• Denial Management Specialist

    BronxCare Health System (Bronx, NY)
    …claims and audits of registration/insurance verification activities to improve denial rates and enhance revenue. In-service staff on Insurance ... and Information Services to improve systems communication, tracking and reporting ie denial , hold and activity reports. - Maintains a Clinic Insurance Eligibility… more
    BronxCare Health System (09/19/25)
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  • Revenue Cycle Management (RCM) Specialist

    North Country Family Health Center (Watertown, NY)
    …identify and remedy initial claim errors, working collaboratively with billing, coding, and denial management teams. The RCM Specialist must be knowledgeable in ... Revenue Cycle Management (RCM) Specialist Watertown, NY (http://maps.google.com/maps?q=238+Arsenal+Street+Watertown+NY+USA+13601) Job Type Full-time Description The… more
    North Country Family Health Center (10/21/25)
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  • Associate Specialist , Appeals & Grievances…

    Molina Healthcare (Rochester, NY)
    …responses to appeals and grievances. + Elevates appropriate appeals to the Appeals Specialist . + Generates and mails denial letters. + Assists with ... interdepartmental issues to help coordinate problem solving in an efficient and timely manner. + Creates and/or maintains statistics and reporting. + Works with provider & member services to resolve balance bill issues and other member/provider complaints.… more
    Molina Healthcare (10/17/25)
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  • Utilization Management Specialist -MSH-Case…

    Mount Sinai Health System (New York, NY)
    **Job Description** **Utilization Management Specialist MSH Case Management FT Days** This position is responsible for coordinating requests for clinical information ... and entered into electronic tracking system including the following: Process payer denial correspondence mail, end of day reports and fax, enter payer requests,… more
    Mount Sinai Health System (10/03/25)
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  • Outpatient Administrative Specialist

    SUNY Upstate Medical University (Syracuse, NY)
    Job Summary: The Outpatient Administrative Specialist will obtain routine and non-routine insurance pre-authorizations, providing insurance companies with procedural ... about additional codes or documentation needed. Will manage the denial process and works the insurance denial ...the denial process and works the insurance denial work queue, providing additional information to payors in… more
    SUNY Upstate Medical University (09/19/25)
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  • Senior Billing Specialist

    Access: Supports For Living (Middletown, NY)
    Senior Billing Specialist Location: Middletown, NY, United StatesDate Posted: Oct 17, 2025 Share: share to e-mail Apply Now Save JobSaved Description Location: ... 8:00AM-4:30PM (40hrs) Job Description: Reporting to the A/R Manager, the Senior Billing Specialist is a key position in the financial management of the company. The… more
    Access: Supports For Living (10/18/25)
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  • Program Outreach Specialist 1 (NY Helps)

    New York State Civil Service (Schenectady, NY)
    NY HELP Yes Agency NYS Gaming Commission Title Program Outreach Specialist 1 (NY HELPS) Occupational Category No Preference Salary Grade 18 Bargaining Unit M/C - ... and financial requirements.Application Review/Technical Guidance:* Review for approval or denial , applications of charitable organizations (ie VFW, American Legion,… more
    New York State Civil Service (10/24/25)
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  • Authorization Specialist Ortho/Spine Office

    Trinity Health (Syracuse, NY)
    …insurance updates prior to procedure, and supporting authorization and denial processes. **EDUCATION, TRAINING, EXPERIENCE, CERTIFICATION AND LICENSURE:** Certified ... Coding Specialist , Accredited Record Technician (or eligible), Registered Record Administrator...Abstracting/Data entry. + Works closely with referrals, authorizations, and denial teams. + Interacts with medical and clinical services… more
    Trinity Health (10/21/25)
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  • Denials Prevention Specialist , Coder PRN

    Datavant (Albany, NY)
    …and life experiences to realize our bold vision for healthcare. The Specialist is responsible for identifying, analyzing, and resolving claim denials across the ... practices, and proficiency in multiple electronic systems and software tools. The specialist serves as a key liaison between coding, billing, utilization review,… more
    Datavant (10/08/25)
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  • Program Specialist 1 (Cannabis) (NY Helps)…

    New York State Civil Service (Albany, NY)
    NY HELP Yes Agency Cannabis Management, Office of Title Program Specialist 1 (Cannabis) (NY HELPS) - VID 201494 Occupational Category Other Professional Careers ... Zip Code 12226 Duties Description Under the direction of their assigned Program Specialist 2 (Cannabis), the incumbents of these positions will be working closely… more
    New York State Civil Service (10/30/25)
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