Billing Specialist jobs at Emergency Ambulance Service - 591 jobs

Job Description Passion / Integrity / Professionalism / Customer Service Are you a People Person? Our customer service team is responsible for being the first point of contact for new and existing members. The first person a member sees when they arrive and the last person they see when leaving, our customer service team sets the tone for our members experience while at the club. Our team members are fully versed on club operations and services and have one of the busiest positions in the club. Attention to detail, professionalism and passion are key attributes of the ideal candidate. In addition to greeting and interacting with members, our customer service team serves protein shakes, operates cash register, assists with member tours and questions, enrolls members in fitness classes and sessions, handles incoming phone calls and assists with cleaning in our facility. Team members in this position are typically cross trained to perform many different functions. Prior experience in a fast paced retail business is helpful. Fitness minded individuals are encouraged to apply. This position provides opportunity for advancement into personal training, group Exercise instruction and management. EOE

Department/Unit: AMHS - Self Pay Billing Office Work Shift: Day (United States of America) Salary Range: $40,495.10 - $52,643.64The SBO Customer Service Billing Associate is responsible for providing customer service to patients and families who have received services at any of the five main campus locations within the Albany Med Health System including 125 + practice locations. The department is responsible for $65-70M in total Self-Pay AR. The Customer Service Billing Associate is the primary point of contact for customer/patient inquiries, receiving in excess of 100 calls per day. This position collects payments, assists with insurance inquiries, provides account status, and will escalate calls to management as needed. This role requires professional communication, accuracy, and problem-solving skills. Essential Duties and Responsibilities Manage inbound and outbound calls with professionalism and empathy, addressing customer inquiries, including those related to CRM systems-to ensure accurate and timely support Assist patients in reviewing and selecting appropriate payment plan options within the Albany Med Health System guidelines, including guidance on available Financial Aid programs Maintain strong listening skills; ability to de-escalate in difficult or emotional customer interactions. Review credit balances; process refund requests. Accurately update, add, or remove patient insurance and demographic information to ensure up-to-date records and seamless billing processes and identify root causes of data discrepancies Manage assigned work queues and perform intradepartmental workflow tasks as needed to support efficient operations and cross-functional collaboration Meet daily/weekly productivity standards with acceptable QA results. Manage a cash drawer as needed. Process attorney, internal, bankruptcy, and insurer requests in accordance with organizational policies and regulatory requirements Perform cross-functional coordination with billing, legal, and insurance teams to ensure accurate processing and issue resolution Additional responsibilities as required Qualifications High School Diploma/G.E.D. - required Associate's Degree - preferred 1-2 years of relevant customer service or support experience - preferred Proven capability to self-manage and take initiative in completing assignments with accountability Excellent verbal and written communication Strong attention to detail; ability to follow processes accurately Basic understanding of relevant financial/billing terms Effectively defuse high-stress customer interactions to achieve positive outcomes Familiarity with CRM or customer support software Ability to manage time effectively and complete multiple tasks timely Some medical terminology knowledge Equivalent combination of relevant education and experience may be substituted as appropriate. Physical Demands Standing - Occasionally Walking - Occasionally Sitting - Constantly Lifting - Rarely Carrying - Rarely Pushing - Rarely Pulling - Rarely Climbing - Rarely Balancing - Rarely Stooping - Rarely Kneeling - Rarely Crouching - Rarely Crawling - Rarely Reaching - Rarely Handling - Occasionally Grasping - Occasionally Feeling - Rarely Talking - Constantly Hearing - Constantly Repetitive Motions - Frequently Eye/Hand/Foot Coordination - Frequently Working Conditions Extreme cold - Rarely Extreme heat - Rarely Humidity - Rarely Wet - Rarely Noise - Occasionally Hazards - Rarely Temperature Change - Rarely Atmospheric Conditions - Rarely Vibration - Rarely Thank you for your interest in Albany Medical Center! Albany Medical Center is an equal opportunity employer. This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that: Access to information is based on a “need to know” and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Medical Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification. Thank you for your interest in Albany Medical Center! Albany Medical is an equal opportunity employer. This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that: Access to information is based on a “need to know” and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Med Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.

Passion / Integrity / Professionalism / Customer Service Are you a People Person? Our customer service team is responsible for being the first point of contact for new and existing members. The first person a member sees when they arrive and the last person they see when leaving, our customer service team sets the tone for our members experience while at the club. Our team members are fully versed on club operations and services and have one of the busiest positions in the club. Attention to detail, professionalism and passion are key attributes of the ideal candidate. In addition to greeting and interacting with members, our customer service team serves protein shakes, operates cash register, assists with member tours and questions, enrolls members in fitness classes and sessions, handles incoming phone calls and assists with cleaning in our facility. Team members in this position are typically cross trained to perform many different functions. Prior experience in a fast paced retail business is helpful. Fitness minded individuals are encouraged to apply. This position provides opportunity for advancement into personal training, group Exercise instruction and management. EOE

Title: Medical Coding Associate II Employment Type: Full-Time, Hourly Pay Range: $25 - $30 per hour (based on experience) Benefits: Medical, Dental, and Vision (with company contribution), PTO Paid Time Off, Weekly pay, 401k About DocGo: DocGo is leading the proactive healthcare revolution with an innovative care delivery platform that includes mobile health services, population health, remote patient monitoring, and ambulance services. DocGo disrupts the traditional four-wall healthcare system by providing high quality, highly affordable care to patients where and when they need it. DocGo's proprietary, AI-powered technology, logistics network, and dedicated field staff of over 5,000 certified health professionals elevate the quality of patient care and drive efficiencies for municipalities, hospital networks, and health insurance providers. With Mobile Health, DocGo empowers the full promise and potential of telehealth by facilitating healthcare treatment, in tandem with a remote physician, in the comfort of a patient's home or workplace. Together with DocGo's integrated Ambulnz medical transport services, DocGo is bridging the gap between physical and virtual care. Position Overview: We are seeking a skilled and detail-oriented Medical Billing and Coding Associate with a primary focus on coding to join our team. The ideal candidate will possess expertise in medical coding, including ICD-10, CPT, and HCPCS coding systems, and will play a vital role in ensuring accurate coding and billing practices. Responsibilities: Medical Coding Assign appropriate ICD-10, CPT, and HCPCS codes to diagnoses, procedures, and services rendered by healthcare providers. Review medical records and documentation to accurately assign codes and ensure compliance with coding guidelines and regulations. Conduct regular audits to identify coding errors and discrepancies and implement corrective measures as needed. Documentation Improvement: Provide feedback and education to healthcare providers and staff on documentation improvement opportunities to support accurate coding and billing practices. Stay updated on changes in coding guidelines, regulations, and reimbursement policies and communicate updates to relevant stakeholders. Quality Assurance: Perform quality assurance reviews of coded medical records to ensure compliance with coding standards and accuracy in code assignment. Collaborate with compliance and auditing teams to address coding-related issues and implement best practices for quality improvement. Other: Other tasks as assigned Qualifications: Certified Coding Specialist (CCS), Certified Professional Coder (CPC), or equivalent coding certification required. Minimum of 2 years of experience in medical coding, with a focus on ICD-10, CPT, and HCPCS coding systems. Proficiency in medical terminology, anatomy, and physiology. Strong understanding of healthcare reimbursement methodologies and regulatory requirements. Excellent attention to detail and accuracy in code assignment. Effective communication and interpersonal skills, with the ability to collaborate with multidisciplinary teams. Proficiency in coding software and electronic health record (EHR) systems. EEO/AAP Statement: DocGo is an equal opportunity employer. We acknowledge and honor the fundamental value and dignity of all individuals. We pledge ourselves to crafting and maintaining an environment that respects diverse traditions, heritages, and experiences. DocGo is an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. The above-noted job description is not intended to describe, in detail, the multitude of tasks that may be assigned but rather to give the applicant a general sense of the responsibilities and expectations of this position. As the nature of business demands change so, too, may the essential functions of the position.

Job Description The Teresian House is currently hiring. This opportunity is a Full Time Day position, working 8 am-4 pm! Thank you for considering Teresian House in your choice for employment! The Nursing Home Billing Specialist is responsible for: Timely insurance verification of all referrals for potential admission to the facility. Ensuring accurate and timely billing of all services rendered to residents in compliance with NYS Medicaid, Medicare, Mafae Care Organizations (MCO's) and private insurance. Preparing and submitting claims, resolving billing issues, managing accounts receivable, and working with families and third-party payers to ensure proper reimbursement. Verifying resident insurance eligibility and insurance coverage using Availity, Epaces and other electronic systems daily. Preparing and submitting timely billing for Medicare, MCO's, Medicaid and private insurers using electronic and payer formats. Monitor and manage outstanding balances and follow-up on unpaid claims. Communicating with families, residents and insurance companies regarding account status and unpaid claims. Maintaining up to date knowledge of Medicare, MCO and NYS Medicaid regulations and billing practices. Working with other departments to ensure accurate census date and payer sources are maintained. Assisting with audits and providing requested documentation for compliance and financial reviews. Maintain accurate and confidential billing records in accordance with HIPAA regulations. Qualifications: High School Diploma or GED required. Associate's Degree in Accounting, Business or related field experience preferred. 2+ years of billing experience in a skilled nursing facility (SNF) or healthcare setting Strong knowledge of Medicare Part A/B, MCO's, NYS Medicaid and commercial billing. Experience with billing software - Point Click Care Proficient in Excel and data entry Excellent communication and organizational skills Ability to manage multiple tasks and meet deadlines Knowledge of HIPAA regulations and healthcare confidentiality standards. Preferred Skills: Previous Nursing Home Billing experience. Knowledge of claims and experience resolving billing issues. Experience with SNF benefits specific to rehabilitation. Knowledge of NYS Medicaid application process. Do you want to join a team committed to enhancing the lives of our residents by providing optimal service in a homelike atmosphere? We invite you to join our team and reap the benefits of becoming part of the Teresian House family: Excellent starting pay rate with competitive and generous benefits Generous paid time off with cash-in options Cost-shared health, dental, and optical insurance with a significant employer paid share Opportunity for career pathways Retirement plan with employer match Free meal daily Fully paid group life insurance Employee Assistance Plan including individual counseling and referral to community services Tuition assistance and scholarships! Our mission is evident in the daily interactions our staff have with residents and their families. At Teresian House, we are truly "Where the spirit of love and dedication lives..."

Rome Health is seeking a full-time Billing Clerk for the daily review, validation and submission of claims, review and timely follow-up of denials, routine and timely ATB and credit balance review and follow-up. The successful candidate must be detail-oriented and committed to maintaining up-to-date payer knowledge and compliance requirements. The hours for this roll with be Monday - Friday 8:00 a.m. - 4:00 p.m. The Billing Clerk's duties will also include: POSITION RESPONSIBILITIES: Submitting or resubmitting claims in an accurate, efficient, and timely manner Reviewing and validating claims with errors in the electronic billing system on a daily basis. Working with follow-up and personal ticklers in an accurate, efficient, and timely manner. EDUCATION, TRAINING, EXPERIENCE, CERTIFICATION AND LICENSURE: High School diploma or GED. Medical billing experience. Typing, customer service.

Job Description SCHEDULE: Only Mondays, Wednesdays and Fridays from 9am-5pm REPORTS TO: Director of Revenue Cycle DEPARTMENT: Finance Our Mission: Since 1967, Odyssey House has been providing innovative services and programs to a broad population of individuals and families struggling with substance use and mental health disorders. Odyssey House helps New Yorkers of all ages-and across all five boroughs-beat drugs and alcohol with highly individualized treatment programs. Odyssey House provides high quality, holistic treatment impacting all major life spheres, including: psychological, physical, social, family, educational and spiritual in order to support personal rehabilitation, renewal and family restoration. If that sounds different than other treatment programs, you're right. Because Odyssey is where recovery gets real. In addition to competitive salaries, Odyssey House offers: A 35-hour work week (as opposed to a 40-hour work week) Vacation Plan and Holiday Schedule Life Insurance Medical Insurance (Two Plans) Dental and Vision Insurance Additional Insurance Coverages (hospitalization, accidental, critical illness coverage) Long-Term & Short-Term Disability Flexible Spending Account/Health Reimbursement Account 403(b) Plan Corporate Counseling Associates (CCA) EAP benefit Ability Assist Counseling Services (through The Hartford) Commuter Benefits Educational Assistance Programs Special shopping discounts through ADP Marketplace and PlumBenefits RUFit?! Fitness Program Legal Assistance through ARAG Optum Financial Service through ConnectYourCare Benefit Advocacy Center through Gallagher MAJOR FUNCTION: The 820 Billing Assistant is responsible for assisting billing team with collection of Managed Care Organization payments. SPECIFIC DUTIES & RESPONSIBILITIES: Reconcile client number of days stay between AWARDS and Census Reports Verify accuracy of clients' health insurance in AWARDS through ePaces Access real-time payer portals to verify accuracy in authorization ID entered in AWARDS Verify and confirm appropriate diagnosis and procedure coding as per clinical documentation Navigate payee websites/portals to keep track payments or denials Works closely with co-workers to analyze and identify issues Calling insurance companies to research the reason for denials Post payments in AWARDS database REQUIREMENTS: Excellent analytical, problem solving, and interpersonal and communication skills Proficiency in Microsoft Excel Must be able to work independently and with a team Odyssey House is an equal opportunity employer maintaining a non-discriminatory policy on hiring of its personnel. Odyssey House, and its operational divisions, will not discriminate against any employee or applicant because of race, creed, color, national origin, sex, disability, marital status, sexual orientation or citizen status in all employment decisions including but not limited to recruitment, hiring, upgrading, demotion, downgrading, transfer, training, rate of pay or other forms of compensation, layoff, termination and all other terms and conditions of employment.

SCHEDULE: Only Mondays, Wednesdays and Fridays from 9am-5pm REPORTS TO: Director of Revenue Cycle DEPARTMENT: Finance Our Mission: Since 1967, Odyssey House has been providing innovative services and programs to a broad population of individuals and families struggling with substance use and mental health disorders. Odyssey House helps New Yorkers of all ages-and across all five boroughs-beat drugs and alcohol with highly individualized treatment programs. Odyssey House provides high quality, holistic treatment impacting all major life spheres, including: psychological, physical, social, family, educational and spiritual in order to support personal rehabilitation, renewal and family restoration. If that sounds different than other treatment programs, you're right. Because Odyssey is where recovery gets real. In addition to competitive salaries, Odyssey House offers: A 35-hour work week (as opposed to a 40-hour work week) Vacation Plan and Holiday Schedule Life Insurance Medical Insurance (Two Plans) Dental and Vision Insurance Additional Insurance Coverages (hospitalization, accidental, critical illness coverage) Long-Term & Short-Term Disability Flexible Spending Account/Health Reimbursement Account 403(b) Plan Corporate Counseling Associates (CCA) EAP benefit Ability Assist Counseling Services (through The Hartford) Commuter Benefits Educational Assistance Programs Special shopping discounts through ADP Marketplace and PlumBenefits RUFit?! Fitness Program Legal Assistance through ARAG Optum Financial Service through ConnectYourCare Benefit Advocacy Center through Gallagher MAJOR FUNCTION: The 820 Billing Assistant is responsible for assisting billing team with collection of Managed Care Organization payments. SPECIFIC DUTIES & RESPONSIBILITIES: Reconcile client number of days stay between AWARDS and Census Reports Verify accuracy of clients' health insurance in AWARDS through ePaces Access real-time payer portals to verify accuracy in authorization ID entered in AWARDS Verify and confirm appropriate diagnosis and procedure coding as per clinical documentation Navigate payee websites/portals to keep track payments or denials Works closely with co-workers to analyze and identify issues Calling insurance companies to research the reason for denials Post payments in AWARDS database REQUIREMENTS: Excellent analytical, problem solving, and interpersonal and communication skills Proficiency in Microsoft Excel Must be able to work independently and with a team Odyssey House is an equal opportunity employer maintaining a non-discriminatory policy on hiring of its personnel. Odyssey House, and its operational divisions, will not discriminate against any employee or applicant because of race, creed, color, national origin, sex, disability, marital status, sexual orientation or citizen status in all employment decisions including but not limited to recruitment, hiring, upgrading, demotion, downgrading, transfer, training, rate of pay or other forms of compensation, layoff, termination and all other terms and conditions of employment.

The Billing Specialist, Payment Poster plays a critical part in maintaining the financial integrity of the practice by ensuring accurate and efficient billing and revenue collection for a wide range of orthopedic services. This role is responsible for follow-up and resolution to optimize reimbursement from insurance carriers and patients on a timely basis. The Billing Specialist must possess comprehensive experience in orthopedic or surgical billing, a solid grasp of healthcare insurance procedures, and the ability to troubleshoot complex billing issues with professionalism and attention to detail. The Billing Specialist will serve as a key liaison between our patients, providers, and insurance companies to help ensure timely reimbursement and optimal revenue performance. The Billing Specialist will be responsible for processing the full lifecycle of medical claims-from charge entry and claim submission to payment posting, denial management, and patient billing. Duties and Responsibilities Demonstrate our core values of being patient centered, team focused, service driven, accountable, and innovative every day. Track claim status using payer portals and billing software; investigate and resolve rejections or denials promptly. Prepare and submit appeals for denied claims, including documentation and provider narratives as needed. Identify and report trends in denials, underpayments, and billing errors to support performance improvement. Generate and review routine reports, including aging summaries and outstanding claims status. Communicate with insurance companies to verify coverage, benefits, prior authorizations, and patient financial responsibility. Respond professionally to patient and insurance inquiries via phone or email; assist with resolving account questions or concerns. Assist with Accounts Receivable (A/R) follow-up and collection activities on past due accounts as directed by the Billing Manager. Maintain strict confidentiality of patient health and financial information in compliance with HIPAA and practice policies. Demonstrate working knowledge of health insurance plans, billing processes, and industry-standard coding practices (CPT, ICD-10, HCPCS). Post insurance and patient payments, adjustments, and credits to patient accounts in a timely and accurate manner. (may move to Billing Specialist, Payment Poster) Evolve in your role when performing supplemental responsibilities as assigned. Qualifications Requirements and Qualifications High school diploma or equivalent required; associate degree or certification in medical billing/coding (e.g., CMB, CMRS) strongly preferred. Minimum 2 years of billing experience in a healthcare setting, preferably in orthopedics or surgical specialties required. Proficiency in CPT, ICD-10, and HCPCS coding specific to musculoskeletal and surgical services preferred. Demonstrated knowledge with EMR systems (e.g. Medent, Epic, or similar) is required. Comprehensive knowledge of commercial, Medicare, Medicaid, and workers' comp billing procedures preferred. Strong analytical skills to interpret EOBs, address denials, and resolve account discrepancies preferred. Demonstrated attention to detail, time management, and organizational abilities. Effective interpersonal and communication skills for interactions with patients and team members. Ability to work independently, meet deadlines, and adapt in a fast-paced environment. Computer skills required with minimum proficiency in Microsoft Word, Excel, Outlook, and Teams. Physical Demands Manual and finger dexterity and eye-hand coordination to enter data and operate office equipment Corrected vision and hearing within normal range to observe and communicate with patients, providers, and staff. Frequently remaining in a stationary position, often sitting for prolonged periods working on a computer, telephone, copy/fax machine, and other office equipment Occasional standing and walking required Occasional lifting and carrying items weighing up to 10 pounds. The pay range for this position is determined based on several factors, including the candidate's years of experience, qualifications, training, licenses, designations, and the overall market conditions. This job description does not state or imply that the duties and responsibilities listed are the only ones required of this position. Team members in this role will be required to perform other job-related duties at the discretion of the employer and may have additional duties assigned as necessary. Excelsior Orthopaedics and Buffalo Surgery Center are committed to the full inclusion of all applicants. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity, national origin, veteran status, or genetic information.

If you're detail-oriented and experienced in the medical billing field, then CN Guidance and Counseling Services has the perfect career opportunity for you! We're hiring a full-time Billing Specialist to oversee medical accounts receivable matters and coordinate with insurance companies regarding claims. This is a remote role, and you'll be making $21.98 - $25.50/hour (based on experience). We also offer exceptional benefits and perks, including: $0 deductible platinum plus medical insurance plan (90% employer-provided benefit) Dental and vision FSA/HRA 403(b) retirement plan Long- and short-term disability Legal plan and a dependent care expense account Provided and supplemental life insurance Pet insurance Training and mentorship programs 5 Personal Days, 10-20 Vacation Days, 12 Sick Days, 12 Company Paid Holidays-yearly and so much more Potential for student loan forgiveness Discounts to Broadway shows and more amazing employee perks! YOUR SCHEDULE Our Healthcare Billing Specialist works 9:00 am to 5:00 pm, Monday through Friday and is remote. As our Billing Specialist, you'll be communicating with patients, coworkers, and insurance companies to ensure our records are accurate and accounts receivable matters are properly handled. You'll review various documentation (referrals, patient records, EOBs, etc.) to verify accuracy. Prepare and submit accounts receivable data, contact insurance companies about unpaid claims, and follow up on aging reports. When a company denies a claim, you'll investigate the cause, appeal the decision when appropriate, identify patterns in denials, and adjust strategies to minimize future denials. You'll follow all safety protocols, attend on-site functions, and foster an inclusive culture where every team member feels empowered to grow and thrive! Education and Experience Required 2+ years of experience performing accounts receivable follow-up in a healthcare setting Strong understanding of billing concepts, ICD-10, medical terminology, behavioral health billing, and electronic medical records Ability to read and understand EOBs Ability to complete QI training and participate in refresher training Proficiency with Microsoft Office, specifically Excel and Word Excellent time management and multitasking skills Excellent verbal and written communication skills Suitable remote workspace OUR STORY Since 1972, CN Guidance and Counseling Services has been committed to improving the quality of life for individuals and families on Long Island affected by mental health and substance use disorders. Our mission is to integrate mental and physical health services to support our community's overall well-being. Recognized as a top Long Island workplace for five consecutive years, we pride ourselves on our inclusive culture that fosters growth, collaboration, and innovation. Every team member plays a crucial role in helping others lead healthy and fulfilling lives. If you see yourself excelling as our Billing Specialist, apply now by completing our short initial form!

Title: Billing Follow-Up Representative Employment Type: Full time Pay Rate: $19 - $24 per hour Benefits: Medical, Dental, and Vision (with company contribution), Paid Time Off, 401k About DocGo DocGo is leading the proactive healthcare revolution with an innovative care delivery platform that includes mobile health services, population health, remote patient monitoring, and ambulance services. DocGo disrupts the traditional four-wall healthcare system by providing high quality, highly affordable care to patients where and when they need it. DocGo's proprietary, AI-powered technology, logistics network, and dedicated field staff of over 5,000 certified health professionals elevate the quality of patient care and drive efficiencies for municipalities, hospital networks, and health insurance providers. With Mobile Health, DocGo empowers the full promise and potential of telehealth by facilitating healthcare treatment, in tandem with a remote physician, in the comfort of a patient's home or workplace. Together with DocGo's integrated Ambulnz medical transport services, DocGo is bridging the gap between physical and virtual care. Responsibilities: Contact payers to verify claim status via phone or web and follow up on unpaid claims. Process appeals on aged insurance claims/denials. Ability to analyze, identify and resolve issues which may cause payer payment delays. Identify and resolve claim edits through understanding of billing guidelines and payer requirements. Reconcile commercial and government accounts, ensuring CPT and diagnostic codes are accurate. Interpret terms for Managed Care, Commercial, Medicare, Medicaid when applicable. Review all EOBs for correct payment, deductible, adjustments, and denials. Determining the status of claims with the insurance company, if the claim meets contractual agreements or needs adjustment. Reconcile account balances, and verify payments are applied correctly. Maintain well aged accounts, promptly resolve and resubmit denied unpaid claims in a timely and efficient manner. Follow up on appeals/corrected submitted claims. Review and correct billing errors, which require a strong knowledge of CPT and ICD-10 coding. Review and audit customer service account inquiries. Receive inbound/outbound customer service calls, provide excellent customer service to all patients, Insurances & Facilities. Review and correct all rejections in clearing house. Follow-up with Self-Pay patients to resolve any account issues that may exist Other duties as assigned Requirements: Minimum of 2-3 years billing follow-up experience with a high-volume practice or clinic, ambulance experience preferred. Excellent organizational skills and the ability to multitask in a fast-paced environment. Analytical - collects and researches data; uses intuition and experience to complement data. Excellent Follow-up skills including appeals/reconsiderations. Familiarity with Microsoft Office Suite. Working knowledge of AthenaOne. EEO/AAP Statement: DocGo is an equal opportunity employer. We acknowledge and honor the fundamental value and dignity of all individuals. We pledge ourselves to crafting and maintaining an environment that respects diverse traditions, heritages, and experiences. DocGo is an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. The above-noted job description is not intended to describe, in detail, the multitude of tasks that may be assigned but rather to give the applicant a general sense of the responsibilities and expectations of this position. As the nature of business demands change so, too, may the essential functions of the position.

Our client, a leading provider of behavioral health and substance use disorder services, is hiring a Billing Specialist to ensure accurate and efficient management of billing, eligibility verification, and claims processing. This key role supports clinical operations by verifying client benefits, coordinating pre-authorization requirements, and assisting with financial counseling to optimize patient care and revenue cycle workflows. Responsibilities: Determine initial client eligibility and benefits, including pre-authorization or pre-certification requirements under benefit plans for substance use disorder services. Input authorization tracking data into Insync and notify clinical leadership of pre-auth or admission needs before client appointments. Prepare and distribute financial agreements, ensuring clients understand their financial responsibility; meet with eligible clients for financial counseling and sliding scale agreements. Review daily eligibility batch reports, contacting ineligible clients to update insurance information, facilitate recertification, or manage out-of-pocket payments. Confirm appointment eligibility prior to service, notify front desk staff and clients of any ineligibility, and ensure appropriate documentation. Verify provider billing codes, review service charges for accuracy, and correct any coding issues promptly. Monitor billing submissions, ensuring services are billed within 48 hours of delivery, and address denied or unpaid claims through coordination with billing software and clinical staff. Generate and analyze billing and accounts receivable reports, assist with collections, and maintain accurate financial records. Support clinical and administrative staff with billing or insurance-related inquiries and serve as a resource for billing best practices. Manage the assessment tracker to monitor appointment no-shows, cancellations, and rescheduling activities. Requirements: Associate's degree or higher in health administration, medical billing, or related field. Minimum of 2 years' experience in healthcare billing and eligibility verification. Proven experience in medical or behavioral health billing and coding, with familiarity in insurance verification and claims processing. Strong knowledge of billing software, particularly Insync, and proficiency with Medicaid, insurance benefits, and pre-authorization procedures. Excellent organizational skills with the ability to multitask and prioritize in a fast-paced environment. Effective communication skills to liaise with clients, clinical staff, and insurance providers. Attention to detail and accuracy in reviewing charges, coding, and documentation. Ability to work on-site, with availability to coordinate with clinical and administrative teams. Familiarity with confidentiality regulations and compliance standards related to healthcare information. Nice to Have Skills: Experience working with Medicaid and other government-funded programs. Basic understanding of behavioral health services and clinical workflows. Certification in medical billing or coding (e.g., CPC, CPRS). Bilingual abilities to serve diverse patient populations. If you are meticulous, customer-focused, and eager to contribute to a mission-driven organization, we encourage you to apply today. Join a dedicated team committed to improving lives through outstanding administrative and clinical collaboration. Salary: The posted range is not a guarantee. The actual salary will be based on qualifications, experience, and education and could fall outside of this range. Contact us for more information. #LI-FP1

Are you E.P.I.C?! If you display Empathy, Passion, Integrity, and Commitment then HSS is the place for you! Join a team that's dedicated to making a difference in healthcare - delivering seamless, reliable service to our clients, colleagues, and community. Bring your precision, problem-solving skills, and commitment to excellence to a role that keeps our financial engine running smoothly. As a Billing Specialist, you'll play a key role in ensuring accurate and timely billing operations across the organization. Your attention to detail and understanding of billing procedures will help guarantee that claims and invoices are processed efficiently and correctly. You'll collaborate across departments to research and resolve billing discrepancies, streamline processes, and strengthen billing accuracy - all while contributing to the outstanding service experience HSS is known for. About the Position Review, prepare, and submit insurance claims accurately and in a timely manner based on services rendered and payer requirements. Ensure claims meet payer-specific rules, modifiers, documentation, and coverage guidelines. Identify billing errors or missing information prior to submission and correct accounts as needed. Actively work assigned AR, including follow-up on unpaid, underpaid, or denied claims. Track escalated claims and ensure timely resolution. Update terminated or incorrect insurance information promptly to prevent billing delays. Escalate complex or recurring issues to leadership, payer representatives, or internal departments. Clearly document actions taken and outcomes within billing systems. Respond professionally to patient and internal inquiries regarding billing and insurance issues. Assist in identifying payer-specific or workflow-related issues impacting reimbursement. Identify workflow gaps, system issues, or training needs impacting billing accuracy or collections. Propose solutions to improve efficiency, reduce denials, and shorten AR days. What We're Looking For Proficiency in billing software and ERP systems. Meticulous diligence in data entry and documentation. Strong knowledge of insurance billing and payor regulations Strong analytical skills for interpreting billing data and resolving discrepancies. Effective communication skills, both verbal and written. Strong problem-solving and decision-making skills. Organizational skills to manage multiple tasks and meet deadlines. Customer service orientation with a focus on client satisfaction. Understanding of basic accounting principles and financial regulations. Ability to collaborate across departments to resolve account issues. Adaptability to change payer rules and internal workflows. Qualifications for Success High School Diploma required; Associates or Bachelor's degree preferred. Prior experience in medical billing, insurance follow-up, customer service, or healthcare administration preferred but not required. Completion of relevant coursework, training programs, or certifications in medical billing, coding, or healthcare revenue cycle is a plus. Ability and willingness to learn payer rules, billing systems, and internal workflows through on-the-job training. Strong interest in building a career in healthcare revenue cycle or medical billing. What You Get - Benefits That Go Beyond the Basics: Medical, Dental, and Vision insurance to keep you and your family well. 401K with 3% company contribution after one year and 1,000 hours worked Generous PTO, Vacation and 9 Paid Holidays Short Term Disability (optional) and Company-Paid Long-Term Disability Free Confidential Employee Assistance Program Exclusive Tuition Reimbursement Program with Niagara University - save on master's degree programs Join an organization that values giving back through community programs Compensation $18.00- $20.00, per hour dependent on experience Location Wheatfield, NY

Job Description Are you E.P.I.C?! If you display Empathy, Passion, Integrity, and Commitment then HSS is the place for you! Join a team that's dedicated to making a difference in healthcare - delivering seamless, reliable service to our clients, colleagues, and community. Bring your precision, problem-solving skills, and commitment to excellence to a role that keeps our financial engine running smoothly. As a Billing Specialist, you'll play a key role in ensuring accurate and timely billing operations across the organization. Your attention to detail and understanding of billing procedures will help guarantee that claims and invoices are processed efficiently and correctly. You'll collaborate across departments to research and resolve billing discrepancies, streamline processes, and strengthen billing accuracy - all while contributing to the outstanding service experience HSS is known for. About the Position Review, prepare, and submit insurance claims accurately and in a timely manner based on services rendered and payer requirements. Ensure claims meet payer-specific rules, modifiers, documentation, and coverage guidelines. Identify billing errors or missing information prior to submission and correct accounts as needed. Actively work assigned AR, including follow-up on unpaid, underpaid, or denied claims. Track escalated claims and ensure timely resolution. Update terminated or incorrect insurance information promptly to prevent billing delays. Escalate complex or recurring issues to leadership, payer representatives, or internal departments. Clearly document actions taken and outcomes within billing systems. Respond professionally to patient and internal inquiries regarding billing and insurance issues. Assist in identifying payer-specific or workflow-related issues impacting reimbursement. Identify workflow gaps, system issues, or training needs impacting billing accuracy or collections. Propose solutions to improve efficiency, reduce denials, and shorten AR days. What We're Looking For Proficiency in billing software and ERP systems. Meticulous diligence in data entry and documentation. Strong knowledge of insurance billing and payor regulations Strong analytical skills for interpreting billing data and resolving discrepancies. Effective communication skills, both verbal and written. Strong problem-solving and decision-making skills. Organizational skills to manage multiple tasks and meet deadlines. Customer service orientation with a focus on client satisfaction. Understanding of basic accounting principles and financial regulations. Ability to collaborate across departments to resolve account issues. Adaptability to change payer rules and internal workflows. Qualifications for Success High School Diploma required; Associates or Bachelor's degree preferred. Prior experience in medical billing, insurance follow-up, customer service, or healthcare administration preferred but not required. Completion of relevant coursework, training programs, or certifications in medical billing, coding, or healthcare revenue cycle is a plus. Ability and willingness to learn payer rules, billing systems, and internal workflows through on-the-job training. Strong interest in building a career in healthcare revenue cycle or medical billing. What You Get - Benefits That Go Beyond the Basics: Medical, Dental, and Vision insurance to keep you and your family well. 401K with 3% company contribution after one year and 1,000 hours worked Generous PTO, Vacation and 9 Paid Holidays Short Term Disability (optional) and Company-Paid Long-Term Disability Free Confidential Employee Assistance Program Exclusive Tuition Reimbursement Program with Niagara University - save on master's degree programs Join an organization that values giving back through community programs Compensation $18.00- $20.00, per hour dependent on experience Location Wheatfield, NY

Are you E. P. I. C?!

TITLE: Entitlement Medicaid Specialist (FT) REPORTS TO: Director of Entitlements Our Mission: Since 1967, Odyssey House has been providing innovative services and programs to a broad population of individuals and families struggling with substance use and mental health disorders. Odyssey House helps New Yorkers of all ages-and across all five boroughs-beat drugs and alcohol with highly individualized treatment programs. Odyssey House provides high quality, holistic treatment impacting all major life spheres, including: psychological, physical, social, family, educational and spiritual in order to support personal rehabilitation, renewal and family restoration. If that sounds different than other treatment programs, you're right. Because Odyssey is where recovery gets real. In addition to competitive salaries, Odyssey House offers: A 35-hour work week (as opposed to a 40-hour work week) Vacation Plan and Holiday Schedule Life Insurance Medical Insurance (Two Plans) Dental and Vision Insurance Additional Insurance Coverages (hospitalization, accidental, critical illness coverage) Long-Term & Short-Term Disability Flexible Spending Account/Health Reimbursement Account 403(b) Plan Corporate Counseling Associates (CCA) EAP benefit Ability Assist Counseling Services (through The Hartford) Commuter Benefits Educational Assistance Programs Special shopping discounts through ADP Marketplace and PlumBenefits RUFit?! Fitness Program Legal Assistance through ARAG Optum Financial Service through ConnectYourCare Benefit Advocacy Center through Gallagher MAJOR FUNCTIONS: Maintain a working relationship with the Department of Social Service (DSS), Human Resources Administration (HRA), the Social Security Administration (SSA), Medicaid Office, Expedited and Marketplace to ensure Medicaid Managed Care guidelines, policies and procedures are followed to receive appropriate funding for 819 and 820 programs. SPECIFIC DUTIES & RESPONSIBILITIES: Conduct daily comprehensive review of consumers' interviews to determine eligible for Entitlements benefits, Medicaid Eligibility, Medicaid Managed Care, Medicare, Private Insurance coverage, Self-Pay Case conference difficult cases with the Director for guidance and support to ensure funding for 819 and Part 820 programs are obtained in a timely fashion Conduct interviews on new admissions for HRA/DSS/Medicaid/SSI/SSD/Self-Pay Expedite consumers with the selection of Managed Care Organization, assist with the NY State Market Place at point of admissions and upon Medicaid Eligibility Daily Data Entry of Medicaid Managed Care coverage / Medicare / Private Insurance / MAT in AWARDS, E-Lab and LabCorp Portal Daily update the Entitlement 820 Reports with consumers' coverage Navigate Epaces (eMedNY) / Inovalon / STARS / SAAMS / AWARDS / WTW / Manage Care System Portals for coverage Communicate with consumers regarding insurance coverage, restrictions, and disenrollment (Medicaid/Managed Care, Medicare, and Private Insurance) Process Medicaid applications and recertifications for consumers through the Department of Social Services, NY State Exchange/Marketplace Investigate Medicaid disparities related to county / deferral / eligibility / denial / dropped / recertification Identify and process consumers with Medical / Pharmacy / Out-Patient restrictions through the Managed Care Organization and Managed Care System (MCS) Resolve problematic Medicaid Managed Care issues for Part 820 coverage Complete and submit bi-weekly 820 Medicaid Managed Care Reports Complete weekly Medicaid Manage Care Reports for five residential programs to reflect consumers' coverage for the Pharmacy, Medical department and LabCorp Other relevant duties as assigned REQUIREMENTS: BA Degree preferred Experience with Medicaid Managed Care; Human Services Field Background with DSS/HRA benefits, Recertifications, Medicaid Managed Care, Expediting, enrollment and disenrollment Demonstrated effective communication, proficiency in Excel, computer skills, organization and multitasking Notary Public Stamp Odyssey House is an equal opportunity employer maintaining a non-discriminatory policy on hiring of its personnel. Odyssey House, and its operational divisions, will not discriminate against any employee or applicant because of race, creed, color, national origin, sex, disability, marital status, sexual orientation or citizen status in all employment decisions including but not limited to recruitment, hiring, upgrading, demotion, downgrading, transfer, training, rate of pay or other forms of compensation, layoff, termination and all other terms and conditions of employment.

TITLE: Entitlement Medicaid Specialist (FT) REPORTS TO: Director of Entitlements Our Mission: Since 1967, Odyssey House has been providing innovative services and programs to a broad population of individuals and families struggling with substance use and mental health disorders. Odyssey House helps New Yorkers of all ages-and across all five boroughs-beat drugs and alcohol with highly individualized treatment programs. Odyssey House provides high quality, holistic treatment impacting all major life spheres, including: psychological, physical, social, family, educational and spiritual in order to support personal rehabilitation, renewal and family restoration. If that sounds different than other treatment programs, you're right. Because Odyssey is where recovery gets real. In addition to competitive salaries, Odyssey House offers: A 35-hour work week (as opposed to a 40-hour work week) Vacation Plan and Holiday Schedule Life Insurance Medical Insurance (Two Plans) Dental and Vision Insurance Additional Insurance Coverages (hospitalization, accidental, critical illness coverage) Long-Term & Short-Term Disability Flexible Spending Account/Health Reimbursement Account 403(b) Plan Corporate Counseling Associates (CCA) EAP benefit Ability Assist Counseling Services (through The Hartford) Commuter Benefits Educational Assistance Programs Special shopping discounts through ADP Marketplace and PlumBenefits RUFit?! Fitness Program Legal Assistance through ARAG Optum Financial Service through ConnectYourCare Benefit Advocacy Center through Gallagher MAJOR FUNCTIONS: Maintain a working relationship with the Department of Social Service (DSS), Human Resources Administration (HRA), the Social Security Administration (SSA), Medicaid Office, Expedited and Marketplace to ensure Medicaid Managed Care guidelines, policies and procedures are followed to receive appropriate funding for 819 and 820 programs. SPECIFIC DUTIES & RESPONSIBILITIES: Conduct daily comprehensive review of consumers' interviews to determine eligible for Entitlements benefits, Medicaid Eligibility, Medicaid Managed Care, Medicare, Private Insurance coverage, Self-Pay Case conference difficult cases with the Director for guidance and support to ensure funding for 819 and Part 820 programs are obtained in a timely fashion Conduct interviews on new admissions for HRA/DSS/Medicaid/SSI/SSD/Self-Pay Expedite consumers with the selection of Managed Care Organization, assist with the NY State Market Place at point of admissions and upon Medicaid Eligibility Daily Data Entry of Medicaid Managed Care coverage / Medicare / Private Insurance / MAT in AWARDS, E-Lab and LabCorp Portal Daily update the Entitlement 820 Reports with consumers' coverage Navigate Epaces (eMedNY) / Inovalon / STARS / SAAMS / AWARDS / WTW / Manage Care System Portals for coverage Communicate with consumers regarding insurance coverage, restrictions, and disenrollment (Medicaid/Managed Care, Medicare, and Private Insurance) Process Medicaid applications and recertifications for consumers through the Department of Social Services, NY State Exchange/Marketplace Investigate Medicaid disparities related to county / deferral / eligibility / denial / dropped / recertification Identify and process consumers with Medical / Pharmacy / Out-Patient restrictions through the Managed Care Organization and Managed Care System (MCS) Resolve problematic Medicaid Managed Care issues for Part 820 coverage Complete and submit bi-weekly 820 Medicaid Managed Care Reports Complete weekly Medicaid Manage Care Reports for five residential programs to reflect consumers' coverage for the Pharmacy, Medical department and LabCorp Other relevant duties as assigned REQUIREMENTS: BA Degree preferred Experience with Medicaid Managed Care; Human Services Field Background with DSS/HRA benefits, Recertifications, Medicaid Managed Care, Expediting, enrollment and disenrollment Demonstrated effective communication, proficiency in Excel, computer skills, organization and multitasking Notary Public Stamp Odyssey House is an equal opportunity employer maintaining a non-discriminatory policy on hiring of its personnel. Odyssey House, and its operational divisions, will not discriminate against any employee or applicant because of race, creed, color, national origin, sex, disability, marital status, sexual orientation or citizen status in all employment decisions including but not limited to recruitment, hiring, upgrading, demotion, downgrading, transfer, training, rate of pay or other forms of compensation, layoff, termination and all other terms and conditions of employment.

Job Description TITLE: Entitlement Medicaid Specialist (FT) REPORTS TO: Director of Entitlements Our Mission: Since 1967, Odyssey House has been providing innovative services and programs to a broad population of individuals and families struggling with substance use and mental health disorders. Odyssey House helps New Yorkers of all ages-and across all five boroughs-beat drugs and alcohol with highly individualized treatment programs. Odyssey House provides high quality, holistic treatment impacting all major life spheres, including: psychological, physical, social, family, educational and spiritual in order to support personal rehabilitation, renewal and family restoration. If that sounds different than other treatment programs, you're right. Because Odyssey is where recovery gets real. In addition to competitive salaries, Odyssey House offers: A 35-hour work week (as opposed to a 40-hour work week) Vacation Plan and Holiday Schedule Life Insurance Medical Insurance (Two Plans) Dental and Vision Insurance Additional Insurance Coverages (hospitalization, accidental, critical illness coverage) Long-Term & Short-Term Disability Flexible Spending Account/Health Reimbursement Account 403(b) Plan Corporate Counseling Associates (CCA) EAP benefit Ability Assist Counseling Services (through The Hartford) Commuter Benefits Educational Assistance Programs Special shopping discounts through ADP Marketplace and PlumBenefits RUFit?! Fitness Program Legal Assistance through ARAG Optum Financial Service through ConnectYourCare Benefit Advocacy Center through Gallagher MAJOR FUNCTIONS: Maintain a working relationship with the Department of Social Service (DSS), Human Resources Administration (HRA), the Social Security Administration (SSA), Medicaid Office, Expedited and Marketplace to ensure Medicaid Managed Care guidelines, policies and procedures are followed to receive appropriate funding for 819 and 820 programs. SPECIFIC DUTIES & RESPONSIBILITIES: Conduct daily comprehensive review of consumers' interviews to determine eligible for Entitlements benefits, Medicaid Eligibility, Medicaid Managed Care, Medicare, Private Insurance coverage, Self-Pay Case conference difficult cases with the Director for guidance and support to ensure funding for 819 and Part 820 programs are obtained in a timely fashion Conduct interviews on new admissions for HRA/DSS/Medicaid/SSI/SSD/Self-Pay Expedite consumers with the selection of Managed Care Organization, assist with the NY State Market Place at point of admissions and upon Medicaid Eligibility Daily Data Entry of Medicaid Managed Care coverage / Medicare / Private Insurance / MAT in AWARDS, E-Lab and LabCorp Portal Daily update the Entitlement 820 Reports with consumers' coverage Navigate Epaces (eMedNY) / Inovalon / STARS / SAAMS / AWARDS / WTW / Manage Care System Portals for coverage Communicate with consumers regarding insurance coverage, restrictions, and disenrollment (Medicaid/Managed Care, Medicare, and Private Insurance) Process Medicaid applications and recertifications for consumers through the Department of Social Services, NY State Exchange/Marketplace Investigate Medicaid disparities related to county / deferral / eligibility / denial / dropped / recertification Identify and process consumers with Medical / Pharmacy / Out-Patient restrictions through the Managed Care Organization and Managed Care System (MCS) Resolve problematic Medicaid Managed Care issues for Part 820 coverage Complete and submit bi-weekly 820 Medicaid Managed Care Reports Complete weekly Medicaid Manage Care Reports for five residential programs to reflect consumers' coverage for the Pharmacy, Medical department and LabCorp Other relevant duties as assigned REQUIREMENTS: BA Degree preferred Experience with Medicaid Managed Care; Human Services Field Background with DSS/HRA benefits, Recertifications, Medicaid Managed Care, Expediting, enrollment and disenrollment Demonstrated effective communication, proficiency in Excel, computer skills, organization and multitasking Notary Public Stamp Odyssey House is an equal opportunity employer maintaining a non-discriminatory policy on hiring of its personnel. Odyssey House, and its operational divisions, will not discriminate against any employee or applicant because of race, creed, color, national origin, sex, disability, marital status, sexual orientation or citizen status in all employment decisions including but not limited to recruitment, hiring, upgrading, demotion, downgrading, transfer, training, rate of pay or other forms of compensation, layoff, termination and all other terms and conditions of employment.

The Patient Accounts Coordinator will be responsible for daily billing file, submitting insurance claims, and review edit reports from the hospital billing system to make necessary corrections. The Patient Accounts Coordinator will adhere to all governmental regulatory billing requirements and will work closely with each unit in billing, denials, rejections, coding, and registration.