• Billing Coordinator - Accounts Receivable-MSH

    Mount Sinai Health System (New York, NY)
    …required. Familiarity with CPT and ICD (coding and CCI edits) + Electronic claims processing preferred. **Responsibilities** 1. Follows up on submitted claims ... May transfer secondary balances to appropriate financial class and provides documentation for processing the claims . 6. Reviews Credit Letter Sent (CLS) and… more
    Mount Sinai Health System (09/17/25)
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  • Clm Resltion Rep II, Hosp/Prv

    University of Rochester (Rochester, NY)
    …through telephone calls, payer website, and written communication to ensure accurate processing of claims . 15% + Follows established procedure for missing ... individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The claims resolution representative II is responsible for working across the… more
    University of Rochester (09/24/25)
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  • General & Product Liability Complex Claim Examiner…

    Sedgwick (Albany, NY)
    …- Hybrid **PRIMARY PURPOSE** : To analyze complex or technically difficult general liability claims to determine benefits due; to work with high exposure claims ... involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service… more
    Sedgwick (09/23/25)
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  • Medical Investigator I/II

    Excellus BlueCross BlueShield (Rochester, NY)
    …Medicaid, CPT, HCPCS, ICD10, DRG, APC, RBRVS, etc.). + Extensive experience with claims processing systems, claims flow, adjudication process, system edits ... in a clear and concise manner. + Analyzes proactive detection reports and claims data to identify red flags/aberrant billing patterns. + Manages cases as assigned,… more
    Excellus BlueCross BlueShield (09/17/25)
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  • (USA) Asset Protection Operations Coach

    Walmart (Lockport, NY)
    …by ensuring proper policies and procedures are followed Ensures the timely processing of claims forexample damaged defective returned liquidated items and ... facilitylevel training and execution of asset protection safety and claims and receiving procedures by reviewing the application of...of college. Option 2: 1 year's experience as a supervisor in a multi-department environment. Option 3: 1 year's… more
    Walmart (09/30/25)
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  • Specialist, Leave Management & Payroll Specialist

    Loretto Management Corporation (Syracuse, NY)
    …for coordinating the organization's leave of absence program and assisting with the processing of the bi-weekly payroll. This role will serve as the subject matter ... HR Business Partners on all related leave of absence claims . Meets regularly to review the status of ...of bi-weekly payroll cycles, special payments, and year-end W-2 processing . + Performs data input for new hires, terminations,… more
    Loretto Management Corporation (09/15/25)
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  • Dental Office Manager

    OLV Human Services (Lackawanna, NY)
    …operations. A critical part of the role involves evaluating insurance coverage, managing claims processing , and ensuring all aspects of patient care are ... with Finance to ensure patient charts are updated appropriately, if claims are denied/rejected. + Implement and maintain systems for insurance verification,… more
    OLV Human Services (08/09/25)
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  • Provider Enrollment Associate

    Rochester Regional Health (Rochester, NY)
    …effectively and accurately managing a receivable. Resolve edits to ensure accurate claims are sent to primary and secondary insurances. Research and resolve denials ... policies and/or phone calls to the payer. Submit corrected claims and appeals. + Process account adjustments and refunds...and system updates. Report problems and patterns to the supervisor to help keep policies and procedures up to… more
    Rochester Regional Health (09/30/25)
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  • Care Coordinator

    Brighton Health Plan Solutions, LLC (Westbury, NY)
    …employers and claimants in regard to claimants' workers' compensation cases. Provide claims processing for the Workers' Compensation and No-Fault lines of ... About The Role MagnaCare provides Utilization Review/ Case Management/ Medical Management/ Claims Review services to its clients. Care Coordinators facilitate care… more
    Brighton Health Plan Solutions, LLC (08/27/25)
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  • Business Office Representative

    Rochester Regional Health (Rochester, NY)
    …effectively and accurately managing a receivable. Resolve edits to ensure accurate claims are sent to primary and secondary insurances. Research and resolve denials ... policies and/or phone calls to the payer. Submit corrected claims and appeals. + Process account adjustments and refunds...and system updates. Report problems and patterns to the supervisor to help keep policies and procedures up to… more
    Rochester Regional Health (08/20/25)
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