• Provider Contracts Manager HP - Core

    Molina Healthcare (Syracuse, NY)
    …information on all claims and provider databases. Synchronizes data among multiple claims systems when applicable, and the application of business rules as ... on provider databases and ensure adherence to business and system requirements of customers as it pertains to contracting,...based on feedback rom assigned MHI attorney. * Assists Manager and/or Director in the negotiation of medical group/IPA… more
    Molina Healthcare (09/25/25)
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  • Procedural Billing Specialist I - Surgery

    Mount Sinai Health System (New York, NY)
    …credit balance report to ensure adherence to government regulations/guidelines. + Analyzes claims system reports to ensure underpayments are correctly identified ... + 5 years experience in medical billing or health claims , with experience in IDX billing systems ...System is one of the largest academic medical systems in the New York metro area, with more… more
    Mount Sinai Health System (08/29/25)
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  • Commercial Manager - Pacific

    CDM Smith (Albany, NY)
    …Assist the project team in developing and maintaining a project risk register. Claim management: Early support for claims and disputes on the project. ... to those requirements. Ensure that proper documentation is developed and maintained for claims . **Job Title:** Commercial Manager - Pacific **Group:** CCI ESS… more
    CDM Smith (08/13/25)
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  • Appeals Manager

    BronxCare Health System (Bronx, NY)
    …collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality Improvement ... regarding CMS, JCAHO, IPRO standards, regulations, monitoring and reporting systems . - Knowledgeable regarding Regulatory Agency Mandates (State and Federal).… more
    BronxCare Health System (09/19/25)
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  • Office Manager - II, Department…

    BronxCare Health System (Bronx, NY)
    …collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality Improvement ... - Bachelor's - Working knowledge of basic office computer systems . Job LocationsUS-NY-Bronx ID2025-5166 Category Management Position Type Regular Full-Time… more
    BronxCare Health System (08/26/25)
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  • Telephonic Case Manager

    Sedgwick (Albany, NY)
    …Work(R) Fortune Best Workplaces in Financial Services & Insurance Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with the injured worker, ... worker's injury, medical treatment, psychosocial needs, cultural implications and support systems . + Effectively communicates and builds relationships with the … more
    Sedgwick (09/19/25)
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  • Senior Billing Specialist-Obstetrics…

    Mount Sinai Health System (New York, NY)
    …credit balance report to ensure adherence to government regulations/guidelines. + Analyzes claims system reports to ensure underpayments are correctly identified ... + 3 years experience in medical billing or health claims , with experience in IDX billing systems ...System is one of the largest academic medical systems in the New York metro area, with more… more
    Mount Sinai Health System (09/02/25)
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  • Billing Specialist - Psychiatry Administration…

    Mount Sinai Health System (New York, NY)
    …balance report to ensure adherence to government regulations/guidelines. 13. Analyzes claims system reports to ensure underpayments are correctly identified ... claims , with experience in EPIC & IDX billing systems in a health care or insurance environment preferred...System is one of the largest academic medical systems in the New York metro area, with more… more
    Mount Sinai Health System (08/15/25)
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  • Manager Billing and Funding - HNAS

    Highmark Health (Albany, NY)
    …(ASO); TPA services with an expanded BCI/HNAS offering and management of claims funding and cash management. While identifying and driving process improvements ... in projects and activities that impact the Sales and Operations and claims finance business unit functions. HNAS (Health Now Administrative Services) offers… more
    Highmark Health (09/30/25)
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  • Pharmacy Revenue Cycle Specialist - Full Time…

    Mohawk Valley Health System (Utica, NY)
    …and infusion pharmacy services. Reporting to the Pharmacy 340B Business Manager , this role is responsible for identifying, analyzing, and resolving revenue ... the enterprise. Core Job Responsibilities + Investigates, tracks, and resolves drug-related claim denials and billing exceptions across multiple sites of care. +… more
    Mohawk Valley Health System (09/25/25)
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