• Clinical Denials & Appeals

    Northwell Health (Melville, NY)
    …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… more
    Northwell Health (01/07/26)
    - Related Jobs
  • Clinical Denials & Appeals

    Northwell Health (Melville, NY)
    …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 PRI's (Patient Review Instrument), as needed. Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not… more
    Northwell Health (01/06/26)
    - Related Jobs
  • Appeals & Grievances Specialist

    Molina Healthcare (Yonkers, NY)
    …**Essential Job Duties** * Facilitates comprehensive research and resolution of appeals , disputes, grievances, and/or complaints from Molina members, providers, and ... to ensure that internal and/or regulatory timelines are met. * Researches claims appeals and grievances using support systems to determine appropriate appeals more
    Molina Healthcare (12/14/25)
    - Related Jobs
  • Equal Opportunity Specialist 1, Central…

    New York State Civil Service (Albany, NY)
    NY HELP No Agency Mental Health, Office of Title Equal Opportunity Specialist 1, Central Office; Occupational Category Other Professional Careers Salary Grade 18 ... seeking a qualified candidate for the non-competitive policy position of Equal Opportunity Specialist 1, G-18, in the Office of Diversity & Inclusion. Under the… more
    New York State Civil Service (12/27/25)
    - Related Jobs
  • E-Billing Compliance Specialist

    Akin Gump Strauss Hauer & Feld LLP (New York, NY)
    …Billblast, correspond with billing teams to rectify issues. + Alert the Billing Specialist for timely resubmission/for appeals on the adjustments. + Assist the ... and the Middle East. We are currently seeking an E-Billing Compliance Specialist in the Finance department, reporting to the Client Administration and Compliance… more
    Akin Gump Strauss Hauer & Feld LLP (12/18/25)
    - Related Jobs
  • Billing Specialist

    Helio Health Inc. (Syracuse, NY)
    Overview To support the mission of Helio Health, Inc., the Billing Specialist generates medical invoices, posts cash receipts, follows up on accounts receivable and ... as required to accomplish medical billing for Helio Health. The Billing Specialist will work Full-Timeto support our Revenue Cycle Management team. This position… more
    Helio Health Inc. (12/29/25)
    - Related Jobs
  • Revenue Specialist

    Stony Brook University (East Setauket, NY)
    Revenue Specialist **Position Summary** At Stony Brook Medicine, a **Revenue Specialist ** will provide operational support within the hospital's Patient ... business functions including but not limited to: billing, claims analysis appeals , follow-up, financial assistance and customer service. **Duties of a Revenue… more
    Stony Brook University (12/17/25)
    - Related Jobs
  • On-Site Procedural Billing Specialist I…

    Mount Sinai Health System (New York, NY)
    **Job Description** The Procedural Billing Specialist I is responsible for multiple components of the complex billing and coding process for specialized procedures, ... to ensure accurate and timely payment of claims and collection. The Specialist works directly with the Department Administrator. Reports to Billing Manager/Revenue… more
    Mount Sinai Health System (01/08/26)
    - Related Jobs
  • Medical Billing Specialist

    Robert Half Accountemps (Rochester, NY)
    Description We are looking for an experienced Medical Billing Specialist to join our team in Rochester, New York. In this Contract to permanent position, you will ... collections and payment postings. * Analyze and resolve billing discrepancies and appeals to ensure claim accuracy. * Utilize accounting software and electronic… more
    Robert Half Accountemps (12/31/25)
    - Related Jobs
  • Compliance Specialist

    Shinda Management Corporation (Queens Village, NY)
    Compliance Specialist About the Organization For over three decades, SMC has been in the forefront of proven, quality real estate property management services in the ... community by redefining affordable housing. Description SMC is seeking a Compliance Specialist to join our compliance department. Under the supervision of the Manger… more
    Shinda Management Corporation (11/28/25)
    - Related Jobs