• Health Insurance Biller

    City of New York (New York, NY)
    …to obtain prior authorization approvals and claim reimbursement. - Review all claims CPT/ICD-10/HCPCS, payment modifiers in billing software to ensure accuracy ... working alongside a team of talented health insurance billing specialist , you will perform health insurance billing activities and...denials in a timely manner. - Prepare and batch claims out to third party payers for reimbursements. -… more
    City of New York (11/13/25)
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  • Investigator, Coding Special Investigative Unit…

    Molina Healthcare (NY)
    …a medical review to facilitate a referral to law enforcement or for payment recovery. **KNOWLEDGE/SKILLS/ABILITIES** + Reviews post pay claims with corresponding ... medical records to determine accuracy of claims payments. + Review of applicable policies, CPT guidelines,...+ AAPC Certified Medical CPC, CPMA, CPCO or similar specialist preferred + Certified Fraud Examiner and/or AHFI professional… more
    Molina Healthcare (11/20/25)
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  • Billing Rep

    ConnextCare (Oswego, NY)
    …coding book + Act as a backup for the Dental Billing or Billing Representative- payment poster + Reconcile and close receipts and charges to daily journal, computer ... + Contact insurance companies to follow up on delinquent claims + Follow up on denied claims ...Upgrade to a higher level from Billing Rep. to Specialist to Senior would depend on length of employment,… more
    ConnextCare (11/18/25)
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  • Medical Records Coder II

    University of Rochester (Albany, NY)
    …ensure the production of quality healthcare data and accurate professional payment . Prepares reports for designated leader(s). **ESSENTIAL FUNCTIONS** + Uses ... handled within established guidelines and timeframes. + Troubleshoots problems that prevent claims from being released. + Identifies cause of edit and independently… more
    University of Rochester (11/27/25)
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  • Self-Pay Collection Rep II

    University of Rochester (Rochester, NY)
    …on a patient statement and the processes for further review + Advising about payment options + Working with other areas to determine accuracy of balances shown Acts ... to: + Self Pay Work queues + Unbilled Cash Claims + Self Pay plans not final billed +...a nationally accredited billing program (ie, Certified Medical Billing Specialist CMBS, Certified Medical Records Technician CMRT, Certified Medical… more
    University of Rochester (11/06/25)
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