- Citigroup (Rockville Centre, NY)
- …to facilitate loan closings, including pipeline management, loan escalations / appeals and advocacy, application quality and pricing issues. + Strictly adhere ... including: medical, dental & vision coverage; 401(k); life, accident, and disability insurance ; and wellness programs. Citi also offers paid time off packages,… more
- Elevance Health (New York, NY)
- …for services requested. + Makes medical necessity determinations for grievance and appeals appropriate for their specialty. + Ensures consistent use of company ... and long term disability benefits, 401(k) +match, stock purchase plan, life insurance , wellness programs and financial education resources, to name a few. Elevance… more
- Evolent (Albany, NY)
- …subject matter expert. + Provides clinical rationale for standard and expedited appeals . + Discusses determinations (peer to peer phone calls) with requesting ... package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …areas, including but not limited to UM and CM, Fair Hearings and Appeals /Grievances, within three months of working in position. + Demonstrates ability to handle ... the total rewards package may include participation in group health and/or dental insurance , retirement plan, wellness program, paid time away from work, and paid… more
- Evolent (Albany, NY)
- …of the request and provides clinical rationale for standard and expedited appeals . + Utilizes medical/clinical review guidelines and parameters to assure consistency ... package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on… more
- Tutor Perini (New York, NY)
- …health, and insurance inspectors during site walkthroughs. + Prepare written appeals for any safety violation citations. + Perform additional tasks assigned by ... the supervisor. + Train and mentor safety staff. + Plan, assign, and delegate work responsibilities. + Conduct performance evaluations and provide constructive feedback. + Administer disciplinary actions when necessary. + Resolve employee concerns or issues… more
- Evolent (Albany, NY)
- …(NCQA) guidelines. + Provides clinical rationale for standard and expedited appeals . + Ensures documentation of all communications with medical office staff ... package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on… more
- Rochester Regional Health (Rochester, NY)
- …the medical management department in the tracking, trending and reporting of appeals and charge recovery information. + Conducts reviews of cost outliers and ... and procedures. + Screen patients at risk with no, or inadequate health insurance coverage for immediate and chronic needs. + Implements plan to facilitate… more
- New York State Civil Service (Manhattan, NY)
- …persistent violators, false statements on Motor Vehicle documents, or driving without insurance . They will also conduct hearings involving charges of violations of ... some cases, the incumbent will prepare cases for review by the Motor Vehicle's Appeals Board. In addition to the New York Vehicle and Traffic Laws and Commissioner's… more
- Mount Sinai Health System (New York, NY)
- …claims with appropriate corrections and documentation. 2. Works declines and processes appeals . 3. Responds to patient and third party inquiries; researches and ... issues to supervisor. 4. Reviews correspondence and rejection data from insurance carriers; posts rejections and performs reconciliations. 5. May transfer secondary… more