• Clm Resltion Rep III, Hosp/Prv

    University of Rochester (Albany, NY)
    …pertain to claim processing and coding. Escalates system issues preventing claims submission and follow-up for review and resolution. + 5% Collaborates with ... - New York, Albany, New York, United States of America, 12224 **Opening:** Worker Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 910402… more
    University of Rochester (08/07/25)
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  • Clm Resltion Rep IV, Hosp/Prv

    University of Rochester (Rochester, NY)
    …Hutchison Rd, Rochester, New York, United States of America, 14620 **Opening:** Worker Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: ... to successful closure and obtain maximum revenue collection. Researches, corrects, resubmits claims , submits appeals and takes timely and routine action to resolve… more
    University of Rochester (08/07/25)
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  • RN Crisis Care Triage

    Sedgwick (Albany, NY)
    …Field Case Manager assignment and facilitates initial onsite hospital visit for the claim . + Maintains communication with the customer, Client Service Director, and ... Examiner providing timely updates on changes in injured worker status and FCM estimated time of arrival. +...ongoing communication with the client, Client Service Director, and Claims Examiner until the assigned Field Case Manager arrives… more
    Sedgwick (07/25/25)
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  • Client Benefits Coordinator

    Phoenix House (Hauppauge, NY)
    …clients with obtaining and maintaining health insurance coverage, submitting insurance claims , and following up on account receivables. The Client Benefits ... with members of the clients care team (including social worker ) to address any barriers to maintaining maximum insurance...demographic information in the billing system. + Submit insurance claims , timely. + Follow up with payers to ensure… more
    Phoenix House (08/08/25)
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  • Sr. HR Generalist

    Ducommun (Coxsackie, NY)
    …including assisting with general benefit inquiries and online enrollment, claims resolution, collection of required documents, invoicing and payroll adjustments, ... as well as running reports and performing necessary audits. Safety & Worker 's Compensation: + Support EH&S officer in the implementation of safety initiatives… more
    Ducommun (07/23/25)
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  • Inpatient Clinical & Coding Specialist - Senior

    Independent Health (Buffalo, NY)
    …of the audit plan **.** **Qualifications** + Associates degree required. Bachelor's degree preferred . An additional two (2) years of experience will be considered in ... NYS licensed RN or LPN required. LPN or RN preferred . + Four (4) years of experience working in...Ability to ensure that clinical information translates correctly into claim coding compliance with requested data set. Ability to… more
    Independent Health (07/15/25)
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  • Business Office Coordinator

    Sunrise Senior Living (Glen Cove, NY)
    …reconciliation per Sunrise internal business controls. + Process and manage unemployment and worker 's compensation claims and update claim activity as ... knowledge, skills, and abilities required. + Associate degree or bachelor's degree preferred or a minimum of two (2) years' experience in business finance/accounting… more
    Sunrise Senior Living (05/15/25)
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  • Clinical Director

    Sedgwick (Albany, NY)
    …business lines by managing and training multiple units of colleagues located in claims offices and on site at client locations; to provide expertise in client ... for assigned locations/offices; provides expert medical and product support to Sedgwick claims and clinical staff. + Promotes and adheres to all URAC standards… more
    Sedgwick (08/08/25)
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  • Workers' Compensation Examiner (NY Helps), Wcb…

    New York State Civil Service (Schenectady, NY)
    …of the Associate Workers' Compensation Examiner within the Office of Operations/ Claims Operations/No Insurance unit, the Worker 's Compensation Examiner's duties ... Discrimination, World Trade Center Volunteer and World Trade Center employee claims for Proposed Decision or Hearing* Processing calendar returns* Processing… more
    New York State Civil Service (08/08/25)
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  • Referral & Prior Auth Rep III

    University of Rochester (Rochester, NY)
    …De Ville Blvd, Rochester, New York, United States of America, 14618 **Opening:** Worker Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: ... includes, preparing and providing multiple, complex details to insurance or worker 's compensation carrier to obtain prior authorizations for both standard and… more
    University of Rochester (08/07/25)
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