- Northwell Health (Garden City, NY)
- …or pain management. + Other duties as assigned by a manager or supervisor . **Job Qualification:** + High school diploma or general equivalency diploma (GED). + ... correctly. + Obtain claim status and gather supporting documentation to submit appeals . + Adheres to all HIPAA guidelines and regulation. Additional Salary Detail**… more
- City of New York (New York, NY)
- …judicial proceedings, citywide: motions before the courts, trials and/or hearings, petitions, appeals , etc. to pursue or avert further litigation. - Negotiate on ... recommending follow up action, and assuming full responsibility in absence of supervisor . - Perform other related tasks. AGENCY ATTORNEY - 30087 Qualifications 1.… more
- University of Rochester (Albany, NY)
- …Receivable Management. **ESSENTIAL FUNCTIONS** With general direction of the Manager/ Supervisor /Lead: + 40% Follows department policies and procedures and maintains ... claims. Collaborate with appropriate departments to generate a detailed rational for appeals and grievances to the insurance companies. + 10% Keeps management… more
- University of Rochester (Rochester, NY)
- …direction to other secretarial staff and clerical staff. Serves as an indirect supervisor of OAR staff. May train and coordinate activities of peers or support ... in selecting for routine and non-routine letters of correspondence related to appeals on denied claims, billing and patient communications. + This includes compiling… more
- University of Rochester (Rochester, NY)
- …edits and obtains signatures for non-routine letters of correspondence related to appeals on denied claims. This includes compiling all necessary information and ... skills. In accordance with the URMFG United Initiative, the CA Operations Supervisor while collaborating with other key stakeholders will develop and NOTE: This… 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 ... performance of other duties not mentioned, as assigned by the supervisor . Job Qualifications Associate Degree required, Bachelor's Degree preferred. Excellent oral… more
- Rochester Regional Health (Rochester, NY)
- …coverage policies and/or phone calls to the payer. Submit corrected claims and appeals . + Process account adjustments and refunds as needed according to department ... procedures, new denial types and system updates. Report problems and patterns to the supervisor to help keep policies and procedures up to date with new clinical… more
- Nazareth College (Rochester, NY)
- …Position Type Staff Requisition Number ST141 Department Financial Aid Title of Supervisor Director Full-time/ Part-time Full-time Work Hours per Week 35 Weeks Per ... student file including file review and application processing, verification, award, appeals , and professional judgment in accordance with Federal, State, and… more
- Elderwood (Liverpool, NY)
- …for CMS andvarious entities for pre and post-pay record reviews, ADR requests and appeals processes. + Manages NYS RUGs III case mix for Medicaid reimbursement. + ... ability to reference them. + Performs other duties as assigned by supervisor , management staff or Administrator. Qualifications RN - MDS Coordinator -… more
- GMHC (New York, NY)
- …to advise and represent clients in benefits-related disputes, denials, appeals , and overpayment matters. Strong documentation and compliance skills, ensuring: ... and case conferencing. + Remote legal work and documentation, based on supervisor discretion and program needs. + Flexibility to work occasional evenings or… more