• (Remote) EDI Support Specialist - Casualty

    Sedgwick (Albany, NY)
    …and change logs and JURIS EDI technical mapping; existing workers' compensation claim systems , workers compensation adjuster job functions, client parameter ... them to the technical EDI mapping in JURIS identifying system defects and managing escalation and resolution with the...to include two (2) years of workers' compensation or claims related experience and three (3) years of EDI… more
    Sedgwick (11/06/25)
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  • Lead Reimbursement Analyst

    Molina Healthcare (NY)
    …operations, health plan representatives, and other business teams involved in claim processing. Maintains expertise in all forms of reimbursement methodologies ... pricers including: + Reviewing pricing software vendor specifications. + Identifying system changes needed to accommodate state-specific logic. + Assisting with… more
    Molina Healthcare (11/23/25)
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  • Medical Billing Assistant- On Site

    TEKsystems (Rochester, NY)
    …and 1500F05 specific payer requirements preferred Job Description -Review and accurately process claim edits in a system work queue. Accurately handle claim ... adjustments and coverage changes as needed. -Review and process claim denials according to established processes. Research and resolve denial issues via the payer… more
    TEKsystems (11/15/25)
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  • Senior Biller

    WMCHealth (Kingston, NY)
    …+ Analyzes daily electronic billing reports for errors. Performs daily reconciliation of claim submission and receipt. Ensures that rejected claims are corrected ... Applicant link Job Details: To submit and/or follow-up on all claims for HealthAlliance for multiple payors. Responsibilities: + Demonstrates proven abilities… more
    WMCHealth (10/07/25)
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  • Senior Biller

    WMCHealth (Kingston, NY)
    …+ Analyzes daily electronic billing reports for errors. Performs daily reconciliation of claim submission and receipt. Ensures that rejected claims are corrected ... Applicant link Job Details: To submit and/or follow-up on all claims for HealthAlliance for multiple payors. RESPONSIBILITIES + Demonstrates proven abilities… more
    WMCHealth (10/01/25)
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  • Senior Revenue Cycle Associate - 10077 - Mon-Fri…

    WellLife Network (NY)
    …accuracy and appropriateness of billing codes (CPT, ICD-10, and HCPCS) prior to claim submission. 3. Analyze denied or underpaid claims , identify root causes, ... of the billing and accounts receivable cycle, including charge entry, claim submission, and follow-up on outstanding balances. **Essential Functions:** 1. Prepare… more
    WellLife Network (11/22/25)
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  • National Accounts: Dedicated Field Services…

    CVS Health (Albany, NY)
    …+ Clinical background a plus. + Experience with Aetna and CVS products, claim systems , and digital member applications. + Associate degree or equivalent ... clinical support to members as well as navigating them through the health system , providing support on claims issues, and answering coverage-level questions.… more
    CVS Health (09/05/25)
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  • Revenue Analyst, Bureau of Revenue

    City of New York (New York, NY)
    …DOHMH submitted claims after state approval. Reconcile and submit consolidated claim reports (CCR) to state agencies as needed. Ensure all monthly, quarterly, ... BE LIMITED TO: Responsible for the agency's Article 6 claim submissions to state. Learn and understand Public Health...for all contract, budget, and payment data to ensure claims are efficiently processed and meet due dates. Maximize… more
    City of New York (11/16/25)
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  • Senior Accounts Receivable Specialist (Meritain…

    CVS Health (Amherst, NY)
    …+ Enter and process monthly fee claims for ancillary product offerings via claim system . **Required Qualifications** + 2+ years of experience working in an ... customers and accounts. + Balance deposits in the accounting system . + Follow systems of checks and...own accountability for open items. + Collect and post claim payments against monthly invoices in accounting system… more
    CVS Health (11/26/25)
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  • Property Preservation Specialist II

    M&T Bank (Getzville, NY)
    …execute day to day functions including filing and monitoring the insurance claim process for damaged properties, registration and deregistration of properties that ... + Maintain fees and costs queue in mortgage servicing system by tracking what costs have occurred and what...near future. + Respond to FHA demands, including BCDE Claims , and all other claims besides principal.… more
    M&T Bank (11/22/25)
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