- Catholic Health Services (Melville, NY)
- …advisors and facility departments. + Develops/validates daily work lists for Utilization and Appeals Manager. + Assist with all insurance and regulatory audits ... Island's Top Workplace! Job Details Position Summary: The Utilization and Appeals Coordinator will perform activities to help facilitate utilization management and… more
- Evolent (Albany, NY)
- …for the mission. Stay for the culture. **What You'll Be Doing:** The Specialty Appeals Team offers candidates the opportunity to make a meaningful impact as part of ... a highly trained dedicated team focusing on appeals and post-determination requests. We maintain the principles of...policies and procedures. + Documents communications with medical office staff and/or MD provider as required. + Interfaces with… more
- MTA (Brooklyn, NY)
- Assistant General Counsel III - Appeals , Torts Job ID: 12066 Business Unit: New York City Transit Location: Brooklyn, NY, United States Regular/Temporary: Regular ... Posted: Jul 10, 2025 Description Job Information Assistant General Counsel III - Appeals , Torts First Date of Posting: 7/10/2025 Last Date of Filing: Until Filled… more
- City of New York (New York, NY)
- …enthusiastic Trial Preparation Assistant, Level II (TPA II) to assist Appeals Bureau Assistant District Attorneys with post-conviction matters. JOB RESPONSIBILITIES: ... court - Help maintain and make entries in various Appeals Bureau databases - Perform all other duties as...communication skills and ability to interact professionally with court staff , agency staff , and external agency … more
- City of New York (New York, NY)
- …enthusiastic Trial Preparation Assistant, Level II (TPA II) to assist Appeals Bureau Assistant District Attorneys with post-conviction matters. JOB RESPONSIBILITIES: ... court services - Ability to effectively and professionally communicate with court staff and judges - Excellent time management skills Strong desire and ability… more
- Mount Sinai Health System (New York, NY)
- …in the department as per protocol + Requests or provides Medical Records as required for appeals , On / Off-site Insurance reviews + Implements first step of ... in Allscripts + Meets time frame for reviews / appeals as specified by Insurance / State...professional image. + Participates in the development of other staff members. + Meets regulatory, licensure and annual health… more
- Brooklyn Defender Services (Brooklyn, NY)
- …services, including for housing, public benefits, education, and employment. BDS staff work collaboratively and across disciplines to deliver high-quality legal ... frequent hearings and trials, often on an emergency basis. Staff attorneys are expected to provide high-quality and zealous...their case. + In collaboration with our law and appeals and paralegal teams, write motions, memos of law… more
- WMCHealth (Valhalla, NY)
- Lead Insurance Verifier Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Finance/Info Systems Department: Patient Accounts-WMC Health ... Internal Applicant link Job Details: Job Summary: The Lead Insurance Verifier is responsible for leading the payment resolution analysts… more
- NYU Rory Meyers College of Nursing (New York, NY)
- …posted and expected reimbursement for Article 28, Managed Care, Commercial Insurance and other payers. Analyze, audit and recover outstanding receivables. Identify ... the revenue cycle processes. Directly manage and resolve all assigned underpayment appeals , follow-up and payer relationships. Report to management any gross payment… more
- Mohawk Valley Health System (Utica, NY)
- …palliative care, end-of-life-care and hospice. + Apply knowledge of Health Insurance and Managed Care Programs, along with values- based care, pay-for-performance ... Support education to minimize clinical variability throughout the medical staff . + Assist case managers with Medicare and Medicaid.... + Assist case managers with Medicare and Medicaid appeals and Administrative Law Judge (ALJ) testimonies. Act as… more