- Mount Sinai Health System (New York, NY)
- …to maximize the effectiveness of Mount Sinai Health System's EPIC electronic medical record (EMR) platform for Revenue Cycle Management. This leader will focus ... in relevant RCM modules (eg, Resolute Professional Billing, Hospital Billing, Claims , Contract Management) strongly preferred. + Minimum 7-10 years of progressive… more
- CenterWell (Albany, NY)
- …help us put health first** The Medical Director, Primary Care relies on medical background and reviews health claims . The Medical Director, Primary Care ... variable factors. The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately… more
- Sedgwick (Albany, NY)
- …evaluates, negotiates, and resolves recreational marine or personal watercraft claims internationally, regardless of complexity and quantum. **ESSENTIAL FUNCTIONS ... and RESPONSIBILITIES** + Investigates recreational marine or personal watercraft claims thoroughly using technical expertise and complex analysis. + Examines… more
- Veterans Affairs, Veterans Health Administration (Binghamton, NY)
- …Contract: No Physician Employment Contract and no significant restriction on moonlighting Medical Director- Primary Care Binghamton CBOC- The Medical Director of ... Staff for Primary Care ICC at the Syracuse VA Medical Center under the Primary Care Line. This position...claimed by the applicant. [If the applicant does not claim an ECFMG certificate, facility officials must still confirm… more
- CVS Health (Amherst, NY)
- …monthly invoices in accounting system. + Enter and process monthly fee claims for ancillary product offerings via claim system. **Required Qualifications** ... to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and… more
- Molina Healthcare (Rochester, NY)
- …recoveries in a managed care or payer environment. + In-depth knowledge of medical and hospital claims processing, including CPT/HCPCS, ICD, and modifier usage. ... cause for the disputes and recommend improvements to reduce claim errors and prevent improper payments. + Provide actionable...Services (CMS) and the Affordable Care Act (ACA). + Medical Coding certification. To all current Molina employees: If… more
- FlexStaff (Chappaqua, NY)
- …a skilled AR Specialist/ Biller with a minimum of 2 years of experience in medical billing, including filing claim appeals. The ideal candidate will have strong ... based on fee schedules - Prepare and submit appeals for underpaid or denied claims - Follow up with insurance carriers regarding outstanding balances - Respond to… more
- Molina Healthcare (Buffalo, NY)
- JOB DESCRIPTION Provides support for claims activities including reviewing and resolving **Provider No Surprises Act** cases in accordance with the standards and ... ensure that internal and/or regulatory timelines are measured correctly. * Researches claims using support systems to determine **Provider No Surprise Act** cases… more
- Norstella (Albany, NY)
- Sr. Medical Analyst, RWD Company: MMIT Location: Remote, United States Date Posted: Nov 20, 2025 Employment Type: Full Time Job ID: R-1548 **Description** At ... to extract meaningful insights from **real-world data (RWD)** sources, including ** claims , laboratory results, billing codes, and electronic health records (EHRs)**… more
- Paychex (Rochester, NY)
- …quality improvements to reduce frequency rates, durations, and associated costs. Oversee claim resolution, settlement, and denials of WC's claims . Oversee vendor ... employee evaluations, to ensure consistent internal process are followed. + Ensures claims are handled in accordance with established quality and timeliness measures… more