• Medical Billing & Denials Specialist

    Rochester Regional Health (Rochester, NY)
    Job Title: Medical Billing & Denials Specialist Department: Patient Financial Services Location: SLH - Regional Administrative Campus Hours Per Week: 40 ... Schedule: 8am-4pm SUMMARY: A Medical Billing and Denials Specialist is responsible for managing the billing process, submitting claims to insurance companies,… more
    Rochester Regional Health (11/21/25)
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  • HIS Denials Specialist (Inpatient)

    Saratoga Hospital (Saratoga Springs, NY)
    HIS Denials Specialist (Inpatient) Location: Saratoga Hospital, 211 Church Street, Saratoga Springs, NY 12866 Employment Type: Full Time Shift/Schedule: 8a-4p ... About the Role We're looking for a dedicated HIS Denials Specialist to join our team and...with HIS Coders, payers, Department Directors, Clinical Managers, Case Management , Patient Access, and PFS What You'll Do +… more
    Saratoga Hospital (09/10/25)
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  • Denials Prevention Specialist

    Datavant (Albany, NY)
    …realize our bold vision for healthcare. The purpose of the Denial Prevention Specialist is to effectively defend utilization of available health services, review of ... Nurse or Registered Nurse well versed in DRG downgrade denials and appeal writing for inpatient admission. Experience with...as it relates to job function as delegated by management Ideal candidate should be a Licensed Practical Nurse… more
    Datavant (11/12/25)
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  • Collections & Denials Management

    Rochester Regional Health (Rochester, NY)
    JOB TITLE: Collections and Denials Management Representative LOCATION: SLH DEPARTMENT: Patient Financial Services Hours: 37.5 SCHEDULE: Monday-Friday 8AM-4PM ... SUMMARY: A Medical Billing and Denials Specialist is responsible for managing the...taking corrective actions. RESPONSIBILITIES: + Medical Billing & Claims Management : Submit and track insurance claims, resolve denials more
    Rochester Regional Health (11/21/25)
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  • Collections & Denials Management

    Rochester Regional Health (Rochester, NY)
    SUMMARY The C & D specialist is responsible for reviewing accounts which have been denied or underpaid by third party payers and to resolve the issues resulting in ... denial/underpayment and to formally appeal. The specialist will conduct comprehensive reviews of clinical documentation to determine if an appeal is warranted.… more
    Rochester Regional Health (11/21/25)
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  • Utilization Management Specialist

    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 ... - MSH, Mount Sinai Hospital **Responsibilities** 1. **Admission: Payer Authorization & Denials Management .** Communicate with payer to obtain request for… more
    Mount Sinai Health System (10/03/25)
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  • Senior Revenue Cycle Specialist

    Stony Brook University (East Setauket, NY)
    Senior Revenue Cycle Specialist **Position Summary:** At Stony Brook Medicine, the **Senior Revenue Cycle Specialist ** will act as an operational leader in the ... Patient Accounting Department resolving hospital Managed Care payment variances and/or denials . **Job Responsibilities may include the following, but are not limited… more
    Stony Brook University (11/22/25)
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  • Insurance Specialist

    Trinity Health (Syracuse, NY)
    …outcomes and report findings * Upon identification of possible concurrent denials , forwards information to the appropriate Utilization Management /Concurrent ... **Employment Type:** Full time **Shift:** Day Shift **Description:** + **Insurance Specialist - St. Josephs Health Syracuse NY** **Position Summary:** The Insurance … more
    Trinity Health (11/05/25)
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  • Revenue Specialist

    Stony Brook University (East Setauket, NY)
    Revenue Specialist **Position Summary** At Stony Brook Medicine, a **Revenue Specialist ** will provide operational support within the hospital's Patient ... appeals, follow-up, financial assistance and customer service. **Duties of a Revenue Specialist may include the following, but are not limited to:** + Prepare… more
    Stony Brook University (11/21/25)
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  • On-Site Procedural Billing Specialist I…

    Mount Sinai Health System (New York, NY)
    **Job Description** The Procedural Billing Specialist I is responsible for multiple components of the complex billing and coding process for specialized procedures, ... accurate and timely payment of claims and collection. The Specialist works directly with the Department Administrator. Reports to...payments in IDX. Runs and works missing charges, edits, denials list and processes appeals. Posts denials more
    Mount Sinai Health System (10/10/25)
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