• Revenue Specialist

    Stony Brook University (East Setauket, NY)
    …knowledge and experience with investigating, reviewing, and following up on rejected/denied insurance claims and/or experience using claims scrubber system. ... with third party billing and collection agencies. + Identify issues and patterns with claims and insurance companies and review to increase revenue and prevent… more
    Stony Brook University (05/16/25)
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  • Clm Resltion Rep IV, Hosp/Prv

    University of Rochester (Rochester, NY)
    …communication Mails paper claims with appropriate attachments when needed ( insurance EOB, medical records, etc.). Ensures additional documentation and/or ... assigned. Qualifications: - Required: Associates Degree and 4-5 years of professional medical claims billing and collecting experience; or equivalent combination… more
    University of Rochester (03/17/25)
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  • Clinical Risk Manager

    Mount Sinai Health System (New York, NY)
    … System:** Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across ... for reviewing, summarizing, analyzing, presenting and monitoring safety events, claims management, loss prevention and reduction, patient safety related quality… more
    Mount Sinai Health System (04/01/25)
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  • Temporary Document Services Representative

    CDPHP (Albany, NY)
    …and community-based not-for-profit health plan that offers high-quality affordable health insurance to members throughout New York. The company values ... Representative will work closely with Member Services, Provider Services, Claims Operations, and Medical Affairs to resolve...Member Services, Provider Services, Claims Operations, and Medical Affairs to resolve claims examining and… more
    CDPHP (05/27/25)
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  • Revenue Specialist

    Stony Brook University (East Setauket, NY)
    …knowledge and experience with investigating, reviewing, and following up on rejected/denied insurance claims and/or experience using claims scrubber system. ... party billing and collection agencies. + Identify issues and patterns with claims / insurance companies and review to increase revenue and prevent unnecessary… more
    Stony Brook University (05/08/25)
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  • Coding Compliance and Training Specialist

    Weill Cornell Medical College (New York, NY)
    …activities in a highly confidential manner and in accordance with the Health Insurance Portability and Accountability Act (HIPAA). Conducts periodic coding ... **Position Summary** Performs coding activities and is responsible for reviewing medical records for appropriateness of documentation, procedure, diagnosis codes and… more
    Weill Cornell Medical College (03/25/25)
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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 ... other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance , other healthcare providers, clinical group practice… more
    Humana (05/22/25)
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  • Medical Director - Medicaid N. Central

    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 ... other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance , other healthcare providers, clinical group practice… more
    Humana (05/14/25)
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  • Medical Director - Pacific SW 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 ... other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance , other healthcare providers, clinical group practice… more
    Humana (05/10/25)
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  • Medical Director - Care Plus - 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 ... other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance , other healthcare providers, clinical group practice… more
    Humana (04/24/25)
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