50 Results for

Medical Review Specialist Jobs in Rochester, NY

Jobs

New!

Rochester, NYToday

$84,500–$157,500 Per Year

Working knowledge of Bash/Python, Intel x86/ARM/FPGA/SoC, GPP, GPU, Embedded System Design, Release Engineering, Understanding of Change and Configuration Management, Debug/Trace Analysis, Real-time Operating Systems like VxWorks/LynxOS/Integrity, SELinux, Software Integration, Test, and Verification/Validation. With customers’ mission-critical needs always in mind, our employees deliver end-to-end technology solutions connecting the space, air, land, sea and cyber domains in the interest of national security.

New!

Rochester, NYToday

$80,500–$149,500 Per Year

Our Exquisite Imaging Solutions products serve a broad array of government, civil and commercial customers by enhancing information superiority, contributing to our national security and providing actionable data for the protection of property and human life. With customers’ mission-critical needs always in mind, our employees deliver end-to-end technology solutions connecting the space, air, land, sea and cyber domains in the interest of national security.

New!

Rochester, NYToday

$80,500–$149,500 Per Year

In compliance with pay transparency requirements, the salary range for this role in Colorado state, Hawaii, Illinois, Maryland, Minnesota, New York state, and Vermont is $80,500.00 - $149,500.00 This is not a guarantee of compensation or salary, as final offer amount may vary based on factors including but not limited to experience and geographic location. With customers’ mission-critical needs always in mind, our employees deliver end-to-end technology solutions connecting the space, air, land, sea and cyber domains in the interest of national security.

New!

Rochester, NY3 days ago

If appointed you may be required to become an enrolled Medicare provider; obtain and provide to your employer a National Provider Identifier (NPI) number issued by the National Plan and Provider Enumeration System (NPPES); and otherwise actively participate to the degree necessary to allow for your services to be billed through Medicare and Medicaid. Duties Description As a Medical Specialist 3, you would serve as chief of service; manage, direct, and administer medical services for an assigned facility(s), unit(s), or program(s); develop, implement, and revise clinical policies and procedures; and directly supervise Medical Specialists, physicians, and/or other medical providers.

Rochester, NY30+ days ago

Full-time

Additional benefits that include company-paid basic life insurance; short-and long-term disability insurance; orthodontic coverage for children and adults; adoption assistance; fertility and infertility coverage; well-being programs; paid volunteer hours for service to your community; and dollar-for-dollar matching of your charitable gifts each year. *This range represents a national range and the actual salary will depend on several factors including the scope and complexity of the role and the skills, education, training, credentials, location (State) based on ERIE's geographical differences, and experience of an applicant, as well as level of role for which the successful candidate is hired.

rochester, NY30+ days ago

$25.79–$36.11 Per Hour

Successful completion of Coding Certification such as: American Health Information Management Association (AHIMA); accreditation examination for Registered Health Information Administrator (RHIA); (Registered Health Information Technician); RHIT or Certified Coding Specialist (CCS); CPC. 10% Cultivates and maintains professional relationships with primary customers within area of responsibility and across the organization to foster opportunities for revenue enhancement, enhanced customer service and learning and development.

Rochester, NY19 days ago

$58,000–$64,000 Per Year

K&A Power Group– is a privately held company, providing comprehensive consulting, engineering and design, program/project management, construction management, and support services to power utility and industrial clients. The salary range for this role considers a wide range of factors that are considered in making compensation decisions, including but not limited to technical ability, experience and training, licenses and certifications, and other related skillsets.

Rochester, NY30+ days ago

$83,000–$104,000 Per Year

This is inclusive of municipal building permits, variances, special use permits, agency stream, wetlands, PSC Article VII or Part 102, CT-Siting Counsel, Army Corps, Natural Heritage or SHPO consultation, coastal zone development, DOT, FAA, etc. K&A Engineering Consulting – is a privately held company, providing comprehensive consulting, engineering and design, program/project management, construction management, and support services to power utility and industrial clients.

Rochester, NY30+ days ago

$91,000–$321,500 Per Year

Leading the substantive negotiation of complex commercial contracts; Reviewing and redlining detailed risk, legal, and commercial contract terms; Understanding of professional advisory/consulting service offerings, performance details, and related business strategies, including large-scale technology transformations, vendor selection and assessments, small to medium scale system implementations and AI roadmaps, and business integrator/change management projects; Exercising an entrepreneurial, problem-solving mentality and autonomy in managing contract negotiations; Explaining contract terms and positions in a collaborative manner to both internal stakeholders and external contract parties; Driving process improvement by analyzing current contracting approaches and processes and improving contracting efficiency and overall experience. Contract Specialists collaborate with R&I risk management and PwC business teams to (1) evaluate contract and related performance risks, (2) educate stakeholders and clients on contract provisions, (3) redline/negotiate contracts with clients procurement, legal and outside counsel, and (4) develop internal controls to establish and reinforce contract compliance.

New!

Rochester, NYToday

Pathways, Training & Advancement Recruit Training followed by accession training and on the job qualification in galley operations, food preparation, baking, serving, and records management; Culinary Specialist A School may be waived based on pipeline needs, with Sailors qualifying through unit training and formal courses as available; progressive advancement through roles such as watch captain, leading Culinary Specialist, and opportunities for special programs such as Executive Services, Enlisted Aide, and Instructor duty. Job Title : Culinary Specialist Category / Component: Enlisted • Both Overview Culinary Specialists operate and manage Navy dining and lodging services, planning menus, preparing meals, managing inventories and records, and contributing directly to crew morale and readiness at sea and ashore, including support to high visibility executive food service when selected.

New!

Rochester, NY4 days ago

$19.62–$26.49 Per Hour

Anticipates insurer's various questions and prepares request by applying prior insurer decisions general medical experience and terminology, International Classification of Diseases (ICD) and Current Procedure Technology (CPT), insurance policies, permissible and non-permissible requests, necessary and appropriate medical terminology to use in order for claim to be approved, previous treatments that are necessary to report, appropriate verbiage for treatments that have been tried and not successful. Reviews reporting for incomplete lab and imaging orders and following protocols outreaches to patients and ancillary departments to ensure patient compliance with timely testing.

Newark, NY30+ days ago

As a full-time Employment Specialist, you will positively impact lives by assisting individuals with intellectual and developmental disabilitie to prepare for, obtain, and maintain competitive, integrated, community-based employment, all while focusing on their person-centered goals. Maintains up-to-date files and completes all necessary paperwork such as personal profile, case notes, service plans, service documentation, monthly summaries, etc.

New!

Canandaigua, NY5 days ago

$20–$24 Per Hour

Schedule: Main Function: The Special Projects Specialist serves as a key point of contact for cross-functional initiatives, ensuring seamless communication and coordination between departments. Knowledge: In-depth understanding of hospital revenue cycle operations, medical billing terminology, CPT/ICD-10 coding, and payer reimbursement methodologies (Medicare, Medicaid, commercial insurance).

New!

Canandaigua, NY5 days ago

$20–$24 Per Hour

Additionally, the role demands advanced proficiency in navigating and troubleshooting the EPIC EMR for patient accounting, claim status, payment review, and documentation, while ensuring financial integrity and compliance with all regulatory and internal requirements. Knowledge: In-depth understanding of hospital revenue cycle operations, medical billing terminology, CPT/ICD-10 coding, and payer reimbursement methodologies (Medicare, Medicaid, commercial insurance).

New!

Rochester, NY6 days ago

$55–$60.21 Per Hour

B.S. degree or higher in Environmental field or related discipline or equivalent experience in lieu of degree3-5 years of experience in EHS fieldDemonstrate knowledge and understanding of health and safety functions within a manufacturing environment and the federal and state regulationsEnvironmental or OSHA related training such as HAZWOPER, GHS, etc. is desiredStrong communication & interpersonal skillsStrong presentation and organizational skillsStrong analytical & problem-solving skills. Leads incident investigations and root cause corrective action plans and corrective action implementationPerforms proactive safety inspections, monitors hazardous waste removal vendors, and assists in consolidating hazardous wastes.

New!

Rochester, NYToday

$92,500–$171,500 Per Year

Candidate will be required to analyze requirements, create FPGA specifications/development plans, create FPGA verification/test plans, code firmware designs in VHDL, code test benches in System Verilog, and verify designs meet requirements. The candidate will function in an FPGA developer/verification role, working in a cross functional team environment to design, verify and test modem/signal processing-based FPGA firmware for radio communication systems.

New!

Rochester, NY4 days ago

$18–$25 Per Hour

By applying to this job, you agree to receive initial texts from systems used on behalf of Rentokil North America, Inc., possibly including Workday, Loop, and HireVue. We are extremely proud of our legacy of excellence and constantly work to fulfill our mission to "protect people, enhance lives, and preserve the planet.".

New!

Rochester, NYToday

Unpacks and checks goods received against purchase orders or invoices, maintains records of received goods, rejecting unsatisfactory items where necessary and work with planner to return to vendor. Join Yoh's extensive talent community that will provide you with access to Yoh's vast network of opportunities and gain access to this exclusive opportunity available to you.

Rochester, NY30+ days ago

$84,500–$157,500 Per Year

Experience with Hardware and Software integration and test DevSecOps and Test automation experience using Python or similar languages 3+ years of embedded development, Experience with APIs/BSPs/Drivers, OpenGL, health and status Programming for Linux, Windows & QNX operating systems 3+ years' experience with C++ systems development with understanding of Software/Hardware co-design, distributed systems design, and software/computer architecture. With customers' mission-critical needs always in mind, our employees deliver end-to-end technology solutions connecting the space, air, land, sea and cyber domains in the interest of national security.

New!

Rochester, NYToday

$35,000–$45,000 Per Year

Screenvision Media is a premier cinema, video, and media organization that curates powerful and uncluttered storytelling for brands, exhibitors, and audiences at movie theatres nationwide. Actual compensation may vary based on factors such as geographic location, work experience, market conditions, education/training, and skill level.

New!

Rochester, NY4 days ago

$80,500–$149,500 Per Year

Our Exquisite Imaging Solutions products serve a broad array of government, civil and commercial customers by enhancing information superiority, contributing to our national security and providing actionable data for the protection of property and human life. With customers' mission-critical needs always in mind, our employees deliver end-to-end technology solutions connecting the space, air, land, sea and cyber domains in the interest of national security.

Rochester, NY30+ days ago

Acts as liaison with Sponsors Monitor to provide data clarifications, reviews study protocols, ensures thorough understanding and communication, responds to questions that arise during the study, communicates and documents adverse events as advised by the PI and ensures regulatory and other documents, such as consent forms and CRFs, are complete, accurate, and available for review. • Conducts visits to ensure research participant adherence with protocol requirements, such as taking of medications, proper use of device, and/or other interventional activities, to document adverse events and report to senior study staff, PI, Institutional Review Board (IRB), Sponsor, and/or any other required recipients or entities.

New!

Rochester, NY5 days ago

QuidelOrtho unites the strengths of Quidel Corporation and Ortho Clinical Diagnostics, creating a world-leading in vitro diagnostics company with award-winning expertise in immunoassay and molecular testing, clinical chemistry and transfusion medicine. order status, product information, stock availability, company policies, price quotes, requests for documentation, etc.,) to achieve a "closed-loop" resolution process, which limits the need for customers to reach out multiple times.

New!

Rochester, NY5 days ago

$21–$24 Per Hour

Over 100 years later, Dolomite continues to be the preferred supplier of Construction Aggregates, Hot Mix Asphalt, and Ready-Mix Concrete for customers throughout the Greater Rochester Region and Southern Tier. Reporting to the Billing Manager this role is responsible for the timely and accurate entry of internal pricing in our accounting system as well as payment of our material and haul purchases.

New!

Rochester, NY4 days ago

$18–$25 Per Hour

Rochester, NY30+ days ago

$91,000–$321,500 Per Year

Responsibilities- Work with risk management and business teams to assess contract performance risks- Educate stakeholders on contract provisions and compliance requirements- Facilitate discussions with clients'' legal and procurement teams during negotiations- Develop and implement internal controls to promote adherence to contract terms- Drive continuous improvement initiatives within the Risk and Compliance teamWhat You Must Have- High School Diploma- At least 6 years of experience managing contract negotiations of increasing complexityWhat Sets You Apart- Juris Doctorate preferred- Demonstrating thorough team leadership abilities- Leading complex commercial contract negotiations- Reviewing and analyzing risk and legal terms- Understanding managed services offerings and contract conditions- Exercising problem-solving mentality in negotiations- Communicating effectively to influence stakeholders- Proactively spotting issues and driving projects forwardTravel RequirementsUp to 20%Job Posting End DateLearn more about how we work: https://pwc.to/how-we-workPwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy. Industry/SectorNot ApplicableSpecialismIFS - Risk & Quality (R&Q)Management LevelSenior ManagerJob Description & SummaryAt PwC, our people in risk and compliance focus on maintaining regulatory compliance and managing risks for clients, providing advice, and solutions.

Rochester, NY17 days ago

$1–$21 Per Hour

This includes combating external threats, minimizing internal impact, educating clients on best practices and working with financial institutions to freeze bank accounts and return illicit funds to reduce losses. Review high risk clients and transactions identified through fraud defense programs to ensure repeat offenders are properly identified and vetted and high risk transactions are prevented.

West Henrietta, NY30+ days ago

$22–$23 Per Hour

This role is responsible for posting daily cash receipts, ensuring invoice accuracy, reconciling discrepancies, and supporting internal financial controls. Minimum 2 years of Accounts Receivable experience (high-volume cash application strongly preferred).

ROCHESTER, New York30+ days ago

The jobs listed are examples of the typical kinds of positions that Costco may hire for when openings exist. The listing does not mean that any positions are currently open or available at Costco.

Rochester, NY30+ days ago

$60,431–$84,603 Per Year

Knowledge, Skills and Abilities: • Strong leadership and team management skills • Exceptional communication, negotiation, and relationship-building skills • Proficiency in program evaluation and data analysis • Strong project management skills, with the ability to manage multiple tasks simultaneously • Strong organizational skills, attention to detail and problem-solving ability • Advanced budget management and financial planning expertise • Proficiency with Microsoft Suite, FileMaker Pro, virtual collaboration tools (Zoom, Box), Adobe, etc. Minimum Education & Experience: • Bachelors degree required • Master degree, Advanced degree (PhD or MD) preferred • Or equivalent combination of education and experience • 5 years of relevant experience required • Prior experience in higher education, academic research and grants administration preferred.

Geneseo, NY7 days ago

Part-time

The Consumer Care Representative (Customer Service) may perform entry-level information gathering and verification for certain accounts when more senior employees, managers or the client have either recommended an account for Administrative Wage Garnishment/Litigation or have determined that the full balance cannot be collected due to bankruptcy, incarceration, medical disability, or death on the part of the debtor. The Consumer Care Representative (Customer Service) works under close supervision and follows specific procedures and detailed instructions to make initial contact with debtors, to inform them of delinquencies in their accounts and to advise them of the existence of several specific repayment and resolution options.

New!

Rochester, New York6 days ago

$20–$25 Per Hour

The Patient Access Specialist (PAS) meets with patients entering our programs to collect necessary data including insurance and other information to ensure payment for services. Works with patients, third party payers, Medicaid, State and Federal agencies to collect payment, address questions and resolve concerns.

New!

Rochester, New York6 days ago

$20–$22 Per Hour

Rochester, NY24 days ago

$19–$24 Per Hour

The Authorization & Scheduling Coordinator is responsible for scheduling and obtaining insurance authorizations/pre-certifications for MRI, CT, Neurology, Pain Management, and other specialized testing, as well as referrals to physician specialists. This role ensures all patient and third-party interactions are accurately documented in the electronic medical record (EMR) system while promoting excellent customer service and appropriate patient care coordination.

New!

Riedman Campus, NY4 days ago

$19–$24 Per Hour

This position is responsible for scheduling and obtaining authorization/pre-certifications for, but not limited to MRI, CT, Neurology, Pain Management and other specialized testing as well as referrals to other MD Specialists and for detailing all patient and third party interaction in the patient's EMR. Provides age and culturally appropriate assessment, interpretation of clinical and laboratory data and develops and implements age appropriate interventions and plans of care including education within the parameters of his/her position responsibilities and licensure.

Rochester, New York30+ days ago

$23.20–$24.70 Per Hour

Qualifications: Registered Nurse or Licensed Practical Nurse with 3 years of experience in long-term care; OR Bachelor’s degree with 3 years of experience in long-term care. Overview: The Quality Management Specialist works with the Quality Management Department to provide the highest achievable quality of services to the individuals we serve.

Rochester, New York30+ days ago

$23.20–$24.70 Per Hour

Rochester, New York25 days ago

$102,000–$140,000 Per Year

We have also created an internal culture that provides the resources and technology needed to encourage personal and professional growth opportunities through reimbursement for education; a free in-house resource for hundreds of educational and self-enrichment courses; mentorship program; wellness program; Women’s Organization and ongoing philanthropic opportunities. Whether facilitating a large warehousing complex, all-star sporting arena, residential development, or planning a mixed-use establishment in a downtown business district, joining Colliers Engineering & Design will accelerate YOUR success!

Rochester, New York12 days ago

$23–$23.60 Per Hour

The Supportive Housing Specialist will be responsible for assisting tenants with all necessary linkages and to help them maintain a stable community living environment of their choice. Ensure that the tenant maintains required clinical services and other linkages, such as medical and dental treatment as well as vocational education as needed.

New!

Rochester, NY2 days ago

The individual selected for this role will be expected to work at Store #5359, located at:2407 Monroe Ave, Rochester, NY 14618 This position is eligible for health benefits, such as medical, dental and vision coverage, Flexible Spending Accounts (FSAs), disability coverage, security, retirement and saving benefits, and more. The wage range listed for this role takes into account the wide range of factors considered in making compensation decisions including skill sets; experience and training; licensure and certifications; and other business and organizational needs.

East Rochester, NY30+ days ago

$66,000–$109,000 Per Year

WSP USA is providing the compensation range that the company in good faith believes it might pay and offer for this position, based on the successful applicant's education, experience, knowledge, skills, abilities in addition to internal equity and specific geographic location. Any unsolicited resumes, including those submitted to hiring managers or other business leaders, will become the property of WSP and WSP will have the right to hire that candidate without reservation - no fee or other compensation will be owed or paid to the recruiter, employment agency, or other staffing service.

New!

Rochester, NY5 days ago

$21–$24 Per Hour

New!

Rochester, NYToday

Perform collection activities including contacting patients, correcting and resubmitting claims, and preparing accounts for collection agency processing . Enter new procedures and surgeries into EMR systems and update fees annually according to BCBS fee schedule changes or management direction .

Rochester, NY30+ days ago

Full-time

Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at applicantaccom@maximus.com.

Rochester, NY30+ days ago

Full-time

Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. - Analyze significant, and/or unique contract requirements, special provisions, terms and conditions to ensure compliance with appropriate laws, regulations, and corporate policies and business unit procedure, ultimately reducing risk to the company.

Rochester, NY30+ days ago

Remote

Full-time

Rochester, NY30+ days ago

Full-time

Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. - Experience working in a fast-paced work environment with high expectations, significantly diverse assignments, and collaborative team settings across all levels.

Farmington, NY30+ days ago

Full-time

We aim to hire people we can trust, give them room to work, back them with training, and reward them with strong compensation, benefits, and a focus on finding balance with life outside of work. We help keep our communities running by supporting the people who build and maintain roads, developments, critical infrastructure, and homeowners alike!

New!

Rochester, NY5 days ago

$25–$31.25 Per Hour

Podcasting, the fastest-growing new media, today has more monthly users than streaming music services or Netflix; iHeart is the home of many of the country's most popular and trusted on-air personalities and podcast influencers, who build important connections with hundreds of communities across America; We create and produce some of the most popular and well-known branded live music events in America, including the iHeartRadio Music Festival, the iHeartRadio Music Awards, the iHeartCountry Festival, iHeartRadio Fiesta Latina and the iHeartRadio Jingle Ball Tour; iHeartRadio is the #1 streaming radio digital service in America; Our social media footprint is 7 times larger than the next largest audio service; and. The audio revolution is here - and iHeart is leading it! iHeartMedia, the number one audio company in America, reaches 90% of Americans every month -- a monthly audience that's twice the size of any other audio company - almost three times the size of the largest TV network - and almost 4 times the size of the largest ad-supported music streaming service.

Fairport, NY30+ days ago

Full-time

As the largest global pure play sustainability consultancy, we partner with the world’s leading organizations, creating innovative solutions to sustainability challenges and unlocking commercial opportunities that meet the needs of today while preserving opportunity for future generations. As a Consulting Associate, Environmental Geologist/Scientist/Engineer based in Rochester, New York, you’ll contribute to projects that protect ecosystems, advance remediation technologies, and support communities across the Great Lakes Northeast region and beyond.

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Medical Review Specialist Jobs in Rochester, NY

Specialist, Software Engineering L3Harris Technologies

Specialist, Electrical Engineer L3Harris Technologies

Specialist, Systems Engineer (Space Optics) L3Harris Technologies

Medical Specialist 3, Rochester Psychiatric Center, P27225 New York State Thruway Authority

Medical Management Specialist Erie Insurance

Medical Records Coder IV, Lead University of Rochester

Project Support Specialist K&A Engineering

Permitting Specialist K&A Engineering

Risk & Independence Contract Specialist Senior Manager - Advisory Consulting Services PricewaterhouseCoopers LLP

Culinary Specialist U.S. Navy

Prior Authorization Specialist University of Rochester

Employment Specialist The Arc Wayne

Special Projects Specialist - PB Thompson Health

Onboarding Specialist - Hospital Billing Thompson Health

Senior Environmental, Health, and Safety Specialist AZAD Technology Partners

Senior Specialist, Electrical Engineer - FPGA L3Harris Technologies

Food Safety & Brand Specialist The Steritech Group, Inc

Material Handler/Inventory Support Specialist Yoh

Specialist, Software Engineering L3Harris Technologies Inc

Accounts Receivable Specialist Screenvision Media

Specialist, Electrical Engineer L3Harris Technologies Inc

Human Subject Research Specialist I University of Rochester

Customer Service Specialist I (10:00am - 6:30pm ET) Quidelortho Corp

MS A/P Specialist CRH Plc

Food Safety & Brand Specialist Rentokil Initial plc

Risk & Independence Contract Specialist Senior Manager - Managed Services PricewaterhouseCoopers LLP

Fraud Specialist $21/hr Nesco Resource, LLC

Accounting Specialist I - AR Nesco Resource, LLC

Senior Hearing Aid Specialist Costco Wholesale Corporation

3357 Sr. Research Prog Specialist University of Rochester

Consumer Care Representative (Collections Specialist/Customer Service) Coast Professional, Inc.

Patient Access Specialist Helio Health

Patient Access Specialist- Per Diem Helio Health

Referral Specialist (Full-time, Days) Rochester Regional Health System

Referral Specialist Rochester Regional Health System

Quality Management Specialist I (DACC) DePaul

Quality Management Specialist I DePaul

Senior Engineering Technical Specialist - Civil/Site Colliers Engineering & Design

Supportive Housing Specialist DePaul

Customer Service Specialist Sherwin-Williams Co

SHEQ Specialist WSP Global Inc

MS A/P Specialist AMAT Northeast

Billing Specialist Quatela Center for Plastic Surgery

Reporting Specialist Maximus

Specialist Subcontracts Administrator - Federal (Bid) Maximus

Jira and Jama Product Delivery Specialist Maximus

Senior Specialist Subcontracts Administrator - Federal (Bid) Maximus

Parts and E-Commerce Specialist American Equipment LLC

Finance Specialist iHeartMedia Inc

Consulting Associate, Environmental Geologist/Scientist/Engineer ERM Consulting & Engineering, Inc.

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