• 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)
    - Related Jobs
  • Patient Access Lead

    Saratoga Hospital (Saratoga Springs, NY)
    …estimates when needed and completes cash reconciliation and deposits. + Maintain confidential medical records . Obtain records necessary for office visit. ... insurance verification and verification tools and online resources. Check Medical Necessity and Diagnosis Coding and abstracting...established policies and procedures. Respond to patient request for medical records . + Serves as the point… more
    Saratoga Hospital (09/18/25)
    - Related Jobs
  • Accounts Receivable, Customer Service Operations

    Cardinal Health (Albany, NY)
    …- 3:30 PM PST (or based on business need)** **_What Accounts Receivable Specialist contributes to Cardinal Health_** Account Receivable Specialist is responsible ... patients with payment plans, and maintaining accurate and confidential patient records in compliance with regulations like HIPAA. + Demonstrates knowledge of… more
    Cardinal Health (09/05/25)
    - Related Jobs
  • 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)
    - Related Jobs
  • RN-Patient Navigator

    Catholic Health Services (Rockville Centre, NY)
    …assessments and ordering. + Medication reconciliation and prior authorizations. + Obtaining medical records , labs, and imaging pre-visit. Chronic Disease & ... Conduct proactive care coordination, including: + Appointment scheduling, referrals, specialist /imaging coordination. + Community resource navigation and chronic condition… more
    Catholic Health Services (09/27/25)
    - Related Jobs
  • Human Subject Research Spec I

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

    Molina Healthcare (Yonkers, NY)
    …the likelihood of a formal appeal being submitted. + Independently re-evaluates medical claims and associated records by applying advanced clinical knowledge, ... pharmacy, etc.). + Experience demonstrating knowledge of ICD-9, CPT coding and HCPC. + Experience demonstrating knowledge of CMS...+ Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager… more
    Molina Healthcare (09/26/25)
    - Related Jobs