- Mount Sinai Health System (New York, NY)
- …billing or health claims with IDX billing systems in a health care or insurance environment and familiarity with ICD/CPT coding + Licensing: None but CPC preferred ... Pediatrics - OFFS, Mount Sinai Hospital **Responsibilities** + Verifies insurance and registration data for scheduled outpatient/inpatient encounters and scheduled… more
- Elderwood (Cheektowaga, NY)
- …Dramatically Increased Wages!, Free On-Site Parking, Free Uniforms, Friendly and supportive staff , Generous PTO & holiday package, Life Insurance , Medical, ... + Participates and collaborates with Medical Records and Therapy staff in preparing records for CMS andvarious entities for...for pre and post-pay record reviews, ADR requests and appeals processes. + Manages NYS RUGs III case mix… 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** + ... relevant info available to PFS for billing purposes. Contact insurance companies and set up peer to peer telephone...and relays messages to Case Managers or other UM staff . 5. **Other Tasks as Required.** Performs other daily… more
- The Estee Lauder Companies (Melville, NY)
- …state tax planning opportunities, preserve state tax planning, and supervise and develop staff in state tax related matters. Advise the business on all tax technical ... and audit settlements. Assist with the preparation of tax appeals and protests. * Identify Sales Tax Planning Opportunities,...with FIN 48 and FAS 5 standards. * Develop staff to assist with negotiating areas of limited exposure… more
- Ellis Medicine (Schenectady, NY)
- …in MIDAS per policy. + Prints/copies the chart to fax or send for insurance denials or quality improvement organization appeals . + Assists UM Coordinator with ... files, updating referral information, and verifying information related to health insurance or benefits. Role requires interaction with clients, payers, post-acute… more
- Elderwood (Buffalo, NY)
- …and billing staff . + Assist with peer-to-peer requests, claim denials, appeals , and external audits. + Maintain accurate records of all communications while ... + Submit requests, track statuses, and follow up with insurance companies to secure timely approvals. + Collect and...+ Performs other duties as assigned by supervisor, management staff or Administrator. + Stay current with payer policies,… more
- Evolent (Albany, NY)
- …outcomes. **Collaboration Opportunities:** + Routinely interacts with leadership and management staff , other Physicians, and staff whenever a physician`s input ... of the request. + Provides clinical rationale for standard and expedited appeals . + Utilizes medical/clinical review guidelines and parameters to assure consistency… more
- City of New York (New York, NY)
- …Department's chief legal officer who advises the Commissioner, agency leadership and staff on legal questions, obligations and legal strategy for initiatives and ... and responding to Freedom of Information Law requests and appeals . The Office of the General Counsel includes the...concepts in a clear and straightforward way for non-legal staff ; - Demonstrated commitment to advancing health equity and… more
- Evolent (Albany, NY)
- …outcomes. **Collaboration Opportunities:** + Routinely interacts with leadership and management staff , other Physicians, and staff whenever a physician`s input ... of the request and provides clinical rationale for standard and expedited appeals . + Utilizes medical/clinical review guidelines and parameters to assure consistency… more
- Evolent (Albany, NY)
- …outcomes. **Collaboration Opportunities:** + Routinely interacts with leadership and management staff , other Physicians, and staff whenever a physician`s input ... expert. + Provides clinical rationale for standard and expedited appeals . + Discusses determinations (peer to peer phone calls)...+ Ensures documentation of all communications with medical office staff and/or MD provider is recorded in a timely… more