• Revenue Cycle Coordinator IV - Remote/Hybrid…

    University of Rochester (Rochester, NY)
    Medicare credit balances- - - Review all accounts on the Medicaid and Medicare credit balance report + Request insurance adjustments or retractions + Prepare ... Activities performed will focus on resolving balances on aged insurance accounts which have not been collected through routine...refund of credits + Review and advise supervisor or manager on trends of incorrectly paid claims from specific… more
    University of Rochester (08/07/25)
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  • Senior Patient Access Services Representative

    Northwell Health (Lake Success, NY)
    …information and enters data into computer system, which may include patients on Medicare /Medicaid; + Verifies patient insurance coverage and other related data. ... **Req Number** 165938 Job Description Performs a variety of registration, insurance verification, scheduling and billing duties in support of inpatient and… more
    Northwell Health (08/22/25)
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  • Coding Auditor Educator

    Highmark Health (Albany, NY)
    …all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the ... **Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** Performs...in response to external coding audits conducted by the Medicare Administrative Contractor, the RAC, MIC, ZPIC, etc. Determine… more
    Highmark Health (08/08/25)
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  • Ambulatory Office Assistant II

    Bassett Healthcare (Cooperstown, NY)
    …of Advanced Beneficiary Notice signatures and form processing to meet Medicare regulations. Ensures all corrections (demographics, insurance eligibility etc. ... you looking to make a difference by improving the health of our patients? Here you will find an...revenue responsibility through payment collection, cash handling, processing of insurance eligibility and managed care information. May also have… more
    Bassett Healthcare (07/29/25)
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  • Specimen Processor

    Mohawk Valley Health System (Utica, NY)
    …of the Director of Laboratory Services, Operations Coordinator and Laboratory Manager , the Specimen Processor registers and orders patient tests in computer ... reports + Obtains follow up information on any and all missing insurance and/or demographic information + Verify all applicable insurances through appropriate… more
    Mohawk Valley Health System (07/09/25)
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  • Regulatory Analyst

    Healthfirst (NY)
    …experience in a healthcare environment (such as managed care organization, commercial health insurance plan or managed long-term care plan) + Knowledge ... Responsible for entering, maintaining, and monitoring identified projects in Logic Manager and coordinates within Regulatory Affairs team. + Communicates and… more
    Healthfirst (08/21/25)
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  • Utilization Management Nurse

    CenterWell (Albany, NY)
    …Compact License preferred + Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/ Medicare /Medicaid ... provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused… more
    CenterWell (08/02/25)
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  • Complex Care Strategy Advancement Advisor

    CenterWell (Albany, NY)
    …provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused ... part of our caring community and help us put health first** The Advisor of Strategy Advancement will play...cost improvement for high-risk senior populations in full risk Medicare arrangements. This individual will help assess the value… more
    CenterWell (07/19/25)
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  • Senior Billing Specialist

    Access: Supports For Living (Middletown, NY)
    …EZ. Complete weekly billing batches (uploads and response files) in Electronic Health Record (MyEvolv) + Understand clients' insurance benefits utilizing ePACES, ... Monday-Friday 8:00AM-4:30PM (40hrs) Job Description: Reporting to the A/R Manager , the Senior Billing Specialist is a key position...as on a collaborative team. + Knowledge of Medical Insurance programs such as Medicaid, Medicare and… more
    Access: Supports For Living (06/03/25)
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  • Clm Resltion Rep III, Hosp/Prv

    University of Rochester (Rochester, NY)
    …and all audits + Coordinate responses and resolution to Medicaid and Medicare credit balances. + Request insurance adjustments or retractions. + ... hospital accounts. Activities performed will focus on resolving balances of aged insurance accounts which have not been collected through routine billing and… more
    University of Rochester (08/07/25)
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