- Anthony Jordan Health Corp (Rochester, NY)
- …are steeped in service to those who face barriers to health and health care, meeting their need for comprehensive medical , dentistry, behavioral health , ... * Corporate Compliance Apply Job Type Full-time Description The health services that became theAnthony L Jordan Health … more
- Defense Health Agency (Fort Drum, NY)
- …Position:** This position is located in the Family Medicine Department at Guthrie Army Health Clinic at Fort Drum, NY. Fort Drum is a US Army military reservation ... perks to include competitive compensation packages, paid time off, medical benefits, student loan repayments, and retirement package with...providers as they are covered by the Federal Tort Claims Act (28 USC | 1346(b)) while acting within… more
- CVS Health (Albany, NY)
- …**Position Summary** The Negotiator Analyst is responsible for negotiating out-of-network (OON) medical claims valued at $10,000 and above. This role involves ... At CVS Health , we're building a world of health...role, and understanding (U&C) calculated rates and benchmarking of medical costs. The individual will be developing their role… more
- Terumo Medical Corporation (Queens, NY)
- …Date: Aug 26, 2025 Req ID: 4615 Location: Queens, NY, US Company: Terumo Medical Corporation Department: TIS Sales - New York Metro Terumo Medical Corporation ... (TMC) develops, manufactures, and markets a complete, solutions-based portfolio of high-quality medical devices used in a broad range of applications for numerous… more
- Defense Health Agency (Fort Drum, NY)
- **Overview** This position is located atGuthrie Ambulatory Care Center,Behavioral Health Department, Fort Drum, NY. Fort Drum is located in the picturesque Thousand ... Federal Holidays, a sick leave benefit and a first-class health and retirement benefit package. We are seeking ordinary...wear and have worn the uniform and their families. Medical malpractice liability insurance is not required for federal… more
- Garnet Health (Middletown, NY)
- …Representative on our Patient Financial Services team at/in Garnet Health Medical Center-Middletown. Responsibilities Files insurance claims to all payers in ... Overview At Garnet Health , the Hudson Valley's leading integrated health...or equivalent required, Associates degree preferred in a related medical field or business. Must be proficient in computer… more
- Molina Healthcare (Yonkers, NY)
- …+ Min. 2 years operational managed care experience (call center, appeals or claims environment). + Health claims processing background, including ... to ensure that internal and/or regulatory timelines are met. + Research claims appeals and grievances using support systems to determine appeal and grievance… more
- University of Rochester (Rochester, NY)
- …to successful closure and obtain maximum revenue collection. Researches, corrects, resubmits claims , submits appeals and takes timely and routine action to resolve ... unpaid claims . Mentors and trains new or lower-level staff. **ESSENTIAL...problem and initiatives corrective action through reviews of electronic medical records. + Works to confer with external agencies.… more
- Sedgwick (New York, NY)
- …General Adjuster - Northeast Region **PRIMARY PURPOSE** **:** To handle losses or claims nationally regardless of size, including having the ability to address any ... Account. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Examines insurance policies, claims , and other records to determine insurance coverage. + Administers… more
- Highmark Health (Albany, NY)
- **Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding ... audit activities. Reviews medical records to determine data quality and accuracy of...of Ethical Coding as set forth by the American Health Information Management Association and Corporate Compliance Coding Guidelines.… more