- University of Rochester (Rochester, NY)
- …signatures for non-routine letters of correspondence related to appeals on denied claims . This includes compiling all necessary information and drafts for provider ... routine correspondence providing factual information. - Arranges travel, conference registration and hotel accommodations. Interfaces with organizations, hospitals and… more
- Beth Israel Lahey Health (Boston, MA)
- …degree preferred. 2. License Mass Registered Pharmacy Tech preferred., or Registration Pharmacy Technician Trainee required., or Certificate 1 Certfied Pharmacy ... Pharmacy. 4. Knowledge of prior-authorization workflows, payer relations, prescription claims adjudication, and general reimbursement procedures. 5. Ability to… more
- OLV Human Services (Lackawanna, NY)
- …all federal and state regulations and agency policies pertaining to HIPAA, false claims , whistleblower policies, and all others. 12. Any other duties assigned by ... your supervisor . Skills: * Excellent communication skills * Organizational skills...field Experience: - Supervision of adolescents experience is preferred License/ Registration / Certification: - Valid NYS driver's license is required… more
- Veterans Affairs, Veterans Health Administration (Albany, NY)
- …and peer review. Participates in clinical review process such as tort claims , peer reviews, management reviews and administrative activities, as directed by the ... moonlighting. Work Schedule: Full Time; tour to be discussed with supervisor . Mandatory shared call rotation, including nights, weekends, and holidays. Requirements… more
- OLV Human Services (Lackawanna, NY)
- …federal and state regulations and agency policies pertaining to HIPAA, false claims , whistleblower policies and all others. -Responsible for reporting and monitoring ... provider's productivity weekly. -Performs other duties assigned by supervisor Skills: + Computer skills + Strong written and verbal communication skills + Strong… more
- OLV Human Services (Buffalo, NY)
- …all federal and state regulations and agency policies pertaining to HIPAA, false claims , whistleblower policies and all others. + Performs other duties and assumes ... related to admissions. + Any other duty as assigned by your Supervisor . Skills: + Computer skills + Clinical knowledge of appropriate evidence-based treatment… more
- Veterans Affairs, Veterans Health Administration (Memphis, TN)
- …Generating authorizations for pre-authorized outpatient, unauthorized and emergency care claims , while making eligibility determinations for the various programs in ... - 4:30pm Telework: Ad-hoc telework may be approved upon supervisor discretion. Virtual: This is not a virtual position....US Citizen to apply for this job. Selective Service Registration is required for males born after 12/31/1959. Must… more