- City of New York (New York, NY)
- …and Article 78 requests and simultaneously handle post-conviction litigation, including direct appeals , Article 440 motions, and federal writs of habeas corpus. JOB ... made through Office internal request system Make recommendations to Appeals Bureau Chief on viability of such appeals... Appeals Bureau Chief on viability of such appeals and communicate with other bureaus about requests Draft… more
- Executive Office for US Attorneys and the Office of the US… (Washington, DC)
- …Office for the District of Columbia has primary responsibility for the direct appeals of criminal convictions in the District of Columbia Court of Appeals ... District of Columbia ranging from misdemeanors to homicides, and appeals of those convictions are argued in the District...are argued in the District of Columbia Court of Appeals (DCCA). On the federal side, AUSAs assigned to… more
- TEKsystems (Reston, VA)
- Description PURPOSE: The Appeals Specialist II will be responsible for the initial intake analysis of appeals /grievances correspondence and determination of next ... collecting organizing and tracking information to facilitate and expedite processing of appeals and grievances received from a variety of sources. Responsible for… more
- Hartford HealthCare (Farmington, CT)
- …Key responsibilities include timely investigation of DRG downgrades, submitting appeals , coordinating follow-up actions, and ensuring compliance with regulatory ... or appeal payer denials. . Prepare, document, and submit appeals for DRG denials, ensuring appeals are...and submit appeals for DRG denials, ensuring appeals are well-supported with clinical evidence, coding guidelines, and… more
- State of Massachusetts (Malden, MA)
- * AGENCY OVERVIEW* The Division of Administrative Law Appeals (DALA) is an independent, quasi-judicial agencythat hears and resolves appeals of decisions made by ... the General Jurisdiction Unit and the Bureau of Special Education Appeals , which conducts mediations, hearings and facilitated meetings concerning special education… more
- NTT America, Inc. (Plano, TX)
- …Manager to join our team. NTT DATA is seeking to hire a **Medicare Appeals Clinical Leader** to lead service delivery engagements and improve end-to-end delivery of ... Medicare Appeals . Desire experience specifically for processes for clinical appeals coordinators but this role will be a leader in the end-to-end delivery of… more
- Nuvance Health (Danbury, CT)
- …operational oversight for a team of utilization review staff, denials and appeals specialists, non-clinical support staff while partnering with local case management ... organizational efficiency, and maximized reimbursement through denial reduction and successful appeals . The *System Care Coordination Leader* will be responsible for… 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...Photo Copying Service, outside 2nd party and / Discharge Appeals + Maintain the integrity of the Medical Record.… more
- Johns Hopkins University (Middle River, MD)
- …the collection of unpaid third-party claims and independent resolution of complex appeals , using various JHM applications and JHU/ PBS billing applications. Will ... high-cost procedures. Will incorporate research findings on medical policy into appeals documentation. Communicates with payers to resolve issues and facilitate… more
- City and County of San Francisco (San Francisco, CA)
- …denial of services, permits, enforcement actions administrate regulations and appeals processes; cash handling principles and basic arithmetic; technical ... denial of services, permits, enforcement actions administrate regulations and appeals processes; cash handling principles and basic arithmetic; technical… more
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