• Provider Relations Representative (Travel…

    Molina Healthcare (Ramapo, 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 (09/12/25)
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  • Patient Service Representative - Outpatient Clinic

    OLV Human Services (Amherst, NY)
    …and program policies and procedures. *Performs other duties as requested by supervisor . Skills: *Computer and data entry skills *Multi-tasking skills *Knowledge of ... counseling procedures, medical coding and billing *Knowledge of HealtheNet and EPACES/eMedNY *Excellent customer service skills with the ability to communicate… more
    OLV Human Services (09/12/25)
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  • Health Information Specialist (HIM Specialist)

    Saratoga Hospital (Saratoga Springs, NY)
    …the HIM Operations Manager to ensure all clinical documentation is available to coding /billing and clinical staff via the electronic health record within 24 hours of ... active or potential security risks and report them to qualified IT staff or supervisor . + Adapt to the diversity of the customer to understand complex issues. What… more
    Saratoga Hospital (09/12/25)
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  • Claims Examiner | General Liability BI | Captive…

    Sedgwick (Albany, NY)
    …professional client relationships. + Ensures claim files are properly documented and claims coding is correct. + Refers cases as appropriate to supervisor and ... management. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs other duties as assigned. + Supports the organization's quality program(s). + Travels as required. **QUALIFICATION** **Education & Licensing** Bachelor's degree from an accredited college or… more
    Sedgwick (09/06/25)
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  • Sr Product Manager

    National Association of Insurance Commissioners (NY)
    …a team of direct reports including a Sr. Product Owner, Supervisor -Business Analysis and Business Analyst III. **Education, Certifications, Licenses, & Experience** ... methodologies. + Previous management experience is required. + A basic understanding of coding , API design, and data analysis is crucial. + Knowledge of A/B testing… more
    National Association of Insurance Commissioners (09/04/25)
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  • Coder IV

    Kaleida Health (Olean, NY)
    …compliance. Under the Direction of Health Information Management (HIM) or supervisor of HIM, accurately code inpatient and outpatient (for example, diagnostic, ... and procedures as documented in the ICD-9-CM Official Guidelines for Coding and Reporting. Resolve error reports associated with billing processes, identify… more
    Kaleida Health (09/03/25)
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  • Ambulatory Rep Quality Enhance

    Kaleida Health (Buffalo, NY)
    …-5p Shift 1 **Job Description** **Under the direction of that assigned Site Supervisor or Manager performs activities to ensure timely and accurate posting and ... Knowledge of medical terminology and anatomy. Knowledge of ICD-9CM and CPT-4 coding . Ability to calculate figures such as discounts, interest, and percentages… more
    Kaleida Health (08/29/25)
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  • Medical Billing Representative I

    Fedcap (New York, NY)
    …Billing Representative I provides support and reports directly to the Medical Billing Supervisor . A member of the Finance team is responsible for the timely and ... entry accuracy; assure correct provider, facility, place of service, medical service and coding are billed. + Submit claims to insurance companies on a daily basis.… more
    Fedcap (08/27/25)
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  • Patient Accounts Receivable Billings Manager

    Charles Evans Center (Bethpage, NY)
    …verified at time of visit + Lead regular meetings with front desk supervisor on billing issues + Monitor provider credentialing with Medicaid, Medicare, and ... plans + Assist with review and negotiation of payer contracts + Maximize coding accuracy and billing under FQHC regulations (Articles 28, 31, 32) + Maintain… more
    Charles Evans Center (08/23/25)
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  • Provider Relations Representative

    Independent Health (Buffalo, NY)
    …essential. + Strong working knowledge of CPT, ICD-9-CM, ICD-10-CM and HCPCS coding preferred. + Experience in compliance regulations, appeals and grievance knowledge ... to meet department of health standards. + Escalate issues as needed to supervisor . + Log all contacts into appropriate systems and maintain accurate documentation to… more
    Independent Health (08/15/25)
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