• Clm Resltion Rep IV, Hosp/Prv

    University of Rochester (Rochester, NY)
    …to: telephone, photocopy machine, adding machine, personal computer (for claims inquiry and entry software) fax/scanner, Flowcast billing application, Microsoft ... Care and Medicare Part B) clearinghouse software, third party claims systems (ePaces, Omnipro) and various payer web sites....unpaid, underpaid or overpaid accounts. + Provides feedback to Operations Supervisor on results of training of new and… more
    University of Rochester (08/07/25)
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  • Revenue Specialist

    Stony Brook University (East Setauket, NY)
    …support day-to-day business functions including but not limited to: billing, claims analysis appeals, follow-up, financial assistance and customer service. **Duties ... are not limited to:** + Prepare and submit hospital claims . Review denials. Investigate coding issue. Audits. + Follow-up...setting; or in lieu of a Bachelor's degree, an Associate 's degree and at least 6 months of business… more
    Stony Brook University (07/23/25)
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  • Specialist, Configuration Oversight

    Molina Healthcare (NY)
    …clear and concise to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of customers as it pertains ... unresolved errors issued on daily transactional audits and communicates with Core Operations Functional Business Partners to ensure resolution within 30 days of… more
    Molina Healthcare (07/18/25)
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  • Workers' Compensation Examiner (NY Helps), Wcb…

    New York State Civil Service (Binghamton, NY)
    …of the Senior Workers' Compensation Examiner within the Office of Operations / Claims Operations /Binghamton-Syracuse District, the Workers' Compensation ... workweek allowed? No Telecommuting allowed? Yes County Broome Street Address Office of Operations , Claims District Office 44 Hawley Street City Binghamton State… more
    New York State Civil Service (08/08/25)
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  • Revenue Cycle Supervisor

    Oak Orchard Health (Brockport, NY)
    …Holidays, and Company paid holidays! Responsible for managing the revenue cycle operations and liaison with the third-party billing organization to ensure proper ... processing of all payer claims . This would include research for accuracy, analyze reports,...par providers. + Manage vendors related with revenue cycle operations . + Manage staff and provide guidance and training,… more
    Oak Orchard Health (07/16/25)
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  • Pharmacy Technician a€" Specialty and Retail…

    WMCHealth (Valhalla, NY)
    …timely resolution to maintain continuity of care + Manage daily billing operations , including submission of claims and coordination with prior authorization ... certification + Preferred: + 340B University Additional Information: + Reports to: Associate Director - Pharmacy Operations + Schedule:Full-time, with potential… more
    WMCHealth (08/01/25)
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  • Senior Hull & Marine Liability Underwriter

    Zurich NA (New York, NY)
    …utilize your marketing / analytical skills along with your knowledge of marine operations to analyze and underwrite new and renewal marine hull and liability ... and 6 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance...Support areaOR + Zurich Certified Insurance Apprentice including an Associate Degree and 1 or more years of experience… more
    Zurich NA (06/05/25)
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  • Revenue Analyst

    City of New York (New York, NY)
    …PERMANENT EMPLOYEES IN THE TITLE AND THOSE THAT ARE REACHABLE ON THE ASSOCIATE STAFF ANALYST CIVIL SERVICE LIST ARE ELIGIBLE TO APPLY. Division/Program Summary: The ... technical assistance. Finance helps to ensure that programs and administrative operations have the information, analysis, funding and technical capacity to deliver… more
    City of New York (08/08/25)
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  • Director, Appeals & Grievances (Medicare)

    Molina Healthcare (Yonkers, NY)
    …with Customer/Member services, Provider Services, Sales, Enrollment, UM, Case Management, Claims , and other departments within Molina Medicare and Medicaid regarding ... A&G operations and dependencies. * Responsible for the A&G department...Molina Medicare's maximum STAR ratings. **Job Qualifications** **Required Education** Associate 's Degree or 4 years of Medicare experience **Required… more
    Molina Healthcare (07/20/25)
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  • Client Benefit Analyst

    Highmark Health (Albany, NY)
    …efficient working relationships with key internal areas, such as Customer Service Operations ( Claims , Dental Benefits, Customer Service, Membership & Billing), ... resolution of issues related to benefit interpretations, customer service inquiries, claims adjudication, benefits issues, membership and billing activity, etc. This… more
    Highmark Health (08/08/25)
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