- Highmark Health (Albany, NY)
- …correspondence inquiries (routine, priority Congressional / Department of Defense), and appeals . Ensures that all processes are compliant with requirements and ... performance standards are consistently met. Responsibilities include: provides supervisor direction, scheduling and support for customer service representatives on… more
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Tax Appeals , Division of Title Counsel Occupational Category Legal Salary Grade NS Bargaining Unit M/C - Managerial/Confidential (Unrepresented) ... Code 12223 Duties Description The Counsel to the Tax Appeals Tribunal (Counsel) serves as the chief legal advisor...Tribunal. * Telecommuting up to 40% is permitted with supervisor 's approval.* Pursuant to Executive Order 161, no State… more
- Mount Sinai Health System (New York, NY)
- …the department as per protocol + Requests or provides Medical Records as required for appeals , On / Off-site Insurance reviews + Implements first step of appeals ... in Allscripts + Meets time frame for reviews / appeals as specified by Insurance / State & Federal...of the hospital staff and extended community. + Notifies Supervisor of obstacles / problems affecting the completion of… more
- MTA (Brooklyn, NY)
- …SALARY : $ 190,000 - $ 195,000 DEPT/DIV: HQ/ Occupational Health Services (OHS) SUPERVISOR : Assistant Medical Director HOURS OF WORK: 7.5 hours per day LOCATION: 300 ... needed basis , 1 to 3 days per week serving on the Paratransit Eligibility Appeals Board. The physician will provide medical expertise and support in the review of… more
- WMCHealth (Valhalla, NY)
- …of the request. + Provides clinical rational for standard and expedited appeals . + Participate in peer-to-peer review with payors and/or complete appeals ... to discuss cases and problems. + Participates in daily review of aggregate denials/ appeals with the Medical Director, peer, or the Clinical Review Supervisor .… more
- Brooklyn Defender Services (Brooklyn, NY)
- …intake through the life of a case in Brooklyn Family Court as well as occasional final appeals with the assistance of the Law and Appeals unit. + Work on an ... seeking family reunification when appropriate. + Represent their clients in interim appeals . + Prepare and argue written motions seeking increased visitation, family… more
- Stony Brook University (East Setauket, NY)
- …business functions including, but not limited to: billing, claims analysis appeals , follow-up, financial assistance and customer service. **Duties of a Revenue ... on rejected or denied claims, improper payments and coding issues. + Process appeals . + Liaise with third party billing and collection agencies. + Identify issues… more
- Stony Brook University (East Setauket, NY)
- …business functions including but not limited to: billing, claims analysis appeals , follow-up, financial assistance and customer service. **Duties of a Revenue ... on rejected or denied claims, improper payments and coding issues. + Process appeals . + Liaise with third party billing and collection agencies. + Identify issues… more
- Independent Health (Buffalo, NY)
- …ICD-10-CM and HCPCS coding preferred. + Experience in compliance regulations, appeals and grievance knowledge preferred. + Ability to effectively communicate with ... to meet department of health standards. + Escalate issues as needed to supervisor . + Log all contacts into appropriate systems and maintain accurate documentation to… more
- New York State Civil Service (Albany, NY)
- …legal documents, notices, motions, subpoenas, correspondence, memoranda of law, discovery, appeals , Freedom of Information Law responses, and conduct legal research ... opening/closing statements; conducting direct/cross-examination, making appropriate objections, and preparing appeals ;* Maintain and stay current with assigned administrative caseload;… more