• Clerical Specialist II

    SUNY Upstate Medical University (Syracuse, NY)
    …updated, including, but not limited to, patient demographic information, thorough and accurate insurance information for any and all insurance carriers that may ... documentation as may be required for the services. Advise patients on insurance carrier requirements including services not covered. The incumbent must ensure … more
    SUNY Upstate Medical University (04/17/25)
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  • Outpatient Administrative Specialist

    SUNY Upstate Medical University (Syracuse, NY)
    …including registration activities such as entering and/or verifying demographic, insurance and/or financial information; generates routine forms and other ... process to obtain demographic and financial information. Will inform patients of insurance benefits and provide estimate to patient of anticipated "out of pocket"… more
    SUNY Upstate Medical University (04/16/25)
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  • Pre Service Specialist 1

    Nuvance Health (Poughkeepsie, NY)
    …identification and to secure reimbursement. Performs pre-registration functions and insurance eligibility verification. Provides estimates for services. Requests and ... faxed physician orders. Verifies orders for compliance and accuracy.4.Performs insurance eligibility verification and executes payer requirements as needed. Obtains… more
    Nuvance Health (04/10/25)
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  • Senior Actuarial Analyst - Pricing

    Ally (Albany, NY)
    …is responsible for developing and supporting a robust pricing framework at Ally Insurance . The Senior Actuarial Analyst will be expected to independently lead new ... and strong technical skills. Programming and automation skills a must. R coding language preferred. Detroit office with a hybrid work schedule preferred. Charlotte,… more
    Ally (03/28/25)
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  • Medical Director-Payment Integrity

    Humana (Albany, NY)
    …with an external provider. Some roles include an overview of coding practices and clinical documentation, dispute/grievance and appeals processes, and outpatient ... other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance , other healthcare providers, clinical group practice management. +… more
    Humana (06/06/25)
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  • Patient Customer Service Representative- Full…

    Nuvance Health (Fishkill, NY)
    …patients while facilitating patient flow. Acts as a liaison between insurance specialist, schedulers, clinicians and patients. Assists patients and therapists with ... registration and scheduling for all patients. 3. Collaborates with schedulers, insurance specialists and clinical staff to optimize scheduling and maximize patient… more
    Nuvance Health (06/06/25)
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  • Medical Director - Florida

    Humana (Albany, NY)
    …require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and outpatient ... other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance , other healthcare providers, clinical group practice management. +… more
    Humana (06/05/25)
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  • Business Technical Support Professional

    Humana (Albany, NY)
    …and interpret Center for Medicare and Medicaid Services and Department of Insurance regulations to establish required appointment fees for producers to ensure we ... + SQL Server, including SSIS + Experience with Snowflake + Experience with Insurance data + Experience with Healthcare data + Experience working in multiple systems… more
    Humana (06/05/25)
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  • Senior Coordinator, Individualized Care

    Cardinal Health (Albany, NY)
    …These steps include patient referral intake, investigating all patient health insurance benefits, and proactively following up with various partners including the ... insurance payers, specialty pharmacies, support organizations, and the patient/physician...creative thinking, preferred + Knowledge of Medical/Pharmacy billing and coding , preferred + Strong attention to detail is vital… more
    Cardinal Health (06/04/25)
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  • Cobol Systems Developer

    ManpowerGroup (Albany, NY)
    …to bill a variety of payers including Medicaid, Medicare & Third-Party Health Insurance (TPHI) for services rendered. This position will be primary support for ... batch/online applications in an IBM z/OS environment. Perform analysis, design, coding , and testing of changes based on State/Federal mandates or requests… more
    ManpowerGroup (06/04/25)
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