• Investigator Senior

    Elevance Health (Latham, NY)
    …healthcare fraud in order to recover corporate and client funds paid on fraudulent claims . Health insurance experience required with understanding of health ... be considered. Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to… more
    Elevance Health (05/23/25)
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  • Litigation Specialist, General Liability

    Travelers Insurance Company (Melville, NY)
    …and resolving assigned General Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer ... **What Will You Do?** + Directly handles assigned severe claims . + Provides quality customer service and ensures file...facts or allegations of each case. + Consults with Manager on use of Claim Coverage Counsel as needed.… more
    Travelers Insurance Company (04/25/25)
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  • 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 High School 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 (03/12/25)
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  • 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 (05/13/25)
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  • Assistant Director, Revenue Cycle

    CenterLight Health System (NY)
    …execution of enterprise-wide (CenterLight and its associated entities including C2Q Health Solutions, and Team Care Medical) billing and revenue maximization ... conversion, ESRD, and Nursing Home entitlements. + Perform membership and claims analytics, including IBNR, MMR and 820/834 reconciliation. + Perform reconciliation… more
    CenterLight Health System (04/15/25)
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  • Collections and Eligibility Specialist - Clinic

    YAI (Manhattan, NY)
    …Under the direction of the Clinic Billing (Accounting) Manager , supports management and staff in assigned clinic(s) with ... Functions & Responsibilities + Reviews and interprets patient eligibility and claims data from various sources (explanation of benefits, remittance statements,… more
    YAI (05/23/25)
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  • Clm Resltion Rep IV, Hosp/Prv

    University of Rochester (Rochester, NY)
    …to successful closure and obtain maximum revenue collection. Researches, corrects, resubmits claims , submits appeals and takes timely and routine action to resolve ... unpaid claims . Mentors and trains new or lower level staff....Functions and Expected Performances With general direction of the Manager and with latitude for initiative and judgment: 40%… more
    University of Rochester (03/17/25)
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  • Pharmacy Help Desk Representative

    Independent Health (Buffalo, NY)
    …(6) months experience handling self-funded pharmacy calls or working for a health insurance company or physician's office interacting with pharmacies; OR pharmacy ... written correspondence in a timely fashion, with minimal supervision by a manager . Ensure that providers are obtaining accurate and up-to-date information on… more
    Independent Health (05/14/25)
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  • Senior Billing Specialist

    Access: Supports For Living (Middletown, NY)
    …per hour Hours: Monday-Friday 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 throughout the revenue cycle. This individual manages the electronic claims process, including accurate and timely claim batch creation, submission, and… more
    Access: Supports For Living (03/04/25)
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  • Senior CBO Appeals Analyst

    Mount Sinai Health System (New York, NY)
    …issues in an accurate and timely fashion. In collaboration with the Underpayment Team manager , the Senior CBO Appeals Analyst will work to further the CBO's goals of ... equivalent education/experience Five years minimum of managed care experience in insurance claims or contracts Four to Five years of financial analysis experience in… more
    Mount Sinai Health System (05/17/25)
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