26 eligible medical billing specialist jobs found in Setauket- East Setauket, NY

A healthcare management company in Setauket is seeking a Billing Representative to provide crucial administrative support to ensure accurate billing and payer reimbursements. The role requires a high school diploma and two years of medical billing experience in a physician's office. Strong communication and organizational skills, along with proficiency in Microsoft Office, are essential. This full-time position may offer remote work options for New York State residents. #J-18808-Ljbffr

A healthcare management company in Setauket is seeking a Billing Representative to provide crucial administrative support to ensure accurate billing and payer reimbursements. The role requires a high school diploma and two years of medical billing experience in a physician's office. Strong communication and organizational skills, along with proficiency in Microsoft Office, are essential. This full-time position may offer remote work options for New York State residents. #J-18808-Ljbffr

Dormont Manufacturing Co is looking for a Medical Billing professional in Hicksville, NY. This full-time position offers an hourly rate between $18.00 and $24.00, with benefits including medical, vision, and dental insurance, a 401-K match, and paid time off. Responsibilities include resolving billing issues with insurance carriers and ensuring accuracy in claims processing. Ideal candidates will have a high school diploma or medical billing certification and 1-2 years of relevant experience. Enjoy flexible hours and a supportive work environment where you can grow in your profession. #J-18808-Ljbffr

Certified Coder - Stony Brook Internists, UFPC Location: Stony Brook, NY; At the manager's discretion, this role may be eligible for remote work (after 90 days) Schedule: Full Time Days/Hours: Monday - Friday; 8:30 AM - 5 PM Pay: $27.91 - $34.87 Our compensation philosophy aims to provide marketable compensation programs and to compensate employees based on relevant experience and education. Individual compensation discussions begin during the hiring process and may occur during job review and promotional opportunities. Salaries vary depending on experience, education and current market for the position. Human Resources determines the external and internal equitable salary for each employee. The above salary range (or hiring range) represents Stony Brook CPMP's good faith and reasonable estimate of the range of possible compensation at the time of posting Responsibilities Summary: This incumbent is responsible for reviewing and analyzing physicians' documentation,...

Certified Coder – Stony Brook Internists, UFPC Location : Stony Brook, NY (remote work may be eligible after 90 days) Schedule : Full Time – Monday to Friday, 8:30 AM to 5:00 PM Pay : $27.91 - $34.87 per hour SUMMARY : This incumbent is responsible for reviewing and analyzing physicians’ documentation, CPT, and ICD-10 diagnosis codes. The coding function also ensures compliance with established coding guidelines, third‑party reimbursement policies, regulations, and accreditation guidelines. Job Duties & Essential Functions Provide a variety of complex and technical assignments relating to medical coding. Analyze, code, and abstract information for the purpose of assigning and entering appropriate and consistent diagnoses and procedure codes for reimbursement. Resolve discrepancies on coding related issues. Review and correct rejected claims from various third‑party carriers. CPMP account notification/accounts receivable report (IDX), ICD-10 coding. Account maintenance...

Job Description Job Description Company Overview Our client is a rapidly growing revenue cycle management organization that partners with healthcare providers nationwide to deliver specialized billing, reimbursement, and revenue recovery solutions. As the organization continues to expand, they are seeking experienced medical billing professionals who thrive in a collaborative, quality-driven environment and want to be part of a growing team. Position Summary: The Out-of-Network Authorization Specialist is responsible for securing prior authorizations and verifying benefits for services rendered by providers who are not contracted with a patient’s insurance plan. This role requires strong communication skills, attention to detail, and a deep understanding of payer policies to ensure accurate billing and minimize claim denials. Key Responsibilities: Initiate and follow up on prior authorization requests for out-of-network services. Verify patient insurance benefits and...

Out-of-Network Authorization Specialist The Out-of-Network Authorization Specialist is responsible for securing prior authorizations and verifying benefits for services rendered by providers who are not contracted with a patient’s insurance plan. This role requires strong communication skills, attention to detail, and a deep understanding of payer policies to ensure accurate billing and minimize claim denials. Key responsibilities include: Initiate and follow up on prior authorization requests for out-of-network services. Verify patient insurance benefits and eligibility for out-of-network coverage. Communicate with insurance companies to determine coverage levels, out-of-pocket costs, and authorization requirements. Track and document authorization status in the EMR and billing systems. Work closely with billing and collections teams to resolve denied claims and appeals. Stay current with payer-specific guidelines and regulatory changes affecting out-of-network...

Out-of-Network Authorization Specialist The Out-of-Network Authorization Specialist is responsible for securing prior authorizations and verifying benefits for services rendered by providers who are not contracted with a patients insurance plan. This role requires strong communication skills, attention to detail, and a deep understanding of payer policies to ensure accurate billing and minimize claim denials. Key responsibilities include: Initiate and follow up on prior authorization requests for out-of-network services. Verify patient insurance benefits and eligibility for out-of-network coverage. Communicate with insurance companies to determine coverage levels, out-of-pocket costs, and authorization requirements. Track and document authorization status in the EMR and billing systems. Work closely with billing and collections teams to resolve denied claims and appeals. Stay current with payer-specific guidelines and regulatory changes affecting out-of-network billing....

Billing Coordinator / Coder Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It's also about how we support one another and how we show up for our community. Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change. The Billing Coordinator / Coder is responsible for coordinating the day-to-day billing operations of the department and the hospital outpatient billing service utilizing a centralized medical information system. This position is responsible for accurately abstracting data following the Official International Classification of Diseases (ICD)-10-Clinical Modification (CM), Current Procedural Terminology (CPT), and Healthcare Common Procedure...

Certified Coder - Obstetrics and Gynecology Apply locations Remote time type Full time posted on Posted 6 Days Ago job requisition id JR87601 Scheduled Hours 40 Position Summary Position reviews medical record documentation to determine appropriate billing codes and necessary documentation. Job Description Primary Duties & Responsibilities: Reviews the documentation in the record to identify all pertinent facts necessary to select the comprehensive diagnoses and procedures that fully describe the patients conditions and treatment. Codes evaluation and management to appropriate CPT code and codes diagnosis to appropriate ICD-10 code. Meets with physicians to review documentation, resolve coding and secure signature of all unsigned dates of service, tagging files for follow up. Acts as lead person and assists coders with IBC staff with medical terminology and policy interpretation as required. Assists with efforts to increase physician awareness of documentation...

Get AI-powered advice on this job and more exclusive features. Direct message the job poster from CSI Companies Technical Recruiter at The CSI Companies CSI Companies is actively seeking a Remote Inpatient Coder with experience with coding for both the IRF-PAI and UB04. The CSI Companies understands that an attractive benefits package is important for recruiting above-average candidates. While on contract, we offer a benefits package that includes weekly pay, direct deposit, multiple healthcare plans (Vision, Dental, Disability options, Holiday Pay, & Paid Time Off) if eligible. *M ust be located in Florida, Georgia, North Carolina, South Carolina, Kentucky, Arkansas, or Arizona* JOB DETAILS Job Title : Remote Inpatient Coder Location: Remote Hourly Pay: 24.00 - 26.00 dollars (small flexibility depending on experience) Duration : Contract to Hire (must be willing to covert to full time) Required Skills Ability to accurately assign the IGC and etiologic diagnosis for the...

At Logan Health, we're more than just a healthcare provider - we're a community. Nestled in the heart of Montana, we are committed to delivering exceptional care to our patients while fostering a supportive and collaborative work environment for our team. As a member of Logan Health, you'll be part of a dynamic team that values compassion, innovation, and excellence. We offer opportunities for growth, comprehensive benefits, and a chance to make a meaningful impact in the lives of those we serve. Come join us and experience the Logan Health difference, where your passion meets purpose in a place, you'll be proud to call home. Our Mission: Quality, compassionate care for all. Our Vision: Reimagine health care through connection, service and innovation. Our Core Values: Be Kind | Trust and Be Trusted | Work Together | Strive for Excellence. Help ensure the accuracy behind exceptional patient care! Location: Remote (See Approved States) Schedule: Day Shift - 8 Hours | Full Time - 40...

Work From Home Work From Home Work From Home, Indiana 46544 The Hospital Inpatient Coder VI Specialist analyzes the ICD 10 codes, suggested by computer assisted coding software, to ensure they align with official coding guidelines and the electronic medical record documentation. In collaboration with the Clinical Documentation Specialist, analyzes the circumstances of the visit to determine the most accurate diagnosis related group (DRG). This position also abstracts key data elements necessary for billing and data analysis. WHO WE ARE With 11 ministries and access points across Indiana, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve. WHAT YOU CAN EXPECT Schedule: Monday - Friday | Day Shift Remote - Must reside in an approved hiring state. Accurately review and code patient records in the...

Senior Medical Coding Specialist 1 in 4 people in the US have a treatable mental health condition, but most providers don't accept insurance, making therapy too expensive for most people. Headway's mission is to fix this by building a new mental healthcare system everyone can access. We started by solving the biggest barrier to care: insurance. The admin work - credentialing, claims, payment reconciliation - is a nightmare. We've automated that. But we're going further. Over 75,000 providers across all 50 states run their practice on our software, serving over 1 million patients. We are building the best tools for therapists to run their entire practice, reimagining the experience of finding a therapist, and investing in the platform foundations to enable this at scale. We aren't just a billing layer; we are becoming the platform where care actually happens. We're a Series D company with $325M+ in funding (a16z, Accel, Spark Capital, etc.), looking for exceptional people to help us...

Work From Home Work From Home Work From Home, Indiana 46544 The Coder I Specialist - Professional Hospitalist/Outpatient ER Ancillary reviews electronic medical record documentation, and applies ICD and CPT codes, per Official Coding Guidelines, with a specific focus on professional hospitalist and office visits. This position abstracts key data elements necessary for billing and data analysis. WHO WE ARE With 11 ministries and access points across Indiana, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve. WHAT YOU CAN EXPECT Accurately review and code patient records in the following clinical areas: Acute - Outpatient, Acute - All Inpatient Service Lines, and Ambulatory Level 3 Specialty Services, as reflected in the Franciscan Coding Tier Matrix. Meet defined coding accuracy and production standards...

Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advanced technology. Capital Health is a dynamic health care resource accredited by the DNV that includes two hospitals, an outpatient center, satellite ED, and an expansive network of primary and specialty care. Capital Health Medical Group is made up of more than 600 physicians and other providers who offer primary and specialty care, as well as hospital-based services, to patients throughout the region. Capital Health recognizes that attracting the best talent is key to our strategy and success as an organization. As a result, we aim for flexibility in structuring competitive compensation offers to ensure we can attract the best candidates. The listed pay range or pay rate reflects compensation for a full-time equivalent (1.0 FTE) position. Actual compensation may differ depending on assigned hours and...

Job Description The Opportunity: Review medical record documentation of lower acuity inpatients to assign appropriate ICD-10-CM, ICD-10-PCS, and DRG codes for billing, internal and external reporting, research, and regulatory compliance. Ability to determine first listed diagnosis, secondary diagnoses, and surgical procedures. Analyze documentation and abstract pertinent data. Must maintain minimum quality and productivity standards. Preferred Certification for role include: CCS Responsibilities: Code procedures and diagnoses for inpatient accounts Assign present on admission indicators to diagnoses Query clinical providers when appropriate Abstract pertinent data Meet quality standards Meet productivity standards Communicate with CDI team Telecommute The Shifts: 40 hours per week 8:00 AM to 5:00 PM core hours Why Saint Luke's? Evening and Weekend Shift Differential Saint Luke's offers competitive salaries and benefits packages to all eligible employees, click here to...

Cardiovascular Lab And Interventional Radiology Coding Specialist R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. Position Summary: Applies CPT-4 and HCPCS codes to medical records for the cardiovascular lab and interventional radiology departments based on documentation provided by physicians. Adheres to strict federal coding rules and guidelines in selecting codes that appropriately reflect the services that were provided. Balances need for (95% accuracy) coding accuracy against timely account completion for billing deadlines. Essential Responsibilities: Coding of surgical procedures performed by...

We are recruiting for a mission-driven Facility Coder III - Must Reside in Colorado to join our team! We're with you for life's journey. At Denver Health, purpose isn't just something we believe in-it's something we live every day, for life's journey. Our Values Respect | Belonging | Accountability | Transparency Department HB & PB Coding Services Job Summary Under general supervision, reviews medical record documentation to abstract and assign diagnoses, procedures, and modifiers for statistical classification and reimbursement purposes. Performs various coding assignments under the direction of Coding Management. Provides feedback regarding documentation and coding issues. Utilizes software applications and coding references to perform coding related tasks. Additionally, assists in training, mentoring, and quality assurance of Level I and Level II coders as directed by Coding Management. Required to interact with clinical departments as needed. Demonstrates leadership and...

Job Description Job Description Medical Billing Specialist Determine initial eligibility and benefits for applicant · Determine if any pre-authorization or pre-certification is required under their benefit plan for the SUD related services · Enter authorization tracking received from Chief Clinical & Health Officer in Insync. · For insured patients, Billing Specialist will perform a pre-service eligibility & benefits review including a determination of pre-authorization needs and/or admission notification requirements as applicable prior their 1st appointment. o Will prepare a Financial Agreement for the patient and distribute the agreement to the front desk staff for signature at check-in for their 1st appt. o Will notify the Chief Clinical & Health Officer of any required pre-auth or admission notice prior to the 1st appointment date and will facilitate informing and assisting the clinician with the pre-auth or admit notice process. · Meet in person...

Job Title:Medical BillerDuration:13 WeeksLocation:New York, NY 10017Job Summary:We are seeking an experienced Medical Billing Specialist with 23 years of medical billing experience and strong knowledge of Medicare, Medicaid, third-party reimbursement, ICD-9, and CPT coding. The ideal candidate will demonstrate excellent organizational skills, maintain strict patient confidentiality, and effectively manage multiple priorities in a fast-paced healthcare environment.Key Responsibilities:Process and submit medical claims accurately and in a timely manner.Ensure compliance with Medicare, Medicaid, and third-party payer guidelines.Apply appropriate ICD-9 and CPT coding for billing purposes.Maintain accurate financial records and patient billing information.Communicate effectively with patients, physicians, and staff regarding billing inquiries.Manage multiple tasks while maintaining attention to detail and accuracy.Qualifications:Associates Degree required; Bachelors Degree in Finance or...

As an Associate Director, Field Medical Affairs, you will play a pivotal role as a field-based professional within Gastroenterology, Allergy, and Rhinology to support the clinical and business objectives across the product life cycle. We deliver strategic and operational support by establishing, developing and maintaining scientific exchange with medical specialists, health care professionals, and payers, aligned with our strategic objectives. We provide clinical and health economic information that enhances the value and appropriate use of Regeneron products. You will work with clinical research sites and investigators, and support of research activities as directed by the Global Medical Functional head. Responsibilities of this role are to ensure accurate exchange and distribution of clinical and scientific information relevant to in-line and pipeline products in a timely, ethical and customer-focused manner. Territory: GA, AL, KY, TN A typical day may include: Engaging in...

Iberia Medical Center (IMC) in New Iberia, LA is looking for team members who will help advance our vision to be the premier hospital of choice for patients, physicians, and employees. We have proudly cared for our community for over 60 years and offer diverse career opportunities throughout our organization. Our employees experience opportunities to learn, grow, and make a meaningful impact while caring for their families, friends, and neighbors. IMC is looking to hire a DRG Coder - Remote . This employee is under the direction of the Revenue Cycle Manager, responsible for assigning ICD-10-CM and ICD-10-PCS codes to inpatient medical records upon discharge and assigning the appropriate MS-DRG for reimbursement purposes. This remote position works closely with Clinical Documentation Improvement (CDI) Specialists and serves as an active participant on the Compliant Documentation Management Program Team. The DRG Coder is responsible for ensuring accurate, compliant, and timely...

## Associate Director, Ophthalmology HCP Medical Education MarketingApplyremote type: Hybridlocations: USA - Pennsylvania - North Wales (Upper Gwynedd)time type: Full timeposted on: Posted Todaytime left to apply: End Date: July 16, 2026 (7 days left to apply)job requisition id: R399964**Job Description**Our US Ophthalmology team is committed to transforming the lives of patients living with diabetic macular edema (DME) and neovascular age-related macular degeneration (nAMD) with a portfolio of two products in the pipeline. We aspire to achieve this through a relentless commitment to patients, innovation, ensuring access to life‐changing therapies, and collaborating with healthcare systems, governments, and payers to make treatments available to those who need them most. Our focus is on patients, scientific rigor, and flawless execution—bringing breakthrough therapies to those who need them.We are passionate about bringing our medicines and vaccines to customers around...