• Prior Authorization Manager

    SUNY Upstate Medical University (Syracuse, NY)
    …Qualifications: Experience with medication reimbursement, medications, physician orders and insurance claim submission preferred. Experience with healthcare ... insurance prior authorization/coding and performing insurance carrier/managed care review preferred. Work Days: Days between 8am -6pm depending on pharmacy… more
    SUNY Upstate Medical University (11/22/25)
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  • Program Operations Specialist 1

    New York State Civil Service (Schenectady, NY)
    …reviews,- Reviewing Medicaid Compliance Liaison's self-disclosures, quarterly activity summaries, and claim monitoring review to ensure accuracy, - Assist the MCU ... providers and support services to address their personal needs.* Life insurance and Disability insurance .* The New York State Deferred Compensation Plan is a… more
    New York State Civil Service (11/14/25)
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  • Pt Self-Pay Resoltn Ctr Rep II

    University of Rochester (Rochester, NY)
    …MyChart, mail, email, and fax, concerning, but not limited to, billing issues, claim payments, contract benefits, and medical billing in accordance with HIPAA, Third ... based on established call center metrics including turn-around times. - Initiates insurance billing either electronically or via the use of the Electronic Work… more
    University of Rochester (11/06/25)
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  • Clinician - CCBHC

    Westchester Jewish Community Services (Yonkers, NY)
    …therapy. + Attend agency in-service training and staff meetings. + File timely insurance claim forms and maintain other necessary contacts with insurance ... Development and Training + Employee Assistance Program + Disability and life insurance + Staff appreciation events and employee mental health and wellness… more
    Westchester Jewish Community Services (11/01/25)
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  • Clinician - CCBHC

    Westchester Jewish Community Services (Peekskill, NY)
    …therapy. + Attend agency in-service training and staff meetings. + File timely insurance claim forms and maintain other necessary contacts with insurance ... Development and Training + Employee Assistance Program + Disability and life insurance + Staff appreciation events and employee mental health and wellness… more
    Westchester Jewish Community Services (10/07/25)
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  • SCA Customer Care Representative I

    Elevance Health (East Syracuse, NY)
    …via telephone and written correspondence regarding benefits, contracts, eligibility and claims . + Analyzes issues and provides information and/or solutions. + ... experience within the healthcare industry is highly preferred. + Strong knowledge of claims is preferred. + Strong verbal and written communication skills are highly… more
    Elevance Health (11/26/25)
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  • Engineer-Signal Maintenance

    MTA (Jamaica, NY)
    …relative to the existing contract. Provide answers for formal Union claims . Provide input for future labor negotiations. Provide required documentation for ... Claims and Labor Relations. Respond to complaints from other...tax-advantaged accounts) + Low Premium - High Quality Health Insurance Plans (lifetime coverage for eligible retirees and their… more
    MTA (11/25/25)
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  • Engineer-Signal Construction

    MTA (Jamaica, NY)
    …relative to the existing contract. Provide answers for formal Union claims . Provide input for future labor negotiations. Provide required documentation for ... Claims and Labor Relations. Respond to complaints from other...tax-advantaged accounts) + Low Premium - High Quality Health Insurance Plans (lifetime coverage for eligible retirees and their… more
    MTA (11/25/25)
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  • Clinical Registered Nurse - Utilization Management…

    Cognizant (Albany, NY)
    …accounts. . Maintain working knowledge of applicable health insurers' internal claims , appeals, and retro-authorization as well as timely filing deadlines and ... Medicare, Medicaid, and third-party guidelines. . Effectively document and log claims /appeals information on relevant tracking systems . Utilize critical thinking… more
    Cognizant (11/25/25)
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  • Management Benefits Fund Specialist

    City of New York (New York, NY)
    …to pursue innovations in a variety of areas, particularly regarding City health insurance programs. The staff at OLR assist their fellow agencies in handling ... and non-City payroll entities into the MBF database. - Claims Processing: Review and process Health and Fitness ...Claims Processing: Review and process Health and Fitness claims in accordance with program guidelines. - Inquires Processing:… more
    City of New York (11/23/25)
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