Top 2602 Clinician Jobs in Rye, Ny

Clinician, Denials Prevention - Remote
Med-Metrix —Garden City, NY
- $80,000 - $85,000 a year
- Full-time
- Remote
- RN License
- Customer service
- Writing skills
Medspa Front Desk
Greenwich MedSpa —Scarsdale, NY
- $20 - $24 an hour
- Full-time
- Sales
- Patient care
- Entry level
- AD&D insurance
- Paid holidays
Quick Apply
Department Coordinator (Quality Control Experience)
Westchester Medical Center —Valhalla, NY
- $65,907 - $82,850 a year
- Full-time
- Bachelor of Science
- Mid-level
- Administrative experience
- Paid holidays
- Health insurance
NYC Early Intervention- Initial Service Coordinator
Metro Therapy, Inc —Bronx, NY
- $50 - $54 an hour
- Part-time
- Remote
- Mid-level
- Experience working with children
- Pediatrics
- Health insurance
- Dental insurance
Licensed Clinical Therapist
Brightline —Long Island, NY
- $90,000 - $100,000 a year
- Full-time
- Hybrid work
- LMFT
- Mid-level
- Clinic
- Commuter assistance
- Paid holidays
Quick Apply
Pediatrics, Sleep Specialist
Montefiore Einstein —Bronx, NY
- $220,000 - $300,000 a year
- Full-time
- Medicine
- BC/BE
- Mid-level
- 403(b) matching
- Disability insurance
Clinical Fellow Speech-Language Pathologist (CFY)- EI/CPSE
Family of Kidz —Harrison, NY
- $60 - $120 an hour
- Full-time
- Bilingual
- Experience working with individuals with disabilities
- Mid-level
- Health savings account
- Disability insurance
Quick Apply
Clinical Administrator-Behavioral Health and OASAS Clinics
EPIC Long Island —East Meadow, NY
- $70,000 - $75,000 a year
- Full-time
- Management
- Addiction Medicine
- 5 years
- Health insurance
- Dental insurance
Quick Apply
Bilingual NYS Licensed or Limited Permit Clinician (FT or PT)
BRIDGES —New City, NY
- $30 - $35 an hour
- Part-time
- LMFT
- Spanish
- Master of Social Work
- Dental insurance
- Paid time off
Quick Apply
Clinical Fellow Speech-Language Pathologist (CFY)- EI/CPSE
Family of Kidz —White Plains, NY
- $60 - $120 an hour
- Full-time
- Bilingual
- Experience working with individuals with disabilities
- Mid-level
- Health savings account
- Disability insurance
Quick Apply
Physical Therapist
Riser Physical Medicine —New York, NY
- $85,000 - $95,000 a year
- Full-time
- Physical & Rehabilitation Medicine
- Mid-level
- Outpatient experience
- Continuing education credits
- Disability insurance
Quick Apply
10d
Program Therapist / Admissions Specialist (LMSW, LMHC, or equivalent)
BALANCE eating disorder treatment center —New York, NY
- $65,000 - $75,000 a year
- Weekends as needed
- Mid-level
- Organizational skills
- In-person
- Health savings account
- Health insurance
Quick Apply
Clinical Director / Lead Physical Therapist
LI Premier Performance Physical Therapy —West Babylon, NY
- $110,000 - $140,000 a year
- Full-time
- Private practice
- CPR Certification
- Management
- Paid holidays
- Health insurance
Quick Apply
10d
Physician Assistant
Neko Health —New York, NY
- $150,000 - $180,000 a year
- Full-time
- BLS Certification
- Research
- Mid-level
- Commuter assistance
- Paid holidays
Early Intervention Occupational Therapist (OTR/L)
Somos Bilingues: Bilingual Therapy & Evaluation Services —Dobbs Ferry, NY
- $90 - $134 an hour
- Part-time
- Mid-level
- Master's degree
- Clinic
- Paid holidays
- Health insurance
Quick Apply
Occupational Therapist - Full-time - Scarsdale, NY
ACDS Westchester —Scarsdale, NY
- From $75,000 a year
- Full-time
- Background check
- Experience working with individuals with developmental disabilities
- Mid-level
- Disability insurance
- Health insurance
Quick Apply
Outpatient Physical Therapist
Reddy Care Physical and Occupational Therapy —Commack, NY
- $90,000 - $110,000 a year
- Part-time
- Surgery
- Physical & Rehabilitation Medicine
- Mid-level
- Continuing education credits
- Health insurance
Quick Apply
12d
Dermatology Nurse Practitioner/ Physician Assistant
Confidential —White Plains, NY
- $125,000 - $175,000 a year
- Full-time
- CPR Certification
- Nursing
- Skilled nursing facility
- Health insurance
- Dental insurance
Quick Apply
Remote Psychiatric Nurse Practitioner (PMHNP) - Outpatient Practice. W2 w/Benefits, PT & FT options
Talkiatry —New York State
- $180,000 - $215,000 a year
- Part-time
- Remote
- Background check
- Nursing
- Psychiatry
- Health savings account
- Paid holidays
Assistant Medical Director
Montefiore Einstein —Bronx, NY
- $184,000 - $230,000 a year
- Full-time
- Medicine
- BLS Certification
- Children

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Clinician, Denials Prevention - Remote

Med-Metrix -
Garden City, NY

Apply Now

Job Details

Full-time
$80,000 - $85,000 a year

Qualifications

Customer communication
Writing skills
MFA

Full Job Description

Job Purpose
The Clinician, Denials Prevention, uses their clinical and administrative skills to analyze denials and appeal outcomes; share opportunities with clients to reduce first pass denials by ensuring proper patient status, authorizations, clinical documentation opportunities, staff education, and collaboration with other departments.

Duties & Responsibilities

Maintain the integrity of information in each appeal produced
Review a high volume of written appeals to ensure information is medically accurate
Research payer denials related to referral, pre-authorization, notifications, medical necessity, non-covered services, and billing resulting in denials and delays in payment
Make recommendations for workflow revisions to improve efficiency and reduce denials
Present case studies and recommendations to clients and impacted stakeholders
Review payor communications, identifying risk for loss reimbursement related to medical policies and prior authorization requirements; escalates potential issues to clinical stakeholders, managed care contracting, and Revenue Cycle leadership as appropriate
Identify opportunities for process improvement and actively participate in process improvement initiatives, internally and externally
Other duties as assigned
Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
Understand and comply with Information Security and HIPAA policies and procedures at all times
Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties

Qualifications

Bachelor’s degree in a health-related field; 2 years of experience may be considered in lieu of a degree in addition to the required experience. LPN or RN preferred.
Two years of recent experience in hospital case management, hospital prior authorization, or utilization management
Experienced in medical chart review
Claim-related appeal writing experience preferred
Experience with medical and insurance terminology, CPT, ICD coding structures, and billing forms
Experience with MCG and/or InterQual guidelines preferred
Proficiency in Microsoft Office Suite
Strong interpersonal skills, ability to communicate well at all levels of the organization
Strong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analyses
High level of integrity and dependability with a strong sense of urgency and results oriented
Excellent written and verbal communication skills required
Gracious and welcoming personality for customer service interaction

Working Conditions

Must possess a smart-phone or electronic device capable of downloading applications, for multifactor authentication and security purposes.
Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear.
Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress.
Work Environment: The noise level in the work environment is usually minimal.

Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.

Apply Now

Refine Your Search

clinician jobs in rye, ny

Clinician, Denials Prevention - Remote

Medspa Front Desk

Department Coordinator (Quality Control Experience)

NYC Early Intervention- Initial Service Coordinator

Licensed Clinical Therapist

Pediatrics, Sleep Specialist

Clinical Fellow Speech-Language Pathologist (CFY)- EI/CPSE

Clinical Administrator-Behavioral Health and OASAS Clinics

Bilingual NYS Licensed or Limited Permit Clinician (FT or PT)

Clinical Fellow Speech-Language Pathologist (CFY)- EI/CPSE

Physical Therapist

Program Therapist / Admissions Specialist (LMSW, LMHC, or equivalent)

Clinical Director / Lead Physical Therapist

Physician Assistant

Early Intervention Occupational Therapist (OTR/L)

Occupational Therapist - Full-time - Scarsdale, NY

Outpatient Physical Therapist

Dermatology Nurse Practitioner/ Physician Assistant

Remote Psychiatric Nurse Practitioner (PMHNP) - Outpatient Practice. W2 w/Benefits, PT & FT options

Assistant Medical Director

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