• Denials and Appeals Mngmt Cord

    WMCHealth (Valhalla, NY)
    …to Improve reimbursement. + Establish and maintain a good working relationship with medical insurance vendors. + Acts as a resource person for hospital ... other departments within the outside the hospital as necessary (especially admitting, billing office, fiscal, managed care, insurance case managers, finance) and… more
    WMCHealth (10/17/25)
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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 ... that all admissions and procedures have been approved (pre-authorized) by the insurance carrier. CLERICAL: 7. Demonstrates insurance knowledge. 8. Demonstrates… more
    Arnot Health (11/25/25)
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  • Psychiatric Nurse Practitioner

    The ARC of Madison Cortland (Oneida, NY)
    …degree experience in a human services setting; must be accepted by Medicaid and Medicare for billing ; current DEA license, current CAQH account prior to ... and/or delivered. Participate in necessary follow up related to billing for services. + Review, update and complete treatment...+ 401K Employer Match + Health, dental and vision insurance + Group Life Insurance + Paid… more
    The ARC of Madison Cortland (10/22/25)
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  • Strategic/National Account Service Consultant…

    Excellus BlueCross BlueShield (Rochester, NY)
    …business day preferred where possible. Interacts with Operations, Enrollment and Billing , Customer Care, Claims, Advocacy, Clinical Operations, Medical Affairs ... and focused under multiple pressures and demands. * Ability to complete required internal Medicare Training per Center for Medicare Services within one year of… more
    Excellus BlueCross BlueShield (11/24/25)
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  • PACE Geriatric Physician Opportunity

    Rochester Regional Health (Rochester, NY)
    …patients, their families, and their aspirations without the hassles of billing , productivity pressures, or insurance intricacies. + Patient-Centric Approach: ... level of personalized attention that sets us apart. + Comprehensive Care: From medical specialty services to mental health support, ElderOne caters to every facet of… more
    Rochester Regional Health (09/13/25)
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  • Authorization Coordinator

    Catholic Health Services (Melville, NY)
    …critical to this role: + Must have a comprehensive understanding of insurance pre-certification requirements, contract benefits, and medical terminology. + Work ... which requires communication with patients, physicians, office staff, clinicians, and insurance companies to obtain and accurately record patient demographic and … more
    Catholic Health Services (11/24/25)
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  • Lead Admitting Representative - Mount Sinai…

    Mount Sinai Health System (Brooklyn, NY)
    …Record, Insurance Authorization Financial Agreement, and Important Message from Medicare about Discharge, NYS Caregivers Act. 21. Functions as a liaison between ... + High school diploma/GED required; college degree preferred + Knowledge of medical terminology + Excellent customer relations and interviewing skills, ability to… more
    Mount Sinai Health System (11/02/25)
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  • Patient Access - Outpatient Surgical Office…

    Trinity Health (Albany, NY)
    …+ Knowledge of insurance and governmental programs, regulations and billing processes ( Medicare , Medicaid, Social Security Disability, Champus, and ... schedule appointments and surgeries, verifies demographic, clinical, financial, and insurance information during the (pre)-registration process, accepts point of… more
    Trinity Health (11/20/25)
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  • Physician Advisor

    Mohawk Valley Health System (Utica, NY)
    …of care advisement. + Support education to minimize clinical variability throughout the medical staff. + Assist case managers with Medicare and Medicaid appeals ... Managers and Attending Physicians to align on the level of care, patient billing status, and potential barriers to patient discharge. The Physician Advisor (PA)… more
    Mohawk Valley Health System (10/07/25)
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