- Health Plus Management LLC (Uniondale, NY)
- Denial Management Associate Location Uniondale Description Health Plus Management (HPM) is a Physician Support Organization and market leader in clinical ... service and patient care).This position is primarily responsible for overseeing the Denial Management functions for our family of companies.Duties &… more
- Trinity Health (Albany, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** **Authorization and Denial Supervisor - Remote - Full Time** Looking for a remote colleague to ... collaborating with in house pharmacy teams, and trending and reporting denial data. **Summary** This position is responsible for oversight of authorization… more
- Health Plus Management LLC (Uniondale, NY)
- …School Diploma or equivalent required, 2+ years of experience with A&R, or Denial Management across multiple insurance carriers and specialties Knowledge & ... + 2+ years of experience with No-Fault & Workers Compensation AR/Collection and Denial Management across multiple insurance carriers and specialties + Must have… more
- Health Plus Management LLC (Uniondale, NY)
- …Diploma or equivalent required + 2+ years of experience with A&R & Denial Management across multiple insurance carriers and specialties Knowledge & Experience ... Associate - No Fault Location Uniondale Description Health Plus Management LLC (HPM) provides management services to...years of experience with NYS Workers' Compensation AR and Denial Management Benefits Medical, Dental, Vision, and… more
- BronxCare Health System (Bronx, NY)
- … Manager will assist the department's leadership develop strategies for denial prevention, improved utilization management , documentation of medical necessity ... and other resources, escalates issues related to business associate interactions and department staff when prevented from completing...On the job or formal training in certified case management , denial and appeals management … more
- Rochester Regional Health (Rochester, NY)
- …Therapist provides addiction diagnostic assessment, treatment planning, case management , and individual/group counseling for clients with chemical dependency. ... and residential settings, the Addiction Therapist is also responsible for oversight and management of the patient community. Treatment is provided in the context of… more
- Highmark Health (Albany, NY)
- …the incumbent informs the member and/or provider of the approval and/or denial of the requested authorization. **ESSENTIAL RESPONSIBILITIES** + Obtain call task from ... Utilization Management platform, perform verbal outbound call task requirement following...within the platform. + Obtain triage task from Utilization Management platform and follow a detailed desk level procedure… more
- Molina Healthcare (Buffalo, NY)
- …appeals to the next level for review. * Generates and mails denial letters. * Provides support for interdepartmental issues to help coordinate problem-solving ... education and experience. * Customer service experience. * Organizational and time management skills; ability to manage simultaneous projects and tasks to meet… more
- OLV Human Services (Lackawanna, NY)
- …+ Comfort using computers (NextGen experience a plus) + High school diploma required; Associate 's degree preferred Why You'll Love It Here: + Make a positive impact ... courteous attitude in all communications. - Operating computer using dental practice management software, internet and other vendor related programs. - Maintain a… more
- Intermountain Health (Albany, NY)
- …The leader supports patient access activities such as workflow documentation, denial prevention, cash collections, estimates and referral management ; and ... in patient registration, scheduling, check-in/check-out, point of service collections, cash management , and authorizations. This role is pivotal in providing direct… more