• Representative II, Accounts Receivable

    Cardinal Health (Albany, NY)
    …skills and prioritizes getting the right things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will ... system. + Manages and resolves complex insurance claims, including appeals and denials , to ensure timely and accurate reimbursement. + Processes denials … more
    Cardinal Health (08/24/25)
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  • Director- Health Information Management…

    St. Mary's Healthcare (Amsterdam, NY)
    …Coding Specialist (CCS) credentialed from the American Health Information Management Association (AHIMA) obtained prior to hire date or job transfer date. ... coordinates, and oversees the operational functions of the Health Information Management Department to include, acute care, outpatient and ambulatory services and… more
    St. Mary's Healthcare (07/05/25)
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  • Senior Inpatient Coder (Remote)

    WMCHealth (Valhalla, NY)
    …related work as required. Responsibilities: + Addresses appeals to insurance denials to facilitate expedient resolution and reimbursement. + Interprets and applies ... necessary information. + Compiles and updates the appeal log detailing denials , hospital's reply, and follow-up responses. + Provides information and responds… more
    WMCHealth (08/30/25)
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  • Senior Hospital Coder

    Albany Medical Center (Albany, NY)
    …by the Quality Manager, including writing appeal letters and following trends in denials . They inform management of trends and needs for improvement related ... Salary Range: $60,367.47 - $90,551.20 The Outpatient Senior Medical Coding Specialist (Specializing in Ambulatory Surgery) will be responsible for performing coding… more
    Albany Medical Center (07/30/25)
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  • Physician Support Coord IV

    University of Rochester (Rochester, NY)
    …Plastic Surgery practice, PSS job duties, divisional scheduling guidelines, and office management processes. The Lead Physician Support Specialist is responsible ... internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The Lead Physician Support Specialist oversees and directs the burn PSS staff in the Plastic… more
    University of Rochester (08/20/25)
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  • Health Insurance Biller

    City of New York (New York, NY)
    …services in the article 28 Health specialty Clinics, Article 36, and other Care Management service areas provide by DOHMH to meet NYS Article 6 requirements. DOHMH ... working alongside a team of talented health insurance billing specialist , you will perform health insurance billing activities and...CMS and other third-party insurance guidelines.- - Monitor EDI denials in a timely manner. - Prepare and batch… more
    City of New York (08/14/25)
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  • Referral & Prior Auth Rep III

    University of Rochester (Rochester, NY)
    …GENERAL PURPOSE Serves as the patient referral and prior authorization specialist , with oversight of data and compliance to enterprise standards and ... to reconcile any discrepancies and/or answer any questions. Escalates case management when medical assessment is needed. Prioritizes referral requests using medical… more
    University of Rochester (08/07/25)
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  • Physician Advisor

    Mohawk Valley Health System (Utica, NY)
    PHYSICIAN ADVISOR Department: CASE MANAGEMENT Job Summary The Physician Advisor collaborates with Care Managers and Attending Physicians to align on the level of ... and advisory services to physicians, case managers and clinical documentation specialist regarding correct level of care and reimbursement. Apply knowledge of… more
    Mohawk Valley Health System (07/09/25)
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  • Senior Hospital Coder

    Albany Medical Center (Albany, NY)
    …on staff and providing thorough education and feedback, projects assigned by management , and special requests to review coding for external departments such as ... quality management and CDI. Responsible for monitoring and tracking trends...Senior Hospital Coder may be asked to assist with denials work, including researching and writing appeal letters. These… more
    Albany Medical Center (07/23/25)
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  • Medical Records Coder IV, Lead

    University of Rochester (Rochester, NY)
    …staff, resolving simple and complex questions and providing performance feedback to management . The Coding Lead is required to have demonstrated knowledge and ... some aspects of billing office operations, including basic principles of staff management /supervision. The Coding Lead is expected to maintain expert knowledge of… more
    University of Rochester (08/07/25)
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