- Mount Sinai Health System (New York, NY)
- …and problem resolution to ensure accurate and timely payment of claims and collection. The Specialist works directly with the Department Administrator. ... **Job Description** The Procedural Billing Specialist I is responsible for multiple components of...specialized procedures, including Accounts Receivable, Charge Entry, Edits and Payment Posting. This individual facilitates claims processing… more
- Cognizant (Albany, NY)
- …of claim processing is required. **Travel:** None required **About the role:** As Claims Adjudication Specialist , you will be responsible for timely and accurate ... making payments with UB/institutional (CMS-1450) and/or professional (CMS 1500) claims * Knowledge of Medicare/ Medicaid payment ...1500) claims * Knowledge of Medicare/ Medicaid payment and coverage guidelines and regulations. * 1 year… more
- New York State Civil Service (Brooklyn, NY)
- NY HELP Yes Agency Workers' Compensation Board Title Compensation Claims Referee (NY HELPS), WCB Item #3795 Occupational Category Legal Salary Grade 28 Bargaining ... Duties: Under the direction of the Senior Workers' Compensation Claims Referee, the duties of the Workers' Compensation ...require the examination of a claimant by an impartial specialist in accordance with law and Board rules; determines… more
- City of New York (New York, NY)
- …Manager who will: - Directly and indirectly supervise staff (PAAII, PAAI, Eligibility Specialist II) involved in Claims processing. - Monitor and distribute ... Within AO, exists Office of Revenue that houses SNAP-CR. They establish SNAP claims for the agency according to the Federal SNAP guidelines to recover inaccurate… more
- Molina Healthcare (Albany, NY)
- …projects from concept to execution, especially in the areas of provider reimbursement and claims payment integrity. + Strong working knowledge of managed care ... This role focuses on identifying, leading, and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will… more
- Molina Healthcare (Albany, NY)
- …projects from concept to execution, especially in the areas of provider reimbursement and claims payment integrity. + Strong working knowledge of managed care ... This role focuses on identifying and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will… more
- Molina Healthcare (Albany, NY)
- …projects from concept to execution, especially in the areas of provider reimbursement and claims payment integrity. + Strong working knowledge of managed care ... Analysis** + Uses a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. + Applies… more
- Access: Supports For Living (Middletown, NY)
- Senior Billing Specialist Location: Middletown, NY, United StatesDate Posted: Jul 31, 2025 Share: share to e-mail Apply Now Save JobSaved Description Location: ... 8:00AM-4:30PM (40hrs) Job Description: Reporting to the A/R Manager, the Senior Billing Specialist is a key position in the financial management of the company. The… more
- Intermountain Health (Albany, NY)
- …insurance denials, secondary billing issues, credit balances, sequencing of charges, and non- payment of claims . + Reconcile accounts, research and resolve ... **Job Description:** The Revenue Cycle Specialist II is responsible for performing a variety...charges, insurance denials, secondary billing issues, sequencing charges, and non- payment of claims . + Identify issues and/or… more
- Stony Brook University (East Setauket, NY)
- Senior Revenue Cycle Specialist **Position Summary:** At Stony Brook Medicine, the **Senior Revenue Cycle Specialist ** will act as an operational leader in the ... Hospital's Business Office to analyze, track, and pursue the payment of underpaid and denied accounts receivable. Successful candidates will have a bachelor's degree… more