- Rochester Regional Health (Rochester, NY)
- …for the timely completion and submission of insurance authorization request and denial appeals . + Conducts quality audits of patient records and processes + Provides ... initial and ongoing assessment for clients in order to determine diagnosis and appropriate level of care. + Provides individual, family and group counseling, which engages and motivates clients throughout treatment. + Develops treatment plans that are… more
- CUNY (New York, NY)
- …students on good academic standing requirements and the appeal process; reviews appeals for dependency overrides and budget adjustments - Conducts group workshops ... and represents the financial aid office at various on- and off- campus events - Serves as a liaison between the college office and Direct Loan Providers - Performs other related duties as assigned. **CUNY TITLE** Assistant to HEO **FLSA** Non-exempt… more
- Ellis Medicine (Schenectady, NY)
- …chart to fax or send for insurance denials or quality improvement organization appeals . + Assists UM Coordinator with data entry of insurance authorizations and ... denials. + Denial Management Activities + Assists Denial Management staff with clerical support; including facilitating MD to MD reviews. + Performs audit activities under the supervision of the Director of Case Management and Social Work Services. Ellis… more
- Win (Women In Need) (New York, NY)
- …Gifts Team. + Other duties as assigned, including ongoing support of appeals , campaigns, donor research, donor communications, and marketing. Essential Functions: + ... Represent Win's mission and programs to external parties by building and maintaining strong organizational knowledge. + Comfortable working with Salesforce. + Provide general administrative support to Major Gifts Teams as needed. + Perform other related duties… more
- Deloitte (New York, NY)
- …preparation of responses and drafting issue responses as well as more formal appeals . + Preparing business and individual federal and state income and other tax ... returns and forms. + Preparing income tax provisions in accordance with ASC 740 as well as supporting the Deloitte audit team on tax provision reviews, including analyzing the authority level of uncertain tax positions. The successful tax consultant will be… more
- Evolent (Albany, NY)
- …of the request. + Provides clinical rationale for standard and expedited appeals . + Utilizes medical/clinical review guidelines and parameters to assure consistency ... in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. + Aids and acts as a… more
- CUNY (Bronx, NY)
- …aspects of financial aid, from application and award to disbursements, appeals (including special circumstances, professional judgments). + Develops and implements a ... robust financial aid-related system for data collection & analyses and weekly reporting via strong working knowledge and understanding of PeopleSoft or CUNYfirst web-based navigation and writing extensive reports via SQL and/or PS Query. + Conducts ongoing… more
- New York State Civil Service (Albany, NY)
- …and/or the direction and conduct of post-decisional hearings and processes appeals for veterans and/or their families. Substitution: College credits may be ... substituted for up to two years for the required experience at the rate of 30 semester credit hours equaling one year of experience.*All candidates MUST submit a copy of their DD-214 when applying to be considered for this position. Applicants may also be… more
- FASNY Firemen's Home (Hudson, NY)
- …to create and build fundraising capacity. + Oversee donor communications, appeals , and fundraising campaigns. + Track fundraising progress and prepare regular ... reports. Qualifications + Proven success in nonprofit fundraising, including major gifts and grants. + Strong relationship-building and communication skills. + Ability to think strategically while managing day-to-day tasks. + Excellent writing, presentation,… more
- New York State Civil Service (Rochester, NY)
- …limited to the following:* Conduct hearings to review and/or decide appeals arising from agency eligibility, denial, discontinuance, reduction, and/or adequacy of ... social services benefit program determinations. They may also preside over hearings addressing fraud, license revocation or suspension, violations, or health and safety enforcement.* Review fair hearing requests and determine probable issues and apply the… more