- City of New York (New York, NY)
- …liaison with the DHS Medicaid Assistance Program (MAP) and the Medical Insurance and Community Services Administration which oversees fair hearings relating to MAP ... States law school as defined in the Rules of the New York Court of Appeals (Sections 520.3 or 520.5) or admission to the New York State Bar. Additional Information… 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
- City of New York (New York, NY)
- …status, daily progress, and deliverables. - Ensure all permits, certificates, approvals, insurance , and signoffs are obtained by the responsible parties, and the ... (RFI), and coordinate any changes to the project scope. Act on appeals of contractors on interpretation of Specifications and Contract Drawings, and other… more
- Mount Sinai Health System (New York, NY)
- …+ Collaborate with department such as coding, IT, clinical service areas and appeals to ensure seamless end-to-end revenue cycle performance. + Lead, coach and ... satisfaction. + Stays current with government regulations regarding patient access and insurance . + Establish goals, objectives, and budgets for assigned areas, and… more
- Graham Windham (Brooklyn, NY)
- …Creation and Design: + Write fundraising copy for various materials, including appeals , acknowledgement letters, and event materials. + Using Graham standards, use ... the end of each fiscal year, and eligible for benefits including health insurance , retirement plans (pension and 403B thrift), career coaching via Bravely, and more!… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …medical and pharmacy consultants for reviewing complex cases and medical necessity appeals . Participates in provider network development and new market expansion as ... 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
- Guthrie (Corning, NY)
- …Authorization * *Collect necessary documentation and submit it to the patient's insurance company for review and determination of coverage of ordered medications. * ... *Coordinate and complete appeals for denials as needed * *Monitor and Review REMS clearance for monthly refills of high-risk medications ordered for patients Monitor… more
- City of New York (New York, NY)
- …and contract specifications, prevailing wage requirements, site safety requirements, insurance requirements, and the City's vendor outreach programs; ensure ... - Investigates and advises the agency concerning contract disputes, and appeals on the rejection of equipment, materials, or workmanship; compiles contract… more
- University of Rochester (Rochester, NY)
- …follow-up to obtain maximum revenue collection. Researches, corrects, resubmits claims, submits appeals and takes timely and routine action to resolve unpaid claims. ... + May establish financial arrangements for charges. + Processes commercial insurance claims when applicable. + Refers to collectors for payment arrangements,… more
- University of Rochester (Rochester, NY)
- …in selecting for routine and non-routine letters of correspondence related to appeals on denied claims, billing and patient communications. + This includes compiling ... + Obtains hospital medical records for information requested by physicians, insurance companies, and attorneys. + Master Scheduling: Using guided judgment from… more