- Molina Healthcare (Buffalo, NY)
- …Member issues in areas involving member impact and engagement including: Appeals and Grievances, Member Problem Research and Resolution, and the ... analyses of advocacy issues; and assists with documentation preparation for appeals , fair hearings or other formal/informal dispute resolution process. * Provides… more
- Independent Health (Buffalo, NY)
- …that fosters growth, innovation and collaboration. **Overview** The Clinical & Coding Specialist - Senior will be responsible for reviewing coding and clinical ... They will aid in training other team members, evaluating appeals , and share audit trends across the team. Expertise...audit tips across the team. The Clinical & Coding Specialist - Senior will support the leadership in Hospital… more
- Staffing Solutions Organization (Albany, NY)
- …workforce, which is a reflection of our clients and the people they serve. ** Senior Healthcare Program Specialist (Level 2 or 3) - Albany, NY** **Division ... 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… more
- Mount Sinai Health System (New York, NY)
- **Job Description** ** Senior Billing Specialist -Obstetrics and Gynecology Administration-Mount Sinai Beth Israel, 250 West 57th Street-Full Time, Days** The ... Senior Billing Specialist is responsible for multiple...and work missing charges, edits, denials list and process appeals . Posts denials in IDX on a timely basis.… more
- CVS Health (Albany, NY)
- …**Additional Responsibilities:** Reviews pre-specified claims or claims that exceed specialist adjudication authority or processing expertise. - Applies medical ... written inquiries related to requests for pre-approval/pre-authorization, reconsiderations, or appeals . - Ensures all compliance requirements are satisfied and all… more
- Research Foundation CUNY (New York, NY)
- Job Title: Early Childhood Rating Specialist PVN ID: VA-2411-006584 Category: Managerial and Professional Location: OFFICE OF SR . UNIV DEAN FOR ACADEMIC AFFAIRS ... early childhood workforce across New York State. GENERAL DESCRIPTION The Ratings Specialist is responsible for providing key support to the implementation of… more
- CenterWell (Albany, NY)
- …caring community and help us put health first** The **Denials Management Specialist ** is responsible to respond to, monitor and analyze all governmental requests, ... and monitoring all payer requests for additional documentation (ADR), appeals and denials. Works with branch staff to gather...Paid time off, holidays, and jury duty pay + Recognition pay + 401(k) retirement savings plan with employer… more
- Shinda Management Corporation (Queens Village, NY)
- Compliance Specialist About the Organization For over three decades, SMC has been in the forefront of proven, quality real estate property management services in the ... Our property management portfolio consists of rental housing for family and senior residents, developments funded by the low-income housing tax credit program,… more
- The Institute for Family Health (New Paltz, NY)
- REVENUE CYCLE SPECIALIST I Job Details Job Location New Paltz Family Health Center - New Paltz, NY Position Type Full Time Education Level 4 Year Degree Salary Range ... Shift Day Job Category Admin - Clerical Description SUMMARY: The Revenue Cycle Specialist I is cognizant of the philosophy, standards, objectives and policies of the… more
- New York Health Care (Valley Stream, NY)
- …agency now in our 34th year of business is seeking an experienced full time Senior Biller for immediate hire. Job Duties to include : + Monitor and ensure payments ... necessary adjustments, while communicating these changes to the contract and filing appeals when necessary. + Correct system issues pertaining to billing, patients… more