- 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 ... Assurance (NCQA) guidelines. + Provides clinical rationale for standard and expedited appeals . + Ensures documentation of all communications with medical office … 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
- 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. ... Resolves complex claims. Acts as a resource for lower-level staff . **LOCATION** + Rochester Tech Park (RTP), Gates, NY...research and resubmit rejected claims to obtain and verify insurance coverage. + Follows up on unpaid accounts working… more
- University of Rochester (Albany, NY)
- …follow-up to obtain maximum revenue collection. Researches, corrects, resubmits claims, submits appeals and takes timely and routine action to resolve unpaid claims. ... complex claims. Acts as a resource for lower level staff . **ESSENTIAL FUNCTIONS** + Completes follow up activities on...research and resubmit rejected claims to obtain and verify insurance coverage. Follows up on unpaid accounts working claims.… more
- New York State Civil Service (Albany, NY)
- …to:* Work in conjunction with Executive Assistant and other Industrial Board of Appeals (IBA) staff to ensure efficient operations* Provide assistance and ... of the IBA* Provide support in the daily administrative functions for IBA staff and Board members* Process incoming and outgoing mail and email* Monitor case… 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
- Touro University (New York, NY)
- …students about graduation requirements. + Consult with academic department chairs and staff on programming and scheduling matters. + Provide assistance in filing ... and professional school admissions procedures. + Prepare and submit appeals to the Committee on Academic Standing. + Compile...Plan + Dependent Care and Transit Programs + Life Insurance , AD&D and Voluntary Supplemental Life Insurance … more
- WellLife Network (Elmont, NY)
- …and operate systems skillfully to track the stages of benefit applications and appeals processes that will provide concrete statistical data. The EES Specialist must ... all emergencies that may arise. + Assist in the event of EES Department staff shortage, such as vacations, holidays, leaves of absences and vacancies, etc + Maintain… more
- University of Rochester (Rochester, NY)
- …assistants. May train and coordinate activities of peers or support staff . MACHINES AND EQUIPMENT USED: Standard office equipment including computer, calculator, ... and pends them for review and approval. - Anticipates needs of insurance companies by gathering all necessary information for referrals and prior authorizations.… more