- Molina Healthcare (Rochester, NY)
- …and independent contracting, down line broker applications commissions, Broker Agent appeals /grievances, educating Brokers on plan benefits in all markets, managing ... the detailed process of broker commission reconciliation * Handles Broker Agent appeals /grievances. * Educates Brokers on plan benefits in all markets. * Makes… more
- Executive Office for US Attorneys and the Office of the US… (Buffalo, NY)
- …settlements, engaging in motion practice, trying cases, and writing and arguing appeals . Responsibilities will increase and assignments will become more complex as ... Travel: Occasional travel to the Rochester, NY office; New York, NY ( Appeals ); Columbia, SC (training); Additional travel as required. Type of Position: All… more
- WMCHealth (Valhalla, NY)
- …Job Details: Job Summary: The Senior Inpatient Coder is responsible for addressing appeals to insurance companies and coding highly complex medical records using the ... role is expected. Does related work as required. Responsibilities: + Addresses appeals to insurance denials to facilitate expedient resolution and reimbursement. +… more
- City of New York (New York, NY)
- …in the Administrative Law Judge Division of the New York City Tax Appeals Tribunal. The Administrative Law Judge will conduct hearings and render written ... render written determinations on behalf of the NYC Office of Administrative Tax Appeals . AGENCY ATTORNEY - 30087 Qualifications 1. Admission to the New York State… more
- Hudson Valley Community College (Troy, NY)
- …the team to plan and carry out successful fundraising projects including appeals , campaigns, stewardship plans, events and other initiatives. * Oversees the delivery ... and execution of the Foundation's Annual Fund program, any other appeals and initiatives as may be directed. This includes messaging, mailing list segmentation,… more
- Mount Sinai Health System (New York, NY)
- …financial implications of out-of-network benefits, including pre-determination of benefits, appeals and/or pre-certification limitations. + Develop and manages fee ... payments in IDX. Runs and works missing charges, edits, denials list and processes appeals . Posts denials in IDX on a timely basis. + Provides comprehensive denial… more
- Mount Sinai Health System (New York, NY)
- …collaboratively with physicians and managed care companies on concurrent denial appeals e. Communicates clinical information to the payor, as needed, coordinating ... department for current insurance coverage. 5. Collaborates and participates in the appeals process with all members of the interdisciplinary team. 6. Collaborative… more
- City of New York (New York, NY)
- …the Agency's defense of federal class actions, and other major litigation and appeals . - Perform other related tasks. 4WTC 150 Greenwich Street, 42nd Floor, New ... States law school as defined in the Rules of the New York Court of Appeals (Sections 520.3 or 520.5) or admission to the New York State Bar. Additional Information… more
- CUNY (New York, NY)
- …the Advancement or Marketing departments as necessary. - Create, coordinate and schedule appeals , mass mailings and email appeals for all constituents and ... prospects. - Generate acknowledgment letters promptly and create, edit, or update letter templates as needed. - Provides strong logistical support in the planning and execution of fundraising and friend-raising special events. - Produce weekly financial… more
- Molina Healthcare (Rochester, NY)
- …+ Provides coordination and processing of pharmacy prior authorization requests and/or appeals . + Explains Point of Sale claims adjudication, state, NCQA, and CMS ... member and providers with initiating oral and written coverage determinations and appeals . + Records calls accurately in call tracking system. + Maintains specific… more