• Coding Auditor Educator

    Highmark Health (Albany, NY)
    …and other related software. + Strong analytical and communication skills Preferred + Associate 's Degree + 3 years with claims processing and data management ... + Past auditing and strong education/training background in coding and reimbursement **_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this… more
    Highmark Health (08/08/25)
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  • Eligibility Specialist

    Constructive Partnerships Unlimited (Manhattan, NY)
    …of Residential Programs. + Perform other duties as assigned. REQUIREMENTS: + Associate 's Degree in related field. + Minimum one (1) year related experience. ... the code of business conduct, the NYS and Federal False Claims Acts, whistleblower protections and mandatory reporting. Completes corporate compliance training… more
    Constructive Partnerships Unlimited (08/08/25)
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  • Lead-Medicaid Customer Success

    CenterWell (Albany, NY)
    …Support new business implementations with a goal of ensuring all pharmacy claims are processing appropriately + Drive project development and support project ... (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
    CenterWell (08/08/25)
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  • Senior Coding Educator

    Humana (Albany, NY)
    …education + Strong knowledge of medical record review + Understanding of billing, claims submission, and related processes + Proficient in Microsoft Word, Excel, and ... (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
    Humana (08/08/25)
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  • Operations Support Coordinator

    SUNY Upstate Medical University (Syracuse, NY)
    …Key responsibilities include: Liaison Responsibilities: Assist in coordinating small claims paperwork in collaboration with the NYS Attorney General's Office. ... degree with a minimum of three years of relevant experience or Associate degree with five years of relevant experience in healthcare. Excellent written/verbal… more
    SUNY Upstate Medical University (08/08/25)
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  • Attorney/Lawyer

    Robert Half Legal (Garden City, NY)
    Description We are looking for an experienced Associate General Counsel to join a growing legal team in Garden City, New York. Our mid-sized law firm spans several ... case management and document management software. * Handle consumer complaints and claims , ensuring timely resolution and adherence to legal requirements. * Conduct… more
    Robert Half Legal (08/08/25)
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  • Medical Director - Medicare Grievances and Appeals…

    Humana (Albany, NY)
    …The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals. The Corporate Medical Director works on problems of ... (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
    Humana (08/08/25)
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  • Self-Pay Collection Rep II

    University of Rochester (Rochester, NY)
    …which includes but is not limited to: + Self Pay Work queues + Unbilled Cash Claims + Self Pay plans not final billed + Hold Bill Worklists + Statement Edits + ... + Faith Based Reports + Budget Plans + Insurance billing **QUALIFICATIONS:** Associate 's degree in Business Administration and 2 years of hospital patient accounting… more
    University of Rochester (08/07/25)
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  • Med Records Coder III

    University of Rochester (Rochester, NY)
    …reviews to make corrections before transmittal. + Troubleshoots problems that prevent claims from being released. Identifies cause of edit and independently resolves ... School diploma or equivalent and 1-year Medical Coder experience required + Associate 's degree preferred + Or equivalent combination of education and experience… more
    University of Rochester (08/07/25)
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  • Physician Support Spec

    University of Rochester (Rochester, NY)
    …signatures for non-routine letters of correspondence related to appeals on denied claims . This includes compiling all necessary information and drafts for provider ... Serves as main point of contact for patients' pre and post-operative. QUALIFICATIONS: Associate 's degree in Medical, Secretarial or related field and a minimum of… more
    University of Rochester (08/07/25)
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