Top 76 Claims manager Jobs in Albany, Ny

Medical Billing Manager
Saratoga Schenectady Gastroenterology Associates —Burnt Hills, NY
- $85,000 - $115,000 a year
- Full-time
- HIPAA
- Recruiting
- Contracts
- Health savings account
- Health insurance
Quick Apply
Benefits Account Manager (onsite)
GTM Payroll Services Inc —Clifton Park, NY
- $25 - $38 an hour
- Full-time
- HIPAA
- Mid-level
- Office
- Health insurance
- Dental insurance
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Senior Project Manager - Albany
SERVPRO Team Skov —Latham, NY
- $90,000 - $115,000 a year
- Weekends as needed
- Clean driving record
- Mid-level
- Residential
- Paid holidays
- Health insurance
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Project Manager
Performance Contracting —Albany, NY
- $99,400 - $132,000 a year
- Full-time
- Background check
- Customer service
- 5 years
- AD&D insurance
- Paid holidays
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Government Contracts - HUD Project Manager
The Kennedy Collective Inc —Albany, NY
- $61,000 - $71,000 a year
- Full-time
- 5 years
- Bachelor's degree
- Mentoring
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Risk Claims Manager
Albany Medical Center —Albany, NY
- $77,075 - $119,466 a year
- Full-time
- Bachelor of Science
- HIPAA
- Mid-level
Eligibility Program Manager 3 (NY HELPS) - 15425, 15268
State of New York - Health, Department of —Albany, NY
- $127,507 - $160,911 a year
- Full-time
- Background check
- Microsoft Excel
- 6 years
PBM Client Experience Manager
CVS Health —Albany, NY
- $46,988 - $122,400 a year
- Full-time
- 5 years
- High school diploma or GED
- Bachelor's degree
- Health insurance
- Dental insurance
3d
Property & Casualty Insurance Claims Operations Consultant, Manager
PRICE WATERHOUSE COOPERS —Albany, NY
- $99,000 - $232,000 a year
- Mid-level
- Finance
- Bachelor's degree
- Paid holidays
- Health insurance
Supervisor, Customer Service - Hybrid (Albany, New York)
EmblemHealth —Albany, NY
- $56,160 - $99,360 a year
- Microsoft Outlook
- HIPAA
- Mid-level
Program Integrity Manager
CVS Health —Albany, NY
- $54,300 - $145,860 a year
- Full-time
- Hybrid work
- 5 years
- Office
- Analysis skills
- Health insurance
- Dental insurance
3d
Human Resources Manager
Garelick Farms —Rensselaer, NY
- $100,000 - $110,000 a year
- 5 years
- English
- Master's degree
Quick Apply
1d
Manager, Configuration
Versant Health —Troy, NY
- $95,000 - $116,000 a year
- Full-time
- Remote
- HIPAA
- 3 years
- SQL
- Paid holidays
- Health insurance
Program Manager/Training Lead
Contact Government Services, LLC —Albany, NY
- $180,000 - $200,000 a year
- Full-time
- 5 years
- Mid-level
- Supervising experience
- Health insurance
- Dental insurance
Quick Apply
Regional Field Manager-CT, VT, RI, MA, NY, ME, NH
Altimeter Solutions Group LLC —Albany, NY
- $50,000 - $80,000 a year
- Remote
- Construction site
- Computer literacy
- Bachelor of Science
Quick Apply
Health Systems Business Development Manager (Albany, NY)
Lyra Health —Albany, NY
- $81,200 - $111,650 a year
- Full-time
- Remote
- 5 years
- Writing skills
- Project management
- Paid parental leave
- Health savings account
Client Account Manager
Pioneer Bank, National Association —Albany, NY
- $62,354 - $85,000 a year
- Full-time
- Research
- Mid-level
- Office
Quick Apply
Manager of Customer Service
Capital District Transportation Authority-CDTA —Albany, NY
- $84,123 - $104,700 a year
- 7 years
- Marketing
- Master's degree
- Health insurance
- Dental insurance
Senior Account Manager (Fully Remote)
Insurance Office of America, Inc. —Albany, NY
- $80,000 - $100,000 a year
- Full-time
- Microsoft Outlook
- 5 years
- Research
- Paid holidays
- Health insurance
Quick Apply
Territory Manager
PeopleReady —Albany, NY
- $62,673 - $75,207 a year
- Weekends as needed
- Background check
- Microsoft Outlook
- Mid-level
- Employee stock purchase plan
- Paid holidays
Quick Apply

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claims manager jobs near albany, ny

Medical Billing Manager

Saratoga Schenectady Gastroenterology Associates -
Burnt Hills, NY

Quick Apply

Job Details

Full-time
$85,000 - $115,000 a year

Benefits

Health savings account
Health insurance
Dental insurance
401(k)
Paid time off
Vision insurance
401(k) matching

Qualifications

Medicare
HIPAA
Patient management software
Medical coding experience in outpatient clinics
Certified Professional Coder
Electronic health record (EHR) management for billing and coding
Medical Billing Certification
Quality audits

Full Job Description

Saratoga-Schenectady Gastroenterology Associates is seeking a Medical Billing Manager to support the revenue cycle. We are looking for a highly motivated, friendly, professional and flexible individual who enjoys a challenge and is committed to maximizing the efficiencies of the organization.

This is a full time Monday-Friday 8:00am-5:00pm position.

The Medical Billing Manager directs the complete revenue cycle operations for a 10-room Ambulatory Surgery Center (ASC), a 26-provider multi-specialty medical practice, and a high-volume outpatient infusion center. This role provides strategic leadership over facility and professional billing teams to maximize reimbursement, ensure coding accuracy, minimize denials, and enforce compliance across distinct reimbursement models.

Key Responsibilities

Multi-Facility Revenue Cycle Management

· Dual Billing Streams: Oversees both UB-04 facility billing for the ASC and CMS-1500 professional billing for the 26-provider group.

· Infusion Optimization: Manages complex drug billing, ensuring accurate capture of high-cost J-codes, waste reporting (JW/JZ modifiers), and complex infusion administration codes.

· Prior Authorization & Eligibility: Sets strict workflows for pre-certifications and prior authorizations, particularly for high-cost biologic drugs and elective surgical procedures.

· Denial & Appeals Management: Analyzes complex payer denials, coordinates clinical appeals, and implements strategies to mitigate recurring revenue leakage.

· A/R & Collections Control: Tracks accounts receivable aging metrics across all three entities, maintaining Days Sales Outstanding (DSO) within target thresholds.

Team Leadership & Operations

· Department Supervision: Recruits, trains, and evaluates a team of billers, coders, and payment posters across multiple distinct departments.

· Performance Standardizing: Develops Key Performance Indicators (KPIs) for clean claim rates, data entry speeds, and error reductions.

· Interdepartmental Alignment: Partners with clinical directors, surgery schedulers, and facility administrators to resolve documentation bottlenecks.

Compliance, Auditing & Reporting

· Regulatory Compliance: Enforces strict adherence to HIPAA, OIG guidelines, and evolving Medicare/Medicaid regulations specific to ASC and infusion rules.

· Coding Quality Audits: Coordinates regular internal audits of ICD-10-CM, CPT, and HCPCS coding to identify and rectify discrepancies.

· Financial Reporting: Generates and presents comprehensive monthly revenue cycle reports, trend analyses to leadership.

Required Qualifications

· Experience: Minimum of 5–7 years in healthcare revenue cycle management, with at least 3 years directly overseeing ASC facility billing or specialty infusion billing.

· Credentials: Certified Professional Biller (CPB) or Certified Professional Coder (CPC) highly required.

· Technical Mastery: Deep knowledge of UB-04 and CMS-1500 claims architectures, electronic health records (EHR), practice management systems, and clearinghouses.

· Experience with eClnicalworks is a plus.

· Experience with Contract Management preferred but not required.

Pay: $85,000.00 - $115,000.00 per year

Benefits:

401(k)
401(k) matching
Dental insurance
Health insurance
Health savings account
Paid time off
Vision insurance

Work Location: In person

Quick Apply

Refine Your Search

claims manager jobs in albany, ny

Medical Billing Manager

Benefits Account Manager (onsite)

Senior Project Manager - Albany

Project Manager

Government Contracts - HUD Project Manager

Risk Claims Manager

Eligibility Program Manager 3 (NY HELPS) - 15425, 15268

PBM Client Experience Manager

Property & Casualty Insurance Claims Operations Consultant, Manager

Supervisor, Customer Service - Hybrid (Albany, New York)

Program Integrity Manager

Human Resources Manager

Manager, Configuration

Program Manager/Training Lead

Regional Field Manager-CT, VT, RI, MA, NY, ME, NH

Health Systems Business Development Manager (Albany, NY)

Client Account Manager

Manager of Customer Service

Senior Account Manager (Fully Remote)

Territory Manager

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