• Finance and Authorization Specialist - Lead

    Rochester Regional Health (Rochester, NY)
    Job Title: Finance and Authorization Specialist - Lead Department: SCHI Location: SCHI - Linden Oaks Hours Per Week: 40 Schedule: Monday - Friday Days SUMMARY: The ... primary responsibility of the Lead Finance and Authorization Specialist is be the subject matter expert and participate...maintain all authorization accounts to increase billing of clean claims + Complete other duties as assigned Oncology Specific… more
    Rochester Regional Health (09/17/25)
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  • Chart Procurement Specialist

    MVP Health Care (Schenectady, NY)
    …and continuous improvement. To achieve this, we're looking for a **Chart Procurement Specialist ** to join #TeamMVP. This is the opportunity for you if you have ... education and complimentary experience preferred. + One year experience in a claims processing, health care/provide office setting or related position required. +… more
    MVP Health Care (10/02/25)
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  • Collections Specialist

    Robert Half Accountemps (Tonawanda, NY)
    Description We are looking for a dedicated Collections Specialist to join our team in Tonawanda, New York. In this role, you will focus on managing commercial ... accounts and maintaining client relationships, ensuring timely and effective resolution of outstanding balances. This is a Contract to permanent position, offering… more
    Robert Half Accountemps (09/25/25)
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  • Registered Nurse - Clinical Appeals & Denials…

    Cognizant (Albany, NY)
    …to the Health Plan/Payer. The comprehensive process includes analyzing, reviewing, and processing medical necessity denials for resolution . You will be a valued ... accounts. . Maintain working knowledge of applicable health insurers' internal claims , appeals, and retro-authorization as well as timely filing deadlines and… more
    Cognizant (10/09/25)
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  • Clm Resltion Rep III, Hosp/Prv

    University of Rochester (Rochester, NY)
    …Documents all account follow up activity. + Research and calculate under or overpaid claims ; determine final resolution + Review and determine correct follow up. ... or Certification obtained from a nationally accredited billing program (ie, Certified Medical Billing Specialist CMBS, Certified Medical Records Technician… more
    University of Rochester (08/07/25)
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  • Medical Coder II

    Ellis Medicine (Schenectady, NY)
    The Medical Coder II is responsible for the revenue cycle activities of specific physician practices of Ellis Medical Group (EMG). This includes but is not ... and related work lists to ensure complete, timely and accurate submission of claims , (3) facilitating the accuracy and completeness of the practice's codes and… more
    Ellis Medicine (09/24/25)
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  • Supervisor, Medical Coding

    University of Rochester (Rochester, NY)
    …include, but are not limited to, coding abstraction, pre-bill coding edits, claims resolution functions, and providing recommendations to enhance coding acuity, ... by effectively managing the assigned functional area and serving as the team's coding specialist . This role acts as a subject matter expert on team functions and… more
    University of Rochester (08/07/25)
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  • Medical Records Coder III, Complex

    University of Rochester (Rochester, NY)
    …expertise of the individual, and internal equity considerations._ **Responsibilities:** The Medical Coder III functions as an advanced coder in the abstraction ... and in-depth analysis of a variety of medical documentation and assigns appropriate procedural terminology and ...- Reviews and resolves coding denials. Resolves problems with claims having errors related to improper coding and provides… more
    University of Rochester (08/07/25)
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  • Medical Records III, Complex

    University of Rochester (Rochester, NY)
    …advanced coder in the abstraction and in-depth analysis of a variety of medical documentation and assigns appropriate procedural terminology and medical codes in ... and manipulates database. Responds to or clarifies internal requests for medical information. **ESSENTIAL FUNCTIONS** + Uses thorough knowledge of coding systems… more
    University of Rochester (08/07/25)
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  • Medical Records Coder

    University of Rochester (Rochester, NY)
    …for system edit reviews and follows up on insurance coding denials for resolution . **ESSENTIAL FUNCTIONS** + Uses knowledge of coding systems and system logic to ... review codes created by electronic charge capture and/or assigns codes through medical record documentation as per designated workflow. Completes system edit reviews… more
    University of Rochester (08/07/25)
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