Uphams Corner Health Center Remote jobs

Facilitates and obtains appropriate clinical documentation for all clinical conditions or procedures to support the appropriate severity of illness, expected risk of mortality, and complexity of care provided. Responsible for concurrent inpatient medical record reviews for Medicare, Medicaid and all commercial payers. Generates queries and have follow up discussions with physicians for clarification of ambiguous or conflicting documentation. Job Responsibility 1.Facilitates clarification of clinical documentation ensuring accuracy and integrity in the medical record. 2.Facilitates appropriate clinical documentation to support diagnosis coding and ensure the appropriate level of service is recorded. 3.Works with physicians on assigned patient care units to clarify clinical documentation in the patient's medical record through a concurrent review process throughout the patient's inpatient stay. 4.Requests clarification of clinical documentation from the physician(s) on a concurrent basis as needed to ensure documentation is complete and accurate prior to discharge. 5.Ensures the level of service rendered to patients, and the patient's severity of illness is accurately documented and recorded. 6.Follows up on CDI queries as needed to ensure appropriate documentation is recorded in the medical record. 7.Interacts with physicians as needed to discuss and advise on clinical documentation requirements and provides timely and accurate responses to clinical documentation and coding questions. 8.Demonstrates knowledge of ICD-10 CM and ICD-10 PCS coding, MS-DRG and APR NY and APR National grouper logic, documentation opportunities, clinical documentation requirements, and compliance to regulatory and facility policies and procedures. 9.Conducts follow-up reviews of clinical documentation to ensure points of clarification have been recorded in the patient's chart. 10.Reconciles reviewed cases to update any changes in status, procedures/treatments, and confer with providers to finalize diagnoses. 11.Educates medical staff on clinical documentation opportunities that impacts the accuracy of the medical record. 12.Inputs outcome data in the CDI software to be able to track response to queries. Responsible for file maintenance including entry into database for tracking and trending audit results. Communicate findings of potential or missed diagnoses and the revenue impact that were discovered during the chart audit. 13.Regularly exercises independent judgment on matters of significance within defined procedures todetermine appropriateactions/approaches 14.Understands department,division, corporate strategy and operating objectives, including impacts 15.Normally receives general instructions on routinework, detailed instructions on new projects or assignments 16.Majority of contact is within own function, area, or department and may be customer service oriented 17.Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here but considered related are not essential functions. Job Qualification * Graduate from an accredited School of Nursing required. Must obtain a Bachelor of Science in Nursing degree within 5 years of employment date. * Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed. (CCDS, CDIP, CCEDS or CCS). * 1-3 years of relevant CDI experience, required. * Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).

Peak Vista Community Health Centers is a nonprofit health care organization whose mission is to provide exceptional health care to people facing access barriers through clinical programs and education. We provide integrated health care services including medical, dental, and behavioral health through our 20 outpatient health centers. We deliver care with our strong "Hospitality" culture. Our organization has over 800 employees and serves more than 74,300 patients annually in the Pikes Peak and East Central regions of Colorado. Our service area covers 14 counties, from the front range to the Kansas border, with locations throughout Colorado Springs, Fountain, Divide, Limon, and Strasburg. Peak Vista is accredited by the Accreditation Association for Ambulatory Health Care, Inc. (AAAHC). Compensation (Pay): $69,761.12 to $85,797.38/annually based on experience. Plus a $10,000 Sign On Bonus. *Other compensation may include rural location differentials. Summary of Benefits: Medical, Dental, Vision, Life, STD, LTD 403(b) Retirement with Company Match Paid Time Off Tuition Assistance Perks Rewards Employee Assistance Program **************************************************** Summary: Peak Vista is seeking two self-motivated, team-oriented therapists who have a passion for helping individuals, couples, and families in need. The therapists will work with individuals across the lifespan in a trauma-informed, compassionate way utilizing evidence-based interventions in an outpatient specialty mental health setting. We are accepting applications from Licensed Married Family Therapist, Licensed Professional Counselors or Licensed Clinical Social Workers to join our growing team of highly talented mental health professionals! Essential responsibilities: Provide high quality, culturally competent behavioral health services. Extend a patient-centered and trauma-informed welcome, respect, and caring, to develop trusting relationship with individuals. Provide psychological assessment, diagnosis, and intervention services for adults with a broad range of behavioral and mental health challenges. When appropriate, the clinician will involve family in the individual's care. Exhibit a willingness to engage individuals and families on issues of greatest importance to them to build rapport and increase outcomes. Maintain a caseload of ongoing therapy patients. Maintain case records in accordance with the organization's policies and procedures. Provide support and consultation in case staffing to help the entire care team work together to improve patient care. Attend meetings as directed by supervisor. We provide all billing and marketing support for our clinicians, as we want to ensure your focus is on assisting the patients in meeting their needs. Credentialing and liability insurance are provided to all clinicians, as well as other fantastic benefits. Training & Experience: Licensed Practitioner in the state of Colorado is required (CSW, LPC or MFT). Bilingual (Spanish) a plus. Ideal candidate has a minimum of 3 years of applied clinical experience working with adults. Working remote 25% of the week is an option. *Successful candidates will complete pre-employment screening; which includes, but is not limited to a Criminal Background check. Peak Vista Community Health Centers is a drug and alcohol free workplace and an Equal Opportunity Employer. **PVCHC participates in the Electronic Employment Verification Program. E-Verify is an Internet-based system that compares information from an employee's I-9 to data from the U.S. Department of Homeland Security and Social Security Administration Records. To learn more, visit: everify.com

Plays a critical role in developing and implementing labor relations strategies, providing expert guidance to both management and junior team members, and supporting all aspects of labor relations strategy. While facilitating labor agreements, analyzing collective bargaining agreements and providing contract interpretation guidance, this role will also mentor and develop less experienced team members, ensuring consistent application of best practices and fostering a collaborative work environment. Job Responsibility 1.Provides guidance and mentorship to junior human resources and labor relations specialists on labor relations, fostering their professional development and ensuring consistent application of best practices. 2.Oversees the administration of existing contracts, ensuring compliance and resolving interpretation issues. Provides expert advice to management on contract provisions and their implications. 3.Oversees the collection, analysis, and dissemination of information related to labor contract administration and negotiations. Develops and maintains tools and resources for effective contract management. Manages requests for information (RFIs) and ensures accurate and timely responses. 4.Serves as the primary liaison with shared services departments and other stakeholders to gather necessary information and ensure alignment on labor relations matters. Builds and maintains strong relationships with union representatives and management. 5.Prepares comprehensive reports, presentations, and other communication materials for senior leadership regarding labor contract administration, negotiations, and other labor relations matters. Effectively communicates complex information to diverse audiences. 6.Oversees the implementation of new and revised labor contracts, including leading implementation meetings, preparing and updating implementation reports, and tracking progress. Collaborates with stakeholders to ensure smooth and effective implementation. 7.Develops and delivers training programs on labor contracts, labor relations practices, and collective bargaining agreement interpretation for both management and employees. Mentors junior team members on training delivery and content development. 8.Provides expert guidance and advice to management and HR colleagues on all aspects of labor relations, including contract interpretation, grievance handling, and dispute resolution. Serves as a resource for junior team members, providing support and guidance on complex issues. 9.Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions. Job Qualification * Bachelor's Degree or equivalent combination of education and related experience, required. * Master's Degree or equivalent combination of education and related experience, preferred. * 5-7 years of prior technical experience, preferred. * Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).

Reviews and responds to Corporate Compliance Audits and serves as a resource for the Health System. Reviews denial trends and identifies coding issues and knowledge gaps. Job Responsibility Serves as liaison between the patient and facility/physician and the third party payer. Prepares and defends level of care and medical necessity for assigned case. Collaborates with physician advisor, payor representative and site case managers to facilitate appropriate level of care decisions and billing status and ensures compliance with the Utilization Review standard and regulations. Performs concurrent and retrospective utilization management using evidenced-based medical necessity criteria; conducts clinical reviews and formulates appeal letters to support appropriateness of admission and continued length of stay. Ensures compliance with current state, federal, and third-party payer regulations. Ensures clinical reviews and appeals are up to date and accurately reflect patient's severity of illness and intensity of services provided. Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions. Job Qualification Graduate from an accredited School of Nursing. Bachelor's Degree in Nursing, preferred. Must be enrolled in an accredited BSN program within two (2) years and obtain a BSN Degree within five (5) years of job entry date. Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed. Inpatient clinical experience; 4+ years preferred. Prior Acute Case Management and/or Utilization Review experience, preferred. Must have experience with Milliman Care Guidelines and/or InterQual. Hours/Shift Fully remote role Days: Sunday - Thursday Hours: 8:00am - 4:00pm *Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).

Directs, plans, designs, implements, and maintains a system-wide compliance audit program and policies and procedures that provide the basis for ensuring adequate internal controls and compliance with all laws and regulatory requirements. Oversees and promotes system-wide coding compliance to applicable laws, regulations, and coding guidelines. Ensures compliance to developing government and regulatory agency standards. Job Responsibility Leads a Compliance group by communicating with and developing staff members, and building consensus for programs and goals that support a business, function or geographic area. Develops and articulates a short-term strategic vision for areas of responsibility. Oversees coordination, performance, education, and reporting related to compliance internal audits. Performs annual compliance risk assessments to generate annual compliance plans and repairs annual audit timeline. Develops compliance auditing and monitoring policies and procedures; prepares the audit status summary reports for presentation to the committee. Collaborates with management and other appropriate personnel involved with release of protected health information to ensure coordination and cooperation under the health system's administrative policies and procedures and legal requirements. Assists in investigating reports of billing non-compliance. Oversees and promotes the system-wide compliance coding standards. Monitors and audits established regulations, policies and procedures, including communication processes, self-assessments, and coding practices to ensure compliance standards. Provides support to coding staff and all personnel involved in coding and billing at each facility regarding coding compliance activities. Oversees the development and implementation of education and training programs to support coding compliance based on an assessment of the results of compliance audits and self-assessments. Collaborates with Internal audit, coding compliance, and research compliance to minimize overlap in compliance activities. Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions. Job Qualification Bachelor's Degree required, or equivalent combination of education and related experience. 8-12 years of relevant experience and 7+ years of leadership / management experience, required. Preferred Skills 5-7 years of Inpatient facility/Profee coding experience. Prior experience with EPIC and Cobius. Strong Project Management skills. Current coding credentials (CCS/CCS-P, CPC, CIC, RHIT/RHIA, etc.) Strong conceptual, organizational, communication, interpersonal, analytical skills and an exceptional attention to detail. Ability to work independently, lead staff, solve problems and communicate effectively with all levels of staff. Proficiency in Microsoft Office applications. *Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).

Advises and counsels admitted patients of financial responsibility and self-payments. Processes payments, issues patient receipts, and maintains collection log. Job Responsibility Interviews patients to obtain necessary financial and insurance information. Verifies patients insurance and collects additional insurance such as No Fault and Workers Compensation. Performs financial assessment of patients; refers potential Medicaid cases to Medicaid Investigator. Gathers documentation and assists in the completion of the Financial Assistance Program (FAU) application process. Assists patients and/or families in resolving hospital bills; advises and counsels patients of their payment responsibility due to the hospital. Establishes patients' pro-rated financial obligations and sets-up payment arrangements/contracts. Follows up on scheduled payments via mail and telephone. Processes applications for Section 1011, where applicable. Maintains daily work log of payments collected. Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions. Job Qualification High School Diploma or equivalent required. 1-3 years of relevant experience, required. Preferred Skills/Experience: Financial Counseling Medicaid knowledge CAC Certification Point of Service collections Customer service skills Microsoft Office *Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).

Nuvance - Credentialing Specialist Flexstaff is hiring remote credentialing specialists for our Danbury, CT location on a remote basis. The training will be on-site for two weeks. Schedule: 7a-4:40p or 7:30-4p Training is in-person at the Summit (Danbury, CT) for 2 weeks After training, the position is fully remote Pay rate: $35-$40/hour Requirements: Strong attention to detail. Knowledge of Excel; spreadsheets are already set up but must be able to navigate through them without making errors. Prior credentialing experience & 1-3 years of relevant experience required. High School Diploma or equivalent required. Job Responsibilities: Coordinate provider credentialing process to increase efficiency and ensure that credentialing deadlines are met. Research and solve credentialing/re-credentialing delays & issues with enrollment in a timely manner. Manage confidential information of internal staff (Physician, Nurse practitioners) Ensure demographic updates are reviewed and verified for processing. Ensure database is kept accurate and updated. Maintain necessary logs, lists, records and current documentation required for physician/provider credentialing and re-credentialing to ensure requirements are met in a timely manner. Prepare documents for Credentialing Committee review. Provide productivity and issues reports for Management. Remain current on policies affecting provider credentials and reenrollment processes. Perform other responsibilities as assigned. Additional Salary Detail: The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).

Analyzes, verifies, authorizes, processes and reports related financial information in support of a specific field or a business unit operation. Designs, develops and implements systems or procedures resulting in the accurate reporting financial or system data. Job Responsibility Analyzes, verifies, tracks and reports on financial indicators (e.g. accounts receivables, account coding and charging, cash flow, budgets, GL, P&L, statistical data and reserves) in support of a specific field or business unit operation. Reports on results on monthly, quarterly and/or annual basis. Tracks and reports on statistical variances. Reports discrepancies to Supervisor/Manager. Designs, develops and modifies systems and procedures to enhance departmental processing as needed. Responsible for maintaining proprietary databases including data integrity, timeliness of data input and accuracy of data. Conducts internal audits to ensure compliance to departmental policies and procedures, and state and federal regulations. Maintains compliance with various state, federal, and industry standards and regulations. Operates under general guidance and work assignments are varied and require interpretation and independent decisions on course of action. Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions. Preferred Skills Not required but preferred: Critical Thinking, Problem-Solving, Analytical Skills, Microsoft Excel, Accounting Principles Job Qualification Bachelor's Degree required, or equivalent combination of education and related experience. 1-3 years of relevant experience, required. *Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).

$3k Sign On Bonus if not thru recruiter JOIN THE CHC FAMILY! We are a Non-Profit Federally Qualified Healthcare Center located in Central Massachusetts. Our company opened in February 2002 in response to a Community Needs Assessment that identified a need for medical service for the underserved members of our community. We strive to provide compassionate care regardless of income or insurance status to everyone who walks through our doors, including low-income, underinsured, uninsured, publicly housed, and homeless populations. CHC is committed to fostering, cultivating, and preserving a diversity, equity, and inclusion culture. At CHC, we strive for a workforce that reflects our community. We are proud to be able to serve our community! If you are passionate about our work, we would love to hear from you! Under supervision from the Director of BH, provides a wide range of psychosocial evaluation/assessment, diagnostic, counseling therapy, crisis intervention, and/or case management services in an integrated primary care setting located in a community health center. Works collaboratively with other mental health and medical providers and trainees engaged in related therapeutic/patient care activities. Major responsibilities: Provides counseling, therapy, and/or psychotherapy to clients and families as appropriate to the position; prepares treatment plans, discharge plans, and follow-up care programs; provides therapeutic crisis intervention and urgent services as required. Collects data about patients through interviews, case histories, psychological tests, and/or observational techniques; evaluates data to identify causes of problems and to determine proper therapeutic approach or referral to other specialists. Consult with mental health and medical staff, as appropriate, in the performance of therapeutic and/or casework; refer clients to appropriate service agencies as required. Provides and/or arranges for therapeutic interventions as appropriate for patients or clients in a crisis condition and those with serious Mental Health/Substance Abuse problems. Refers clients to appropriate social service agencies for financial assistance and other required services; may visit patients and families in their homes to provide counseling and outreach services. Follows up to determine the reliability of treatment used; changes method and degree of therapy when indicated. Establishes and maintains case files, referrals, and other related documents for the treatment of clients; prepares related documentation for civil commitment hearings or other legal proceedings; keeps abreast of patient data to ensure appropriate treatment and care are delivered. Consults with other legal and treatment agencies and individuals about patient/client records, rights, and responsibilities. Plans and facilitates community outreach and education activities, as appropriate to the position; may serve as a liaison and representative to community organizations and schools. Provides clinical supervision to lower-level therapists and/or graduate social work students/interns, as appropriate, and/or consulting services to other patient care professionals. As appropriate to the position, performs various administrative functions such as monitoring budgets and preparing reports and correspondence; may participate in a variety of research projects, and may propose changes to program policies and procedures. May provide formal teaching, consultation, and in-service training to relevant professionals in immediate and proper handling of and/or referral of a variety of matters. Assist when requested with supervision. Performs miscellaneous job-related duties as required. Demonstrate understanding and commitment to the health center's mission. Demonstrate understanding and commitment to the established CHC Values and Standards. Minimum Qualifications: Master's degree in Counseling or Social Work Licensed Independent Social Worker (LICSW) Ability to make administrative/procedural decisions and judgments. Ability to observe, assess, and record symptoms, reactions, and progress. Knowledge and understanding of clinical social work and mental health counseling principles, methods, procedures, and standards. Familiarity with psychological testing. Interviewing and psychological/developmental evaluation skills. Skill in preparing and maintaining patient records. Knowledge of community medical diagnostic and patient care services in the area of medical expertise. Knowledge of clinical operations and procedures. Clinical experience REQUIRED Knowledge of community mental health resources and willingness to reach out to existing resources. Ability to maintain emotional stability to cope with human suffering, emergencies, and other stresses. Bilingual/Trilingual (ENG/SPANISH/PORTUGUESE) a plus Strong interpersonal and communication skills and the ability to work effectively with a wide range of constituencies in a diverse community. Knowledge of crisis intervention techniques. Ability to evaluate the progress of therapeutic programs and to make individual modifications. Ability to create, compose, and edit written materials. Knowledge of the principles and methods of social and vocational rehabilitation as they relate to mental health clinical practices. Knowledge of legal and ethical issues related to patients' rights. Ability to lead and train staff and/or students. Benefits: 401k Generous vacation and personal time for eligible employees Sick time Medical, dental, and vision insurance 100% paid Life insurance/AD&D 100% paid Long-Term Disability Employee Assistance Program (EAP) Discounts on travel and entertainment! Discounts on cell phone service, computer purchases, and more! College Tuition Rewards/CMEs Company Events & Activities (Annual cookout and holiday party, health and wellness events,” Lunch & Learns”, team building, and more!) Employee Assistance Program (EAP) EyeMed Vision Care Program Accident & Cancer Insurance Educational development reimbursement Discounts on - gym membership, travel & entertainment tickets, electronics, and more!

Develops and implements high-impact growth strategies based on comprehensive financial, operational, technology, and market analyses to increase the profitability and performance of pharmacy services. Identifies and capitalizes on new market opportunities. Cultivates robust relationships and build lasting partnerships with clinical teams, healthcare systems, and administrative stakeholders. Actively engages clinical teams through targeted product awareness campaigns to promote VIVO's comprehensive suite of pharmacy solutions. Job Responsibility 1.Provides strategic advice and guidance to the Pharmacy function. 2.Works with senior executives to develop and drive system-wide functional strategies. 3.Collaborates with stakeholders to develop strategies for driving revenue and reducing expenses. 4.Identifies and develops innovative strategies and new business initiatives and opportunities consistent with the mission and strategic direction of the company. 5.Promotes quality and productivity improvements through involvement in the development of improved procedures, process innovations and changes which support the strategic direction. 6.Regularly provides technical guidance to others in the use of new technologies, theories, concepts and techniques. 7.Devises new methods and procedures using strong analytic and inductive thinking. 8.Researches, develops and coordinates the implementation of strategic plans, policies and standards. 9.Provides input on development, coordination, integration, communication, and performance evaluation of operating policies and procedures consistent and in collaboration with stakeholders. 10.Optimizes inventory purchasing and monitoring to reduce overhead and expense. 11.Manages identification of service gaps, recruitment activities, and workforce development initiatives. 12.Works to establish a service excellence culture and enhance the customer experience. 13.Oversees current and future needs assessments of equipment, systems and software to ensure reporting of financial and operational metrics and optimal service outcomes. 14.Ensures compliance with Federal and State rules and regulations as it pertains to pharmacy and pharmaceutical purchasing and inventory management. 15.Interprets and standardizes regulatory reporting standards to ensure compliance with government and regulatory reporting and third-party agencies. 16.Oversees development, review and distribution of reports and procedural statements which ensure regulatory and policy compliance. 17.Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions. Preferred Skills + Experience in business development, market expansion, or sales within the healthcare or pharmaceutical industry + Exceptional interpersonal, presentation, and communication skills + Strong analytical skills with the ability to track key metrics and derive actionable insights for strategic decision making + Experience managing cross-functional projects and initiatives from conception to completion Job Qualification 1.Bachelor's Degree in Pharmacy or PharmD, required. 2.Current License to practice as a Pharmacist in New York State required, plus specialized certifications as needed. 3.10+ years of relevant experience and 2+ years of leadership/management experience preferred. **THIS IS A HYBRID ROLE** *Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity). The salary range for this position is $121,200-$212,100/year It is Northwell Health's policy to provide equal employment opportunity and treat all applicants and employees equally regardless of their age, race, creed/religion, color, national origin, immigration status or citizenship status, sexual orientation, military or veteran status, sex/gender, gender identity, gender expression, disability, pregnancy, genetic information or genetic predisposition or carrier status, marital or familial status, partnership status, victim of domestic violence, sexual or other reproductive health decisions, or other characteristics protected by applicable law.

Plans, manages, and coordinates project activities to ensure goals and objectives of multiple and large projects are accomplished within prescribed time-frame and funding parameters. Establishes timelines and ensures project deadlines are met. Maintains integrity and cost containment of projects. Job Responsibility + Plans, manages, and coordinates projects and ensures project initiatives and timelines are met. Develops project initiation process by defining project scope, determining action items, assigning ownership, creating project timetables, and tracking execution and workflow; prepares, presents and distributes project status reports. + Evaluates, plans, and monitors project implementation for clinical systems; manages project and project delivery teams, ensures deadlines are met, escalates issues for appropriate, timely resolution and adheres to standardized project management methodologies. + Develops interdisciplinary project teams in coordination with clinical community to ensure deployment of systems; serves as liaison to project sponsors, project teams and stakeholders; works with internal, external groups to optimize success of project deployment. + Communicates with user departments and project teams on project activities; confers with project staff and vendors to provide support and resolve problems; collaborates with clinical, financial and quality teams to define and develop metric goals. Partners with management to develop tools and metrics to evaluate performance of target initiatives; assists with planning monitoring criteria and methodology. + Ensures availability of performance measurement data for review and analysis; evaluates and drives risk management process improvements, efficiencies and workflow enhancements. + Partners with management, identifies end user education, training program and services; assists in the development and maintains department policies and procedures. + Provides subject matter expert support in the development of clinical information systems and integration to improve the timely completion of projects. + Operates under general guidance and work assignments are varied and require interpretation and independent decisions on course of action. + Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions. Preferred Skills/Experience: Leadership & Facilitation * Executive-level meeting facilitation - able to lead structured, time-bound meetings with senior leaders, drive clarity, and keep conversations focused on outcomes. * Agenda ownership & governance - builds, manages, and distributes agendas, meeting materials, and follow-ups across multiple workstreams. * Cross-functional leadership - influences without authority; drives alignment across Revenue Cycle, IT, Clinical Ops, Finance, and Access. Communication & Stakeholder Management * High-touch stakeholder coordination - proactively engages task-force members, escalates issues, and ensures the right people are at the table. * Executive-ready communication - synthesizes complex data/errors into concise, leader-friendly talking points. * Relationship building - establishes trust and maintains consistent communication with VP-level partners. Project & Workflow Management * Issue tracking & resolution management - monitors CFB error categories, owns action logs, and follows items to completion. * Prioritization & dependency management - understands which revenue-impacting issues must be escalated or fast-tracked. * Structured follow-ups - ensures decisions, actions, timelines, and owners are documented and delivered. Analytical & Technical Skills * Data literacy for unbilled work - able to interpret account-level trends, error volumes, barriers, and backlog drivers. * Dashboard & metric familiarity - comfortable reading Tableau/PowerBI dashboards, trending data, and spotting variances. * Root-cause thinking - partners with operational leaders to identify what is actually driving recurring errors or stuck accounts. Operational & Revenue Cycle Knowledge * Understanding of unbilled workflows including coding, documentation, charge entry, edits, clinical workflows, and IT dependencies. * Familiarity with CFB error types, categories, and their upstream/downstream impacts on revenue. * Awareness of EPIC charge/billing pathways (or willingness to learn quickly). Organizational & Planning Skills * Meeting cadence management - builds recurring schedules, special escalations, and ad-hoc sessions based on operational need. * Documentation excellence - creates clean agendas, pre-reads, summaries, and action trackers. * Detail orientation - ensures no open item, error, or commitment slips through. Personal Attributes * Proactive & self-directed - anticipates gaps and identifies what the task force needs before being asked. * Comfortable with ambiguity - can navigate evolving priorities and shifting operational demands. * Calm under pressure - maintains organized execution even in high-visibility, high-impact work. Job Qualification + Bachelor's Degree required, or equivalent combination of education and related experience. + 1-3 years of relevant experience, required. This position will be hybrid, 2x per month on site. *Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity). The salary range for this position is $70,470-$116,870/year It is Northwell Health's policy to provide equal employment opportunity and treat all applicants and employees equally regardless of their age, race, creed/religion, color, national origin, immigration status or citizenship status, sexual orientation, military or veteran status, sex/gender, gender identity, gender expression, disability, pregnancy, genetic information or genetic predisposition or carrier status, marital or familial status, partnership status, victim of domestic violence, sexual or other reproductive health decisions, or other characteristics protected by applicable law.

FlexStaff is seeking an experienced Credit Analyst for our client, a multinational corporation specializing in optical, imaging and industrial products. This is a hybrid position located in Melville. Researches, plans and evaluates the effectiveness of processes, systems, procedures or methodologies through review and evaluation of detailed data. A developing professional, working towards full proficiency in the job role. Receives general instruction from manager on expected work outcomes and exercises good judgment in day-to-day matters. Typically reports to a Manager or Senior Manager, but may report to a senior professional individual contributor when business needs dictate. MINIMUM REQUIREMENTS Bachelor's degree in Business Administration or Accounting; previous experience collecting in a wholesale environment is required. KEY RESPONSIBILITIES Approves or disapproves the extension of credit within pre-established guidelines for all customers in the designated geographic region. Analyzes and reports on write-off activity. Collects past due payments and ensures fair, courteous and prompt handling of collection matters in order to provide for the turnover of accounts receivable. Confers with the credit, sales and other managers concerning the status of customer accounts and actions to be initiated on delinquent accounts. Monitors and communicates credit concerns to management. Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).

HEMATOLOGY/ONCOLOGY CONSULTS Performs a variety of functions and technical procedures necessary for patient admission, assessment, diagnosis, treatment, follow-up, and outcome evaluation. Participates in performance improvement, research, and educational activities. Job Responsibility Takes initial patient histories and performs physical examinations. Initiates, documents, and communicates the plan of care and follows up to ensure complete screening and preparation of patients. Performs daily patient rounds. Writes orders for medications, laboratory work, and diagnostic tests. Interprets laboratory and test results. Confers with attending physicians, residents, nursing staff, and/or other care providers to ensure optimum quality of patient care. Upon discharge, notes discharge summaries, prescriptions, and any referrals on patient charts. Informs patients of the necessary post-discharge care instructions. Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions. Job Qualification Bachelor's Degree, required. Graduate of an accredited (Accreditation Review Committee for Physician Assistant Programs ARC-PA) program, required. Current license to practice as a Physician Assistant (PA) by the New York State Department of Education, required. Current NCCPA Certification from the National Commission on the Certification of Physician Assistants (NCCPA), required. Current BLS certification, required. OR Master's Degree in a Nurse Practitioner Program and National Board Certification in specialty area required. Current license to practice as a Nurse Practitioner in New York State, and current license to practice as a Registered Professional Nurse in New York State, required. Has a collaborative practice agreement with designated protocols filed with NYS Department of Education OR collaborative relationship attestation as per the Nurse Practitioner Modernization Act 2015. Current BLS certification, required. *Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).

Performs a variety of registration, insurance verification, scheduling and billing duties in support of inpatient and outpatient access to medical services. Completes complex tasks. May aid or train other Representatives in responsibilities. Job Responsibility + Performs admissions, registration and scheduling activities. Obtains necessary demographic and insurance information and enters data into computer system, which may include patients on Medicare/Medicaid; + Verifies patient insurance coverage and other related data. Obtains patient insurance authorization required for services; Documents authorization approvals and denials in computer systems; may financially screen patients, evaluating and assessing all self-pay patients pre-registered or inpatient/outpatient, to establish method of payment; Informs and counsels patient/patient representative regarding available financial assistance; Collects money due from patient at time of service; May preform billing, receivable and related functions. + May follow through on any open self-pay accounts including monthly payment amounts for purposes of collection. + Assists and/or trains new employees as instructed by supervisor or manager. + Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions. Job Qualification + High School Diploma or equivalent required. + 3-5 years of relevant experience, required. + Imaging auth experience highly preferred. + Experience working remote highly preferred. *Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity). The salary range for this position is $41,780-$64,340/year It is Northwell Health's policy to provide equal employment opportunity and treat all applicants and employees equally regardless of their age, race, creed/religion, color, national origin, immigration status or citizenship status, sexual orientation, military or veteran status, sex/gender, gender identity, gender expression, disability, pregnancy, genetic information or genetic predisposition or carrier status, marital or familial status, partnership status, victim of domestic violence, sexual or other reproductive health decisions, or other characteristics protected by applicable law.

Flexstaff is seeking a highly organized and detail-oriented Bilingual Accounts Receivable Specialist with experience in Good Faith Estimates and pre-service collections to join our client's team. The ideal candidate will be bilingual and possess strong communication skills, a proactive approach to problem-solving, and a commitment to accuracy and efficiency. Hybrid Role: 3 days in Office and 2-day work from home. Full-Time Direct Hire opportunity Location: Chappaqua, NY Pay: $27-28.00 per hour Key Responsibilities: Prepare and manage Good Faith Estimates in compliance with current regulations Handle collections prior to service with professionalism and empathy Maintain accurate records of accounts receivable transactions Communicate effectively with clients and internal teams in both English and Spanish Support financial operations with timely and precise documentation Qualifications: Proven experience in accounts receivable and healthcare billing Bilingual (English and Spanish) required Exceptional attention to detail and organizational skills Familiarity with relevant billing software and systems Join our team and contribute to a mission-driven organization that values integrity, collaboration, and excellence. *Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts,

Facilitates and obtains appropriate clinical documentation for all clinical conditions or procedures to support the appropriate severity of illness, expected risk of mortality, and complexity of care provided. Responsible for concurrent inpatient medical record reviews for Medicare, Medicaid and all commercial payers. Generates queries and have follow up discussions with physicians for clarification of ambiguous or conflicting documentation. Job Responsibility 1.Facilitates clarification of clinical documentation ensuring accuracy and integrity in the medical record. 2.Facilitates appropriate clinical documentation to support diagnosis coding and ensure the appropriate level of service is recorded. 3.Works with physicians on assigned patient care units to clarify clinical documentation in the patient's medical record through a concurrent review process throughout the patient's inpatient stay. 4.Requests clarification of clinical documentation from the physician(s) on a concurrent basis as needed to ensure documentation is complete and accurate prior to discharge. 5.Ensures the level of service rendered to patients, and the patient's severity of illness is accurately documented and recorded. 6.Follows up on CDI queries as needed to ensure appropriate documentation is recorded in the medical record. 7.Interacts with physicians as needed to discuss and advise on clinical documentation requirements and provides timely and accurate responses to clinical documentation and coding questions. 8.Demonstrates knowledge of ICD-10 CM and ICD-10 PCS coding, MS-DRG and APR NY and APR National grouper logic, documentation opportunities, clinical documentation requirements, and compliance to regulatory and facility policies and procedures. 9.Conducts follow-up reviews of clinical documentation to ensure points of clarification have been recorded in the patient's chart. 10.Reconciles reviewed cases to update any changes in status, procedures/treatments, and confer with providers to finalize diagnoses. 11.Educates medical staff on clinical documentation opportunities that impacts the accuracy of the medical record. 12.Inputs outcome data in the CDI software to be able to track response to queries. Responsible for file maintenance including entry into database for tracking and trending audit results. Communicate findings of potential or missed diagnoses and the revenue impact that were discovered during the chart audit. 13.Regularly exercises independent judgment on matters of significance within defined procedures todetermine appropriateactions/approaches 14.Understands department,division, corporate strategy and operating objectives, including impacts 15.Normally receives general instructions on routinework, detailed instructions on new projects or assignments 16.Majority of contact is within own function, area, or department and may be customer service oriented 17.Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here but considered related are not essential functions. Job Qualification Graduate from an accredited School of Nursing required. Must obtain a Bachelor of Science in Nursing degree within 5 years of employment date. Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed. (CCDS, CDIP, CCEDS or CCS). 1-3 years of relevant CDI experience, required. *Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).

The Financial Services Supervisor leads a team of financial services representatives, including lead representatives, ensuring operational excellence in accounts receivable management, particularly for bad debt operations and self-pay credit operations. This position is responsible for team performance management, operational oversight, staff development, and maintaining departmental standards while achieving financial and customer service goals. Supervises and coordinates the staff and daily operations of the Financial Services department to ensure proper registration, verification, authorization, billing, and collection of patient services. Job Responsibility * Promotes Financial Services department goals by selecting, motivating, and training capable team members. * Leads the activities of assigned Financial Services team members by communicating and providing guidance toward achieving department objectives. * Supervises daily operations and oversees the activities of registration, verification, authorization, billing, and collection of patient services. * Acts as a primary liaison to all payors, patients, patient accounts, clinicians, and/or other practice areas; ensures proper billing and follow-up; collaborates with the Patient Accounts to optimize billing flow. * Advises management of systemic issues and high risk/high exposure situations; recommends solutions; develops and implements policies and procedures to facilitate registration, verification, authorization, billing, and collection activities to maximize operational efficiency. * Supervises, hires, trains, disciplines, and evaluates staff. * Ensures performance appraisals are completed in a timely manner; trains new employees on departmental policies and procedures, as well as, processes and systems, including but not limited to, Rehabilitation Tool-Kit (RTK), ZirMed and IDX. * Informs staff of changes in policies, procedures, processes and systems, as well as, new insurance regulations. * Maintains daily workflow in order to expedite processing while ensuring quality care and customer service. * Maintains attendance, payroll records, and processing of time-off requests. * Performs department audits to ensure compliance with regulatory standards and payor requirements; prepares and monitors statistical, quality improvement and staffing reports. * Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions. Job Qualification * Associate's Degree required, or equivalent combination of education and related experience. * 4-6 years of relevant experience and 0-2 years of leadership / management experience, required. Preferred Skills/Experience: * Bachelors degree in finance, accounting, healthcare administration, or related field preferred * Minimum of 5 years experience in healthcare financial services or revenue cycle operations * Minimum of 2 years supervisory experience in a healthcare setting. * Demonstrated knowledge of healthcare billing systems, financial processes, and regulatory requirements. * Proven track record of team leadership and performance management. * Experience with accounts receivable, bad debt management, and collections processes. * Strong proficiency in Microsoft Office applications and financial systems. * Excellent written and verbal communication skills. * Experience developing and implementing process improvements. * Knowledge of healthcare compliance requirements related to billing and collections. * Ability to manage multiple priorities in a fast-paced environment. * Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).

Assures that patients understand their financial obligation to pay for medical services rendered. Obtains all necessary information and enters it into the billing system for timely and accurate billing and collection. Job Responsibility Registers/re-registers patients; reviews registration forms for completeness and accuracy of data and performs data entry; updates insurance information obtained by Hospital registrars. Verifies insurance coverage for elective surgeries, high dollar services, and patients with on-going courses of treatment; notifies patient and arranges for alternative payment methods when insurance coverage does not cover services/courses of treatment. Collects point of service payments, as appropriate; arranges budget plans in accordance with CPP criteria. Prepares batches and performs data entry for charges, registration information and payment information; verifies that batches received from billing areas are in balance on a daily basis; researches and resolves any discrepancies. Performs point of service account follow-up for all patients seen in hospital. Prepares payment transmittals for point of service and mail payments, as received. Answers on-site patient inquiries regarding account or payment status for all practices at the hospital. Responds to third-party request for information/documentation; answers physician inquiries regarding specific accounts. Documents results of insurance verification, financial counseling, responses to information requests, and other appropriate activities on IDX. Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions. Job Qualification Associate's Degree required, or equivalent combination of education and related experience. 3-5 years of relevant experience, required. *Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).

Reviews and responds to Corporate Compliance Audits and serves as a resource for the Health System. Reviews denial trends and identifies coding issues and knowledge gaps. Job Responsibility + Serves as liaison between the patient and facility/physician and the third party payer. + Prepares and defends level of care and medical necessity for assigned case. + Collaborates with physician advisor, payor representative and site case managers to facilitate appropriate level of care decisions and billing status and ensures compliance with the Utilization Review standard and regulations. + Performs concurrent and retrospective utilization management using evidenced-based medical necessity criteria; conducts clinical reviews and formulates appeal letters to support appropriateness of admission and continued length of stay. + Ensures compliance with current state, federal, and third-party payer regulations. Ensures clinical reviews and appeals are up to date and accurately reflect patient's severity of illness and intensity of services provided. + Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions. Job Qualification + Graduate from an accredited School of Nursing. + Bachelor's Degree in Nursing, preferred. + Must be enrolled in an accredited BSN program within two (2) years and obtain a BSN Degree within five (5) years of job entry date. + Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed. + Inpatient clinical experience; 4+ years preferred. + Prior Acute Case Management and/or Utilization Review experience, preferred. + Must have experience with Milliman Care Guidelines and/or InterQual. Hours/Shift + Fully remote role + Days: Sunday - Thursday + Hours: 8:00am - 4:00pm *Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity). The salary range for this position is $78,000-$130,000/year It is Northwell Health's policy to provide equal employment opportunity and treat all applicants and employees equally regardless of their age, race, creed/religion, color, national origin, immigration status or citizenship status, sexual orientation, military or veteran status, sex/gender, gender identity, gender expression, disability, pregnancy, genetic information or genetic predisposition or carrier status, marital or familial status, partnership status, victim of domestic violence, sexual or other reproductive health decisions, or other characteristics protected by applicable law.