• Investigator, SIU (Remote)

    Molina Healthcare (Albany, NY)
    …to health care fraud, waste, and abuse. Duties include performing accurate and reliable medical review audits that may also include coding and billing reviews. ... SIU Investigator is also responsible for recognizing and adhering to national and local coding and billing guidelines in order to maintain coding accuracy and… more
    Molina Healthcare (03/21/25)
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  • Certified Inpatient Coder

    Catholic Health Services (Rockville Centre, NY)
    …Position Responsibilities: Thoroughly read and interpret the documentation contained in every medical record to identify all diagnoses and procedures to which codes ... terminology. Ability to apply knowledge of disease processes and to index medical terms/procedures to the appropriate class in the classification system. Apply… more
    Catholic Health Services (03/04/25)
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  • Medical Director--Claims Management

    Humana (Albany, NY)
    …a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make ... reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and Medicare Advantage requirements and… more
    Humana (05/08/25)
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  • Medical Director, Commercial Line…

    Excellus BlueCross BlueShield (Rochester, NY)
    …you see is right for you, we encourage you to apply! Job Description: The Medical Director participates in the broad array of activities of the Medical Services ... and Pharmacy Utilization Management, quality management, member care management, and medical policy processes, and support for our various lines of business. The… more
    Excellus BlueCross BlueShield (05/03/25)
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  • Medical Director - Care Plus - Florida

    Humana (Albany, NY)
    **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... of situations or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement… more
    Humana (04/24/25)
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  • Medical Billing Manager

    Robert Half Finance & Accounting (Cheektowaga, NY)
    Description Jenny Bour with Robert Half is seeking an experienced Medical Billing Manager to lead and oversee the medical billing operations for a growing ... non-profit organization. This Medical Billing Manager role is responsible for managing the...new systems quickly. + AS/BS degree preferred; Billing and/or Coding certification is a plus. + Excellent communication, organizational,… more
    Robert Half Finance & Accounting (03/04/25)
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  • Workers Compensation Claims Associate…

    Sedgwick (Syracuse, NY)
    …Best Workplaces in Financial Services & Insurance Workers Compensation Claims Associate | Medical Only Claims | Syracuse, NY | License preferred ** Medical Only ... and industry best practices. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Adjusts medical -only claims and minor lost-time workers compensation claims under close… more
    Sedgwick (04/29/25)
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  • Medical Office Assistant III

    Bassett Healthcare (Cooperstown, NY)
    …optimum health and enjoy the best quality of life possible. What you'll do The Medical Office Assistant III serves as the first point of contact for patients within ... sure the patients needs are met) or prescription requests using the electronic medical record messaging system as observed by Supervisor and reported by providers… more
    Bassett Healthcare (05/09/25)
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  • Medical Receptionist TRI Cardio

    Catholic Health (Cheektowaga, NY)
    …Shift 1 Status: Full Time FTE: 1.000000 Bargaining Unit: Trinity Medical Exempt from Overtime: Exempt: No Work Schedule: Days Hours: ... 7:15a-3:15p/8a-4p/8:30a-4:30p/9a-5p Summary: The Medical Receptionist is under the direct supervision of the... office procedures and terminology including ICD-10 and CPT coding . + Proficient in computer skills, including the use… more
    Catholic Health (05/09/25)
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  • Medical Office Assistant I

    Bassett Healthcare (Cooperstown, NY)
    …optimum health and enjoy the best quality of life possible. What you'll do The Medical Office Assistant I serves as the first point of contact for patients within ... sure the patients' needs are met) or prescription requests using the electronic medical record messaging system as observed by Supervisor and reported by providers… more
    Bassett Healthcare (05/09/25)
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