- Evolent (Albany, NY)
- …for the mission. Stay for the culture. **What You'll Be Doing:** The Specialty Appeals Team offers candidates the opportunity to make a meaningful impact as part of ... a highly trained dedicated team focusing on appeals and post-determination requests. We maintain the principles of utilization management by adhering to Evolent and… more
- CVS Health (Albany, NY)
- …people with military experience. As a Complaints Tracking Module (CTM) Senior Coordinator , you will be part of the Medicare Complaints Tracking Module (CTM) ... Team, responsible for researching and resolving Medicare complaints received via the Centers for Medicaid and Medicare Services (CMS). In this role, you will manage a queue of Medicare complaints. These complaints can include various issues ranging from claims… more
- CUNY (New York, NY)
- …action efforts, including the Annual Affirmative Action Plan; + As 504/ADA Coordinator , review appeals of reasonable accommodation request decisions; + ... to improve services; + Conducting fact-finding investigations, including as Title IX coordinator , that ensure due process for all parties in response to complaints… more
- City of New York (New York, NY)
- …and Article 78 requests and simultaneously handle post-conviction litigation, including direct appeals , Article 440 motions, and federal writs of habeas corpus. JOB ... made through Office internal request system Make recommendations to Appeals Bureau Chief on viability of such appeals... Appeals Bureau Chief on viability of such appeals and communicate with other bureaus about requests Draft… more
- CVS Health (Albany, NY)
- …Appeal Coordinator ** coordinates reviews and evaluations for complaints and appeals received by the organization. This includes denied claims, coverage issues, ... and independently coaches others on matters regarding complaints and appeals . **In this role, you will:** + Handle quality...role, you will:** + Handle quality checks for the appeals team, in order to ensure overall accuracy. +… more
- Elderwood (Waverly, NY)
- Salary $ 20 / $ 22 Overview Managed Care Coordinator Overview Mon-Fri 8am-4pm The Managed Care Coordinator assists and supports the LPN/RN MDS Coordinator ... updates as requested by Insurance Companies, handles Third Party appeals , peer to peers as applicable and with clinical...and with clinical oversight provided by the LPN/RN MDS Coordinator . Attends team meetings at the discretion of the… more
- Hudson Valley Community College (Troy, NY)
- …to our community. Department: Office of Foundation Scholarship and Social Media Coordinator HV-NTP-8333 In order to be considered an applicant for this position ... and Scope of Duties: The Scholarship and Social Media Coordinator reports to the Director of Development and Donor...execute on-line giving campaigns, including Giving Tuesday and other appeals . Plan and execute contests and promotions that engage… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Senior Billing Coordinator (Generalist) is responsible for multiple components of the billing process, including Accounts Receivable, Charge ... and procedures. + May run and work missing charges, edits, denials list and process appeals . Posts denials in IDX on a timely basis. + Posts all payments in IDX… more
- Guthrie (Corning, NY)
- Position Summary: The LPN Care Coordinator will assist the providers with medication refills, patient messages, in basket monitoring, overdue results, referrals, ... review and determination of coverage of ordered medications. * *Coordinate and complete appeals for denials as needed * *Monitor and Review REMS clearance for… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Offsite Billing Coordinator is responsible for multiple components of the billing process, including Accounts Receivable, Charge Entry, Edits ... 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… more