- Touro University (New York, NY)
- …credits, monitors the progress of majors, and responds to student appeals appropriately + Coordinates and supervises student learning assessment activities within ... Plan + Dependent Care and Transit Programs + Life Insurance , AD&D and Voluntary Supplemental Life Insurance ...an international institution with diverse and talented faculty and staff , we value an inclusive learning experience where students… more
- Elevance Health (New York, NY)
- …May identify cost of care opportunities. May serve as a resource to staff including Medical Director Associates. May be responsible for an entire clinical program. ... a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any… more
- Robert Half Legal (Rochester, NY)
- …spanning from initial case evaluation to trial proceedings and potential appeals . + Perform comprehensive legal research and prepare litigation documents, including ... career as an attorney. + Effectively collaborates with other attorneys and staff members in team environments. + Possesses strong organizational, time management,… more
- Elevance Health (New York, NY)
- …**Medical Director, Cardiology** is responsible for supporting the medical management staff ensuring timely and consistent medical decisions to members and ... for services requested. + Makes medical necessity determinations for grievance and appeals appropriate for their specialty. + Ensures consistent use of company… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …matter expert and occasionally works directly with the operation and clinical staff to resolve issues and escalated problems. + Consistently demonstrates high ... not limited to UM and CM, Fair Hearings and Appeals /Grievances, within three months of working in position. +...package may include participation in group health and/or dental insurance , retirement plan, wellness program, paid time away from… more
- Rochester Regional Health (Rochester, NY)
- …the medical management department in the tracking, trending and reporting of appeals and charge recovery information. + Conducts reviews of cost outliers and ... and procedures. + Screen patients at risk with no, or inadequate health insurance coverage for immediate and chronic needs. + Implements plan to facilitate… 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 . * Denial Management Activities; ... Assists Denial Management staff with clerical support. Performs audit activities under the supervision of the Case Management Specialist and the Director of Case Management and Social Work Services. 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. ... + May establish financial arrangements for charges. + Processes commercial insurance claims when applicable. + Refers to collectors for payment arrangements,… more