- University of Rochester (Albany, NY)
- …internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The Claims Resolution Representative III is responsible for working across the professional ... and routine action to resolve unpaid claims. The Claims Resolution Representative III reports to Accounts Receivable Management. **ESSENTIAL FUNCTIONS** With general… more
- New York State Civil Service (Albany, NY)
- …and discrimination (ADID) and ensure appropriate preparation/action.*Serve as agency representative on local and state-wide labor/management and health & safety ... and assist Personnel Unit staff on performance management activities, evaluation appeals , employee reassignments, and various other issues. *Travel may be required… more
- WMCHealth (Suffern, NY)
- …established for the department. RESPONSIBILITIES: + Interviews the patient/patient representative for Direct Admissions, Outpatient Services, and Ambulatory Surgery, ... to ensure patient has coverage, services provided are covered, denials and appeals minimized and payments are expedited. + Reviews registration data for accuracy… more
- Cardinal Health (Albany, NY)
- …each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations ... industry including Commercial and Government plans, Prior Authorizations, and Appeals + Experience with Microsoft Office products including Word, PowerPoint,… more
- City of New York (New York, NY)
- …that may arise with CFB employees. - Serve as the CFB's grievance representative and administer the contractual grievance process. Serve as Hearing Officer for ... grievances and disciplinary appeals . Represent the agency at hearings before the Office of Labor Relations and arbitration sessions at the Office of Collective… more
- Cardinal Health (Albany, NY)
- …insurance plan coverage, including out-of-pocket costs, and provide guidance on the appeals process if needed + Resolve patient's questions and any representative ... for the patient's concerns regarding status of their request for assistance + Demonstrate expertise in payer landscapes and insurance processes. Remain knowledgeable about long and short-range changes in the reimbursement environment including Medicare,… more
- WMCHealth (Warwick, NY)
- …established for the department. RESPONSIBILITIES: + Interviews the patient/patient representative for Direct Admissions, Outpatient Services, and Ambulatory Surgery, ... to ensure patient has coverage, services provided are covered, denials and appeals minimized and payments are expedited. + Reviews registration data for accuracy… more
- City of New York (New York, NY)
- …- Investigates and advises the agency concerning contract disputes, and appeals on the rejection of equipment, materials, or workmanship; compiles contract ... event of any unlawful activity on the construction site, acts as the City's representative in the filing of complaints with the Police Department or other agencies.… more
- The Institute for Family Health (New Paltz, NY)
- …standards, objectives and policies of the Department and the Organization. The representative shall have a basic understanding of medical billing and collections and ... to senior representatives such as mailing paper claims, preparing spreadsheets for appeals , or maintaining data spreadsheets as directed by the manager (s). +… more
- CBRE (New York, NY)
- …financing, insurance replacement cost calculation, estate valuation, tax appeals , equitable distribution, corporate employee relocation, investment, or sale. ... each crucial duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations… more