• Finance and Authorization Specialist - Lead

    Rochester Regional Health (Rochester, NY)
    …and finance team. This includes the need to promptly verify patient's insurance , obtain and verify if not provided, provide accurate patient estimate as ... and issues. Unit/Department Specific Info> RESPONSIBILITIES: + Utilize appropriate insurance verification tools to validate patient insurance eligibility… more
    Rochester Regional Health (08/15/25)
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  • Investigator

    Highmark Health (Albany, NY)
    …**EXPERIENCE** **Required** + 3 years of relevant, progressive experience in the health insurance industry and/or healthcare fraud investigations **Preferred** + ... in Financial Analysis in an acute care hospital or health insurance setting + 1 year in...+ Must have knowledge of provider facility payment methodology, claims processing systems and coding and billing proficiency +… more
    Highmark Health (08/15/25)
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  • Medical Director, Children's Services (SafetyNet…

    Excellus BlueCross BlueShield (Buffalo, NY)
    …Other components of the total rewards package may include participation in group health and/or dental insurance , retirement plan, wellness program, paid time ... and support for the development and implementation of the Children's Behavioral Health (BH) Carve-In program. The Medical Director for BH Children's Services has… more
    Excellus BlueCross BlueShield (08/09/25)
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  • Financial Investigator

    BronxCare Health System (Bronx, NY)
    …ensure that visits are appropriately registered, and meet all insurance pre-authorization requirements. Responsibilities - Establish and maintain positive ... manner consistent with maintaining and furthering a positive public perception of BronxCare Health System and its employees. - Contributes to and participates in the… more
    BronxCare Health System (08/23/25)
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  • Customer Care Representative I

    Elevance Health (Latham, NY)
    …and external customer questions via telephone and written correspondence regarding insurance benefits, provider contracts, eligibility and claims . + Analyzes ... District of Columbia, New Jersey In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition… more
    Elevance Health (08/26/25)
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  • Fraud & Investigations, Clinical Investigator

    MVP Health Care (Rochester, NY)
    …criminal justice or a related field, and minimum of five years of insurance claims investigation experience; or five years of professional investigation ... RN. + New York State Nursing license required (RN preferred). Experience in health insurance fraud investigations preferred. + Obtain CPC and/or COC credential.… more
    MVP Health Care (08/31/25)
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  • Staff Field Auto Appraiser: Open to NY, PA, CO, MN

    Sedgwick (Albany, NY)
    …limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance , employee assistance, flexible spending or health savings account, and ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance Staff Field Auto Appraiser: Open to NY, PA,...regarding their vehicle's cost of repair estimate and explains claims /repair process + Maintains accurate vehicle's cost of repair… more
    Sedgwick (08/27/25)
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  • Contract Specialist

    Family and Children's Association (Mineola, NY)
    …Schedule: Full-Time, 35 hours per week, nonexempt Benefits Information + Full Health /Dental/Vision Insurance + Generous, vacation, sick, personal, and floating ... Specialist is responsible for the preparation and submission of claims for funding from various funding sources supporting the...employer contribution + Flexible Spending Account (FSA) + Pet Insurance + Short Term (STD) and Long Term (LTD)… more
    Family and Children's Association (08/25/25)
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  • Business Process Analyst - HNAS

    Highmark Health (Albany, NY)
    …billing, customer service, etc.) **Preferred** + 1 - 3 years in the Health Insurance Industry **LICENSES OR CERTIFICATIONS** **Required** + None **Preferred** + ... In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice… more
    Highmark Health (06/17/25)
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  • Provider Transformation Specialist (RN- Western…

    Highmark Health (Buffalo, NY)
    …all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the ... and/or hospital resources for providers employed in multi-specialty groups or health systems. + For value based contracts addressing government markets, directly… more
    Highmark Health (08/31/25)
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