• Clm Resltion Rep III, Hosp/Prv

    University of Rochester (Albany, NY)
    …accounts, as well as contacts payer representatives to research and resubmit rejected claims to obtain and verify insurance coverage. Follows up on unpaid ... regarding payment trends and issues. + Bills primary and secondary claims to insurance . + Identifies and clarifies billing issues, payment variances, and/or… more
    University of Rochester (08/07/25)
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  • Surveillance Investigator

    The Robison Group (Garden City, NY)
    …the position will be expected to perform investigations of workers compensation claims , liability investigations, multi-line insurance claims , criminal and ... civil background checks, and other investigative tasks. The majority of cases worked in this position require stationary and mobile surveillance. PRINCIPAL RESPONSIBILITIES FOR SURVEILLANCE: + Thoroughly complete assigned cases. + Testify to the collected… more
    The Robison Group (06/18/25)
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  • Billing Specialist - Rheumatology @ The Hill

    SUNY Upstate Medical University (Syracuse, NY)
    …Answers inbound inquires related to prior authorizations and assists billing group on insurance claims . Completes outbound calls to payors and clinics to assist ... and procedures and applies acquired job skills to verify insurance rejections and contact clinics to initiate and receive...with prior authorizations. + Verifies insurance coverage related to prior authorizations by phone, online… more
    SUNY Upstate Medical University (07/07/25)
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  • DME Specialist

    Excelsior Orthopaedics Group (Amherst, NY)
    …of DME products used in orthopedic practice. + Knowledge of medical insurance claims procedures and documentation. + Excellent communication, organizational and ... products; responds to patient inquires and requests. + Verifies patients insurance to determine patients financial responsibility when applicable. Collects co-… more
    Excelsior Orthopaedics Group (07/30/25)
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  • Director, Risk Management

    NBC Universal (New York, NY)
    …make sure insurance requirements are fair and achievable. + Handle insurance claims from start to finish-analyzing coverage, investigating issues, and ... to date and sharp on a wide range of insurance coverages-Property, Casualty, Errors &Omissions, Directors &Officers, and international...with brokers to gather the right info and renew insurance coverage across all areas. + Be the point… more
    NBC Universal (06/19/25)
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  • Fraud & Investigations, Clinical Investigator

    MVP Health Care (Schenectady, NY)
    …criminal justice or a related field, and minimum of five years of insurance claims investigation experience; or five years of professional investigation ... agencies, or seven years of professional investigation experience involving economic or insurance related matters. + A clinical investigator must have in addition to… more
    MVP Health Care (09/02/25)
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  • Accountant - Billing

    Access: Supports For Living (Middletown, NY)
    …+ Manage accounts receivable, including cash/denial postings and follow-up on MCO insurance claims . + Independently create and maintain spreadsheets and ... million in annual billing. We seek an Accountant specializing in Behavioral Health insurance billing and Medicaid Managed Care billing. The ideal candidate will have… more
    Access: Supports For Living (08/11/25)
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  • Pharmacist

    Walgreens (Newark, NY)
    …advancements and professional growth + A problem-solver - You navigate challenges, from insurance claims to medication management, with ease **Apply Today & ... benefits package including medical, prescription drug, dental, vision, disability and life insurance for qualifying team members. Plus free flu shots for all team… more
    Walgreens (09/02/25)
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  • Pharmacy Manager

    Walgreens (Bronx, NY)
    …with information technology. Finds opportunities to improve productivity + Ensures insurance claims are processed accurately to prevent payment rejections. ... Resolves patient issues by working with insurance companies and medical providers and conducting or participating in third party audits. + Follows-up with medical… more
    Walgreens (08/31/25)
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  • Pharmacy Manager - Sign On Bonus Available

    Walgreens (Brooklyn, NY)
    …advancements and professional growth + A problem-solver - You navigate challenges, from insurance claims to medication management, with ease **Apply Today & ... benefits package including medical, prescription drug, dental, vision, disability and life insurance for qualifying team members. Plus free flu shots for all team… more
    Walgreens (06/13/25)
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