- CBRE (New York, NY)
- …financing, insurance replacement cost calculation, estate valuation, tax appeals , equitable distribution, corporate employee relocation, investment, or sale. ... + Maintain organizational reputation by conforming to the Uniform Standards of Professional Appraisal Practice (USPAP); keeping information confidential. + Update job knowledge by following current real estate values and property development potential,… more
- Mount Sinai Health System (New York, NY)
- …and procedures. 3. May run and work missing charges, edits, denials list and process appeals . Posts denials in IDX on a timely basis. 4. Posts all payments in IDX ... using approved methodologies. 5. May perform specialty coding for services and medical office visits and review physician coding and provide updates to physicians and staff. 6. Works TES, BAR and eCommerce edits for the division, department and physicians. 7.… more
- Nazareth College (Rochester, NY)
- …student file including file review and application processing, verification, award, appeals , and professional judgment in accordance with Federal, State, and ... Institutional guidelines. + Counsel students, parents, and community members on all aspects of financial aid including eligibility, application procedures, charges, loan processing, return of funds and satisfactory academic progress. + Facilitate student… more
- Evolent (Albany, NY)
- …of best practices. + Provides clinical rationale for standard and expedited appeals . + Discusses determinations (peer to peer phone calls) with requesting physicians ... or ordering providers, when available, within the regulatory timeframe of the request. + Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review process to reflect appropriate utilization and compliance with SBU`s… more
- Highmark Health (Albany, NY)
- …medical necessity and appropriateness. Complete initial determination of cases, review of appeals and grievances, and other reviews as assigned. Compose clear and ... concise rationales for member and provider determination notifications all while adhering to required compliance standards (NCQA, URAC, CMS, DOH, and DOL regulations, etc.). Ensure that all aspects of the medical management process are consistent with… more
- City of New York (New York, NY)
- …to defend the nation's largest public housing agency in appeals from administrative determinations concerning tenancy-termination charges, applicant eligibility, ... remaining-family-member lease succession rights, and Section 8 benefits. Responsibilities include, but are not limited to the following: 1. Assist with litigating employment and housing-related civil rights actions (mostly sounding in discrimination,… more
- New York Botanical Garden (Bronx, NY)
- …support. + Support the planning and production of fundraising events, appeals , and campaigns as assigned, including drafting written communications, staffing events, ... etc. + Other duties as assigned. Qualifications : * 3 or more years of fundraising, nonprofit membership, or job-related experience. * Experience closing gifts of $10,000 or greater. * Exceptional time management and organizational skills, sharp attention to… more
- Humana (Albany, NY)
- …population, or condition type. May also engage in grievance and appeals reviews. May participate on project teams or organizational committees. \#physiciancareers ... Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time… more
- Saratoga Hospital (Saratoga Springs, NY)
- …and documents, entering data into the EMR system, assisting in compiling appeals and reconsiderations. + Collaborate and communicate effectively with employees and ... PFS leadership to ensure any policies and procedures are updated with necessary changes that apply to denials. + Demonstrates increased proficiency with insurance verification, verification tools and online resources. + Continuously seek opportunities to… more
- Research Foundation CUNY (New York, NY)
- …the rating team; monitor ratings for consistency and accuracy, review appeals , implement inter-rater reliability systems, and monitor the Standards Inventory ... database system for consistency. Reporting to the Data Systems and Ratings Manager, the Ratings Specialist will lead the management of the rating process, including ongoing planning and communication with the QUALITYstarsNY central office team, to ensure that… more