• Representative II, Accounts Receivable

    Cardinal Health (Albany, NY)
    …skills and prioritizes getting the right things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. ... and support from AR & Billing leadership teams.** **_Responsibilities_** + Processes claims : investigates insurance claims ; and properly resolves by follow-up &… more
    Cardinal Health (11/20/25)
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  • Medical Records Coder II

    University of Rochester (Albany, NY)
    …codes created by electronic charge capture and/or assign appropriate codes through medical record documentation as per designated workflow. + Completes system edit ... handled within established guidelines and timeframes. + Troubleshoots problems that prevent claims from being released. + Identifies cause of edit and independently… more
    University of Rochester (11/27/25)
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  • Collections & Denials Management Representative

    Rochester Regional Health (Rochester, NY)
    …DEPARTMENT: Patient Financial Services Hours: 37.5 SCHEDULE: Monday-Friday 8AM-4PM SUMMARY: A Medical Billing and Denials Specialist is responsible for managing ... trends in denials and taking corrective actions. RESPONSIBILITIES: + Medical Billing & Claims Management: Submit and track insurance claims , resolve… more
    Rochester Regional Health (11/21/25)
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  • Supv Mobility Trans Spec

    Veterans Affairs, Veterans Health Administration (Syracuse, NY)
    Summary The incumbent serves as a Supervisory Mobility Transportation Specialist - Mobility Manager and manages all Veterans Transportation System (VTS) and ... including patient transport, Special Mode Travel (SMT), mileage reimbursement claims , transportation contracts, 911 ambulance claims , inter-facility transfers,… more
    Veterans Affairs, Veterans Health Administration (11/21/25)
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  • Investigator, Coding Special Investigative Unit…

    Molina Healthcare (NY)
    …to law enforcement or for payment recovery. **KNOWLEDGE/SKILLS/ABILITIES** + Reviews post pay claims with corresponding medical records to determine accuracy of ... to present those findings. **Preferred License, Certification, Association** + AAPC Certified Medical CPC, CPMA, CPCO or similar specialist preferred + Certified… more
    Molina Healthcare (11/20/25)
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  • Health Insurance Biller

    City of New York (New York, NY)
    …Billing by working alongside a team of talented health insurance billing specialist , you will perform health insurance billing activities and support functions ... information with clinic teams to ensure transparency. - Track and manage medical records requests from MCO to obtain prior authorization approvals and claim… more
    City of New York (11/13/25)
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  • Military Apprentice Appraiser

    USAA (New York, NY)
    …and appraise low complexity (drivable, material loss, auto physical damage) auto claims in accordance with the terms and conditions of the contract, corporate ... when appropriate. + Maintains accurate and current claim file documentation throughout the claims process for low complexity claims . + Explains coverage, assists… more
    USAA (11/19/25)
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  • Collections & Denials Management Representative

    Rochester Regional Health (Rochester, NY)
    … billing, medical claims processing and accounts receivable collections. The Medical collection specialist must have the Ability to learn and understand ... SUMMARY The C & D specialist is responsible for reviewing accounts which have been...medical billing protocol and reimbursement issues, work within Meditech and… more
    Rochester Regional Health (11/21/25)
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  • RN UM Clinical Appeals Nurse Remote

    Molina Healthcare (Buffalo, NY)
    …to reduce the likelihood of a formal appeal being submitted. * Reevaluates medical claims and associated records independently by applying advanced clinical ... in the specific programs supported by the plan such as utilization review, medical claims review, long-term services and supports (LTSS), or other specific… more
    Molina Healthcare (11/14/25)
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  • Office Associate

    TEKsystems (Rochester, NY)
    …experience such as front desk, secretary, billing assistant, data entry, filing clerk, claims or denials specialist etc Office experience and billing experience ... need to be made. Skills: Excel, Communication and writing skills, EMR Medical Billing Assistant (SBO), Business Office Representative (SBO), Epic, Hospital billing, … more
    TEKsystems (11/22/25)
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