• Assistant Transportation Specialist

    City of New York (New York, NY)
    …testing practices and identify more efficient methods and technologies. Research and review existing documents and American Society for Testing and Materials (ASTM) ... the unit in daily operations. Prepare draft manuals and technical reports for review . Perform various quality-controlled tests on in-house hot asphalt and vendor hot… more
    City of New York (08/09/25)
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  • Hospital Concurrent Coding Specialist

    Intermountain Health (Albany, NY)
    …Integrity (CDI) Registered Nurses (RN) and Intermountain Physician Advisors to review complex facility encounters and assign International Classification of Diseases ... ICD-10 and Diagnosis Related Groups (DRG) codes for claims concurrently while a patient is in a hospital....reviews while patients are hospitalized. It aids in the review of quality measures including Patient Safety Indicators and… more
    Intermountain Health (08/08/25)
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  • Pharmacy Benefits Plan Consulting…

    Deloitte (Rochester, NY)
    …pricing studies + Implement competitive vendor search and selection initiatives + Review of health plan renewals including assisting in rate negotiation, and ... medical and pharmacy + Prepare financial projections and rate development + Review health plan performance, including reviewing policy year settlements and premium… more
    Deloitte (06/12/25)
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  • Lead Project Management Specialist

    GE Vernova (Saratoga Springs, NY)
    …Presents all financial data in a transparent way, attends project and management review to present cost status + Provides change order calculations to ensure ... place between approved project financial data and books + Support project close out and claims + Lead the team of Project Cost Control analysts on larger projects +… more
    GE Vernova (08/22/25)
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  • Billing Specialist - Rheumatology @…

    SUNY Upstate Medical University (Syracuse, NY)
    …inbound inquires related to prior authorizations and assists billing group on insurance claims . Completes outbound calls to payors and clinics to assist with prior ... front office staff, or asks office staff to enter. + Ability to review multiple authorization platforms simultaneously to complete daily tasks. + Shows knowledge and… more
    SUNY Upstate Medical University (07/07/25)
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  • Revenue Cycle Coordinator IV

    University of Rochester (Rochester, NY)
    …attention and follow up to obtain correct full reimbursement - Billing primary and secondary claims to insurance - Review paper claims prior to billing. ... as to the processes necessary to collect denied insurance claims and resolve billing issues. Must track payer/billing issues...resolution and adjudication, including refund of credits - - Review and advise supervisor or manager on trends of… more
    University of Rochester (08/07/25)
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  • Claim Examiner

    MetLife (Oriskany, NY)
    …life claims to identify claim situations requiring referral to Complex Case Manager Specialist or Claims Quality Specialist . . Maintain good rapport with ... the office once a month for office meetings Summary of Responsibilities: Review , research, and investigate pended FEGLI Life claim submission with multiple coverages… more
    MetLife (08/17/25)
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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. ... as to the processes necessary to collect denied insurance claims , no response accounts, and will investigate resolving billing...+ Works in assigned EPIC follow up workqueue(s). + Review reason for claim denial - reason code or… more
    University of Rochester (08/07/25)
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  • Revenue Cycle Coordinator

    The Institute for Family Health (New Paltz, NY)
    …new staff + Coordinate new hire initial training, shadowing, and evaluation + Review and distribute correspondence and follow up as needed + Monitor current status ... party (ie Medicaid, Insurance Carrier or Self Pay). This review process would include but would not be limited...medical professionals and patients' on daily basis to resolve claims processing issues. + Recognize issues relating to provider… more
    The Institute for Family Health (08/01/25)
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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 (08/19/25)
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