• Denials Recovery Specialist I

    UHS (Binghamton, NY)
    Position OverviewUnited Health Services (UHS) is seeking a detail-driven Denials Recovery Specialist to join our Revenue Cycle team. In this role, you will ... knowledge and best practices. + Participate in accounts receivable (A/R) and denial cleanup projects to reduce aging balances and improve overall revenue cycle… more
    UHS (09/19/25)
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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 ... **REQU** **I** **RED E** **X** **PE** **R** **I** **E** **N** **C** **E:** + 1 year of Molina experience, health claims experience, OR one year of customer… more
    Molina Healthcare (10/17/25)
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  • Associate Specialist , Appeals & Grievances…

    Molina Healthcare (NY)
    …appeals to the next level for review. * Generates and mails denial letters. * Provides support for interdepartmental issues to help coordinate problem-solving ... and other member/provider complaints. **Required Qualifications** * At least 1 year of experience in claims, and/or 1... 1 year of experience in claims, and/or 1 year of customer/provider service experience in a health… more
    Molina Healthcare (10/26/25)
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  • RN Medical Claim Review Nurse Remote

    Molina Healthcare (Rochester, NY)
    …details in the database. * Provides supporting documentation management for denial and modification of payment decisions. * Independently re-evaluates medical claims ... clinical guidelines and other appropriate criteria with medical directors on denial decisions. * Supplies criteria supporting all recommendations for denial… more
    Molina Healthcare (10/19/25)
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  • Deputy Director

    City of New York (New York, NY)
    …Treatment Services Center. The Family Independence Administration (FIA) is recruiting for one ( 1 ) Administrative Job Opportunity Specialist NM I, to function as ... client appeals, ensuring that Agency's requirements are met for opening, reopening, denial , closing, change in case status and change in benefit entitlements to… more
    City of New York (10/10/25)
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