398 Results for

Medical Reimbursement Specialist Jobs in New York, NY

Jobs

New York, NY7 days ago

Remote

$20–$25.50

Employee pay is based on factors like relevant education, qualifications, certifications, experience, skills, seniority, location, performance, union contract and business needs. By clicking “Apply Today” you agree to receive calls, AI-generated calls, text messages or emails from Kforce and its affiliates, and service providers.

Brooklyn, NY7 days ago

$20.98–$26.23

VNS Health Peer Specialists/ Advocates are living examples of the transformative power of behavioral health intervention programs and who can uniquely relate to those that would benefit from VNS Health Behavioral Health services. Our short- and long-term service models include acute, transitional, and intensive care management programs that impact the most vulnerable populations, from children, to adolescents, to aging adults.

New!

Somerset, NJ1 day ago

$25–$28 Per Hour

By applying to this job, you agree to receive calls, AI-generated calls, text messages, and/or emails from Atrium and its affiliates, and contracted partners. As part of its continued growth, the organization is bringing its billing operations in-house and expanding its revenue cycle team to support increased patient volume and operational efficiency.

Bronx, NY7 days ago

$20.98–$26.23

Hanover, NJ27 days ago

$19–$19 Per Hour

This role provides high-touch, concierge-level support by working directly with patients, physicians, and pharmacies to guide them through eligibility, reimbursement, and program enrolment processes. The Patient Support Specialist is responsible for helping patients gain access to prescription medications through copay assistance programs.

New York, NY7 days ago

$85,000–$106,300

We’re one of the largest nonprofit home- and community-based health care organizations in the country, and today, more than 11,500 team members work together to make a difference in the lives of more than 99,000 patients and members on any given day. Collaborates across departments—including Care Management, Utilization Management, Provider Relations, Compliance, and Analytics—to sustain continuous improvement, advance health equity, and ensure regulatory readiness.

New York, NY7 days ago

Remote

$85,000–$145,000 Per Year

Functions as an internal consultant to colleagues throughout City National Bank (CNB) related to operational compliance issues and concerns, utilizing their internal and external organizational agility to ascertain and deliver sound interpretation and advice. Benefits and PerksAt City National, we strive to be the best at whatever we do, including the benefits and perks we offer our colleagues including:Comprehensive healthcare coverage, including Medical, Dental and Vision plans, available the first of the month following start date.

New!

New York, NY5 days ago

Remote

$120,000–$200,000 Per Year

Benefits and PerksAt City National, we strive to be the best at whatever we do, including the benefits and perks we offer our colleagues including:Comprehensive healthcare coverage, including Medical, Dental and Vision plans, available the first of the month following start date. In addition, the role serves as a liaison between compliance and business teams to identify process improvements, drive consistency in execution, and support business initiatives within a controlled and compliant environment.

New!

Summit, NJ5 days ago

The Atlantic Health System Gastroenterology team is dedicated to treating many gastrointestinal disorders, ranging from inflammatory bowel disease (IBD) and Crohn’s disease, ulcerative colitis, liver diseases, acid reflux, Barrett’s esophagus, celiac disease, irritable bowel syndrome (IBS), fatty liver disease, viral hepatitis, pancreas, and biliary diseases, to gastrointestinal cancers, among other disorders and gastrointestinal illness. Named one of America's 50 Best Hospitals by Healthgrades, a World’s Best Hospital by Newsweek and recognized as a Best Regional Hospital in the NY Metro area by U.S. News & World Report.

New!

Denville, NJ2 days ago

$1,822.40–$2,036.80

Exact pay and benefits package will be negotiated with Prime Time Healthcare and may vary with several factors including but not limited to, guaranteed hours, travel distance, demand, eligibility, etc. As an integral part of our team, you'll collaborate closely with fellow healthcare professionals, ensuring every patient receives the highest level of care possible.

New!

New York, NY2 days ago

$2,050.20–$2,291.40

Prime Time Healthcare is seeking dynamic individuals like you to join our team in New York, NY and make a real impact in patient care! Exact pay and benefits package will be negotiated with Prime Time Healthcare and may vary with several factors including but not limited to, guaranteed hours, travel distance, demand, eligibility, etc.

New!

East Brunswick, NJ5 days ago

$23–$24 Per Hour

Information collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. With a keen eye for detail and a passion for numbers, you will play a crucial role in maintaining our financial health and helping us achieve our strategic goals.

New York, NY7 days ago

$109,900–$146,500

Manages and provides comprehensive advanced nursing care including physical examination, comprehensive history, screening for physical and/or psychological conditions, emergent interventions, pharmacological and non-pharmacological interventions, ordering treatments and DME, preventative health maintenance activities, care management, referrals, discharge planning, counseling and patient education. We’re one of the largest nonprofit home- and community-based health care organizations in the country, and today, more than 11,500 team members work together to make a difference in the lives of more than 99,000 patients and members on any given day.

Brooklyn, NY7 days ago

$109,900–$146,500

License and current registration to practice as a Registered Professional Nurse in New York State requiredCertificate (license) and current registration to practice as a Nurse Practitioner in the State of New York, with a specialty in adult health, family health or gerontology requiredValid driver's license, as determined by operational/regional needs may be requiredMaintains credentialed status with VNS Health Medical Care at Home and associated managed care plans requiredMaintains NPI, Medicaid and Medicare provider numbers preferredMaintains a collaborative practice agreement with a physician in compliance with New York State regulations preferredMust be certified by ANCC or another accrediting Nurse Practitioner body – in order to bill Medicare and meet credentialing requirements requiredFor Psychiatric Nurse Practitioners only:Current PMHNP-BC certification required . Minimum of two years of experience as a nurse practitioner utilizing full scope of practice preferredClinical home care experience or two years managerial experience preferredDemonstrated knowledge of Hedis and QARR quality measures, ICD-10 and CPT coding for reimbursement of services requiredBilingual skills, as determined by operational needs requiredFor Psychiatric Nurse Practitioners only:Minimum of two years of experience as a psychiatric nurse practitioner utilizing full scope of practice required .

Edison, NJ8 days ago

The posted rate of pay in this job posting is a reasonable good-faith estimate of the minimum base pay for this role at the time of posting in accordance with the New Jersey Pay Transparency Act and does not reflect the full value of our market-competitive total rewards package. Our perinatology experts collaborate closely with obstetricians, pediatric specialists, and NICU teams to deliver seamless, coordinated care for the most complex pregnancies.

Brooklyn, NY7 days ago

$109,900–$146,500

Manages and provides comprehensive, advanced nursing care, including post-discharge aftercare visits, annual comprehensive assessment visits, palliative care-care management program onboarding, and change in condition assessment visits (including physical examination, comprehensive history, screening for physical and/or psychological conditions, and point of care testing). Provides care in one or more care settings based on the clinical requirements: virtually, telephonically or travels to patients’ homes and/or other facilities with varying environments (e.g., elevated buildings, walk-ups, care facilities, single/multiple family homes, presence of pets, etc.) using approved transportation options.

Brooklyn, NY21 days ago

$26–$28 Per Hour
Temporary
Contractor
Full-time

Our client, a human services agency that provides support and social services to Brooklyn, and Queens is seeking a medical Biller. Position details: Under the direct supervision of the Service Fee Supervisor the position is responsible for front-end billing responsibilities and data collection and review.

New!

Union City, NJ4 days ago

$100,000–$140,000 Per Year
Full-time

CONSIDERED EXPERIENCE INCLUDES: Insurance Claims Examiner Adjuster Specialist Professional Liability Medical Malpractice MedMal Allied Healthcare #DiedreMoire #JobSearch #JobHunt #JobOpening #Hiring #Job #Jobs #Careers #Employment #jobposting #InsuranceJobs #UnderwriterJobs. Described compensation is not definite nor precise and may be estimated and approximate and is negotiable depending on market conditions and candidate availability and other factors and is solely at the discretion of employers.

Edison, NJ30+ days ago

$17.44–$23.53 Per Hour

Responsibilities Key Responsibilities:- Submit and follow up on insurance claims (commercial, Medicare, Medicaid)- Verify patient insurance eligibility and benefits- Review and resolve claim denials and rejections promptly- Manage accounts receivable and aging reports- Post payments and reconcile accounts accurately- Coordinate prior authorizations for chemotherapy, infusions, and specialty medications- Ensure compliance with coding and billing regulations (ICD-10, CPT, HCPCS)- Communicate effectively with patients, providers, and insurance companies regarding billing inquiries- Maintain accurate and up-to-date patient billing records Qualifications Qualifications:- Minimum 2+ years of medical billing experience (oncology/hematology preferred)- Strong knowledge of insurance guidelines, reimbursement processes, and prior authorizations- Relevant certifications such as Certified Professional Biller (CPB), Certified Coding Specialist (CCS), or Certified Professional Coder (CPC) are preferred but not required.- Familiarity with oncology-specific billing (infusion services, J-codes, drug billing) is highly desirable- Experience with EHR/PM systems (e.g., Athena, Centricity, ONCOEmr)Preferred Skills:- Experience handling high-dollar claims and specialty drug reimbursement- Knowledge of Medicare guidelines for oncology services- Ability to work independently and as part of a team in a fast-paced environmentPHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

New York, NY30+ days ago

$28.85–$31.25 Per Hour

Our benefits solution empowers patients with concierge support, coaching, education, and digital tools; provides access to a premier network of fertility and women's health specialists who use the latest science and technologies; drives optimal clinical outcomes; and reduces healthcare costs. Headquartered in New York City, Progyny has been recognized for its leadership and growth as a TIME100 Most Influential Company, CNBC Disruptor 50, Modern Healthcare's Best Places to Work in Healthcare, Forbes' Best Employers, Financial Times Fastest Growing Companies, Inc. 5000, Inc.

Edison, New Jersey30+ days ago

Organizes and coordinates potential revenue enhancement opportunities to optimize reimbursement including but not limited to: (1) combining provider numbers; Medicare wage index; disproportionate share; charity care subsidy; medical education; organ transplantation; and Medicare Bad Debts. This position will guide and coordinate direction on reimbursement matters, including preparation of advanced sections of the Medicare and NJDOH cost reports, completion of advanced reimbursement studies and models (PPS Rate calculations, IME/GME, APC Rate calculations, etc.), and audit coordination.

New!

Jamaica, New York3 days ago

$25–$30

Should be able to credential our specialists to different Health Insurances as Fidelis Care, Metro Plus, Health First, United Health Care, Oxford Liberty, Molina Health Care, Aetna, other health insurances. include A medical biller, or insurance billing specialist, processes healthcare claims to ensure accurate billing and timely reimbursement from insurance companies and other payers.

Hawthorne, NJ30+ days ago

$20–$25 Per Hour

We are seeking a reliable and detail-oriented Medical Billing / Accounts Receivable Specialist to join our growing Durable Medical Equipment (DME) company. We are looking for someone who understands how to work claims, resolve denials, and ensure payments are collected.

New Rochelle, NY28 days ago

Compensation is determined based on factors such as location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget, and internal equity. This role is responsible for managing billing, collections, and third-party reimbursement processes while ensuring accuracy and compliance, and is NOT limited to regular office staff duties.

NY30+ days ago

$20.66–$29.99 Per Hour

PREFERRED QUALIFICATIONS: • High school graduate or equivalent • Bachelor's degree in healthcare or business administration • Minimum 1 year medical billing and denials, customer service and relevant finance experience in a health care organization a plus • Certification in medical billing UNION: 1199-200B Clerical Workers (CPH). SUMMARY: A Medical Billing and Denials Specialist is responsible for managing the billing process, submitting claims to insurance companies, following up on unpaid or denied claims, and ensuring timely reimbursement for healthcare services.

Denville, New Jersey30+ days ago

$16–$27 Per Hour

The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure. Prime Healthcare operates 54 hospitals and has more than 360 outpatient locations in 15 states providing more than 3.0million patient visits annually.

New York, NY30+ days ago

$85,000–$95,000 Per Year

Review and analyze complex inpatient outpatient and practitioner billing for medical appropriateness of treatment analyze charges of various revenue centers with consideration to patient diagnosis procedures age and facility type and international healthcare norms where applicable. Assist with education of staff as it relates to claims suggest additional negotiation talking points or tools develop instructional design when applicable and communicate overall industry or regulatory changes which affect the department.

New!

New York, NY5 days ago

$24–$27 Per Hour

The employee may be required to use safety equipment, PPE (personal protective equipment) that may include but not be limited to face shield or goggles, non-slip shoes, gloves, mask, and other protective garments and equipment. Must possess outstanding communication and interpersonal skills with ability to communicate professionally and effectively with other staff members, patients and physicians.

New!

White Plains, NY3 days ago

$24–$26 Per Hour

New!

Staten Island, NY5 days ago

$24–$27 Per Hour

New York, New York30+ days ago

Overview: Medical management data & Report Specialist ensures the accuracy, consistency, and integrity of Utilization Management records and reports, supporting high-quality operations and data‑driven decision‑making within the Medical Management department. Facilitates the scheduling of ongoing in‑service sessions for Medical Management staff to review new or updated system changes, as well as required CMS and DOH policy updates, ensuring alignment with departmental responsibilities and the health plan’s overall goals.

Nutley, New Jersey27 days ago

Responsibilities: A day in the life of a Medical Education Learning Specialist at Hackensack Meridian Health includes: Serves as `research-based strategies expert` for instructional program planning, presenting, facilitating, collaborating, coaching, creating and curating resources within one or more areas of expertise based upon knowledge, experience and/or specialized training. Serve as key consultant, in close collaboration with the Director of Academic Support, in the development of interventions and support strategies, along with faculty, deans, clerkship directors, to monitor student progress and provide strategic academic case management services.

Somerset, NJ30+ days ago

$52,666–$72,416 Per Year

Job Title: Credentialing Specialist\n \nLocation: SBC Corporation\n \nDepartment Name: Medical Staff\n \nReq #: 0000212333\n \nStatus: Salaried\n \nShift: Day\n \nPay Range: $52,666.00 - $72,416.00 per year\n \nPay Transparency: \n \nThe above reflects the anticipated annual salary range for this position if hired to work in New Jersey.\n \nThe compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience.\n \nJob Overview:\n \nThe Credentialing Specialist is accountable for performing duties related to the sending, receiving, processing, and primary source verifying applications for initial and reappointment and their related clinical privileges.\n \nExemplifies a culture of excellence, effective communication and collaboration, and customer service with central Medical Staff Office (MSO) leadership and staff, internal and external customers, providers, and clinical and administrative leaders within RWJBarnabas Health.\n \nHandles, with discretion, issues that are significant, complex, multidisciplinary, sensitive, and confidential.\n \nPossesses and develops a strong grasp of the medical staff operations and the cultures of each affiliated institution and works to collaborates with local Medical Staff Offices to facilitate timely completion of credentialing processing.\n \nWorks to develop an overall singular culture of excellence and efficiency across the enterprise.\n \nQualifications:\n \nRequired:\n\n Associates degree or combination of education and experience deemed equivalent\n Successful completion of all RWJBarnabas Health orientation programs \n \nPreferred:\n\n Two years' prior experience in Medical Staff credentialing preferred.\n Certified Professional in Medical Staff Management (CPMSM) or Certified Provider Credentialing Specialist (CPCS) preferred\n Knowledge of credentialing software and associated applications strongly preferred (MDStaff)\n Excellent interpersonal and communication skills\n \nScheduling Requirements:\n\n Hybrid, with on-site and remote capabilities available.\n

New!

Jersey City, NJ3 days ago

Excellent written and verbal communication skills, including the ability to prepare reports, clarify documentation needs, and maintain collaborative working relationships with physicians and staff. Leading healthcare organizations like CommonSpirit Health, Atlantic Health, and Banner Health trust Innovaccer to integrate a system of intelligence into their existing infrastructure— extending the human touch in healthcare.

New York, NY11 days ago

$74,000–$111,000 Per Year

Responsibilities also include conducting follow-up calls with patients and performing periodic site visits to post-acute care facilities to identify shared opportunities for improvement and support seamless care transitions. This includes fostering and maintaining effective partnerships with post-acute providers, ensuring clear and consistent communication among all key stakeholders and enabling the care teams to facilitate efficient discharges.

morristown, NJ30+ days ago

Below are just a few of our accolades: 100 Best Companies to Work For ® and FORTUNE® magazine for 15 years Best Places to Work in Healthcare - Modern Healthcare 150 Top Places to work in Healthcare - Beckers Healthcare 100 Accountable Care Organizations to Know - Beckers Hospital Review Best Employers for Workers over 50 - AARP Gold-Level Well Workplace: Wellness Council of America (WELCOA) One of the 100 Best Workplaces for "Millennials" Great Place to Work® and FORTUNE® magazine One of the 20 Best Workplaces in Health Care: Great Place to Work® and FORTUNE® magazine Official Health Care Partner of the New York Jets NJ Sustainable BusinessMorristown Medical Center is a nationally-recognized leader in cardiology and heart surgery, orthopedics, gynecology,geriatrics, gastroenterology and GI surgery, pulmonology and lung surgery, and urology. Our facilities and sites of care include: Morristown Medical Center, Morristown, NJ Overlook Medical Center, Summit, NJ Newton Medical Center, Newton, NJ Chilton Medical Center, Pompton Plains, NJ Hackettstown Medical Center, Hackettstown, NJ Goryeb Childrens Hospital, Morristown, NJ CentraState Healthcare System, Freehold, NJ Atlantic Home Care and Hospice Atlantic Mobile Health Atlantic RehabilitationWe also have more than 900 community-based healthcare providers affiliated through Atlantic Medical Group.

New Hyde Park, NY11 days ago

$26–$28 Per Hour
Temporary
Contractor
Full-time

The Out-of-Network Authorization Specialist is responsible for securing prior authorizations and verifying benefits for services rendered by providers who are not contracted with a patient’s insurance plan. This role requires strong communication skills, attention to detail, and a deep understanding of payer policies to ensure accurate billing and minimize claim denials.

New York, NY30+ days ago

$65,000–$75,000

This individual will work closely with the Director of Business Operations and Director of Revenue Operations to ensure that cash pay invoicing, contracting, and insurance claims are accurate, timely, and reimbursed in full. Manage extension requests and contracts, including communication with clients and guarantors regarding billing questions and account needs.

STAMFORD, CT30+ days ago

As a Medical Biller, you will be working closely with clients to answer questions related to billing, processing all forms needed for insurance billing purposes, and collecting necessary documentation from clients. You will also assist other Medical Billers with follow-up inquiries to clients, communicate with physicians' offices and hospitals to obtain records, and accurately record patient information.

Parsippany, NJ30+ days ago

This role is ideal for someone who understands insurance billing, thrives on accuracy and takes ownership of claims from submissions through reimbursement. We are looking for an experienced DME Billing Specialist to manage the full billing cycle for medical equipment.

MANHASSET, NY30+ days ago

Paramus, NJ12 days ago

Union, NJ30+ days ago

We provide compassionate, quality, and affordable health care services to adults with mental health, substance abuse, and co-occurring disorders, as well as to all individuals with disabilities-including children and the elderly. To excel as a Full-Time/Part-Time ABA/Behavioral Health Billing Specialist at Owen Health Care, you will need a robust skill set tailored for the nuanced demands of billing in the behavioral health sector.

New!

White Plains, NYToday

$70,000–$80,000

This position serves as a key liaison between clinical teams, insurance payers, and patients, ensuring services are authorized, accurately billed, and compliant with regulatory and payer requirements. The Prior Authorization & Billing Specialist plays a critical role in ensuring timely access to mental health services by managing insurance authorizations, billing processes, and reimbursement workflows.

New York, New York30+ days ago

$20–$25

We are a fun, experienced team that has been doing this long enough to know every trick insurance companies pull and we are not afraid to call them out. We handle the full back office for therapy practices across the city and beyond so our clients can stay focused on what they do best - helping people.

New York, New York30+ days ago

$60,000–$80,000

About the Role:A busy multispecialty private practice in New York City is seeking an experienced Medical Biller to oversee all aspects of revenue cycle management (RCM). You will work closely with a team of physicians and administrative staff to ensure efficient billing operations and high-quality patient communication.

park ridge, NJ30+ days ago

Affinity Med Solutions a leader in out of network billing is seeking a detail-oriented and organized Medical Biller to join our team. The ideal candidate will be responsible for managing billing processes mainly calling insurance companies and following up on claims to complete resolution.

Jersey City, NJ20 days ago

$18.50–$19 Per Hour

This individual is part of a highly concierge ‘white glove’ service team that will manage the patient experience from start to finish by providing program information, eligibility, reimbursement support, and general assurances and ease of use in supporting our client’s copay assistance programs. Job Description:Under the supervisor's direction, The Patient Support Specialist is responsible for providing patient health care services, enabling access to care for prescription medications.

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Medical Reimbursement Specialist Jobs in New York, NY

AP Specialist - Expense Reimbursements Kforce Inc.

Peer Specialist VNS Health

Collections/Medical Biller Atrium

OMH Peer Specialist (Youth Suicide Prevention Program) VNS Health

Patient Support Specialist Careers Integrated Resources Inc

Clinical Quality Improvement Specialist, Registered Nurse (Onsite 4 Days/Week) VNS Health

Compliance Specialist Senior Wealth Management City National Bank

Lead Fiduciary Compliance Specialist City National Bank

Gastroenterologist, IBD Specialist- Summit NJ Atlantic Health System

Travel Nurse RN - Medical-Surgical - $1,822 to $2,037 per week in Denville, NJ TravelNurseSource

Travel Nurse RN - Medical-Surgical - $2,050 to $2,291 per week in New York, NY TravelNurseSource

Accounts Receivable Representative Jobot

Advanced Practice Clinician, Full Time VNS Health

Advanced Practice Clinician VNS Health

Physician-Medical Doctor-OB/GYN (Physician #) Hackensack Meridian Health

Advanced Practice Clinician (Bilingual Chinese required) VNS Health

Medical Biller TemPositions Group Of Companies

Ins Claims Examiner Medical Malpractice - Union City, NJ Diedre Moire Corp.

Medical Biller / Reimbursement Coordinator McKesson Corporation

General Member Reimbursement Specialist Progyny Inc

Reimbursement Specialist III - Per Diem Hackensack Meridian Health

Part -Time Insurance credentialing for Medical Office Specialists Hillside Polymedic Diagnostic & Treatment Center

Medical Billing / Accounts Receivable Specialist Medical Claims Billing Florida Llc

Medical HOME HEALTHCARE Billing Specialist / Office duty Personnel Kind Loyal Service RN Healthcare Services PLLC

Medical Billing & Denials Specialist Rochester Regional Health System

Medical Billing Specialist Prime Healthcare Management Inc

Sr Medical Coding Specialist Claritev Corp

Medical Assistant/Clinical Service Specialist, Per Diem - Nomad, NY Vivo Infusion

Medical Assistant/Clinical Service Specialist, Full Time- West Harrison, NY Vivo Infusion

Medical Assistant/Clinical Service Specialist, Per Diem - Staten Island, NY Vivo Infusion

Medical Management Data & Reporting Specialist Metropolitan Jewish Health System

Medical Education Learning Specialist - School of Medicine Hackensack Meridian Health

Medical Staff Credentialing Specialist RWJ Barnabas Health Medical Inc

4242-Medical Coding Specialist Innovaccer Analytics

Central Post-Acute Resource Center (PARC) Specialist – Columbia University Medical Center NYP

Malignant Hematology Specialist, Morristown Medical Center Atlantic Health System Inc

Medical Biller Out of Network TemPositions Group Of Companies

Billing & Reconciliation Specialist Release Recovery

Medical Biller ELIE SADER MD PLLC

DME Billing Specialist EBI Holdings, LLC

Medical Biller ANNA K IMPERATO MD PLLC

Medical Biller Preventive Plus

ABA/Behavioral Health Billing Specialist Owen Health Care

Billing Specialist TeemaGroup

Medical Biller Billing Geeks

Certified Medical Biller Avicenna Cardiology

Medical Biller Affinity Med Solutions

Patient Support Specialist- #26-11811 US Tech Solutions, Inc.

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