• Executive General Adjuster (Remote in PA or NY)

    Sedgwick (Buffalo, NY)
    …: To investigate claims internationally of any size or complexity, against insurance or other companies for personal, casualty, or property loss or damages and ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance Executive General Adjuster (Remote in PA or NY)...claimant and witnesses regarding claim. + Consults police and hospital records; and inspects property damage to determine extent… more
    Sedgwick (05/15/25)
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  • Accounts Receivable Representative

    Ellis Medicine (Schenectady, NY)
    …outgoing data is accurate. + Review and resolve outstanding accounts receivable with insurance companies and patients. + Claims in dispute with payers are ... data is accurate. Review and resolve outstanding accounts receivable with insurance companies and patients. EDUCATION AND EXPERIENCE REQUIREMENTS: + Education: High… more
    Ellis Medicine (05/15/25)
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  • Pharmacy Access Rep III - Home Infusion

    University of Rochester (Rochester, NY)
    …to acquire necessary information and assembly of documentation necessary to submit claims to the patient's insurance for approval including prior authorization ... that prevent patients from receiving their medications. Duties will include insurance coverage determination, patient out of pocket determination, determination of… more
    University of Rochester (05/28/25)
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  • Contents Adjuster

    Sedgwick (Albany, NY)
    …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Contents Adjuster **PRIMARY PURPOSE** : To handle losses and claims for ... property and casualty insurers. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Examines insurance policies and other records to determine insurance coverage. +… more
    Sedgwick (05/18/25)
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  • Coding Compliance and Training Specialist

    Weill Cornell Medical College (New York, NY)
    …the physician relevant to coding. Acts as the CPRC expert reviewing outgoing claims to ensure maximum reimbursement. **Job Responsibilities** + Performs duties in a ... within appropriate timeframes. Reviews appropriate EPIC work queues to ensure claims are being coded appropriately. + Performs coding and documentation review… more
    Weill Cornell Medical College (03/25/25)
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  • Billing Clerk

    WMCHealth (Suffern, NY)
    Billing Clerk Company: Good Samaritan Hospital City/State: Suffern, NY Category: Clerical/Administrative Support Department: OP Psych Services Union: NO Position: ... billing department and clinic patients. Collect all necessary billing information, insurance verification, and signature on appropriate forms and enter this… more
    WMCHealth (05/15/25)
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  • Medical Coder II

    Ellis Medicine (Schenectady, NY)
    …required. Two (2) - five (5) years of out-patient coding experience required. Hospital , physician practice or insurance coding and billing experience required. ... lists to ensure complete, timely and accurate submission of claims , (3) facilitating the accuracy and completeness of the...Coder performs other duties as assigned. + Adheres to hospital and procedures related to mandatory education and annual… more
    Ellis Medicine (04/30/25)
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  • Clinical Risk Manager

    Mount Sinai Health System (New York, NY)
    …for reviewing, summarizing, analyzing, presenting and monitoring safety events, claims management, loss prevention and reduction, patient safety related quality ... Actual salaries depend on a variety of factors, including experience, education, and hospital need. The salary range or contractual rate listed does not include… more
    Mount Sinai Health System (04/01/25)
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  • Business Office Representative

    Rochester Regional Health (Rochester, NY)
    …RRH for clinical services rendered including professional, long-term/home care and hospital care, by effectively and accurately managing a receivable. Resolve edits ... to ensure accurate claims are sent to primary and secondary insurances. Research...relevant HIPAA privacy rules and other regulations. Expertly use insurance websites to explore denial issues and resolve them… more
    Rochester Regional Health (05/22/25)
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  • Pharmacy Billing Specialist

    Elderwood (Buffalo, NY)
    …living facility and private pay pharmacy claim billing + Troubleshoot rejected insurance claims resulting in payments + Prior Authorizations required from ... + Electronic billing of Medicare, Medicaid and Third Party Insurance pharmacy claims utilizing Framework LTC Pharmacy...Pharmacy Technician experience in retail, long term care or hospital . + Experience with Pharmacy claims and… more
    Elderwood (03/29/25)
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