• 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 ... its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage… more
    Humana (08/08/25)
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  • Project Accounting Coordinator - Remote, US…

    Bowman (Albany, NY)
    …and resolve any issues that may arise as it relates to disputes, or claims + Act as liaison between operations and many corporate accounting functions including but ... leave, and paid holidays + Tuition reimbursement and professional development support + Discretionary bonuses and other performance-based incentives + Employee… more
    Bowman (08/08/25)
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  • Director, Research & Development

    New York Power Authority (White Plains, NY)
    …and invoice documentation relating to projects. Evaluate and approve all change order claims and payment invoices. Work as a team member with other engineers inside ... + Lead and develop engineering professionals. Provide coaching, feedback and support for each individual's development. Review performance of staff; establish work… more
    New York Power Authority (08/08/25)
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  • Pharmacy Technician - Data Entry

    KPH Healthcare Services, Inc. (Marcy, NY)
    …the medication orders for various facilities. Ensuring that all Third-Party claims are billed properly. **Responsibilities** **Job Duties:** + Provides customer ... service and problem resolution to assigned facilities + Responsible for accurate data entry of patient profiles and medications + Maintaining accurate information for patients and facilities + Responsible for billing and crediting each facility appropriately… more
    KPH Healthcare Services, Inc. (08/08/25)
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  • Personal Lines Account Manager

    World Insurance Associates, LLC. (Slingerlands, NY)
    …excellent service, and professional communication + Handling renewals, service requests, claims , billing and new policies + Maintain a thorough understanding of ... Equal Employment Opportunity At World Insurance Associates (WIA), we celebrate and support our differences. We know employing a team rich in diverse thoughts,… more
    World Insurance Associates, LLC. (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 + ... Mission to Learn, Discover, Heal, Create - and Make the World Ever Better. In support of our values and those of our society, the University is committed to not… 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 ... Mission to Learn, Discover, Heal, Create - and Make the World Ever Better. In support of our values and those of our society, the University is committed to not… more
    University of Rochester (08/07/25)
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  • Clm Resltion Rep II, Hosp/Prv

    University of Rochester (Rochester, NY)
    …may establish financial arrangements for charges. - Processes commercial insurance claims when applicable. Refers to collectors for payment arrangements, if ... Mission to Learn, Discover, Heal, Create - and Make the World Ever Better. In support of our values and those of our society, the University is committed to not… more
    University of Rochester (08/07/25)
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  • Investigator, Faculty Professionalism Advisory…

    University of Rochester (Rochester, NY)
    …the University community and meet the University's legal obligations to address claims of hostile work environment, discrimination, harassment or other kinds of ... Mission to Learn, Discover, Heal, Create - and Make the World Ever Better. In support of our values and those of our society, the University is committed to not… more
    University of Rochester (08/07/25)
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  • Medical Records Coder III, Complex

    University of Rochester (Rochester, NY)
    …coding guidelines. - Reviews and resolves coding denials. Resolves problems with claims having errors related to improper coding and provides feedback for correction ... Mission to Learn, Discover, Heal, Create - and Make the World Ever Better. In support of our values and those of our society, the University is committed to not… more
    University of Rochester (08/07/25)
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