- Guthrie (Corning, NY)
- …Authorization * *Collect necessary documentation and submit it to the patient's insurance company for review and determination of coverage of ordered medications. * ... *Coordinate and complete appeals for denials as needed * *Monitor and Review...Refill Requests * *System generated Medication Authorization Request * * Staff Messages * *Provider In basket - when a… more
- City of New York (New York, NY)
- …method(s) to be utilized. Recommends priorities. Monitors work in progress by staff and/or contractors. Reports all hazardous conditions. In the Department of ... and contract specifications, prevailing wage requirements, site safety requirements, insurance requirements, and the City's vendor outreach programs; ensure… more
- Evolent (Albany, NY)
- …care aligned with clinical guidelines. + Collaborate with leadership, management, and clinical staff to address complex cases and support decision-making. + Act as a ... practices. + 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
- Rochester Regional Health (Rochester, NY)
- … insurance as needed. Coordinate resolution with Customer Service staff . REQUIRED QUALIFICATIONS: + None . PREFERRED QUALIFICATIONS: + Education/Training: At ... phone calls to the payer. Submit corrected claims and appeals . + Process account adjustments and refunds as needed...relevant HIPAA privacy rules and other regulations. Expertly use insurance websites to explore denial issues and resolve them… more
- Elderwood (Waverly, NY)
- …phone calls) with case managers to provide concurrent updates as requested by Insurance Companies, handles Third Party appeals , peer to peers as applicable ... candidate is the primary liaison between the SNF and the HMO Managed Care Insurance Companies. This includes all types of communication (eFax, email, scan documents,… more
- Resource Center for Independent Living (Utica, NY)
- …tactics to diversify funding sources. + Create targeted campaigns and appeals tailored to different donor segments, including individual, corporate, and ... experiences, and digital fundraising campaigns. + Collaborate with marketing staff to produce fundraising materials. (eg, appeal letters, newsletters, social… more
- University of Rochester (Rochester, NY)
- …orders and sends them for review and approval. Anticipates needs of insurance companies by gathering all necessary information for referrals and prior ... edits and obtains signatures for non-routine letters of correspondence related to appeals on denied claims, including compiling all necessary information and drafts… 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
- Adecco US, Inc. (New York, NY)
- …on-site or virtual training and education to healthcare providers and staff on reimbursement processes, including lunch-and-learns and scheduled presentations. Log ... Support (20%)** - Assist offices with claims, billing and coding, appeals , medical benefit interpretation, and co-pay or patient assistance programs. Coordinate… more
- Nexstar Media Group (New York, NY)
- …audiences across all digital devices . Writes, produces and edits material that appeals to target audiences . Research production topics using the internet, video ... with on-air talent, news managers, videographers, production, digital and engineering staff . Detail-oriented . Excellent verbal, written, grammar and analytical… more