• Claims Denials Supervisor- MDLIVE

    The Cigna Group (New York, NY)
    **POSITION SUMMARY** Expanding access to affordable, high quality health care starts at MDLIVE. At MDLIVE, innovative ideas in healthcare are created every day. The ... team to reach their goals + Develops and implements coding RCM procedures by analyzing current procedures, recommending changes,...relevant work experience + 5+ years of Telehealth, Urgent Care , Primary Care , Wellness Care ,… more
    The Cigna Group (05/08/25)
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  • Physician Support Rep III

    University of Rochester (Rochester, NY)
    …information/data support. **ESSENTIAL FUNCTIONS** + **Patient Scheduling and Coordination of Care ** - Receives incoming patient telephone calls for surgeon(s) and ... referrals for consults. Obtains patient medical records to facilitate patient care . Triages telephone calls from patients and referring physicians to surgeons,… more
    University of Rochester (04/23/25)
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  • Physician Support Representative III

    University of Rochester (Rochester, NY)
    …and information/data support. **ESSENTIAL FUNCTIONS** **Patient Scheduling and Coordination of Care ** + Receives incoming patient telephone calls for surgeon(s) and ... referrals for consults. + Obtains patient medical records to facilitate patient care . + Triages telephone calls from patients and referring physicians to surgeons,… more
    University of Rochester (04/18/25)
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  • Sr Human Subject Research Spec

    University of Rochester (Rochester, NY)
    …collection from interviews and other sources, as needed Communicate with primary care offices to obtain information from medical records for participants Travel to ... create REDCap databases for data collection Independently create tables and coding schematic for the databases Support maintenance of several study databases… more
    University of Rochester (03/17/25)
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  • Billing Coordinator II

    Modivcare (NY)
    …medical transportation (https://www.modivcare.com/offerings/nemt) and personal and home care (https://www.modivcare.com/offerings/personal- care ) ... modifiers, payer specific information, including authorization criteria, CPT and ICD-10 coding . + Apply corrections to patient demographics, charges, adjustments and… more
    Modivcare (05/07/25)
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  • Medical Director, Commercial Line of Business

    Excellus BlueCross BlueShield (Rochester, NY)
    …case review determinations. + Provides clinical expertise on ARD cases, Quality of Care cases, clinical editing, coding reviews and inquiries. + Makes accurate ... not limited to, Medical and Pharmacy Utilization Management, quality management, member care management, and medical policy processes, and support for our various… more
    Excellus BlueCross BlueShield (05/03/25)
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  • Provider Relations Representative

    Independent Health (Buffalo, NY)
    …complete training will be eligible to work a hybrid schedule - from home and from the office depending on business needs. **Overview** The Provider Relations ... The Provider Relations Representative will answer incoming calls from health care providers including physician offices, ancillary provider offices and facilities… more
    Independent Health (04/24/25)
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  • Forensic Auditor: Investigate Complex Healthcare…

    New York State Civil Service (New York, NY)
    …reports of abuse and neglect in nursing homes and other residential health care facilities in the state. Possessing both civil and criminal enforcement powers, MFCU ... that highlight MFCU's important work include OAG's report concerning neglect of nursing home residents across New York state during the COVID-19 pandemic, and the… more
    New York State Civil Service (04/01/25)
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  • Data Integrity Coord III, HIM

    University of Rochester (Rochester, NY)
    …in all Health Information Management Systems (HIMS) in support of patient care and utilized in the storage, retrieval, data abstraction, reporting, and accessibility ... in all Health Information Management Systems (HIMS) in support of patient care and utilized in the storage, retrieval, data abstraction, reporting, and accessibility… more
    University of Rochester (03/17/25)
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  • Lead II Software Engineer

    S&P Global (New York, NY)
    …in multiple software development processes including requirement analysis, design, coding , testing and Documentation + Develop software applications based on ... global resource for index-based concepts, data and research, and home to iconic financial market indicators, such as the...our customers to achieve shared goals. **Benefits:** We take care of you, so you can take care… more
    S&P Global (02/23/25)
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