- Elderwood (Cheektowaga, NY)
- …Free Uniforms, Friendly and supportive staff, Generous PTO & holiday package, Life Insurance , Medical, Dental, and Vision insurance , NEW Weekly Pay Schedule!, ... for CMS andvarious entities for pre and post-pay record reviews, ADR requests and appeals processes. + Manages NYS RUGs III case mix for Medicaid reimbursement. +… more
- Mount Sinai Health System (New York, NY)
- …facilitates and tracks concurrent adverse determinations and collaborates with Appeals Management Department in managing retrospective denials. **Qualifications** + ... PFS and ensures relevant info available to PFS for billing purposes. Contact insurance companies and set up peer to peer telephone conference. Communication sent to… more
- University of Rochester (Rochester, NY)
- …and sends them for review and approval. + Anticipates needs of insurance companies by gathering all necessary information for referrals and prior authorizations. ... edits, and obtains signatures for non-routine letters of correspondence related to appeals on denied claims, including compiling all necessary information and drafts… more
- Kohl's (New York, NY)
- …or a large brand, crafting an assortment that aligns with brand positioning and appeals to the target customer. What You'll Do + Build, create and maintain tech ... Flexible Spending Accounts and associate discount programs with Kohl's partners), INSURANCE PROGRAMS (Life Insurance for you, your family or your pet, as well as… more
- Cardinal Health (Albany, NY)
- …reviewing the physician's daily schedule and obtaining verification of patients' insurance benefits for their scheduled visits. They will also obtain authorization ... necessary & must be knowledgeable of a variety of Insurance Plans and Policie **Responsibilities** + Submit authorizations for...to not delay patient care. + Complete any pre-service appeals to obtain paying approval based on medical necessity.… more
- Adecco US, Inc. (New York, NY)
- …Support (20%)** - Assist offices with claims, billing and coding, appeals , medical benefit interpretation, and co-pay or patient assistance programs. Coordinate ... (Buy & Bill, Specialty Pharmacy) + Knowledge of Medicare & commercial insurance + Strong communication, customer service, and organizational skills + Proficient with… more
- Touro University (Hawthorne, NY)
- …etc. + Communicate with Registrar's Office regarding grade submission, grade appeals and changes. + Assist with computer-based examination logistics and delivery ... Plan + Dependent Care and Transit Programs + Life Insurance , AD&D and Voluntary Supplemental Life Insurance ...Life Insurance , AD&D and Voluntary Supplemental Life Insurance + Short-term and Long-term disability programs + Retirement… more
- The Estee Lauder Companies (Melville, NY)
- …Tax negotiations and audit settlements. Assist with the preparation of tax appeals and protests. * Identify Sales Tax Planning Opportunities, quantifying the savings ... Companies offers a variety of benefits to eligible employees, including health insurance coverage, wellness and family support programs, life and disability … more
- Highmark Health (Albany, NY)
- …medical necessity and appropriateness. Complete initial determination of cases, review of appeals and grievances, and other reviews as assigned. Compose clear and ... + 1 year in Medical Management in a Health Insurance Plan; strong knowledge of managed care industry **LICENSES...this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described… more
- Touro University (New York, NY)
- …with graduate and professional school admissions procedures. + Prepare and submit appeals to the Committee on Academic Standing. + Compile lists of potential ... Plan + Dependent Care and Transit Programs + Life Insurance , AD&D and Voluntary Supplemental Life Insurance ...Life Insurance , AD&D and Voluntary Supplemental Life Insurance + Short-term and Long-term disability programs + Retirement… more