• Denials Management Specialist

    Syracuse Community Health Center (Syracuse, NY)
    … within the Epic electronic health record system. This role requires expertise in healthcare billing, coding , and insurance policies to identify root causes of ... of experience with Epic's billing modules and reporting tools, advanced training in Medical Billing or Coding , including CPC certification required or an… more
    Syracuse Community Health Center (09/21/25)
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  • Denials Prevention Specialist PRN

    Datavant (Albany, NY)
    …and compliance with payer regulations. This role requires in-depth knowledge of healthcare revenue cycle processes, HIM coding practices, and proficiency in ... in health data exchange. Our vision is that every healthcare decision is powered by the right data, at...denials throughout the entire revenue cycle, including registration, eligibility, coding , billing, and medical necessity. + Analyze… more
    Datavant (10/08/25)
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  • Billing Coordinator - Accounts Receivable-MSH

    Mount Sinai Health System (New York, NY)
    healthcare billing experience required. Familiarity with CPT and ICD ( coding and CCI edits) + Electronic claims processing preferred. **Responsibilities** ... **Job Description** Responsible for ensuring unpaid and partially paid claims are resolved in an efficient and timely manner. Resolves EOB discrepancies and… more
    Mount Sinai Health System (09/17/25)
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  • Medical Director - Florida

    Humana (Albany, NY)
    …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... of situations or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement… more
    Humana (10/03/25)
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  • Medical Billing Specialist

    Robert Half Accountemps (Rochester, NY)
    …of medical billing procedures. Responsibilities: * Process and submit claims to insurance providers efficiently and accurately. * Manage accounts receivable and ... offers an exciting opportunity to contribute to a dynamic healthcare environment by managing billing operations and ensuring accurate...* Stay informed about industry changes and updates to medical billing and coding practices. Requirements *… more
    Robert Half Accountemps (09/24/25)
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  • EPIC Physician Billing Analyst

    MetaOption, LLC (Hicksville, NY)
    …Familiarity with the differences between professional billing and hospital billing. + Knowledge of medical coding systems like CPT and ICD-10. + Soft Skills: + ... Estimates, Configuration, Troubleshooting, X12 4010 to 5010, ICD-9, ICD-10, CPT, Healthcare Revenue Cycle Processes, Medical Billing Codes, Insurance Procedures… more
    MetaOption, LLC (08/30/25)
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  • RN MDS Supervisor- Clinical Reimbursement…

    Catholic Health Services (Smithtown, NY)
    …care center; 296-bed not-for-profit community hospital and a 60,000 square foot medical office building. Our nurses, physicians and support staff are devoted to ... purposes, including Minimum Data Set (MDS) assessments and other relevant documentation. + Coding and Billing: Assist in the accurate coding and billing of… more
    Catholic Health Services (09/24/25)
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  • Director Revenue Cycle Applications IT

    Stony Brook University (St. James, NY)
    …of Patient Registration, Scheduling, Acute Case Management, Health Information Management, Medical Coding , Eligibility, Batch Document Scanning and Patient ... Capture, Visitor Management, online payment solutions, Document Imaging, Diagnostic Coding , Deficiency Management, and Enterprise Master Patient Index across… more
    Stony Brook University (09/23/25)
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  • Investigator Senior

    Elevance Health (Latham, NY)
    …Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Investigator Senior** is responsible for the independent ... identification, investigation and development of complex cases against perpetrators of healthcare fraud in order to recover corporate and client funds paid on… more
    Elevance Health (10/07/25)
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  • RN Utilization Review - System Care Management…

    Guthrie (Binghamton, NY)
    …System process improvement. + Denials Adjudication 1. Facilitate review of rejected medical claims using clinical evidenced based tools and peer-reviewed ... plans and related UM requirements preferred. Experience with CPT/ICD coding , medical record or chart auditing, and...compliance monitoring. + Collaborate with all members of the healthcare team, both internal and external customers. 1. Provide… more
    Guthrie (10/04/25)
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