• Specialist , Appeals & Grievances - Remote…

    Molina Healthcare (Buffalo, NY)
    …timelines are met. * Researches claims appeals and grievances using support systems to determine appropriate appeals and grievance outcomes. * Requests and reviews ... * Researches claims processing guidelines, provider contracts, fee schedules and systems configurations, to determine root causes of payment errors. * Resolves… more
    Molina Healthcare (11/23/25)
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  • Specialist , Claims Recovery (Remote)

    Molina Healthcare (Yonkers, NY)
    …(DRG) requests. * Enters and updates recovery applications and claim systems for multiple states and prepares/creates overpayment notification letters with accuracy; ... processes claims as a refund or auto debit in claim systems and in recovery application. * Follows department processing policies and procedures including, claims… more
    Molina Healthcare (11/23/25)
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  • Specialist , Appeals & Grievances

    Molina Healthcare (Buffalo, NY)
    …and/or regulatory timelines are measured correctly. * Researches claims using support systems to determine **Provider No Surprise Act** cases outcomes. . * Requests ... * Researches claims processing guidelines, provider contracts, fee schedules and systems configurations, to determine root causes of payment errors. **Required… more
    Molina Healthcare (11/21/25)
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  • Specialist , Appeals & Grievances

    Molina Healthcare (Syracuse, NY)
    …timelines are met. + Research claims appeals and grievances using support systems to determine appeal and grievance outcomes. + Requests and reviews medical ... assures timeliness and appropriateness of responses per state, federal and Molina Healthcare guidelines. + Responsible for meeting production standards set by the… more
    Molina Healthcare (11/07/25)
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  • Associate Specialist , Appeals & Grievances

    Molina Healthcare (Rochester, NY)
    …prepares documentation for further review. * Researches claims issues utilizing systems and other available resources. * Assures timeliness and appropriateness of ... for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare … more
    Molina Healthcare (11/21/25)
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  • Payor-Partner Programs Specialist

    KPH Healthcare Services, Inc. (Syracuse, NY)
    …patient relationship consistent with selected payer specifications. This may include accessing systems such as partner CRMs to investigate patient needs more fully. ... Requirements:** + Broad knowledge of medications, physician orders, and pharmacy systems + Effective communication skills + Outstanding customer service skills +… more
    KPH Healthcare Services, Inc. (10/03/25)
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  • Workflow Processing Specialist

    KPH Healthcare Services, Inc. (Syracuse, NY)
    …Skill Requirements:** + Broad knowledge of medications, physician orders, and pharmacy systems + Strong communication skills + Outstanding customer service skills + ... multiple factors such as relevant skills, years of experience and education. KPH Healthcare Services, Inc. is a multistate organization and abides by all local,… more
    KPH Healthcare Services, Inc. (10/30/25)
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  • Patient Benefit Specialist - Remote

    KPH Healthcare Services, Inc. (Syracuse, NY)
    …Requirements:** + Broad knowledge of medications, physician orders, and pharmacy systems + Familiar with Enterprise billing options and practices surrounding claim ... of multiple factors such as relevant skills, years of experience,and education. **KPH Healthcare Services, Inc. is a multistate organization and abides by all local,… more
    KPH Healthcare Services, Inc. (09/11/25)
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  • Biomedical Equipment Support Specialist

    Veterans Affairs, Veterans Health Administration (Syracuse, NY)
    …Certified Radiology Equipment Specialist (CRES), Certified Laboratory Equipment Specialist (CLES), or Certified Healthcare Technology Manager (CHTM). ... Summary The Biomedical Equipment Support Specialist provides clinical and administrative support to staff,...clinical staff throughout VA. Lifecycle management of all medical systems such as imaging, life support, dialysis, and monitoring… more
    Veterans Affairs, Veterans Health Administration (11/19/25)
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  • Medical Device Integration Specialist

    Compass Group, North America (New York, NY)
    Intelas **Position Title:** **Medical Device Integration Specialist - New York, NY** **Salary:** $85,000-$95,000/yr **Other Forms of Compensation:** **Join Intelas, a ... Compass One Healthcare company.** Intelas, a Compass One Healthcare ...intelashealth.com . **Job Summary** SUMMARY: The Medical Device Integration Specialist will be responsible for supporting Client's Medical Device… more
    Compass Group, North America (11/18/25)
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