- Mount Sinai Health System (New York, NY)
- …facilitates and tracks concurrent adverse determinations and collaborates with Appeals Management Department in managing retrospective denials. **Qualifications** + ... Associates degree or equivalent combination of experience (Bachelors preferred). + 2 or more years of relevant experience. Non-Bargaining Unit, 329 - Case Management - MSH, Mount Sinai Hospital **Responsibilities** + **Admission: Payer Authorization & Denials… more
- CUNY (Brooklyn, NY)
- …student progress, providing data-driven insights. + Support students navigating SAP appeals , offering guidance and connecting them to necessary resources. + ... Collaborate with college departments that offer research and other academic opportunities to students. + Collaborate with the Engagement Specialist and Career Specialist to promote integrated learning. + Work closely with advisors and career specialists to… more
- City of New York (New York, NY)
- …employee personnel files; obtain documentation and schedule meetings for evaluation appeals . - Compose agency-wide memos regarding rules and initiatives; create ... Agency wide announcements on behalf of the Division. - Serve a back-up to the Sharry Administrator for Administration and emergency contact for employees that require entrance into the building. - Work in PowerPoint/Publisher/Excel and Visio when required. -… more
- CUNY (Brooklyn, NY)
- …the Satisfactory Academic Progress (SAP) appeal process by reviewing student appeals , verifying supporting documentation, and working with the Financial Aid office ... to determine eligibility for continued financial aid. + Communicate appeal decisions to students in a timely manner and provide detailed guidance on next steps. + Review and monitor SAP to ensure compliance with institutional, state, and federal regulations… more
- Mohawk Valley Health System (Utica, NY)
- …+ Manage emails from remote staff needing printing and submission of appeals , reconsiderations, and records mailed out to payers, while looking for opportunities ... for improvement in effectiveness and efficiency of the process + Recommend process improvements or opportunities for education with supervisors, and provide staff education as needed + Provide itemized bills requested by payers and third party vendors for… more
- Mount Sinai Health System (New York, NY)
- …data products and intelligence to clients to facilitate direct mail appeals , event invitations, and other fundraising and marketing initiatives. Participate in ... the fulfilment and assure the accuracy of these deliverables + Actively participate in project launch meetings, offer advice on criteria selection based on industry knowledge and analyses of past performance, and comfortably translate data concepts to business… more
- City of New York (New York, NY)
- …employee personnel files. Obtain documentation and schedule meetings for evaluation appeals . Compose agency-wide memos regarding rules and initiatives. Create Agency ... wide announcements on behalf of the Division. Sharry Administrator for Administration and emergency contact for employees that require entrance into the building. Work in PowerPoint/Publisher/Excel and Visio when required. Requisition of calendar from the… more
- City of New York (New York, NY)
- …for the Department; - Preparing, arguing and representing the Department on appeals from OATH before the City's Civil Service Commission; - Assisting the ... Department Advocate in preparing for settlement negotiations with Union attorneys for employees with pending disciplinary complaints and/or independently handling such negotiations when the Department Advocate is not available; - Analyzing pertinent Department… more
- Guthrie (Binghamton, NY)
- …to coding, medical records/documentation, precertification, reimbursement and claim denials/ appeals . Assesses and coordinates discharge planning needs with ... healthcare team members. May prepare statistical analysis and utilization review reports as necessary. Oversees and coordinates compliance to federally mandated and third party payer utilization management rules and regulations The pay range for this position… more
- St. Lawrence University (Canton, NY)
- …the undergraduate giving program + Work with class committees to develop class appeals and solicitations, with special emphasis on the Senior Class Capstone Gift ... Committee and Senior Capstone Chair recruitment. + Develop a culture of philanthropy on campus by helping to market and plan student participation in University Advancement sponsored events and annual giving fundraising campaigns. + Recruit and hire students… more