- Centene Corporation (New York, NY)
- …of all appeals requests + Partners with interdepartmental teams to improve clinical appeals processes and procedures to prevent recurrences based on industry ... **Hours: 8:30am-5pm EST Monday - Friday.** **Position Purpose:** Performs clinical reviews needed to resolve and process appeals...analyzing the basis for the appeal + Ensures timely review , processing, and response to appeal in accordance with… more
- Cardinal Health (Albany, NY)
- …+ Take any action necessary for any denials received by the payor to inform the clinician of changes that may need to happen in order to not delay patient care. + ... Complete any pre-service appeals to obtain paying approval based on medical necessity....medical necessity. + Communicate effectively with all RCM and clinical staff to ensure appropriate treatment can be provided,… more