• Denials Management Specialist

    Syracuse Community Health Center (Syracuse, NY)
    POSITION SUMMARY: The denials management specialist role involves analyzing, resolving, and preventing denied insurance claims within the Epic electronic health ... record system. This role requires expertise in healthcare billing, coding , and insurance policies to identify root causes of denials, appeal incorrect decisions, and… more
    Syracuse Community Health Center (09/21/25)
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  • US Payer Advocacy and Market Access Principal…

    Medtronic (New York, NY)
    …+ Strong understanding of US commercial and governmental payer landscape, reimbursement systems, coding (HCPCS/CPT, ICD-10), and managed care contracting. ... seeking a US Payer Advocacy and Market Access Principal Specialist , a role responsible for driving patient and market...are critical, and having a working knowledge of US coding , coverage, and payment systems is essential. This candidate… more
    Medtronic (09/27/25)
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  • Referral & Authorization Specialist…

    Glens Falls Hospital (Glens Falls, NY)
    …Come join our team of insurance experts as the Referral & Authorization Specialist ! This position can further develop your skills in compliance, medical billing, ... obtaining authorizations from providers and payers while ensuring all reimbursement requirements are met. You will help to improve...prior authorization . Gather additional clinical and / or coding information as necessary in order to obtain prior… more
    Glens Falls Hospital (10/01/25)
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  • Referral & Authorization Specialist

    Glens Falls Hospital (Saratoga Springs, NY)
    …Come join our team of insurance experts as the Referral & Authorization Specialist ! This position can further develop your skills in compliance, medical billing, ... obtaining authorizations from providers and payers while ensuring all reimbursement requirements are met. You will help to improve...prior authorization * Gather additional clinical and / or coding information as necessary in order to obtain prior… more
    Glens Falls Hospital (10/01/25)
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  • CDQI Nurse Specialist - Part Time - Remote

    Datavant (Albany, NY)
    …healthcare. **What We're Looking For:** As a Clinical Documentation Quality Improvement (CDQI) Specialist , you will play a pivotal role in elevating the impact of ... documentation. + Collaborate with physicians and caregivers to ensure appropriate reimbursement and clinical severity for DRG-based payer patients. + Demonstrate… more
    Datavant (09/04/25)
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  • Email Marketing Specialist - Tommy Hilfiger

    PVH Corp. (New York, NY)
    …TikTok (https://www.tiktok.com/%40tommyhilfiger?lang=en) ) **POSITION SUMMARY:** The Email Marketing Specialist will manage the day-to-day email building, testing ... in-store business. We are looking for the Email Marketing Specialist to support all aspects of email execution as...email campaigns using Salesforce Marketing Cloud (SFMC). + Campaign coding using HTML/CSS/Ampscript + A/B or multivariate tests and… more
    PVH Corp. (09/13/25)
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  • Pharmacy Revenue Cycle Specialist - Full…

    Mohawk Valley Health System (Utica, NY)
    … supports comprehensive Pharmacy-related billing, charge integrity, and reimbursement operations across inpatient, outpatient retail, specialty, and infusion ... Pharmacy Revenue Cycle Specialist - Full Time - Days Department: 340B...issues while ensuring accurate, compliant billing practices and optimizing reimbursement outcomes. The Analyst partners with pharmacy, finance, IT,… more
    Mohawk Valley Health System (09/25/25)
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  • Denials Specialist

    WMCHealth (Hawthorne, NY)
    Denials Specialist Company: NorthEast Provider Solutions Inc. City/State: Hawthorne, NY Category: Clerical/Administrative Support Department: Business Office Union: ... Internal Applicant link Job Details: Job Summary: The Denials Specialist is responsible for providing analysis and reporting for all… more
    WMCHealth (09/12/25)
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  • Provider Transformation Specialist (RN-…

    Highmark Health (Buffalo, NY)
    …for collaborative work with the other members of the value-based reimbursement team, provider relations, senior markets, analytics, actuary and key internal/external ... relevant, dissemination and support of gap closures for STARS and improved coding for government populations. Identification of process improvement gaps in workflow… more
    Highmark Health (09/26/25)
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  • Accounts Receivable Specialist

    Glens Falls Hospital (Glens Falls, NY)
    …Come join our team of medical billing experts as the Accounts Receivable Specialist ! This is an exciting opportunity that can further develop your skills in ... data recording * Utilize all available tools to pursue accurate and timely reimbursement including internal tools, as well as payer meetings, payer websites, and… more
    Glens Falls Hospital (10/01/25)
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