care navigator - billing certificate required

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billing / rcm specialist

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care navigator - billing certificate required Jobs in New York

care navigator billing certificate required

IQVIA

<div>Atlanta, United States of America | Full time | Home-based | R1539404</div>
<br><div><h3 class="jobSectionHeader"><b>Care Navigator</b></h3><div>
We are excited to announce that currently we are looking for a 100% remote (work from home&mdash;WFH) contact <b>Care Navigator </b>to join our team. In this position, you will provide payment assistance solutions such as co-pay cards or vouchers. The <b>Care Navigator </b>is primarily responsible for receiving medical claims from HCPs or patients and vetting the claim against program specific business rules to determine if the claim should be paid or rejected.
</div><h3 class="jobSectionHeader"><b>Job Responsibilities:</b></h3><ul><li>
Primary responsibilities involve receiving medical claims from HCPs or patients, ensuring the adequate supporting documentation has been provided, interpreting the EOB/CMS1500, vetting the claim against program specific business rules and ultimately determining if the claim should be paid or rejected</li><li>
Exceptional organizational skills are required</li><li>
May provide support as needed for customer requests via telephone, email, fax, or other available means of contact to the Support Center</li><li>
Requires the ability to recognize operational challenges and suggest recommendations to management, as necessary</li></ul><h3 class="jobSectionHeader"><b>
Schedule:</b></h3><ul><li>
Ability to work 40 hours per week under moderate supervision</li></ul><h3 class="jobSectionHeader"><b>
Required Qualifications:</b></h3><ul><li>
High School Diploma or equivalent</li><li>
Experience in claim processing required</li><li><b>
Required to have active Medical Billing Certification with CEUs up to date or must be willing to get certification</b></li><li>
Medical Billing experience required</li><li>
Ability to interpret Explanation of Benefits (EOB)</li><li>
HIPPA trained</li><li>
Must reside in country where the job is posted.</li></ul><h3 class="jobSectionHeader"><b>
Preferred Qualifications:</b></h3><ul><li>
Infusion or Hospital Billing Experience Preferred</li><li>
Customer Service Experience preferred</li></ul><ul><li>
Pharmacy Technician experience preferred</li></ul><div>
#LI-CES</div><div>
Note: This role is not eligible for visa sponsorship. Candidates must have authorization to work in the US without the need for sponsorship.</div><div>
IQVIA is a leading global provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries. We create intelligent connections to accelerate the development and commercialization of innovative medical treatments to help improve patient outcomes and population health worldwide. Learn more at https://jobs.iqvia.com</div><div>
IQVIA is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by applicable law. https://jobs.iqvia.com/eoe</div><div>
IQVIA is committed to integrity in our hiring process and maintains a zero tolerance policy for candidate fraud. All information and credentials submitted in your application must be truthful and complete. Any false statements, misrepresentations, or material omissions during the recruitment process will result in immediate disqualification of your application, or termination of employment if discovered later, in accordance with applicable law. We appreciate your honesty and professionalism.</div>
The potential base pay range for this role is $23.00 - $24.00 per hour. The actual base pay offered may vary based on a number of factors including job-related qualifications such as knowledge, skills, education, and experience; location; and/or schedule (full or part-time). Dependent on the position offered, incentive plans, bonuses, and/or other forms of compensation may be offered, in addition to a range of health and welfare and/or other benefits.</div>

Care Navigator - Billing Certificate Required

NYC Health + Hospitals

<div><div><div><h2 class="jobSectionHeader"><b>About NYC Health + Hospitals</b></h2><div><br>
<div><div>
</div><p>NYC Health + Hospitals/Bellevue is America&rsquo;s oldest public hospital, established in 1736. Affiliated with the NYU School of Medicine, the 844-bed hospital is a major referral center for highly complex cases, with its 6,000 employees including highly skilled, interdisciplinary clinical staff. It sees more than 110,000 emergency room visits and 700,000 outpatient visits annually. Bellevue is an academic medical institution of international renown. We have served as an incubator for major innovations in public health, medical science, and medical education. Bellevue is a Level I Trauma Center delivering around-the-clock care in adult, pediatric, psychiatric and pediatric psychiatric emergencies as well as in the nationally-designated categories of cardiology, neurology, toxicology, and neonatology. In addition to providing comprehensive inpatient and outpatient state-of-the-art care Bellevue is a city-wide medical specialty referral source. Bellevue&rsquo;s clinical centers of excellence include: Emergency Medicine and Trauma Care; Cardiovascular Services; Designated Regional Perinatal Center and Neonatal Intensive Care Unit (ICU); Comprehensive Children&rsquo;s Psychiatric Emergency Program; and Cancer Services.</p><p>
At NYC Health + Hospitals, our mission is to deliver high quality care health services, without exception. Every employee takes a person-centered approach that exemplifies the ICARE values (Integrity, Compassion, Accountability, Respect, and Excellence) through empathic communication and partnerships between all persons.</p>
</div></div></div></div><div><div><h2 class="jobSectionHeader"><b>
Work Shifts</b></h2><div><br>
<div><div>
</div><p><b>9:00 A.M &ndash; 5:00 P.M</b></p><p><b>
This is a full-time position, working 35 hours per week. Rotating weekends.</b></p>
</div></div></div></div><div><div><h2 class="jobSectionHeader"><b>
Duties &amp; Responsibilities</b></h2><div><br>
<div><div>
</div><p><b>Purpose of Position</b>:</p><p>
Under direct supervision, conducts investigations in a health care setting to determine the eligibility of applicants for medical assistance payment programs or the ability of patients and their legally responsible relatives to pay for hospital or health care charges and takes the necessary actions to bill and collect for these services; explores alternative sources for payment for health care setting services rendered; codes, verifies and modifies demographic and insurance data obtained from source documents and enters such data into a computerized system; performs billings and collections functions in order to obtain maximization of health care setting&rsquo;s revenue; all personnel perform related work.</p><p><b>
Examples of Typical Tasks</b>:</p><p>
1. Informs patient of health care setting rates; performs in-depth interviews with patients, families, relatives and friends in an office setting or the health care setting, during field investigations, and/or by telephone to determine patients&rsquo; and/or legally responsible relatives&rsquo; ability to pay for services rendered.</p><p>
2. Contacts outside agencies, organizations, insurance carriers and employers to obtain necessary information about potential sources of revenue.</p><p>
3. Acts as a liaison with social services and home care agencies.</p><p>
4. Refers patients to various health care setting departments and outside agencies, such as Medicaid, New York State Unemployment Insurance, Social Security and Public Assistance for possible benefits.</p><p>
5. Facilities processing of patients&rsquo; applications for third-party benefits, including but not limited to Medicaid and Medicare.</p><p>
6. Reviews and abstracts medical charts to obtain pertinent information for accurately coding and completing third- party billing forms, indicating treatment given, discharge diagnoses and overall patient information for computerization purposes.</p><p>
7. Reviews patient account records to ensure patients are properly billed; verifies and corrects patient bills and codes information for computerized system.</p><p>
8. Verifies accuracy of patient information stored in computer and codes changes and modifications, as necessary.</p><p>
9. Responds to complex inquiries from patients and third-party payers and resolves disputes concerning bills submitted for payment.</p><p>
10. Follows-up on collections to ensure maximization of revenue.</p>
</div></div></div></div><div><div><h2 class="jobSectionHeader"><b>
Minimum Qualifications</b></h2><div><br>
<div><div>
</div><p>1.A baccalaureate degree from an accredited college or university; or<br>
2.An Associate&rsquo;s degree from an accredited college or university; and completion of an accredited certificate program in medical billing; or<br>
3.A four-year high school diploma or its educational equivalent; and completion of an accredited certificate program in medical billing; and two (2) years of full-time experience in interviewing, investigation, or a related field, such as credit and collection follow-up or bookkeeping, or as a customer service representative providing comprehensive customer service entailing the dispensing of information or listening to and resolving customer&rsquo;s concerns, problems and complaints or troubleshooting; or<br>
4.A four-year high school diploma or its educational equivalent; and four (4) years of full-time experience, as described in #3 above, at least two years of which must have been in interviewing, investigations, or a related field such as credit and collection follow-up or bookkeeping; or<br>
5.Education and/or experience which is equivalent to (1), (2), (3) or (4) above. College education may be substituted for experience on the basis that thirty (30) semester credits are equivalent to one (1) year of experience and candidates must have completed an accredited certificate program in medical billing or have at least two years of full-time experience in interviewing, investigations, or a related field such as credit and collection follow-up or bookkeeping. In addition, all candidates must have at least a four-year high school diploma or its educational equivalent.</p>
</div></div></div></div><div><div><h2 class="jobSectionHeader"><b>
Benefits</b></h2><div><br>
<div><div>
</div><p>NYC Health and Hospitals offers a competitive benefits package that includes:</p><ul><li>
Comprehensive Health Benefits for employees hired to work 20+ hrs. per week</li><li>
Retirement Savings and Pension Plans</li><li>
Paid Holidays and Vacation in accordance with employees' Collectively bargained contracts</li><li>
Loan Forgiveness Programs for eligible employees</li><li>
College tuition discounts and professional development opportunities</li><li>
College Savings Program</li><li>
Union Benefits for eligible titles</li><li>
Multiple employee discounts programs</li><li>
Commuter Benefits Programs</li></ul>
</div></div></div></div><div><div><h2 class="jobSectionHeader"><b>How To Apply</b></h2><div><br>
<div><div>
</div><p>If you wish to apply for this position, please apply online by clicking the &quot;Apply for Job&quot; button.</p></div></div></div></div></div>

Hospital Care Investigator

NYU Langone Health

<div><p>NYU Grossman School of Medicine is one of the nation's top-ranked medical schools. For 175 years, NYU Grossman School of Medicine has trained thousands of physicians and scientists who have helped to shape the course of medical history and enrich the lives of countless people. An integral part of NYU Langone Health, the Grossman School of Medicine at its core is committed to improving the human condition through medical education, scientific research, and direct patient care. At NYU Langone Health, equity and inclusion are fundamental values. We strive to be a place where our exceptionally talented faculty, staff, and students of all identities can thrive. We embrace inclusion and individual skills, ideas, and knowledge.
<br>
<br>
<i>For more information, go to</i> <i>med.nyu.edu</i>, and interact with us on <i>LinkedIn</i>, <i>Glassdoor</i>, <i>Indeed</i>, <i>Facebook</i>, <i>Twitter</i> <i>and</i> <i>Instagram</i>.</p><br>
<p></p>
<p><b>
Position Summary:</b></p><p><br>
We have an exciting opportunity to join our team as a Financial Coordinator.
<br>
<br>
The Financial Coordinator is responsible for overseeing the financial management of assigned oncology clinical trials. The Financial Coordinator, under the direction of the Asst. Director Clinical Research Finance, ensures fiscal compliance to trial sponsor and institutional policies and procedures, and ensures that the departments fiscal interests are served in the conducting of oncology clinical trials.</p><br>
<p></p>
<p><b>
Job Responsibilities:</b></p><p><br>
Demonstrates knowledge of the organizations Core Values and incorporates them into the performance of duties.</p>
<p>
Reviews assigned Perlmutter Cancer Center and associated sub-site clinical trial budgets and contracts to ensure a thorough understanding of business terms and financial obligations. Implements financial and billing processes to maintain consistency across trials and to comply with sponsor approved budgets. Manages sub-site budgets to ensure compliance with sponsor guidelines and adherence to payment schedule. Addresses and escalates inconsistencies and discrepancies to approved budget as needed.</p>
<p>
Manages day to day aspects pertaining to the finances of assigned clinical trials. Utilizes internal tracking systems for monthly reconciliation and monitoring of assigned clinical trials financial activity. Investigates, researches, and validates all claim details to confirm accuracy and compliance to approved budgets. Provides departmental authorization for charges to be applied to trials. Arranges payments to external clinical research service providers, including confirmation of budget terms, vendor set-up in NYU systems, submission of requisitions, and invoice approval. Determines when departmental clinical research fees are due and provides appropriate billing details to department Financial Analyst for processing. Ensures Research Nurses input timely data for payment processing.</p>
<p>
Arranges submission of human subject service payments and travel reimbursements according to the budget terms of eligible studies through Peoplesoft Financials or third-party payment systems.</p>
<p>
Creates timely and accurate invoices to sponsors and monitors status of invoices. Maintains regular follows up with sponsors to ensure timely collection of sponsor payment. Anticipates and escalates payment delays as appropriate. Liaises with Research Finance staff to ensure payments are received and applied correctly.</p>
<p>
Reconciles closed trials and ensures account closeouts are properly processed. Identifies trials where revenue exceeded actual expenses, and process appropriate transfer of excess revenue.</p>
<p>
Works with Asst. Director Clinical Research Finance to prepare Cancer Center expense budgets associated with clinical trials revenue and expense for upcoming fiscal year, based on professional judgment and a projection of direct and indirect costs and fee revenue for open and pending trials.</p>
<p>
Prepares ad-hoc financial reports and forecasts for clinical trials disease programs to aid in decision making at the departmental level, as requested.</p>
<p>
Participates in special projects and performs other duties as required.</p><br>
<p></p>
<p><b>
Additional Position Specific Responsibilities:</b></p><p><br>
Core Values:</p><p><br>
Adheres to the values and missions of NYU Langone Health.<br>
Maintains a high standard of care and continually strives to improve processes and performance.<br>
Exhibits a strong work ethic, a willingness to adjust to new ideas and accept new responsibilities;displays a positive outlook and a pleasant demeanor.<br>
Helps establish positive interdepartmental relations and a reputation as a professional.<br>
Takes ownership of responsibility and outcomes.<br>
Strives to possess a wide range of skills and abilities to meet the continual challenges of a high-performance team with significant visibility to senior leadership.</p><br>
<p></p>
<p><b>
Minimum Qualifications:</b></p><p><br>
Education: Bachelors Degree in business related field or science.<br>
Experience: At least 2 -3 years experience in clinical trials, clinical research or research administration<br>
Knowledge, Skills and Abilities: Budgeting, accounting; general medical terminology for Cancer Clinical trials.</p><br>
<p></p>
<p><b>
Preferred Qualifications:</b></p><p><br>
Previous experience in managing clinical trial budgets and financials.<br>
Working knowledge of regulatory compliance as it relates to conducting clinical trials, general medical terminology, and Research Navigator, and Peoplesoft Business Intelligence.</p>
<p><i>
Qualified candidates must be able to effectively communicate with all levels of the organization.</i>
<br>
<br>
NYU Grossman School of Medicine provides its staff with far more than just a place to work. Rather, we are an institution you can be proud of, an institution where you'll feel good about devoting your time and your talents. At NYU Langone Health, we are committed to supporting our workforce and their loved ones with a comprehensive benefits and wellness package. Our offerings provide a robust support system for any stage of life, whether it's developing your career, starting a family, or saving for retirement. The support employees receive goes beyond a standard benefit offering, where employees have access to financial security benefits, a generous time-off program and employee resources groups for peer support. Additionally, all employees have access to our holistic employee wellness program, which focuses on seven key areas of well-being: physical, mental, nutritional, sleep, social, financial, and preventive care. The benefits and wellness package is designed to allow you to focus on what truly matters. Join us and experience the extensive resources and services designed to enhance your overall quality of life for you and your family.
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NYU Grossman School of Medicine is an equal opportunity employer and committed to inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration. We require applications to be completed online.
<br>
<br>
View Know Your Rights: Workplace discrimination is illegal.</p>
<p>
NYU Langone Health provides a salary range to comply with the New York state Law on Salary Transparency in Job Advertisements. The salary range for the role is $70,481.60 - $75,428.87 Annually. Actual salaries depend on a variety of factors, including experience, specialty, education, and hospital need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.</p>
<p>
To view the Pay Transparency Notice, please click here</p></div>

Financial Coordinator

Callen-Lorde

<div><p><b>About Us</b></p><p>
Callen-Lorde is the global leader in LGBTQ+ healthcare. Since the days of Stonewall, we have been transforming lives in LGBTQ+ communities through excellent comprehensive care, provided free of judgment and regardless of ability to pay. In addition, we are continuously pioneering research, advocacy and education to drive positive change around the world, because we believe healthcare is a human right.</p><p><b>
Our Mission</b></p><p>
Callen-Lorde Community Health Center provides sensitive, quality health care and related services targeted to New York's lesbian, gay, bisexual, and transgender communities &mdash; in all their diversity &mdash; regardless of ability to pay. To further this mission, Callen-Lorde promotes health education and wellness, and advocates for LGBTQ+ health issues.</p><p><b>
About the Role</b></p><p>
Callen-Lorde Community Health Center is seeking a detail-oriented and experienced Medical Biller &amp; Coder to join our Patient Accounts team. This vital role combines the dynamic functions of accounts receivable billing and collection with medical coding expertise, ensuring accurate revenue cycle management while supporting our mission to provide exceptional healthcare to LGBTQ+ communities.</p><p><b>
Key Responsibilities</b></p><p>
As a Medical Biller &amp; Coder, you will manage the complete revenue cycle process while providing coding expertise to ensure compliance and accuracy:</p><ul><li><p><b>
Billing and Revenue Cycle Management:</b> Capturing patient service charges in EPIC, preparing and submitting electronic and paper claims, processing payments from third-party payers and patients, and managing monthly patient statements to ensure optimal revenue collection.</p></li><li><p><b>
Medical Coding Excellence:</b> Assigning accurate ICD-10, CPT-4, and HCPCS codes with proper sequencing and modifiers, reviewing and validating coding for denied claims, and serving as a coding resource for the billing department to ensure compliance with regulations.</p></li><li><p><b>
Claims Management and Follow-Up:</b> Monitoring open accounts receivable, identifying and correcting claim denials, conducting phone follow-up and online claim status verifications, and performing specialized billing functions such as Medicaid Public Transportation program billing.</p></li><li><p><b>
Insurance Operations:</b> Performing insurance verifications for new patients and coverage changes, answering billing and insurance questions from patients, staff, and insurance companies, and resolving patient billing complaints with professionalism and empathy.</p></li><li><p><b>
Compliance and Documentation:</b> Providing support to providers on proper coding and documentation practices, researching compliance requirements for provider scope of practice and FQHC guidelines, and maintaining strict adherence to HIPAA guidelines and confidentiality standards.</p></li><li><p><b>
System Management:</b> Utilizing EPIC practice management system and Trizetto clearinghouse systems effectively, ensuring maintenance and security of electronic and paper billing records, and participating in system updates and training as needed.</p></li></ul><p><b>
Work Schedule</b></p><p>
Callen-Lorde's main site in Chelsea is open Monday through Saturday. This is a full-time position with regular Monday - Friday 9am-5pm business hours. Occasional evenings may be required.</p><p><b>
Benefits</b></p><p>
Salary will be based on experience and will be accompanied by a comprehensive benefits package including an exceptional low cost medical plan option for you, your spouse/domestic partner and/or your family, dental insurance, vision insurance, no cost life insurance, short- and long-term disability insurance, Flexible Spending Account, Tuition Assistance, commuter benefits, a generous paid time off plan, and a 403B retirement savings plan. Learn more about our employee benefits https://callen-lorde.org/benefits/</p><ul><li><p>
High school diploma required, Bachelor's degree preferred</p></li><li><p>
Current CPC-A or CPC certification required</p></li><li><p>
3+ years medical billing and<b> </b>coding experience required</p></li><li><p>
3+ years experience using EPIC electronic health record</p></li><li><p>
Thorough understanding and experience with ICD-10, CPT-4, and HCPCS coding systems, FQHC billing guidelines, and healthcare compliance regulations</p></li><li><p>
Excellent written and verbal communication skills with ability to interact professionally with patients, staff, and insurance representatives</p></li><li><p>
Must possess absolute commitment to confidentiality, professional integrity, and HIPAA compliance</p></li></ul><p><b>
Desired Characteristics, Skills</b></p><ul><li><p>
Strong interpersonal and ability to resolve complex billing issues with patience and empathy</p></li><li><p>
Ability to professionally and diplomatically interact with internal and external stakeholders. Obtains cooperation from and works collaboratively with peers and management. Embraces problems as opportunities to propose and develop solutions.
</p></li><li><p>Demonstrate enthusiasm for learning and proactively expand knowledge and skills by independently researching new areas of expertise.
</p></li><li><p>Highly self-motivated, taking initiative to identify needs and respond promptly and effectively.
</p></li><li><p>Team player with collaborative and supportive approach to work</p></li><li><p>
Commitment to continuous learning and professional development.
</p></li><li><p>Commitment to community-based healthcare, understanding its vital role in promoting health equity and improving population health outcomes.
</p></li><li><p>Commitment to the mission of Callen-Lorde.</p></li></ul></div>

MEDICAL BILLER AND CODER

Reklame Health

<div><h2 class="jobSectionHeader"><b>About ReKlame Health</b></h2><p>
Sixty million adults experience mental health challenges in the United States, yet one-third lack access to proper care. Opioid overdose is the number one cause of death for people under 50 in the United States.</p><p></p><p>
We are a clinician-led, tech-enabled provider group that exists to provide culturally competent behavioral health care addiction care, medication management, crisis intervention, and care coordination for people working towards taking back control of their lives, while expanding access to care.</p><p></p><p>
Our vision at ReKlame Health is to create a future where individuals who have historically been unable to access the care they deserve can readily obtain high-quality behavioral health and addiction care.</p><p></p><p>
At ReKlame Health, it goes beyond mere employment; it's about becoming a part of a formidable movement transcending individuality. Let's unite and forge a world where health equity and effortless access to exceptional mental healthcare can co-exist.</p><p></p><p><b>
Location:</b> Remote, with one required in-person training in New York City<br>
<b>Type:</b> Summer Internship<br>
<b>Compensation:</b> $20/hour, full-time (40 hours/week)</p><p></p><h2 class="jobSectionHeader"><b>
About the Opportunity</b></h2><p>
We're looking for a <b>Patient Navigator Intern </b>to support our Health-Related Social Needs (HRSN) care navigation program. Working alongside clinical and operations teams, you'll help patients overcome real-world barriers - housing instability, food insecurity, transportation gaps - that stand between them and consistent, quality care. This role functions similarly to a case manager and is an ideal fit for someone pursuing a career in community mental health, social work, public health, or healthcare operations.</p><h2 class="jobSectionHeader"><b>
What You&rsquo;ll Do</b></h2><ul><li><p><b>
Screen patients for health-related social needs</b>: Conduct structured assessments using established screening tools and internal workflows.</p></li><li><p><b>
Connect patients to community resources</b>: Help individuals navigate housing programs, food access, transportation support, and other essential services.</p></li><li><p><b>
Provide ongoing navigation support</b>: Follow up with patients to ensure continuity and address emerging barriers as they arise.</p></li><li><p><b>
Collaborate across teams</b>: Partner with clinical and operations staff to support individual care plans and document progress accurately.</p></li><li><p><b>
Support community outreach</b>: Participate in engagement efforts to reach patients who may not yet be connected to services.</p></li></ul><h2 class="jobSectionHeader"><b>
What You&rsquo;ll Learn</b></h2><ul><li><p><b>
Care coordination</b>: Hands-on case management experience with Medicaid populations.</p></li><li><p><b>
Social determinants of health</b>: How unmet social needs directly shape clinical outcomes.</p></li><li><p><b>
NYC public systems</b>: Familiarity with community resources, public programs, and local support networks.</p></li><li><p><b>
Behavioral health operations</b>: Working within an integrated care model using remote tools and documentation workflows.</p></li></ul><h2 class="jobSectionHeader"><b>
Who we're looking for</b></h2><p>
A current undergraduate or graduate student, or recent graduate, in social work, psychology, public health, healthcare administration, community health, or a related field. You bring:</p><ul><li><p>
Genuine interest in community mental health, care navigation, or healthcare support</p></li></ul><ul><li><p>
Comfort discussing sensitive topics with empathy and professionalism</p></li><li><p>
Strong communication, interpersonal, and organizational skills</p></li><li><p>
Ability to work independently in a remote environment and stay accountable</p></li><li><p>
Openness to feedback, supervision, and mentorship</p></li><li><p>
Willingness to learn new systems and remote workflows quickly</p></li></ul><h2 class="jobSectionHeader"><b>
Internship Structure</b></h2><ul><li><p>
Fully remote internship</p></li><li><p>
One required in-person training in New York City (approximately 3 hours)</p></li><li><p>
Full-time, 40 hours per week for the duration of the summer internship</p></li><li><p>
Training provided on screening tools, navigation workflows, documentation processes, and remote systems</p></li><li><p>
Supervision and mentorship from experienced team members</p></li></ul><h2 class="jobSectionHeader"><b>
Why This Work Matters</b></h2><p>
Many patients struggle not because of a lack of clinical care, but because of unmet social needs. In this role, you'll directly support access to care, treatment continuity, and long-term health outcomes for some of the most underserved patients in New York City.</p><p>
ReKlame Health considers several factors to ensure a fair and competitive offer when evaluating compensation packages. These include the scope and responsibilities of the role, the candidate's work experience, education, and training, as well as their essential skills. Internal peer equity is also examined to maintain balance within the organization. Additionally, current market conditions and overall organizational needs are crucial in shaping the final offer. Each aspect is thoughtfully reviewed before extending an offer, ensuring a comprehensive and equitable approach.</p><p>
ReKlame Health is an equal opportunity employer. We celebrate diversity and are committed to creating a supportive and inclusive environment for all employees.</p><p>
If you&rsquo;re hungry for a challenge in 2025, love solving problems, and want to be a part of something transformational, we&rsquo;d love to hear from you!</p><p>
Learn more about us at www.ReKlamehealth.com</p><ul><li><i>We never ask for money or sensitive personal information during the job application process. If you receive an email or message claiming to be from us that requests such information, please do not respond and report it as a scam.</i></li></ul></div><p></p>

Patient Navigator (Summer Intern)

Colure Health

<p>Colure Health builds technology that amplifies the impact of real clinicians. Our care platform blends intelligent automation with compassionate workflows, helping physicians stay connected to their patients and deliver better outcomes with less friction. We believe innovation should serve people, and we&rsquo;re committed to creating tools that empower every provider to improve the health, experience, and quality of life of the communities they serve.</p><p>About the Role</p><p>Colure Health is scaling rapidly across multiple states, and we are looking for a Billing / Revenue Cycle Specialist who can own the full claims lifecycle for Chronic Care Management (CCM) and Remote Patient Monitoring (RPM). This role is critical to ensuring clean claims, fast payment cycles, and predictable revenue as we expand.</p><p>You will work closely with Operations, QA, and our clinical vendor teams to ensure every patient encounter is billable, compliant, and submitted on time. This is a high‑impact role where accuracy, speed, and ownership matter.</p><p>---</p><p>What You&rsquo;ll Own</p><p>&middot; Claims Submission: Prepare and submit clean claims for CCM and RPM services across multiple payers.</p><p>&middot; Eligibility &amp; Coverage Verification: Confirm patient eligibility and payer requirements before billing.</p><p>&middot; Denials &amp; Appeals: Identify root causes, correct errors, and resubmit claims quickly.</p><p>&middot; Payment Posting: Reconcile payments, EOBs, and remittances with internal records.</p><p>&middot; Month‑End Revenue Tie‑Out: Partner with Finance to ensure accurate revenue capture and reporting.</p><p>&middot; Payer Portal Management: Monitor claim statuses, respond to payer requests, and escalate issues.</p><p>&middot; Documentation Review: Work with QA to ensure documentation meets billing standards.</p><p>&middot; Process Improvement: Identify gaps in workflows and help build scalable RCM processes as we grow.</p><p>---</p><p>What Success Looks Like</p><p>&middot; Claims go out clean and on time every cycle</p><p>&middot; Denials drop month over month</p><p>&middot; Revenue becomes predictable and stable</p><p>&middot; MJ and the Ops team are freed from manual billing prep</p><p>&middot; Payer issues are resolved quickly and proactively</p><p>&middot; Month‑end close becomes smooth and repeatable</p><p>---</p><p>What You Bring</p><p>&middot; 2&ndash;4+ years of experience in medical billing or RCM, ideally in CCM/RPM or primary care</p><p>&middot; Strong understanding of CPT codes, payer rules, and documentation requirements</p><p>&middot; Experience with clearinghouses, payer portals, and EHR/RCM systems</p><p>&middot; High attention to detail and comfort working in fast‑moving environments</p><p>&middot; Ability to troubleshoot denials and communicate clearly with internal teams</p><p>&middot; A process‑builder mindset &mdash; you don&rsquo;t just do the work, you improve the system</p><p>---</p><p>Why Join Colure Health</p><p>&middot; You&rsquo;ll be joining at a pivotal moment as we scale nationally</p><p>&middot; Your work directly impacts revenue, growth, and patient care</p><p>&middot; You&rsquo;ll help build a modern, tech‑enabled RCM engine from the ground up</p><p>&middot; We move fast, operate with clarity, and value people who take ownership</p><p>Employment is contingent upon successful completion of a standard background check.</p><p>Pay: $22.00 - $26.00 per hour</p><p>Work Location: Hybrid remote in New York, NY 10012</p>

Billing / RCM Specialist

Mount Sinai Health System

<div><b>Description</b><p>
The Offsite Medical Secretary II provides secretarial support to the supervising physician in an offsite practice setting. Responsibilities include telephones, reception, patient scheduling, obtain auth/precertification and maintenance of medical records, as assigned. Prepare stat reports and maintain up to date logs and provide follow up. Work directly with Supervisor and Administration to maintain physician schedule up to date on daily basis.</p><b><br>
Responsibilities</b><p>
1. Clerical, reception and telephone support for the supervising physician.</p>
<p>
2. May schedule appointments for patients.</p>
<p>
3. Acquires insurance authorizations for procedures and tests ordered by physician.</p>
<p>
4. May enter orders into the electronic medical record (EMR) system or prepare prescription refill requests on behalf of the physician, subject to review and approval.</p>
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5. Maintains logging system as required for tracking test results.</p>
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6. Assists in the maintenance of medical charts and/or electronic medical record (filing, Op Reports, test results, home care forms).</p>
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7. Prepares charts, pre-admissions and consent forms as necessary.</p>
<p>
8. Retrieves physician correspondence from dictation service.</p>
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9. Prepares physicians mail correspondence.</p>
<p>
10. Compiles documents for surgical billing packages if appropriate to practice.</p>
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11. Helps direct patient flow during practice hours.</p>
<p>
12. Discuss payment arrangements with patients prior to office procedures/visits</p>
<p>
13. Collect patients copayment/account balance</p>
<p>
14. Assist with credentialing</p>
<p>
15. Payment posting and record keeping</p>
<p>
16. Open and close physicians schedules</p>
<p>
17. Assist supervisor/manager with staff schedules and coverage</p>
<p>
18. Assist with front desk duties training</p>
<p>
19. Performs other duties as assigned</p><b><br>
Qualifications</b><ul>
<li>High School Diploma/GED.</li>
<li>2-4 years of administrative experience, preferably in a health care/practice environment</li>
<li>(Medical Assistant certificate program completion is required if performing Medical Assistant duties)</li>
</ul>
<p></p><p>Collective bargaining unit: SEIU 1199-SLW-Ambulatory</p><p></p><p>
SEIU 1199 Ambulatory Agreement at MS St. Luke's and MS West (Offsites), R41 - Neurology R41 - WST, Mount Sinai West</p><b><br>
Employer Description</b><p><b>
Strength through Unity and Inclusion</b></p>
<p>
The Mount Sinai Health System is committed to fostering an environment where everyone can contribute to excellence. We share a common dedication to delivering outstanding patient care. When you join us, you become part of Mount Sinai&rsquo;s unparalleled legacy of achievement, education, and innovation as we work together to transform healthcare. We encourage all team members to actively participate in creating a culture that ensures fair access to opportunities, promotes inclusive practices, and supports the success of every individual.</p>
<p>
At Mount Sinai, our leaders are committed to fostering a workplace where all employees feel valued, respected, and empowered to grow. We strive to create an environment where collaboration, fairness, and continuous learning drive positive change, improving the well-being of our staff, patients, and organization. Our leaders are expected to challenge outdated practices, promote a culture of respect, and work toward meaningful improvements that enhance patient care and workplace experiences. We are dedicated to building a supportive and welcoming environment where everyone has the opportunity to thrive and advance professionally. Explore this opportunity and be part of the next chapter in our history.</p>
<p><b>
About the Mount Sinai Health System:</b></p>
<p>
Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time &mdash; discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients&rsquo; medical and emotional needs at the center of all treatment. The Health System includes more than 9,000 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by U.S. News &amp; World Report's Best Hospitals, receiving high &quot;Honor Roll&quot; status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 12 in Ophthalmology. U.S. News &amp; World Report&rsquo;s &ldquo;Best Children&rsquo;s Hospitals&rdquo; ranks Mount Sinai Kravis Children's Hospital among the country&rsquo;s best in several pediatric specialties. The Icahn School of Medicine at Mount Sinai is ranked No. 11 nationwide in National Institutes of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek&rsquo;s &ldquo;The World&rsquo;s Best Smart Hospitals&rdquo; ranks The Mount Sinai Hospital as No. 1 in New York and in the top five globally, and Mount Sinai Morningside in the top 20 globally.</p>
<p><b>
Equal Opportunity Employer</b></p>
<p>
The Mount Sinai Health System is an equal opportunity employer, complying with all applicable federal civil rights laws. We do not discriminate, exclude, or treat individuals differently based on race, color, national origin, age, religion, disability, sex, sexual orientation, gender, veteran status, or any other characteristic protected by law. We are deeply committed to fostering an environment where all faculty, staff, students, trainees, patients, visitors, and the communities we serve feel respected and supported. Our goal is to create a healthcare and learning institution that actively works to remove barriers, address challenges, and promote fairness in all aspects of our organization.</p><p><b><br>
Compensation</b></p><p>
The Mount Sinai Health System (MSHS) provides salary ranges that comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $24.9373 - $25.4706 Hourly. Actual salaries depend on a variety of factors, including experience, education, and operational need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.</p></div>

Offsite Medical Secretary II-MSW-FT Days

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