• Appeals & Grievance Specialist…

    Cognizant (Albany, NY)
    ** Appeals & Grievance Specialist (remote)** This is a remote position open to any qualified applicant in the United States. **Job Summary:** We are seeking a ... dedicated Appeals & Grievance Specialist with 2 to...to improve efficiency and patient satisfaction. **Responsibilities:** Reviewing available Appeals & Grievances for the pending claims … more
    Cognizant (09/04/25)
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  • Billing Specialist

    Excelsior Orthopaedics Group (Amherst, NY)
    …investigate and resolve rejections or denials promptly. + Prepare and submit appeals for denied claims , including documentation and provider narratives as ... Job Summary The Billing Specialist plays a critical part in maintaining the...be responsible for processing the full lifecycle of medical claims -from charge entry and claim submission to payment posting,… more
    Excelsior Orthopaedics Group (08/22/25)
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  • Senior Claim Benefit Specialist

    CVS Health (Albany, NY)
    …handle customer service inquiries and problems. **Additional Responsibilities:** Reviews pre-specified claims or claims that exceed specialist adjudication ... day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject… more
    CVS Health (09/02/25)
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  • Senior Claim Benefit Specialist

    CVS Health (Albany, NY)
    …Review and adjust SF (self-funded), FI (fully insured), Reinsurance, and/or RX claims ; adjudicates complex, sensitive, and/or specialized claims in accordance ... amount level on customer service platforms by using technical and claims processing expertise. + Applies medical necessity guidelines, determine coverage, complete… more
    CVS Health (09/07/25)
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  • Representative II, Accounts Receivable

    Cardinal Health (Albany, NY)
    …skills and prioritizes getting the right things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. ... the appropriate system. + Manages and resolves complex insurance claims , including appeals and denials, to ensure...day with myFlexPay + Flexible spending accounts (FSAs) + Short - and long-term disability coverage + Work-Life resources +… more
    Cardinal Health (08/24/25)
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