of Boehringer Ingelheim, you will actively contribute to the discovery, development and delivery of our products to our patients and customers. Our global presence provides opportunity for all employees to collaborate internationally, offering visibility and opportunity to directly contribute to the companies success. We realize that our strength and competitive advantage lie with our people. We support our employees in a number of ways to foster a healthy working environment, meaningful work, diversity and inclusion, mobility, networking and work-life balance. Our...

**Description** The (Senior Associate) Director will join our motivated and expert team of physicians in the global Cardio-metabolism/Respiratory Therapeutic Area of Patient Safety and Pharmacovigilance at BI, whose priority is the wellbeing of our patients worldwide. This is a highly visible role for an individual with a strong medical/scientific background who is inspired by prioritizing patient safety and who will help BI develop its growing portfolio of innovative medicines. BI believes that our people are our strongest asset - this role will provide you with the opportunity for significant professional development. The (Senior Associate) Director is a key member of global, cross functional product teams that determine the medical-scientific strategy for the respective products. This role is accountable for proactive risk management of assigned marketed and/or investigational compound or a product family on a global level; this includes continuous assessment of the...

The Director has responsibility for pharmacovigilance risk management activities of marketed and/or investigational compounds on a global level. This may include a portfolio of products/investigational compounds within an assigned disease area or TA. In addition to reporting to US line management, this position may matrix report into a Head Risk Management TA X, Global Pharmacovigilance. As an employee of Boehringer Ingelheim, you will actively contribute to the discovery, development and delivery of our products to our patients and customers. Our global presence provides opportunity for all employees to collaborate internationally, offering visibility and opportunity to directly contribute to the companies´ success. We realize that our strength and competitive advantage lie with our people. We support our employees in a number of ways to foster a healthy working environment, meaningful work, diversity and inclusion, mobility, networking, and work-life balance. Our competitive...

ENT and Allergy Associates, LLP New York & New Jersey's premier ENT and Allergy medical practice, is seeking a self-motivated, people-friendly full time Regulatory Affairs Associate at our Corporate office location. SUMMARY: The Regulatory Affairs Associate (Compliance Medical Auditor) supports the functions of the Compliance Program for ENT and Allergy Associates, LLP, (ENTA) to be compliant with Federal and State guidelines in the prevention of fraud, waste, and abuse. The Compliance Medical Auditor will participate and provide duties such as, but not limited to conducting auditing and monitoring; providing training and education; assessing compliance with policies, procedures, and regulations; and identifying and recommending strategies for process improvements. The Compliance Medical Auditor performs auditing and monitoring of clinical documentation, analyzing medical records, and assessing the accuracy of ICD-10-CM diagnosis code and CPT assignments; and...

As an Associate Director, Medical Affairs Insights & Analytics, you will provide valuable strategic insight and actionable recommendations to our therapeutic area teams supporting our development of medical impact plans. This position supports and advises collaborators on how best to develop research studies applying research reports while developing annual medical plans. We also determine how to measure progress against goals. A typical day may include: • Collaborating with cross-functional teams developing comprehensive insights plans supporting our medical affairs strategies and initiatives. • Communicating and aligning with partners around market research and analytics objectives and outputs. • Leading primary market research design and execution to answer key medical insights questions within priority therapeutic areas. • Synthesizing and translating data and information into compelling insights and recommendations. • Championing insight approaches and analytic...

Job Summary: Responsible for leadership role in providing safe, structured, environment that meets the needs of the Unaccompanied Children (UC's) while always maintaining professional and acceptable boundaries. Responsible for the actions of all Medical Assistant/Youth Specialists and their daily interactions with the children. Ensures a safe and therapeutic environment as well adherence to the rules and policies set forth by the Federal Office of Refugee Resettlement (ORR). About Abbott House: Abbott House is an innovative community-based organization that helps children, families, adults and people with intellectual and developmental disabilities with complex needs build lasting foundations for a promising future. We operate programs in the New York Metropolitan area and Hudson Valley. Duties & Responsibilities: Provides supervision to Medical Assistants/Youth Specialists including training of new staff. Conducts regular individual and group supervisor sessions....

Job Description Job Description Job Description: We are seeking a motivated and detail-oriented Assistant Medical Biller to join our team. This position will be responsible for performing billing tasks related to medical equipment and supplies. The ideal candidate will have experience in medical billing and claims processing with various insurance providers, including government and commercial insurance plans. A strong attention to detail and the ability to manage multiple tasks efficiently is essential. Key Responsibilities: Process and verify insurance claims for medical equipment and supplies. Collaborate with internal teams, healthcare providers, and insurance companies to ensure accurate billing. Handle insurance verification, authorizations, and follow-up on claim status. Assist with credentialing processes for insurance companies and manage related documentation. Maintain accurate billing records and spreadsheets. Resolve denied claims and investigate...

Job Description Job Description Position Overview: The Medical Biller, a key position in the Revenue Cycle, manages the claims process, including accurate and timely claim creation, follow-up and correspondence with providers, insurance inquiries/correspondence. Position Requirements: Minimum of 3 years’ experience with an Associate Degree or 10 + years’ experience with a HS Diploma, preferably in a large organization – preference to experience in non-profit agency Direct working with NYS Medicaid billing systems and managed care portals Experience with accounting systems used by complex organizations (experience with MIP a plus) Experience with MyEvolv, ECW or other systems capturing encounter information needed for billing essential preferred Excellent MS Office skills – particularly Excel The Children’s Village does not discriminate against any employee, prospective employee or contractor because of race, color, religion, sex, sexual orientation, gender...

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

Pyramid is a leading Information Technology Consulting services company headquartered in metropolitan Atlanta, GA with prime emphasis on the following service offerings: • Staff Augmentation • Lifecycle IT solutions o Application Development & Support o Outsourced Testing • Mobile Development and Test Automation The company was incorporated in the State of Georgia in 1996 and has grown to over 2500 Information Technology consultants serving clients across the United States and around the globe. In addition to Atlanta, Pyramid has offices worldwide including Charlotte, NC; Chicago, IL; Dallas, TX; Richmond, VA; San Francisco, CA and Somerset, NJ in the United States, London in the United Kingdom, Singapore, and three offices in India (New Delhi, Hyderabad and Chandigargh). Pyramid has been ranked by Staffing Industry Analysts as one of the largest diversity staffing firms specializing in IT and among the fastest growing U.S. staffing firm overall. In addition, Pyramid is a...

Title: Certified Professional Coder CPC- (Certified Professional Coder) Salary: 81K with full suite of benefits. This role is Hybrid ( Could be 2 - 3 days in office in the beginning while training then 1 day in office ) Start: Jan 2025 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,...

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...

Nesco Resource is partnering with a well-established Medical management company that handles two of the largest hospitals in Queens. They are searching for a Medical Coder Analyst to join their team. Job Duties Analyze provider documentation for accurate diagnosis and procedure coding. Validate outpatient service area codes, ensuring productivity of 90-100 charts daily. Code inpatient, ASU, and surgical charts, maintaining productivity of 65 charts daily. Review work-queues for accurate CPT and HCPCS charge codes. Stay updated with billing and coding guidelines. Assist physicians in assigning appropriate CPT codes. Understand coding guidelines and NCCI edits for Part B billing. Maintain patient confidentiality per hospital policy. Perform related duties as assigned. Education and Work Experience High School Diploma or GED required; College preferred. Preferred 2-5 years' experience. Required Licenses/Certifications Certified Professional Coder...

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,...