• 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 ... representatives to research and resubmit rejected claims to obtain and verify insurance coverage. Follows up on unpaid accounts working claims. Reviews reasons for… more
    University of Rochester (11/06/25)
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  • Home Care Intake Coordinator

    Preferred Home Care of New York (Brooklyn, NY)
    …Office who understands the regulations governing the home care field, related to Medicare , Medicaid and other insurance , and is committed to excellence in ... **JOB RESPONSIBILITIES:** + Receive referrals from referral sources + Verify patient's insurance to determine eligibility + Educate patients on services we provide +… more
    Preferred Home Care of New York (09/29/25)
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  • Medical Call Taker & EMS Dispatcher…

    InstaCare EMS (Brooklyn, NY)
    …Call Taker/ Dispatcher: + Knowledge of Medical Terminology + Familiarity with health insurance plans, including Medicare , Medicaid, and commercial insurance ... members and patient caretakers' to arrange ambulance transport + Verifies patients' insurance coverage, benefits, and co-pays + Manages high volume phone calls +… more
    InstaCare EMS (10/14/25)
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  • Growth & Community Engagement Specialist (Must…

    Molina Healthcare (Queens, NY)
    …Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Key Words: health care, insurance , health insurance , Medicaid, Medicare , health coach, community ... highly desirable. **Preferred License, Certification, Association:** + Active Life & Health Insurance + Market Place Certified To all current Molina employees: If… more
    Molina Healthcare (10/07/25)
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  • Associate Director, Field Access Manager - Central…

    Merck (Albany, NY)
    …operations, project management, or reimbursement support * Strong knowledge of health insurance structures ( Medicare Part B, Medicaid, commercial) and related ... Available benefits include medical, dental, vision healthcare and other insurance benefits (for employee and family), retirement benefits, including 401(k),… more
    Merck (11/27/25)
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  • Patient Access Specialist Patient Access MHB

    Catholic Health (Buffalo, NY)
    …customer services skills and empathy while interacting with patients. + Familiarity with insurance plans; such as Medicare , Medicaid, private & commercial ... insurance preferred. + Familiarity with payer eligibility tools preferred. + Possess excellent/effective communication/interpersonal skills + Organizational skills, attention to detail and follow through a must + Has the ability to maintain composure when… more
    Catholic Health (11/22/25)
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  • Care Coordinator

    Help at Home (Industry, NY)
    …+ Understands the regulations governing the home care field, related to Medicare , Medicaid and other insurance . + Understanding of communicating effectively ... ranges from $22- $25 hourly. + Direct deposit + Healthcare, dental, and vision insurance + Paid time off and parental leave + 401k + Ongoing, in-depth training… more
    Help at Home (11/21/25)
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  • (Bilingual Spanish) Intake Specialist, Homecare

    RiseBoro Homecare Inc. (Brooklyn, NY)
    …base. This role requires a strong understanding of homecare regulations related to Medicare , Medicaid, and other insurance programs. The Intake Specialist will ... Health Aide Program (CHHA) and Managed Long-Term Care (MLTC), Medicaid, insurance verification, Maximus procedures, and MLTC enrollment. . Collaborate and… more
    RiseBoro Homecare Inc. (10/30/25)
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  • Chmc - RN Case Manager

    Claxton-Hepburn Medical Center (Ogdensburg, NY)
    …management, best practice and current treatment regimens. + Ability to interpret Medicare , Medicaid and commercial insurance plans and benefits. + Ability ... to multitask, problem solve complex situations, work around interruptions, and cope with stressful situations. + Basic computer knowledge. + Maintaining confidentiality of all patient information. + Maintaining quality assurance and compliance with all… more
    Claxton-Hepburn Medical Center (11/15/25)
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  • Case Manager (RN)

    WMCHealth (Suffern, NY)
    …in the State of New York as a Registered Nurse. Understanding of Medicare /Medicaid criteria and insurance regulations and reimbursement. EDUCATION: A Bachelor's ... of Science in Nursing, preferred OTHER: If applicable, the individual performing this job may reasonably anticipate coming into contact with human blood and other potentially infectious materials. Individuals in this position are required to exercise universal… more
    WMCHealth (11/06/25)
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