• Revenue Cycle Coordinator IV

    University of Rochester (Rochester, NY)
    …date from the payer. - - - Research and calculate underpaid or overpaid claims ; determine final resolution .- - - Re-calculate claim based on fee schedule, ... methodology, including add-ons - - Follow up with payers on incorrectly paid claims through final resolution and adjudication, including refund of credits -… more
    University of Rochester (06/16/25)
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  • Clm Resltion Rep III, Hosp/Prv

    University of Rochester (Rochester, NY)
    …Documents all account follow up activity. + Research and calculate under or overpaid claims ; determine final resolution + Review and determine correct follow up. ... have not been collected through routine billing and collection activities. Claim Resolution Rep III will make independent decisions as to the processes necessary… more
    University of Rochester (07/16/25)
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  • PB Coder

    Intermountain Health (Albany, NY)
    …Medical Insurance Coding + Medical Billing and Coding + Claims Processing + Claims Management + Claims Resolution + Insurance Industry + Computer Coding ... to enhance the efficiency and accuracy of the professional claims process. Our Claims Solution Specialist...perform coding abstraction and reviews, and final validation and resolution of complex professional claims issues requiring… more
    Intermountain Health (07/31/25)
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  • Risk Management Analyst (Non Clinical) - St Peters…

    Trinity Health (Albany, NY)
    …Type:** Full time **Shift:** Day Shift **Description:** **TITLE** Risk Analyst/ Specialist **DEPARTMENT:** Clinical Quality & Safety **REPORTS TO:** Risk Manager ... and oral communication skills, strong interpersonal, motivational and conflict resolution skills. Strong management and administrative skills. Broad-based knowledge… more
    Trinity Health (06/18/25)
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  • Contracts Manager

    GE Vernova (Schenectady, NY)
    …project execution and ensures that commercial risks and opportunities (notably claims , change orders, vendor and insurance recoveries) are identified early, tracked, ... as negotiation. **Job Description** + Implement risk mitigation strategies + Develop claims settlement agreements + Manage and drive Contract Change Order execution… more
    GE Vernova (05/20/25)
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  • Revenue Cycle Coordinator

    The Institute for Family Health (New Paltz, NY)
    …companies, medical professionals and patients' on daily basis to resolve claims processing issues. + Recognize issues relating to provider credentialing and ... facilitates resolution . + May be responsible for Claim Printing/Reviewing of...Printing/Reviewing of printed claim forms for accuracy to ensure claims are paid timely. + May be responsible for… more
    The Institute for Family Health (08/01/25)
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  • Senior Executive Director of Veterans' Support…

    City of New York (New York, NY)
    …the Senior Executive Director will also be a subject matter expert in processing VA claims for Veteran benefits and supervising staff on how to process VA claims ... DVS health screeners are connected to mental health resources. Process VA Claims , Provide Veteran Benefits Counseling: Possess high-level knowledge of processing … more
    City of New York (08/02/25)
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  • Lmu Worker

    City of New York (New York, NY)
    …ELIGIBLE FOR CONTINUED EMPLOYMENT. Under general direction of the EFT Transfer Specialist with wide latitude for independent judgment, the LMU Worker is responsible ... with all program areas and FIA to troubleshoot payment processing issues, facilitate resolution as well as landlord communication and customer service. This unit is… more
    City of New York (05/14/25)
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  • Supervisor, Medical Coding

    University of Rochester (Albany, NY)
    …include, but are not limited to, coding abstraction, pre-bill coding edits, claims resolution functions, and providing recommendations to enhance coding acuity, ... by effectively managing the assigned functional area and serving as the team's coding specialist . This role acts as a subject matter expert on team functions and… more
    University of Rochester (06/20/25)
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  • Medical Coder II

    Ellis Medicine (Schenectady, NY)
    …and related work lists to ensure complete, timely and accurate submission of claims , (3) facilitating the accuracy and completeness of the practice's codes and ... for ensuring the financial viability of the assigned practice(s), by producing claims in a timely, accurate and complete manner. Requirements: High School Diploma… more
    Ellis Medicine (07/29/25)
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