• Associate Specialist, Appeals & Grievances

    Molina Healthcare (Rochester, NY)
    …* Customer/provider experience in a managed care organization (Medicaid, Medicare , Marketplace and/or other government-sponsored program), or medical ... the standards and requirements established by the Centers for Medicare and Medicaid Services (CMS). **Essential Job Duties** *...a health care related vocational program (ie, certified coder, billing , or medical assistant). To all current… more
    Molina Healthcare (11/21/25)
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  • Data Entry Specialist I-Msh/Ssvs/Elm-78319-002

    Mount Sinai Health System (Elmhurst, NY)
    …assists with the Medicaid enrollment and maintains files . 2. Assist with Medicare enrollment and maintenance file requests. 3. Submits updated licenses and deas as ... placed for providers pending certification with Medicaid for electronic billing , and Follow Up work queues are monitored for...Sinai Health System is one of the largest academic medical systems in the New York metro area, with… more
    Mount Sinai Health System (11/22/25)
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  • Registration Rep I

    WMCHealth (Poughkeepsie, NY)
    …must be reliable and maintain professional attire and demeanor. Knowledge of medical insurances ( Medicare , Commercial, HMO's, PPO's, etc.); EMTALA regulations, ... demographics and insurance information by registering the patient for medical treatment. Responsibilities: + Interview the patient/patient representative for Direct… more
    WMCHealth (12/02/25)
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  • Affordable Care Act Coordinator

    YesCare Corp (Goshen, NY)
    …that notices of coverage are sent to hospitals upon inmate admission for accurate billing information. + ** Billing and Repricing:** + Submit bills for repricing ... + 2+ years of experience working in a physician's office or with medical records management. + Strong knowledge of Coordination of Benefit (COB) provisions in… more
    YesCare Corp (11/25/25)
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  • Financial Counselor

    WMCHealth (Warwick, NY)
    …through vendor QUALIFICATIONS / REQUIREMENTS: 1-2 years of patient registration or medical billing experience required Education: A high school diploma or ... requests payment on self-pay balances at time of service. . Obtains medical information on uninsured admissions and determines estimated costs. . Contacts patient… more
    WMCHealth (11/19/25)
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  • A/R Biller - Full Time

    Mohawk Valley Health System (Utica, NY)
    …in order to promote financial stability within the Hospital. Experience in billing Medicare , Medicaid, Commercial Insurance, HMOs, and Worker's Comp/No Fault ... assigned Education/Experience Requirements Required: + Two years experience in billing , insurance, office procedures in a medical ...in billing , insurance, office procedures in a medical setting + Knowledge of general office equipment eg… more
    Mohawk Valley Health System (10/28/25)
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  • Office Assistant

    Equinox, Inc (Albany, NY)
    …for potential and current clients to maintain efficient and timely billing + Ability to navigate insurance websites efficiently performing insurance verification ... companies and any outside resources that relate to client's coverage and billing status with the agency + Maintains self-pay client spreadsheets and monthly… more
    Equinox, Inc (10/03/25)
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  • RN Clinical Manager

    CenterWell (Westbury, NY)
    billing are completed timely and in compliance with Medicare regulations. + Coordinates communication between team members/attending physicians/caregivers to ... preferred. + Homecare Homebase (HCHB) experience, preferred. + CMS PDGM billing knowledge and/or experience, preferred. **Additional Information** + Normal Hours of… more
    CenterWell (09/30/25)
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  • Senior Business Intelligence Engineer

    Humana (Albany, NY)
    …Intelligence Engineer position will be supporting BI work for our Medicare organizations. **Senior Business Intelligence Engineer** : + Develops and maintains ... complex data sets within large organizations + Experience working with Claims, Billing and Reconciliation or related healthcare data + Expertise in Microsoft Office… more
    Humana (11/27/25)
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  • Pre Authorization Representative - Case Mgmt

    Arnot Health (Elmira, NY)
    …external customers. 5. Demonstrates an understanding of both CPT , ICD9 and medical terminology. 6. Demonstrates the ability to check appointment schedules daily to ... receive the maximum reimbursement that is allowable. 9. Demonstrates knowledge of Medicare requirements for approved ICD-9 codes and to communicate to the provider… more
    Arnot Health (11/25/25)
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