• Care Coordinator

    Brighton Health Plan Solutions, LLC (Westbury, NY)
    About The Role MagnaCare provides Utilization Review/ Case Management/ Medical Management/ Claims Review services to its clients. Care Coordinators facilitate care ... employers and claimants in regard to claimants' workers' compensation cases. Provide claims processing for the Workers' Compensation and No-Fault lines of business.… more
    Brighton Health Plan Solutions, LLC (08/27/25)
    - Related Jobs

  • Revenue Specialist

    Stony Brook University (East Setauket, NY)
    …support day-to-day business functions including but not limited to: billing, claims analysis appeals, follow-up, financial assistance and customer service. **Duties ... the following, but are not limited to:** + Prepare and submit hospital claims . Review denials. Investigate coding issue. Audits. + Follow-up on rejected or denied… more
    Stony Brook University (07/08/25)
    - Related Jobs

  • Accounts Receivable Specialist II

    Cardinal Health (Albany, NY)
    …data to insurance providers + Researching and appealing denied and rejected claims + Preparing, reviewing, and transmitting claims using billing software ... and paper claim processing + Following up on unpaid claims within standard billing cycle time frame + Calling...- $31.20 per hour **Bonus eligible:** No **Benefits:** Cardinal Health offers a wide variety of benefits and programs… more
    Cardinal Health (08/27/25)
    - Related Jobs

  • Senior Customer Service Representative

    CVS Health (Albany, NY)
    At CVS Health , we're building a world of health...and payers, while working with other teams to resolve claims issues. + Documenting claims details into ... ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health ...Qualifications** + 1+ years of experience working with medical claims with the understanding of how benefit levels are… more
    CVS Health (08/30/25)
    - Related Jobs

  • Senior Claim Benefit Specialist

    CVS Health (Albany, NY)
    At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...**Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as… more
    CVS Health (08/01/25)
    - Related Jobs

  • Clm Resltion Rep III, Hosp/Prv

    University of Rochester (Albany, NY)
    …individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The Claims Resolution Representative III is responsible for working across the ... all open accounts receivable to successful closure. Responsible for effective claims follow-up on complex, multi-faceted accounts to obtain maximum revenue… more
    University of Rochester (08/07/25)
    - Related Jobs

  • Claim Specialist, Level II - Property Damage (3…

    City of New York (New York, NY)
    …Program. The New York City Comptroller's Office works to promote the financial health , integrity, and effectiveness of New York City government, in order to ... Law & Adjustment is responsible for investigating and adjusting claims filed for and against the City of New...York. The Property Damage Division investigates and resolves tort claims including, but not limited to, automobile accidents, defective… more
    City of New York (06/19/25)
    - Related Jobs

  • Senior Internal Business Systems Analyst

    Highmark Health (Albany, NY)
    …BE A US CITIZEN This position serves as a key liaison between Claims Operations, Customer Service, Regulatory Affairs, IT, Legal and other departments, proactively ... industry regulatory changes and assess their potential impact on Claims Operations, Customer Service and other operational areas processes...and investigations + 3 - 5 years in the Health Insurance Industry + 3 - 5 years the… more
    Highmark Health (07/11/25)
    - Related Jobs

  • Health Solutions Assistant Vice President…

    AON (New York, NY)
    Health Solutions Assistant Vice President -Small Market (Aon Local Advantage) Do you want to be part of a team of industry-leading thought leaders that engage with ... geographies and industries of all types and sizes? Aon's Health Solutions practice may be the next step in...requirements + Analysis of utilization reports, carrier reports, and claims data & trends. + Possess a strong understanding… more
    AON (08/20/25)
    - Related Jobs

  • Revenue Cycle Specialist I

    The Institute for Family Health (New Paltz, NY)
    REVENUE CYCLE SPECIALIST I Job Details Job Location New Paltz Family Health Center - New Paltz, NY Position Type Full Time Education Level 4 Year Degree Salary Range ... + Provides clerical support to senior representatives such as mailing paper claims , preparing spreadsheets for appeals, or maintaining data spreadsheets as directed… more
    The Institute for Family Health (08/01/25)
    - Related Jobs