- Cardinal Health (Albany, NY)
- …+ Must follow through on all benefit investigation rejections, including Prior Authorizations, Appeals , etc. All avenues to obtain coverage for the product must be ... documenting patient health insurance benefit investigations, prior authorizations, and appeals , preferred + Cell/Gene therapy and/or Oncology experience, preferred +… more
- Stony Brook University (East Setauket, NY)
- …business functions including, but not limited to: billing, claims analysis appeals , follow-up, financial assistance and customer service. **Duties of a Revenue ... on rejected or denied claims, improper payments and coding issues. + Process appeals . + Liaise with third party billing and collection agencies. + Identify issues… more
- Justice, Bureau of Prisons/Federal Prison System (New York, NY)
- …in security designations and custody classification. Experience entering and tracking appeals filed by inmates and assisting with researching and preparing responses ... to inmate appeals . Experience in providing assistance to contractors in the area of classification, programs, progress reports, parole procedures and other related… more
- Touro University (Central Islip, NY)
- …will oversee alumni relations and will supervise the Annual Fund and mail appeals . The successful candidate will carry his/her own portfolio of prospects and is ... alumni relations engagement, events and fundraising, including direct solicitation, annual appeals and retention of alumni and donor correspondence. + Primary… more
- City of New York (New York, NY)
- Job Description The NYC Board of Standards and Appeals is a critical component of the City's comprehensive system for regulation of land use, development and ... includes providing expert review of zoning variance and special permit applications; appeals to determinations made by the Department of Buildings and Fire… more
- Mount Sinai Health System (New York, NY)
- …collaboratively with physicians and managed care companies on concurrent denial appeals 5. 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
- Independent Health (Buffalo, NY)
- …ICD-10-CM and HCPCS coding preferred. + Experience in compliance regulations, appeals and grievance knowledge preferred. + Ability to effectively communicate with ... (NCQA, State, CMS etc.), addressing first level complaints and assisting appeals as needed; effectively resolve written inquiries from customers regarding claims,… more
- University of Rochester (Rochester, NY)
- …process, from submission through follow-up and including authorization appeals . This position works in a high-performance, fast-paced, authorization-focused ... are worked daily and are followed up appropriately. + Assist with third-party appeals at advanced levels escalated by staff. + Lead and evaluate task activities… more
- City of New York (New York, NY)
- …justifications of approvals and denials, and data collected to process provider appeals for individual and aggregate performance-based credit or payment in a timely ... and invoice issues; reviews and takes the appropriate action for provider appeals related to performance-based payment and/or credit by conducting research through… more
- City of New York (New York, NY)
- …justifications of approvals and denials, and data collected to process provider appeals for individual and aggregate performance-based credit or payment in a timely ... and invoice issues; reviews and takes the appropriate action for provider appeals related to performance-based payment and/or credit by conducting research through… more
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