- Mount Sinai Health System (New York, NY)
- …facilitates and tracks concurrent adverse determinations and collaborates with Appeals Management Department in managing retrospective denials. **Qualifications** + ... PFS and ensures relevant info available to PFS for billing purposes. Contact insurance companies and set up peer to peer telephone conference. Communication sent to… more
- St. Luke's University Health Network (Allentown, PA)
- …based on the productivity standards set by management. + Analyze daily aging of insurance accounts via the billing system to determine appropriate follow up for non- ... payment accounts, as well as to ensure compliance with all Federal, state, insurance payer and St. Luke's Network policies. + Analyzes denied claims and investigates… more
- CalSTRS (Sacramento, CA)
- …System (CalSTRS), manages CalSTRS legal program, and represents the System in litigation, appeals , and other legal matters. The Office of the General Counsel is ... options + Medical benefits, including health, dental and vision insurance + Paid holidays and a defined benefit retirement...three weeks of vacation/sick leave for staff + Health insurance in retirement + Employee Assistance Program + Loan… more
- DarkStar Intelligence LLC (Mclean, VA)
- …(MDR). Respond to complex cases, such as those including litigation and appeals , demonstrating extensive knowledge of the FOIA/PA/MDR, all of its exemptions and ... Coverage: Medical, dental, and vision plans + Income Protection: Life insurance , short-term disability, and long-term disability + Retirement Planning: 401(k) plan… more
- Logan Health (Kalispell, MT)
- …+ Audits patient account documentation and provider related clinical documentation for insurance billing per department protocol. + Assists billing office with ... appeals , re-determinations and other billing issues related to patient...patient accounts. + Monitors reimbursements and allowables related to insurance claims to maximize reimbursement. + Monitors Medicare coverage… more
- The City of Houston (Houston, TX)
- …and serves as the official recorder and records custodian for trials and appeals under the jurisdiction of the Municipal Courts Department. This is an exciting ... include: + Medical + Dental + Vision + Wellness + Supplemental Insurance + Life insurance + Long-term disability + Retirement pension + 457 deferred compensation… more
- Mohawk Valley Health System (Utica, NY)
- …testing as needed. + Open case requests for Operating Room. + Complete insurance authorizations. Contact insurances companies, set up peer to peers, prepare ... appeals , communicate clinical results, and obtain authorizations prior to...equivalent combination of education and experience. + Experience with insurance company rules and regulations. Medical Terminology strongly recommended… more
- BrightSpring Health Services (Bowling Green, KY)
- …with direct sales and account management experience, a KY or TN State Insurance License (or willingness to quickly get one), and experience working with our ... issues. Refer all unresolved issues to the next level including grievance and appeals . + Actively market plan to new senior care partners within plan Service… more
- Mercy Haven Inc. (Islip Terrace, NY)
- …related to entitlements, including attending fair hearings, administrative hearings, and appeals when necessary. + Conducts annual reviews of entitlements and assist ... Off policies, including vacation and sick time. + Agency paid Basic Life Insurance , Supplemental Employee, Spouse and Child Life Insurance policies, Long Term… more
- The Estee Lauder Companies (Melville, NY)
- …Tax negotiations and audit settlements. Assist with the preparation of tax appeals and protests. * Identify Sales Tax Planning Opportunities, quantifying the savings ... Companies offers a variety of benefits to eligible employees, including health insurance coverage, wellness and family support programs, life and disability … more
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