- Staffing Solutions Organization (Albany, NY)
- …the new eligibility system for New York's Complex Medicaid population, and the new appeals management system. The individual will act as a liaison between the DEMI ... of State and Federal initiatives + Work with teams of vendors, DOH staff and other stakeholders as needed (eg issuers, application assistors) to elicit, document,… more
- UHS (Johnson City, NY)
- …and agency standards for approval + Assists with onboarding and training new staff regarding commercial insurance processes, policies, and payer expectations + ... + Uses a customer-focused approach in all interactions with patients, families, staff , and insurance representatives + Escalates unresolved issues appropriately… more
- Brooklyn Defender Services (Brooklyn, NY)
- …students, judicial law clerks, and recent law school graduates for Entry Level Staff Attorney positions. BDS is a public defense office representing low-income New ... including for housing, public benefits, education, and employment. BDS staff work collaboratively and across disciplines to deliver high-quality...in Brooklyn Family Court as well as occasional final appeals with the assistance of the Law and … more
- Catholic Health Services (Melville, NY)
- …Details Under the direction of the Physician Revenue Realization Manager, the Insurance Follow-Up Representative is responsible for investigating claims status with ... insurance carriers, correcting and resubmitting denied claims in the...standards and procedures. + Determines reason for denial and appeals accounts as necessary. + Reviews and edits any… more
- Mount Sinai Health System (New York, NY)
- …health claims, with experience in IDX billing systems in a health care or insurance environment, and strong familiarity with ICD/CPT coding + Licensing: None but CPC ... balances. + Discusses with patients the details concerning their insurance coverage and financial implications of out-of-network benefits, including… more
- Helio Health Inc. (Syracuse, NY)
- …claims and processes appeals when necessary. Follows up on patient and insurance company issues in a timely manner. + Demonstrates the ability to perform all ... heavy workloads. + Demonstrates initiative to contact all necessary insurance company representatives and/or staff when a... when a question or concern arises. + Communicates insurance trends and unresolved appeals to the… more
- J&J Family of Companies (New City, NY)
- …assistance, and issue resolution with healthcare providers (HCPs), and their office staff , with respect to patient access to J&J Immunology therapies. This role ... assigned. + Educate HCPs on product coverage, prior authorizations and appeals , reimbursement processes, claims submissions, procedures, and coding requirements of… more
- Amgen (Syracuse, NY)
- …the entire reimbursement journey through payer prior authorization to appeals /denials requirements and forms + Review patient-specific information in cases ... during the access process, including formulary coverage/utilization management criteria, insurance forms & procedures, benefits investigation, prior authorization, appeal,… more
- City of New York (New York, NY)
- …lien interests pursuant to the Uniform Commercial Code ("UCC"); 10) assist division staff with procurement appeals and decision process, including draft opinions ... evaluate and provide legal guidance on conflicts of interest related matters to agency staff and management; 8) assist with the review of real property issues that… more
- Touro University (Central Islip, NY)
- …motivate individuals to support the Law Center and will motivate advancement staff , alumni leadership and other constituencies to achieve their goals. The successful ... relations and will supervise the Annual Fund and mail appeals . The successful candidate will carry his/her own portfolio...Plan + Dependent Care and Transit Programs + Life Insurance , AD&D and Voluntary Supplemental Life Insurance … more