- Guthrie (Binghamton, NY)
- …Authorization + Collect necessary documentation and submit it to the patient's insurance company for review and determination of coverage of ordered medications. + ... Coordinate and complete appeals for denials as needed + Monitor and Review...Refill Requests + System generated Medication Authorization Request + Staff Messages + Provider In basket - when a… more
- Evolent (Helena, MT)
- …care aligned with clinical guidelines. + Collaborate with leadership, management, and clinical staff to address complex cases and support decision-making. + Act as a ... practices. + Provides clinical rationale for standard and expedited appeals . + Discusses determinations (peer to peer phone calls)...+ Ensures documentation of all communications with medical office staff and/or MD provider is recorded in a timely… more
- EAC Network (Garden City, NY)
- …fundraising strategy. + Assist in planning and executing all fundraising campaigns, appeals , and events, including but not limited to EAC Network's Annual Golf ... reports, and renewals are met. + Collaborate with program staff to gather data, success stories, and metrics for...Offer + Comprehensive Benefits Package: Medical, Dental, and Vision Insurance , 401K with a 3% match after one year,… more
- City of New York (New York, NY)
- …liaison with the DHS Medicaid Assistance Program (MAP) and the Medical Insurance and Community Services Administration which oversees fair hearings relating to MAP ... The Agency Attorney interne also assists MICSA and MAP staff in reviewing legal documents submitted by clients and...in the Rules of the New York Court of Appeals (Sections 520.3 or 520.5) or admission to the… more
- Idaho Division of Human Resources (Boise, ID)
- …divisions of IDHW to provide contract drafting and analysis, administrative actions, appeals , review of policies, and advising on public records law. Essential ... counsel, both in-person and virtual. + Provides training to staff of IDHW and OAG, both in-person and virtual....enefits: State employee benefits include low-cost health and dental insurance , paid vacation and sick leave, 11 paid holidays,… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …medical and pharmacy consultants for reviewing complex cases and medical necessity appeals . Participates in provider network development and new market expansion as ... with the corporate privacy policies and procedures. + Conducts periodic staff meetings to include timely distribution and education related to departmental… more
- Guthrie (Corning, NY)
- …Authorization * *Collect necessary documentation and submit it to the patient's insurance company for review and determination of coverage of ordered medications. * ... *Coordinate and complete appeals for denials as needed * *Monitor and Review...Refill Requests * *System generated Medication Authorization Request * * Staff Messages * *Provider In basket - when a… more
- City of New York (New York, NY)
- …method(s) to be utilized. Recommends priorities. Monitors work in progress by staff and/or contractors. Reports all hazardous conditions. In the Department of ... and contract specifications, prevailing wage requirements, site safety requirements, insurance requirements, and the City's vendor outreach programs; ensure… more
- Stantec (Denver, CO)
- …culture, and connecting across borders with some of the world's top talent appeals to you, join us. The successful candidate will work on challenging and ... and provide technical review of work products. - Lead and mentor less experienced staff . - Manage projects and tasks with the assistance of 1 to 10 engineers.… more
- Robert Half Accountemps (Houston, TX)
- …communication preferred. Responsibilities: * Prepare and submit medical claims to insurance payers, both electronically and via paper, ensuring accuracy and ... and contract information. * Operate automated systems to retrieve patient demographics, insurance details, and generate reports. * Perform data entry for essential… more