• Dispute Repricing Analyst

    CVS Health (Albany, NY)
    …related to Network contracts and agreements. + Research identified issues; submit claim adjustment requests and determine the root cause of disputes. + Serve ... and responding to provider participation and pricing inquiries. + Analyze post-paid healthcare claims as it relates to pricing needs. + Apply in-depth research to… more
    CVS Health (07/25/25)
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  • Accounts Receivable Specialist Billing

    Catholic Health (Buffalo, NY)
    …Bargaining Unit: ACE Associates Exempt from Overtime: Exempt: No Work Schedule: Days Hours : 8-4 Summary: The Revenue Management Center supports the revenue cycle for ... accurately completed for demographic and charge information. Additionally, all claims must be in compliance with federal, state and...the first fourteen days of follow up on the claim to ensure proper receipt of the claim… more
    Catholic Health (08/01/25)
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  • Biller Coordinator/Office Manager - New Path…

    EAC Network (Hempstead, NY)
    …Path Treatment Center. This role will be responsible for inputting billing claims data, problem solving billing issues, supply ordering and overall office ... recertification for new and existing clients. + Input billing claims data into billing system daily. + Maintain consistent...for treatment services and track payment history. + Monitor claim status, research denials, and review all claim… more
    EAC Network (07/31/25)
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  • Quality Specialist

    CVS Health (Albany, NY)
    …And we do it all with heart, each and every day. **Position Summary** Claim Audit Quality Analyst is responsible for ensuring the accuracy and quality of ... claim audits across multiple areas within Meritain. This role...within Meritain. This role demands a deep understanding of claims , plan documents, eligibility, coverages, and the unique requirements… more
    CVS Health (07/31/25)
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  • Accounts Receivable Specialist Billing TRI Ortho

    Catholic Health (Williamsville, NY)
    …Trinity Medical Exempt from Overtime: Exempt: No Work Schedule: Days Hours : 7:00am-4:00pm Summary: The Accounts Receivable Specialist-Billing supports the revenue ... accurately completed for demographic and charge information. Additionally, all claims must be in compliance with federal, state and...the first fourteen days of follow up on the claim to ensure proper receipt of the claim… more
    Catholic Health (07/31/25)
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  • Revenue Cycle Biller

    CVS Health (Albany, NY)
    …effective solutions for our patients by billing Home Infusion and DME claims and invoices to governmental and commercial insurance companies for reimbursement for ... our patients' insurance claims . In this role, you will ensure timely and...role, you will ensure timely and accurate review and claim submission on all patient accounts subject to medical… more
    CVS Health (07/30/25)
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  • Medical Biller And Coder (CPC)

    Callen-Lorde Community Health Center (New York, NY)
    …patient service charges in EPIC, preparing and submitting electronic and paper claims , processing payments from third-party payers and patients, and managing monthly ... codes with proper sequencing and modifiers, reviewing and validating coding for denied claims , and serving as a coding resource for the billing department to ensure… more
    Callen-Lorde Community Health Center (07/22/25)
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  • Customer Service Representative- 9/15

    Brighton Health Plan Solutions, LLC (New York, NY)
    …revenue agencies and other healthcare providers with member benefits, eligibility, claims inquiry, claim reconsiderations and appeals. The Customer Service ... work in various shifts Monday to Friday between the hours of 9AM - 7PM EST with the ability...calls from members, medical providers, and others. + Adjust claims accurately, if needed. + Listen to and address… more
    Brighton Health Plan Solutions, LLC (08/01/25)
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  • RN Crisis Care Triage

    Sedgwick (Albany, NY)
    …Saturday 6am until Monday 6am each week. If you can work these hours ; please apply!** **PRIMARY PURPOSE** **:** Triages incoming catastrophic injury referral calls ... Field Case Manager assignment and facilitates initial onsite hospital visit for the claim . + Maintains communication with the customer, Client Service Director, and … more
    Sedgwick (07/25/25)
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  • Deputy Director, Single Issue Review

    City of New York (New York, NY)
    …projects using complex SQL algorithms and EDW data, analyzing data to identify claims that can be reclaimed for higher federal and state reimbursement rates, ... preparing claim adjustments to maximize federal and state funding, providing...providing technical support, financial analysis, data retrieval and financial claims support to DSS and other City agencies, responsible… more
    City of New York (05/14/25)
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