• Medical Director - IP Claims Management

    Humana (Albany, NY)
    …may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, dispute, grievance, and appeals processes, and ... other medical management organizations, hospitals/ Integrated Delivery Systems, health insurance , other healthcare providers, clinical group practice management. +… more
    Humana (12/11/25)
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  • AR Biller - Full Time - Days

    Mohawk Valley Health System (Utica, NY)
    …stability within the Hospital. Experience in billing Medicare, Medicaid, Commercial Insurance , HMOs, and Worker's Comp/No Fault is required. Knowledge in ICD-9, ... ICD-10, HCPCS coding and medical terminology is a plus. Core Job...Job Responsibilities + Promotes a professional working relationship with insurance companies. Knows each payor representative and uses them… more
    Mohawk Valley Health System (12/09/25)
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  • Clerical Specialist II

    SUNY Upstate Medical University (Syracuse, NY)
    …are needed and obtain necessary supportive information. Obtain appropriate insurance authorizations when needed. Obtain additional records, reports, radiological ... reports, etc. as requested by patient, providers, or staff. Verify insurance coverage and requirements, forward to appropriate staff, and discuss with patients.… more
    SUNY Upstate Medical University (10/28/25)
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  • Front Office Equities Quant - Vice President

    Wells Fargo (New York, NY)
    …training, military experience, education **Desired Qualifications:** + 5+ years of hands-on coding experience, C++ and Java are most relevant, with an emphasis on ... 401(k) Plan + Paid time off + Disability benefits + Life insurance , critical illness insurance , and accident insurance + Parental leave + Critical caregiving… more
    Wells Fargo (01/17/26)
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  • Registered Nurse 2 - Medical Care (NY Helps)

    New York State Civil Service (Endicott, NY)
    NY HELP Yes Agency Insurance Fund, State Title Registered Nurse 2 - Medical Care (NY HELPS) Occupational Category Health Care, Human/Social Services Salary Grade 20 ... review of medical records from hospitals for appropriate ICD 9 or 10/DRG/PAS/CPT coding .*Substitutions: a bachelor's degree in nursing can substitute for one year of… more
    New York State Civil Service (01/16/26)
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  • Claims Examiner Workers Compensation | Midwest…

    Sedgwick (Albany, NY)
    …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner Workers Compensation | Midwest Jurisdictions **PRIMARY PURPOSE** : ... client relationships. + Ensures claim files are properly documented and claims coding is correct. + Refers cases as appropriate to supervisor and management.… more
    Sedgwick (01/16/26)
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  • Patient Access Representative I

    Ellis Medicine (Schenectady, NY)
    …providing services. + Responsible for patient check in and registration, insurance verification, collection of copayments or self pay, accurate record keeping ... + Obtain and verify accurate completion of necessary supporting documentation such as insurance forms, copies of insurance cards, assignment of benefits, etc.,… more
    Ellis Medicine (01/15/26)
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  • Business Analyst, SAP (Open to Remote)

    Penguin Random House (NY)
    …solving. This is a business analyst position and does not require coding experience. **Specific responsibilities include: ** + Troubleshoot system issues with the ... of benefits include, but are not limited to, Medical/Prescription drug insurance , Dental, Vision, Health Care/Dependent Care Flexible Spending Account, Health… more
    Penguin Random House (01/15/26)
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  • Senior Professional Liability Claims Specialist

    Sedgwick (Albany, NY)
    …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Senior Professional Liability Claims Specialist **PRIMARY PURPOSE** **:** To analyze ... client relationships. + Ensures claim files are properly documented and claims coding is correct. + Refers cases as appropriate to supervisor and management.… more
    Sedgwick (01/15/26)
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  • PL Claim Specialist

    Sedgwick (Albany, NY)
    …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance PL CLAIM SPECIALIST **PRIMARY PURPOSE** **:** To analyze complex or technically ... client relationships. + Ensures claim files are properly documented and claims coding is correct. + Refers cases as appropriate to supervisor and management.… more
    Sedgwick (01/13/26)
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