• Medical Director-Payment Integrity

    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, Medicaid, and Medicare Advantage requirements… more
    Humana (09/26/25)
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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, Medicare Advantage, and Medicaid requirements… more
    Humana (09/17/25)
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  • Medical Director - National Medicare Team

    Humana (Albany, NY)
    …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews preauthorization requests for ... services. The Medical Director work assignments involve moderately complex to complex...to complex clinical scenarios, review of all submitted clinical records , prioritization of daily work, communication of decisions to… more
    Humana (09/12/25)
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  • Medical Director - Spine

    CVS Health (New York, NY)
    …in the US.** Aetna, a CVS Health Company, has an exciting opportunity for a Medical Director (Spine) that can be remote based, work from home. The Medical ... including post-graduate direct patient care experience specifically. Expands Aetna's medical management programs to address member needs across the continuum… more
    CVS Health (08/08/25)
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  • Pharmacy Revenue Integrity

    Albany Medical Center (Albany, NY)
    …the accuracy and compliance of pharmacy billing practices by reviewing patient records , medication orders, and insurance claims to identify and correct potential ... as requested, and will be responsible for maintaining relevant documentation and records . They will remain current with important billing and revenue related… more
    Albany Medical Center (08/14/25)
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  • Registered Nurse - RN

    Fresenius Medical Center (Brooklyn, NY)
    …on the delivery, operation and maintenance of all home therapy dialysis equipment. ** Medical Records & Documentation:** + Admits all new patients and documents ... as prescribed including following algorithms (as appropriate), and document appropriate medical justification if indicated and maintain records on controlled… more
    Fresenius Medical Center (07/19/25)
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  • Dialysis Clinical Manager Registered Nurse - RN

    Fresenius Medical Center (Amsterdam, NY)
    …are communicated to and implemented by the facility staff. + Maintains integrity of medical records and other FMS administrative and operational records . + ... as pertinent. **STAFF:** + Responsible for implementation of FMS staffing, and medical supply models, to provide quality patient care, and makes recommendations. +… more
    Fresenius Medical Center (09/27/25)
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  • Medical Billing Representative I

    Fedcap (New York, NY)
    …accurate entry of billing information, ensuring the security of patient information, medical records and compliance with HIPAA regulations. This position ensures ... 100% data entry accuracy; assure correct provider, facility, place of service, medical service and coding are billed. + Submit claims to insurance companies on a… more
    Fedcap (08/27/25)
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  • Medical Billing Specialist

    Robert Half Accountemps (Rochester, NY)
    Description We are looking for a skilled Medical Billing Specialist to join our team in Rochester, New York. In this Contract-to-permanent position, you will play a ... critical role in managing billing operations and ensuring accurate processing of medical claims. This opportunity is ideal for professionals with a strong background… more
    Robert Half Accountemps (09/24/25)
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  • Medical Billing Specialist

    Robert Half Accountemps (Rochester, NY)
    …to billing and collections. * Stay informed about industry changes and updates to medical billing and coding practices. Requirements * Proven experience in ... Description We are looking for an experienced Medical Billing Specialist to join our team in...with healthcare regulations. * Maintain and update patient billing records within electronic health record (EHR) systems. * Collaborate… more
    Robert Half Accountemps (09/24/25)
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