• Appeals Manager

    BronxCare Health System (Bronx, NY)
    …best respond to all hospital denials notification and documentation efforts. The Appeals Manager will provide timely tracking and trending of all denials ... Overview The Appeals Manager is responsible to assist...to assist the department attain its objective of managing denials and appeals . Responsibilities - Types, utilizing… more
    BronxCare Health System (06/21/25)
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  • Registered Nurse or Physical Therapist…

    CenterWell (Albany, NY)
    …responding to, managing and monitoring all payer requests for additional documentation (ADR), appeals and denials . Works with branch staff to gather required ... to develop appropriate and timely responses. + Responsible for constructing response to denials and appeals , utilizing any federal guidelines or local coverage… more
    CenterWell (07/30/25)
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  • Insurance Specialist-Mount Sinai West-Utilization…

    Mount Sinai Health System (New York, NY)
    …Discharge Appeals / Insurance requests) + Support Appeals Nurse / Manager by confirming status of denials + Tracking status of Medical Record requests ... ability to perform clinical/technical/service/administrative tasks: + Prioritizes Insurance Requests / Denials when received in the department as per protocol +… more
    Mount Sinai Health System (07/23/25)
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  • Case Manager - Per Diem

    Stony Brook University (Stony Brook, NY)
    Case Manager - Per Diem **Position Summary** At Stony...the hospital stay. + Assist with coverage for UR, Appeals and denials + Actively involved in ... Brook Medicine, a **Case Manager ** is a valuable member of our team, who...Active participation with the physician and payer to prevent denials . Reviews cases for potential change in level of… more
    Stony Brook University (07/09/25)
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  • Registered Nurse (RN) - Utilization Management

    Rochester Regional Health (Rochester, NY)
    …RESPONSIBILITIES: + Review standard UM sources for potential inpatient medical necessity denials . Review patient class in the event manager , assist with ... appeal is necessary per UM reviews. + Track and monitor all denials , appeals , arbitration responses to payers/audits. + Participates in periodic denial meetings… more
    Rochester Regional Health (08/02/25)
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  • Field Reimbursement Manager

    Amgen (New York, NY)
    …supporting the entire reimbursement journey through payer prior authorization to appeals / denials requirements and forms + Review patient-specific information in ... lives of patients while transforming your career. **Field Reimbursement Manager - New York** **What you will do** Let's...the world. In this vital role the Field Reimbursement Manager (FRM) will manage defined accounts within a specified… more
    Amgen (07/25/25)
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  • Accounts Receivable Manager

    Heritage Ministries (Gerry, NY)
    …do. Heritage Ministries is in growth mode and currently seeking an Accounts Receivable Manager to join our team. The Accounts Receivable Manager will be ... payers, ensuring proper coding, documentation, and claim accuracy. + Analyze claim denials , identify root causes, and implement corrective actions to reduce denial… more
    Heritage Ministries (07/10/25)
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  • Procedural Billing Specialist I - Orthopedics…

    Mount Sinai Health System (New York, NY)
    …data entry of codes. + Posts all payments in IDX. Runs and works missing charges, edits, denials list and processes appeals . Posts denials in IDX on a timely ... Specialist works directly with the Department Administrator. Reports to Billing Manager /Revenue Cycle Manager . **Qualifications** + Associates Degree preferred +… more
    Mount Sinai Health System (07/11/25)
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  • Senior Inpatient Coder (Remote)

    WMCHealth (Valhalla, NY)
    …role is expected. Does related work as required. Responsibilities: + Addresses appeals to insurance denials to facilitate expedient resolution and reimbursement. ... Job Details: Job Summary: The Senior Inpatient Coder is responsible for addressing appeals to insurance companies and coding highly complex medical records using the… more
    WMCHealth (06/26/25)
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  • Inpatient Clinical & Coding Specialist - Senior

    Independent Health (Buffalo, NY)
    …Specialist (CCDS), American Health Information Management Association (CCS-H, CCS-P), Certification Denials and Appeals Management (C-DAM), or NYS licensed RN ... They will aid in training other team members, evaluating appeals , and share audit trends across the team. Expertise...and Accountable. **Essential Accountabilities** + Assume role of project manager as it relates to the re-engineering of the… more
    Independent Health (07/15/25)
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