• Utilization Management Reviewer, RN (Multiple…

    Excellus BlueCross BlueShield (Rochester, NY)
    …for members in obtaining needed services, as appropriate, interacts with the treating physician or other providers of care. + Collaborates with hospital, home care, ... and State and Federal Mandates. + May be responsible for pricing, coding , researching claims to ensure accurate application of contract benefits and Corporate… more
    Excellus BlueCross BlueShield (10/07/25)
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  • Billing Coordinator - Accounts Receivable-MSH

    Mount Sinai Health System (New York, NY)
    …referring physician updates and other major dictionary requests to supervisor for approval. 10. Maintains strictest confidentiality; adheres to all HIPAA and ... 2 years healthcare billing experience required. Familiarity with CPT and ICD ( coding and CCI edits) + Electronic claims processing preferred. **Responsibilities** 1.… more
    Mount Sinai Health System (09/17/25)
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  • Pathology Lab Assistant - Per Diem

    Catholic Health Services (Bethpage, NY)
    …genuine career growth opportunities. Job Details Under the direction of the supervisor , in addition to specimen accession, the Laboratory Assistant maintains and ... equipment. + Deals with the public ie- answering telephones, interaction with physician 's offices, etc. in a courteous and professional manner. + Prepares reports… more
    Catholic Health Services (11/15/25)
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  • Coordinator, Benefits Eligibility…

    Cardinal Health (Albany, NY)
    …of a medical practice. This position is responsible for reviewing the physician 's daily schedule and obtaining verification of patients' insurance benefits for their ... interpreting EOBs. + Working knowledge of ICD-9/ICD-10, CPT, HCPCS, and CPT coding . + Bachelor's degree, preferred in business administration, healthcare, or related… more
    Cardinal Health (11/18/25)
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  • SEIU Patient Diet Clerk

    University of Rochester (Rochester, NY)
    …disseminating information to other areas of the main kitchen. Processes physician -ordered diet prescriptions for patients into the computer system. Enters patients? ... within continual tight deadlines. SUPERVISION AND DIRECTION RECEIVED Nutrition Services Supervisor SCHEDULE Hours Vary, Every Other Weekend, Every Other Holiday… more
    University of Rochester (10/26/25)
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  • Senior Provider Relations Representative

    Molina Healthcare (Hamburg, NY)
    …they arise, making an assessment when escalation to a Senior Representative, Supervisor , or another Molina department is needed. Takes initiative in preventing and ... related to utilization management, pharmacy, quality of care, and correct coding . * Independently delivers training and presentations to assigned providers and… more
    Molina Healthcare (10/17/25)
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  • Radiology Technologist - PT

    STG International (Watertown, NY)
    …in the computer before advancing to the next exam. * Supports CPT coding compliance; utilizes appropriate CPT codes for the exams performed. Ensures images are ... to patients or their families. Patients will be referred to their requesting physician for results and treatment planning. * Ensures modesty and comfort is observed… more
    STG International (09/25/25)
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  • Clm Resltion Rep II, Hosp/Prv

    University of Rochester (Rochester, NY)
    …Receivable Management. **ESSENTIAL FUNCTIONS** **_With general direction of the Manager/ Supervisor /Lead:_** 40% + Follows department policies and procedures and ... necessary to ensure balance resolution for all assigned URMFG physician services. 25% + Follows up on denied accounts...changes in billing requirements associated with claim processing and coding . 5% + Escalate issues that may prevent completion… more
    University of Rochester (09/24/25)
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