• Claims Adjudicator

    Independent Health (Buffalo, NY)
    …certificate and/or college degree preferred. + Six (6) months of medical claims processing /medical billing experience, customer service experience preferably ... a culture that fosters growth, innovation and collaboration. **Overview** The Claims Adjudicator is responsible for adjudicating and adjusting medical and/or dental… more
    Independent Health (06/28/25)
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  • Claims Auditor

    Centers Plan for Healthy Living (Staten Island, NY)
    …Responsible for the auditing functions of Centers Plan for Healthy Living (CPHL) claims . Collaborates with other Health plan departments and Management to ensure ... claims are processed in accordance with Federal, State and...department. + Provides expertise and assistance relative to provider billing and payment guidelines consistent with CPHL policies and… more
    Centers Plan for Healthy Living (07/15/25)
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  • Representative II, Accounts Receivable

    Cardinal Health (Albany, NY)
    …online. + Mails all paper claims . + Acts as a subject matter expert in claims processing . + Manages billing queue as assigned in the appropriate system. ... the right things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing . They will work within the scope of… more
    Cardinal Health (05/22/25)
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  • Business Office Representative

    Rochester Regional Health (Rochester, NY)
    Job Title: Business Office Representative Department: Billing Location: Riedman Campus SUMMARY: Ensure full reimbursement is received by RRH for clinical ... managing a receivable . Resolve edits to ensure accurate claims are sent to primary and secondary insurances ....Respond to patient complaints by researching coverage and claim processing to ensure the patient responsibility is accurate .… more
    Rochester Regional Health (07/09/25)
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  • Customer Care Representative

    CDPHP (Albany, NY)
    …and solve problems related to benefits, claims processing , claims and benefit appeals/complaints, enrollment and premium billing issues required. ... invites you to be a part of that experience. The Customer Care Representative shall assume full responsibility and ownership for all aspects regarding education of… more
    CDPHP (07/16/25)
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  • Workmans Compensation Customer Service…

    Robert Half Finance & Accounting (Albany, NY)
    …Perform administrative tasks such as bookkeeping, data entry, electronic filing, resolving billing issues, and processing policy changes. * Collaborate with ... are looking for a dedicated Workers' Compensation Customer Service Representative to join our team in Albany, New York....Oversee existing insurance policies to ensure audits, reports, and claims are managed in compliance with New York State… more
    Robert Half Finance & Accounting (07/10/25)
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  • Business Office Representative

    Rochester Regional Health (Rochester, NY)
    …effectively and accurately managing a receivable. Resolve edits to ensure accurate claims are sent to primary and secondary insurances. Research and resolve denials ... payer website, coverage policies and/or phone calls to the payer. Submit corrected claims and appeals. + Process account adjustments and refunds as needed according… more
    Rochester Regional Health (06/25/25)
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  • Collections & Denials Management…

    Rochester Regional Health (Rochester, NY)
    …concise appeal. Collections Management Responsibilities will include basic knowledge of medical billing , medical claims processing and accounts receivable ... collection specialist must have the Ability to learn and understand medical billing protocol and reimbursement issues, work within Meditech and Emdeon to identify… more
    Rochester Regional Health (04/26/25)
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  • Associate Physician Account Representative

    Northwell Health (Staten Island, NY)
    …to patient accounts for hospital and clinical facilities. Daily duties include processing claims , addressing patient billing inquiries, collecting payments, ... inquiries regarding an account. Job Responsibility + Assists in processing and managing patient claims . + Assists...+ Assists in processing and managing patient claims . + Assists in collecting payments from third party… more
    Northwell Health (07/18/25)
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  • Revenue Cycle Coordinator IV

    University of Rochester (Rochester, NY)
    …Makes independent decisions as to the processes necessary to collect denied insurance claims and resolve billing issues. Must track payer/ billing issues ... (for claims inquiry and entry software), fax, scanner, EPIC billing application, Microsoft Word, Excel, Access, Email, various clearinghouse software, third… more
    University of Rochester (06/16/25)
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