• Procedural Billing Specialist I - Surgery

    Mount Sinai Health System (New York, NY)
    …Cycle Manager. **Qualifications** + Associates Degree preferred + 5 years experience in medical billing or health claims , with experience in IDX ... Charge Entry, Edits and Payment Posting. This individual facilitates claims processing and payments services rendered by physicians and...Health System is one of the largest academic medical systems in the New York metro area, with… more
    Mount Sinai Health System (08/29/25)
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  • Senior Billing Specialist-Obstetrics…

    Mount Sinai Health System (New York, NY)
    …CPC Preferred + Training in computerized medical billing + 3 years experience in medical billing or health claims , with experience in IDX billing systems ... these processes to ensure accurate and timely payment of claims and collection, and in analysis and problem resolution....Health System is one of the largest academic medical systems in the New York metro area, with… more
    Mount Sinai Health System (06/04/25)
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  • Billing Specialist - Psychiatry Administration…

    Mount Sinai Health System (New York, NY)
    …diploma/GED plus 3 years of relevant experience + Certified coder required + Experience in medical billing or health claims , with experience in EPIC & IDX ... these processes to ensure accurate and timely payment of claims and collection, and in analysis and problem resolution....Health System is one of the largest academic medical systems in the New York metro area, with… more
    Mount Sinai Health System (08/15/25)
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  • Offsite Billing Coordinator- Multispecialty…

    Mount Sinai Health System (New York, NY)
    …high school diploma/GED plus 2 years of relevant experience + 2 years experience in medical billing or health claims , with experience in IDX billing systems ... accounts via online work file and/or hard-copy reports; checks claims status, re-submits claims , and writes appeal...Health System is one of the largest academic medical systems in the New York metro area, with… more
    Mount Sinai Health System (07/30/25)
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  • Medical Director - Florida

    Humana (Albany, NY)
    …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... focus on collaborative business relationships, value based care, population health , or disease or care management. Medical ...population health , or disease or care management. Medical Directors support Humana values, and Humana's Bold Goal… more
    Humana (07/29/25)
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  • Medical Director - NorthEast Region

    Humana (Albany, NY)
    …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ Integrated Delivery Systems, health more
    Humana (07/25/25)
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  • Medical Services Coordination Specialist…

    Excellus BlueCross BlueShield (Rochester, NY)
    …development and promotional opportunities. All Levels + LPN, Medical Assistant, Health Plan customer service or claims processor experience with a minimum ... benefits, consistent with products, policies and procedures and related health plan functions such as member services, claims...medical care setting required. + Working knowledge of medical terminology and the claims systems required.… more
    Excellus BlueCross BlueShield (08/27/25)
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  • Senior Liability Claims Adjuster

    CVS Health (Albany, NY)
    …Qualifications** . 3+ years of experience handling complex druggist and professional medical malpractice claims with either a healthcare company, insurance ... At CVS Health , we're building a world of health...5+ years of experience handling complex druggist and professional medical malpractice claims with either a healthcare… more
    CVS Health (08/24/25)
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  • Claims Adjudicator

    Independent Health (Buffalo, NY)
    …assistant certificate and/or college degree preferred. + Six (6) months of medical claims processing/ medical billing experience, customer service experience ... The Claims Adjudicator is responsible for adjudicating and adjusting medical and/or dental claims against established criteria, and in accordance… more
    Independent Health (08/29/25)
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  • Medical Director - Medicare Grievances…

    Humana (Albany, NY)
    …us put health first** The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals. The Corporate ... focused on continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience + Working with health more
    Humana (08/08/25)
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