• Pharmacy Revenue Integrity

    Albany Medical Center (Albany, NY)
    …billing practices by reviewing patient records, medication orders, and insurance claims to identify and correct potential pharmaceutical billing errors. They are ... to optimize pharmacy charging workflows and to decrease medication-related claim denials due to pharmaceutical charge errors. They will...- Rarely Thank you for your interest in Albany Medical Center!Albany Medical Center is an equal… more
    Albany Medical Center (08/14/25)
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  • Member Grievances Specialist (Medicaid experience)

    Molina Healthcare (Yonkers, NY)
    …and prepares written response to incoming provider reconsideration request is relating to claims payment and requests for claim adjustments or to requests from ... to ensure that internal and/or regulatory timelines are met. + Research claims appeals and grievances using support systems to determine appeal and grievance… more
    Molina Healthcare (09/06/25)
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  • Representative II, Accounts Receivable

    Cardinal Health (Albany, NY)
    …done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will work within the scope of responsibilities as ... and support from AR & Billing leadership teams.** **_Responsibilities_** + Processes claims : investigates insurance claims ; and properly resolves by follow-up &… more
    Cardinal Health (08/24/25)
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  • National General Adjuster - Northeast Region

    Sedgwick (New York, NY)
    …General Adjuster - Northeast Region **PRIMARY PURPOSE** **:** To handle losses or claims nationally regardless of size, including having the ability to address any ... Account. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Examines insurance policies, claims , and other records to determine insurance coverage. + Administers… more
    Sedgwick (06/25/25)
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  • Investigator Senior

    Elevance Health (Middletown, NY)
    …Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Investigator Senior** is responsible for the independent ... in order to recover corporate and client funds paid on fraudulent claims . Health insurance experience required with understanding of health insurance policies,… more
    Elevance Health (09/06/25)
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  • Data Entry Specialist

    MVP Health Care (Rochester, NY)
    …hour preferred). + Proficiency in Microsoft Word and Excel. + Familiarity with medical terminology and claims processing. + Curiosity to foster innovation and ... Rochester, NY + 1-2 years of data entry or claims experience preferred. High accuracy and attention to detail....**Your key responsibilities:** + Perform continuous data entry of claim forms into internal systems from electronic images and… more
    MVP Health Care (09/06/25)
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  • Pharmacy Billing Specialist

    Elderwood (Buffalo, NY)
    …+ Skilled nursing facility, assisted living facility and private pay pharmacy claim billing + Troubleshoot rejected insurance claims resulting in payments ... at Woodmark of NY: + Full Benefits Package - Medical , Dental, Vision, Life + 401(k) with company match...Bill/Invoice Review + Medicaid Pending Status Review + Medicaid claim rebilling + Updated Skilled Nursing Facility Census and… more
    Elderwood (07/31/25)
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  • Sr. Radiology Billing Specialist

    SUNY Upstate Medical University (Syracuse, NY)
    Job Summary: Candidate will be responsible for following up on medical claims including but not limited to follow up on claim submissions, investigating ... to billing, insurance, and payments. Minimum Qualifications: 2-3 years Medical Billing Experience- Radiology preferred Follow -up skills Insurance knowledge… more
    SUNY Upstate Medical University (08/27/25)
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  • Patient Medical Biller III

    University of Rochester (Rochester, NY)
    …equity considerations._ **Responsibilities:** GENERAL PURPOSE Performs charge review and claim edit resolution functions for rendered services from an inpatient ... setting, including updating data at transaction, charge review session or claim and registration levels. Verifies accuracy and completeness of demographics,… more
    University of Rochester (08/07/25)
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  • Accounts Receivable

    SUNY Upstate Medical University (Syracuse, NY)
    Job Summary: Responsible for following up on medical claims including but not limited to follow up on claim submissions, investigating patient accounts, ... School degree or equivalent and two years clerical support in a medical billing setting. Will consider equivalent combination of education and experience. Preferred… more
    SUNY Upstate Medical University (07/27/25)
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