• Claims Examiner Workers Comp I Remote I SE,…

    Sedgwick (Albany, NY)
    …Fortune Best Workplaces in Financial Services & Insurance Claims Examiner Workers Comp I Remote I SE, Central, NE regions **PRIMARY PURPOSE** : To analyze complex or ... + Ensures claim files are properly documented and claims coding is correct. + Refers cases as appropriate to... is correct. + Refers cases as appropriate to supervisor and management. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs… more
    Sedgwick (09/28/25)
    - Related Jobs
  • Medical Coder II

    Ellis Medicine (Schenectady, NY)
    This position can be local or remote !! The Medical Coder II is responsible for the revenue cycle activities of specific physician practices of Ellis Medical Group ... and related encounter forms, (4) ensuring compliance with CPT/HCPCS and ICD-10 coding guidelines and government regulations, responsible for reviewing and coding more
    Ellis Medicine (07/29/25)
    - Related Jobs
  • C# Systems Developer

    ManpowerGroup (Albany, NY)
    C#.NET Systems Developer Length: 30 Months Remote /Onsite/Hybrid: currently 50% onsite - 2 days one week and 3 the following week Location if onsite Albany NY W2 or ... in diagnosis. * Report status of current tasks and outstanding issues to supervisor Mandatory Qualifications: * Expert 84+ Months Candidate is able to provide… more
    ManpowerGroup (09/09/25)
    - Related Jobs
  • Utilization Manager Reviewer, RN (Multiple…

    Excellus BlueCross BlueShield (Rochester, NY)
    …and State and Federal Mandates. + May be responsible for pricing, coding , researching claims to ensure accurate application of contract benefits and Corporate ... Management staff, members and providers. + Provides backup for the Supervisor , whenever necessary. Participates in the orientation of new staff and/training… more
    Excellus BlueCross BlueShield (08/23/25)
    - Related Jobs
  • Senior Provider Relations Representative

    Molina Healthcare (Buffalo, NY)
    **_ Remote and must live in New York _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network ... they arise, making an assessment when escalation to a Senior Representative, Supervisor , or another Molina department is needed. Takes initiative in preventing and… more
    Molina Healthcare (09/25/25)
    - Related Jobs
  • Senior Coordinator, Collections

    Cardinal Health (Albany, NY)
    …payment + Work average of 50 to 100 denials per day based on supervisor requirements and accounts assigned + Works closely with insurance carriers for reimbursement ... + Working knowledge of ICD-9/ICD-10, CPT, HCPCS, and CPT coding preferred + Knowledge of medical terminology + Familiar...an evaluation of internal pay equity. This is a remote position. _Candidates who are back-to-work, people with disabilities,… more
    Cardinal Health (09/15/25)
    - Related Jobs
  • SAP Security Lead Consultant

    PSEG Long Island (Bethpage, NY)
    …will set expectations and flexibility regarding where and when work is performed. Fully remote are roles that can be performed remotely, require employees to live in ... This position is a direct report to the Applications Group Products Supervisor . Working with the Principal Product Consultant, delivers SAP Security application… more
    PSEG Long Island (09/13/25)
    - Related Jobs
  • Provider Relations Representative (Travel…

    Molina Healthcare (Ramapo, NY)
    **_ Remote and must live in New York _** **_ Will travel throughout Orange & Rockland Counties for provider visits _** **Job Description** **Job Summary** Molina ... they arise, making an assessment when escalation to a Senior Representative, Supervisor , or another Molina department is needed. Takes initiative in preventing and… more
    Molina Healthcare (09/12/25)
    - Related Jobs