• Physician Advisor

    Mohawk Valley Health System (Utica, NY)
    …and advisory services to physicians, case managers and clinical documentation specialist regarding correct level of care and reimbursement. Apply knowledge of ... planning, patient status changes, length of stay, patient monitoring practices, medical necessity concepts and associated regulations in case management decisions.… more
    Mohawk Valley Health System (07/09/25)
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  • Revenue Integrity Analyst

    WMCHealth (Valhalla, NY)
    …coordinate billing practices between hospital and physician groups to ensure uniform coding and documentation. + Recommend sound financial best practices that are ... + Identify pre-bill and post-bill claim edits involving any type of clinical or coding review or required modifier based on services rendered. + Analyze and maintain… more
    WMCHealth (06/27/25)
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  • Patient Customer Service Representative

    Nuvance Health (Fishkill, NY)
    …and/or experience assisting therapy clinicians with treatment sessions preferred. Experience with medical terminology, medical coding , billing procedures, ... while facilitating patient flow. Acts as a liaison between insurance specialist , schedulers, clinicians and patients. Assists patients and therapists with… more
    Nuvance Health (07/30/25)
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  • Experienced Accounts Receivable- Anesthesia…

    FlexStaff (Chappaqua, NY)
    …Billing & AR Experience- Experience in Medicare Part B and in Network Managed Care, Medical Coding Modifier Experience & Large Volume Experience. This role is a ... **Req Number** 163081 FlexStaff Our client is seeking a skilled Medical Biller/Accounts Receivable Specialist with a minimum of 2 years of experience in … more
    FlexStaff (07/11/25)
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  • Clinical Appeals Nurse (RN)

    Molina Healthcare (Yonkers, NY)
    …of the following: + Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional ... be licensed for the state they reside This position will support Medical Review for Medicare and Marketplace request authorization. Strongly prefer candidates with… more
    Molina Healthcare (08/02/25)
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  • Patient Access Lead

    Saratoga Hospital (Saratoga Springs, NY)
    …proficiency with insurance verification and verification tools and online resources. Check Medical Necessity and Diagnosis Coding and abstracting when needed. ... experience and at least two years in an administrative specialist role preferred + Previous medical office...an administrative specialist role preferred + Previous medical office experience preferred + Medical terminology… more
    Saratoga Hospital (07/24/25)
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  • Senior Advisor, System Administrator, Revenue…

    Cardinal Health (Albany, NY)
    …in a revenue cycle management or related field + Strong understanding of medical coding , billing practices, and revenue cycle processes + Proficiency in ... Practice Operations Management oversees the business and administrative operations of a medical practice. Revenue Cycle Management manages a team focused on a series… more
    Cardinal Health (08/08/25)
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  • Client Services and Administrative Support…

    CVS Health (Albany, NY)
    …Applications. **Preferred Qualifications** + Bachelor's Degree. + Certified Billing and Coding Specialist (CBCS). + Strong organizational and communication ... to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and… more
    CVS Health (08/10/25)
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  • Human Subject Research Spec I

    University of Rochester (Rochester, NY)
    …and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The Human Subject Research Specialist I (HSRS I) plays a vital role in contributing to the ... school nurse offices to obtain asthma-related health information. + Conduct medical record reviews using electronic health records. **Data collection, data entry,… more
    University of Rochester (08/07/25)
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  • Oracle EPM Solution Lead

    Amentum (Albany, NY)
    …solutions. + Manage the entire lifecycle of a software application including, coding , design and testing of product for functionality and errors, while ensuring ... post-baccalaureate experience in the position offered, as a Solutions Specialist , Sr. Manager-Package Implementation, Project Engineer, Consultant, or a related… more
    Amentum (06/18/25)
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