• Manager, Claim Support Services

    Centene Corporation (New York, NY)
    …one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national ... the job have the flexibility to work remote from home with a strong preference living in the state...management. + Coordinate the implementation of new product or health plan expansions. + Mentor and develop staff. **Education/Experience:**… more
    Centene Corporation (08/14/25)
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  • Medicaid Provider Hospital Reimbursement…

    Humana (Albany, NY)
    **Become a part of our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business ... Access skills **Additional Information** This role is "remote/work at home " and can be based anywhere in the United...us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and… more
    Humana (08/14/25)
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  • Clm Resltion Rep III, Hosp/Prv

    University of Rochester (Rochester, NY)
    …and all audits. + Coordinates response and resolution to Medicaid and Medicare credit balances. + Requests insurance adjustments or retractions. + Reviews and ... works all insurance credits in electronic health record. + Enters electronic health record...western New York, Rochester is our namesake and our home . One of the world's leading research universities, Rochester… more
    University of Rochester (08/09/25)
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  • Clm Resltion Rep III, Hosp/Prv

    University of Rochester (Albany, NY)
    …and all audits. Coordinates response and resolution to Medicaid and Medicare credit balances. Requests insurance adjustments or retractions. Reviews and works ... all insurance credits in electronic health record. Enters electronic health record notes,...western New York, Rochester is our namesake and our home . One of the world's leading research universities, Rochester… more
    University of Rochester (08/07/25)
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  • Clm Resltion Rep IV, Hosp/Prv

    University of Rochester (Rochester, NY)
    …Microsoft Word, Excel, Access, Email, Emdeon (Fidelis Medicaid Managed Care and Medicare Part B) clearinghouse software, third party claims systems (ePaces, Omnipro) ... and confers with contractual agencies (eg Veterans Administration), Department of Health , third party and governmental payers, clinical department providers and… more
    University of Rochester (08/07/25)
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  • Principal Healthcare Data Specialist - Eligibility…

    Staffing Solutions Organization (Albany, NY)
    …data **Desired Characteristics:** Candidates will have professional experience in public health insurance programs, including New York's Medicaid, Medicare ... Consideration for 100% remote work may be given based on the candidate's home location and alignment with business needs. The incumbent will work with the… more
    Staffing Solutions Organization (07/18/25)
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  • Outpatient Access Representative

    University of Rochester (Brockport, NY)
    …regarding waiting time for the provider every 15 minutes. Protects Personal Health Information (PHI) for patients as indicated by HIPAA regulations. Ensures ... completion of all appropriate forms by patients, such as Medicare Secondary Payer assurance, provision of HIPAA information for...western New York, Rochester is our namesake and our home . One of the world's leading research universities, Rochester… more
    University of Rochester (08/19/25)
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  • Outpatient Access Rep II

    University of Rochester (Brighton, NY)
    …waiting time for the provider every 15 minutes. + Protects Personal Health Information (PHI) for patients as indicated by HIPAA regulations. Assures cleanliness ... + Assures completion of all appropriate forms by patients, such as, Medicare Secondary Payer assurance, provision of HIPAA information for new patients, requesting… more
    University of Rochester (08/13/25)
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  • Outpatient Access Representative II

    University of Rochester (Geneseo, NY)
    …regarding waiting time for the provider every 15 minutes. + Protects Personal Health Information (PHI) for patients as indicated by HIPAA regulations. + Ensures ... completion of all appropriate forms by patients, such as Medicare Secondary Payer assurance, provision of HIPAA information for...western New York, Rochester is our namesake and our home . One of the world's leading research universities, Rochester… more
    University of Rochester (08/13/25)
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  • Dental Access Rep III

    University of Rochester (Rochester, NY)
    …regarding waiting time for the provider every 15 minutes. Protects Personal Health Information (PHI) for patients as indicated by HIPAA regulations. Assures ... purposes. Assures completion of all appropriate forms by patients, such as, Medicare Secondary Payer assurance, provision of HIPAA information for new patients,… more
    University of Rochester (08/07/25)
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