• Clinical Denials Specialist

    UHS (Binghamton, NY)
    Position OverviewUnited Health Services (UHS) is seeking a proactive and analytical Clinical Denials Specialist to join our Revenue Cycle team. In this vital ... role, you will focus on the prevention and resolution of clinical claim denials by analyzing denial patterns, investigating and appealing denied claims, and… more
    UHS (09/09/25)
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  • Clinical Denials & Appeals…

    Northwell Health (Melville, NY)
    …utilization management using evidenced-based medical necessity criteria; conducts clinical reviews and formulates appeal letters to support appropriateness ... with current state, federal, and third-party payer regulations. Ensures clinical reviews and appeals are up to date and...3-5 years experience in Utilization Review, Case Management, and Clinical Appeals. 3-5 years of acute inpatient clinical… more
    Northwell Health (09/04/25)
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  • Denials Specialist

    WMCHealth (Hawthorne, NY)
    Denials Specialist Company: NorthEast Provider Solutions Inc. City/State: Hawthorne, NY Category: Clerical/Administrative Support Department: Business Office ... (https://pm.healthcaresource.com/cs/wmc1/#/preApply/30011) Internal Applicant link Job Details: Job Summary: The Denials Specialist is responsible for providing analysis… more
    WMCHealth (08/02/25)
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  • HIS Denials Specialist (Inpatient)

    Saratoga Hospital (Saratoga Springs, NY)
    …Under general supervision of the Manager, Health Information Services, the Denials Specialist performs activities to ensure appropriate financial reimbursement ... documentation improvement, Patient Access (PA) and Patient Financial Services (PFS). The Denials Specialist is responsible for tracking denied HIS inpatient… more
    Saratoga Hospital (09/10/25)
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  • Inpatient Clinical & Coding…

    Independent Health (Buffalo, NY)
    …and a culture that fosters growth, innovation and collaboration. **Overview** The Clinical & Coding Specialist -Senior will be responsible for reviewing coding ... coding patterns and share knowledge and audit tips across the team. The Clinical & Coding Specialist -Senior will support the leadership in Hospital Audit… more
    Independent Health (07/15/25)
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  • Authorization Specialist

    WMCHealth (Port Jervis, NY)
    …with patients, area supervisors, families, co-workers, administration, billing, denials , customer service, clinical departments, providers, community ... Authorization Specialist Company: Bon Secours Community Hospital City/State: Port...by financially clearing accounts including specialty units, invasive interventional, clinical procedures and diagnostic testing within Good Samaritan, Bon… more
    WMCHealth (08/19/25)
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  • Insurance Specialist -Mount Sinai…

    Mount Sinai Health System (New York, NY)
    … Clinical /Technical/Service** + Demonstrates the ability to perform clinical /technical/service/administrative tasks: + Prioritizes Insurance Requests / Denials ... **Job Description** **Insurance Specialist Mount Sinai West Utilization Mgmt FT Days...Support Appeals Nurse / Manager by confirming status of denials + Tracking status of Medical Record requests for… more
    Mount Sinai Health System (07/23/25)
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  • Authorization Specialist

    WMCHealth (Valhalla, NY)
    …with established rules, procedures, specified time frames, and regulatory requirements. The Specialist processes clinical information in a timely manner to ... Authorization Specialist Company: NorthEast Provider Solutions Inc. City/State: Valhalla,...Solutions Inc. City/State: Valhalla, NY Category: Clerical/Administrative Support Department: Clinical Care Mgmt-WMC Health Union: No Position: Full Time… more
    WMCHealth (08/26/25)
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  • Referral & Authorization Specialist

    Glens Falls Hospital (Saratoga Springs, NY)
    …Come join our team of insurance experts as the Referral & Authorization Specialist ! This position can further develop your skills in compliance, medical billing, ... * Prepare and compile necessary documentation to secure prior authorization. Collect clinical information regarding service to be rendered as applicable (as well as… more
    Glens Falls Hospital (07/02/25)
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  • Referral & Authorization Specialist…

    Glens Falls Hospital (Glens Falls, NY)
    …Come join our team of insurance experts as the Referral & Authorization Specialist ! This position can further develop your skills in compliance, medical billing, ... Prepare and compile necessary documentation to secure prior authorization. . Collect clinical information regarding service to be rendered as applicable (as well as… more
    Glens Falls Hospital (07/02/25)
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