• Clm Resltion Rep III, Hosp/Prv

    University of Rochester (Rochester, NY)
    …and state regulations bringing concerns to the attention of billing Manager and Supervisor . The Claim Resolution Rep III will represent the department and ... not been collected through routine billing and collection activities. Claim Resolution Rep III will make independent decisions as...supervisor or manager of trends on incorrectly paid claims from specific payers. + Work with supervisor… more
    University of Rochester (11/06/25)
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  • Case Manager, Registered Nurse - Fully…

    CVS Health (Albany, NY)
    …do it all with heart, each and every day. **Position Summary** **This is a remote work from home role anywhere in the US with virtual training.** American Health ... including co-morbid and multiple diagnoses that impact functionality. + Consults with supervisor and others in overcoming barriers in meeting goals and objectives,… more
    CVS Health (11/19/25)
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  • Patient Benefit Specialist- Remote

    KPH Healthcare Services, Inc. (Syracuse, NY)
    …issues on accounts/orders + Maintain and keep reasonable production as determined by supervisor + May assist in orienting and training new employees + Responsible ... systems + Familiar with Enterprise billing options and practices surrounding claim submission + Strong communication skills + Outstanding customer service skills… more
    KPH Healthcare Services, Inc. (09/11/25)
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  • Coordinator, Collections

    Cardinal Health (Albany, NY)
    …Collections is responsible for the timely follow-up and resolution of insurance claims . This role ensures accurate and efficient collection of outstanding balances ... + Contact insurance companies via phone, portals, or email to check claim status, request reprocessing or escalate issues. + Analyze denials and underpayments… more
    Cardinal Health (11/11/25)
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  • Billing Assistant

    Buffalo Hearing & Speech Center (Buffalo, NY)
    Billing Assistant Job Details Job Location North Street - Buffalo, NY Remote Type Hybrid Salary Range $21.97 - $27.50 Hourly Description Buffalo Hearing & Speech is ... Assistant in our Finance department. This is a hybrid remote position where time can be spent both in...flow for organization. + Checks clearinghouse, Availity, for any claims in error edits, corrects, and submits to payer… more
    Buffalo Hearing & Speech Center (11/11/25)
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  • Medical Coder II

    Ellis Medicine (Schenectady, NY)
    This position can be local or remote !! The Medical Coder II is responsible for the revenue cycle activities of specific physician practices of Ellis Medical Group ... lists to ensure complete, timely and accurate submission of claims , (3) facilitating the accuracy and completeness of the...relationship with the PBO dept. to reduce and address claim issues and denials timely. + Assists in the… more
    Ellis Medicine (10/28/25)
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  • Case Manager RN

    CVS Health (Albany, NY)
    …we do it all with heart, each and every day. **Position Summary** This is a remote RN Case Manager for New York residents. - Develops a proactive course of action to ... including co-morbid and multiple diagnoses that impact functionality. - Reviews prior claims to address potential impact on current case management and eligibility.… more
    CVS Health (11/20/25)
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  • Staff Analyst

    City of New York (New York, NY)
    …supporting documents for chargeback disputes. Select relevant information based on the claim type and dispute code. Submit chargeback packets accurately and on time. ... sheets. Ensure data accuracy and submit logs to the supervisor on time. - Research and respond to AMEX...Hours/Monday-Friday/9:00am - 5:00pm "This position may be eligible for remote work up to 2 days per week, pursuant… more
    City of New York (10/10/25)
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  • Senior Provider Relations Representative

    Molina Healthcare (Cheektowaga, NY)
    **_ Remote and must live in Erie County, NY _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network ... that may cross departmental lines and involve Senior Leadership. * Must have claims resolution experience. * Serves as a subject matter expert for other departments.… more
    Molina Healthcare (11/20/25)
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  • Surveillance Investigator

    The Robison Group (Albany, NY)
    …the position will be expected to perform investigations of workers compensation claims , liability investigations, multi-line insurance claims , criminal and civil ... medical treatment). + College Degree preferred. TRAINING The Robison Group provides remote and/or in-classroom training to ensure that individuals are set up for… more
    The Robison Group (10/16/25)
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