- City of New York (New York, NY)
- …Agency, presents evidence manually or electronically, cross examines Appellants and provides the State Administrative Law Judge ( ALJ ) with a complete and ... evidence manually or electronically, cross examines Appellants and provides the State Administrative Law Judge ( ALJ ) with a complete and relevant… more
- City of New York (New York, NY)
- …Agency, presents evidence manually or electronically, cross examines Appellants and provides the State Administrative Law Judge ( ALJ ) with a complete and ... with presentation of the Agency's case actions before the New York State Administrative Law Judges ( ALJ 's) - Analyze fair hearing data, audits and other… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …root cause, success rates and trends; including denials that have been escalated to the Medicare Administrative Law Judge ( ALJ ). + Represent DFCI at ... orientation, genetic information, disability, age, ancestry, military service, protected veteran status, or other characteristics protected by law . **EEOC Poster** more
- City of New York (New York, NY)
- …Agency, presents evidence manually or electronically, cross examines Appellants and provides the State Administrative Law Judge ( ALJ ) with a complete and ... Fair Hearing Administration oversees DSS's fair hearing process, which is an administrative law procedure designed to resolve disputes concerning benefits,… more
- City of New York (New York, NY)
- …Agency, presents evidence manually or electronically, cross examines Appellants and provides the State Administrative Law Judge ( ALJ ) with a complete and ... SERVICE TITLE The Department of Social Services (DSS) is comprised of the administrative units of the New York City Human Resources Administration (HRA) and the… more
- City of New York (New York, NY)
- …Agency, presents evidence manually or electronically, cross examines Appellants and provides the State Administrative Law Judge ( ALJ ) with a complete and ... SERVICE TITLE The Department of Social Services (DSS) is comprised of the administrative units of the New York City Human Resources Administration (HRA) and the… more
- City of New York (New York, NY)
- …Agency, present evidence manually or electronically, cross examine Appellants and provide the State Administrative Law Judge ( ALJ ) with a complete and ... Description Fair Hearing Administration oversees DSS's fair hearing process, an administrative law procedure designed to resolve disputes concerning benefits,… more
- WellSpan Health (York, PA)
- …and institutes appropriate courses of action. + Prepares detailed appeals and attends Medicare Administrative Law Judge ( ALJ ) hearings as necessary for ... Medicare + Interacts with providers, managers, and staff in departments to ensure correct coding of claims. + Maintains current knowledge of payer/insurance policies, rules and regulations, including state and federal guidelines. + Demonstrates initiative and… more
- Mohawk Valley Health System (Utica, NY)
- …throughout the medical staff. + Assist case managers with Medicare and Medicaid appeals and Administrative Law Judge ( ALJ ) testimonies. Act as a liaison ... with payers to facilitate approvals and prevent denials or carved out days when appropriate. Provide telephonic and written appeals as requested for commercial payors. + Perform reviews and appeals. (Peer-to-peer, retrospective/closed record review, concurrent… more
- St. Luke's University Health Network (Allentown, PA)
- …care team and work independently to resolve such issues. + Participate as needed in Administrative Law Judge ( ALJ ) hearings. + Spends approximately 20% ... of their time weekly coding/abstracting patient medical records according to ICD-10-CM/PCS, UHDDS and CMS guidelines. Utilizes the 3M Encoder to verify and assign ICD-10-CM/PCS diagnosis and procedure codes, and MS-DRG assignment. + Performs data entry of… more