- BronxCare Health System (Bronx, NY)
- …claims and audits of registration/insurance verification activities to improve denial rates and enhance revenue. In-service staff on Insurance ... participates in the Performance/Quality Improvement activities of the assigned department . Contribution and participation includes data collection, analysis, implementation… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Utilization Management Specialist MSH Case Management FT Days** This position is responsible for coordinating requests for clinical ... and tracks concurrent adverse determinations and collaborates with Appeals Management Department in managing retrospective denials. **Qualifications** +… more
- City of New York (New York, NY)
- …is provided to those who fail to meet requirements. Your Impact: The Risk Management Specialist will identify and address potential risk for fraud. The ... of Housing Access and Stability: The New York City Department of Housing Preservation and Development (HPD) is the...of HPD's Section 8 program rules. Responsibilities: The Risk Management Specialist will be responsible for the… more
- New York State Civil Service (Schenectady, NY)
- NY HELP Yes Agency NYS Gaming Commission Title Program Outreach Specialist 1 (NY HELPS) Occupational Category No Preference Salary Grade 18 Bargaining Unit M/C - ... and financial requirements.Application Review/Technical Guidance:* Review for approval or denial , applications of charitable organizations (ie VFW, American Legion,… more
- Mount Sinai Health System (New York, NY)
- …Mgmt FT Days EOW** To maintain front end operations of the Case Management Department by monitoring all incoming correspondence and ensuring it reaches ... Is cognizant of the philosophy, standards, objectives and policies of the Department and the Hospital Center. **Qualifications** + Applicable work experience may be… more
- Trinity Health (Syracuse, NY)
- …insurance updates prior to procedure, and supporting authorization and denial processes. **EDUCATION, TRAINING, EXPERIENCE, CERTIFICATION AND LICENSURE:** Certified ... Coding Specialist , Accredited Record Technician (or eligible), Registered Record Administrator (or eligible) or Licensed Practical Nurse (LPN) with a minimum of 5… more
- New York State Civil Service (Buffalo, NY)
- NY HELP Yes Agency Office of Cannabis Management Title Investigative Specialist 1 (Cannabis) (NY HELPS) - VID 201175 Occupational Category Enforcement or ... Zip Code 14203 Duties Description Under the general direction of the Investigative Specialist 2 (Cannabis), the incumbent of this position will be responsible for… more
- New York State Civil Service (Albany, NY)
- NY HELP No Agency Education Department , State Title Investigative Specialist 1, Box OEP-12/21670 Occupational Category No Preference Salary Grade 18 Bargaining ... State NY Zip Code 12234 Duties Description The New York State Education Department 's (NYSED) Office of Higher Education is seeking candidates for two Investigative … more
- Mount Sinai Health System (New York, NY)
- …processes appeals. Posts denials in IDX on a timely basis. + Provides comprehensive denial management to facilitate cash flow. Tracks, quantifies and reports on ... resolution to ensure accurate and timely payment of claims and collection. The Specialist works directly with the Department Administrator. Reports to Billing… more
- Saratoga Hospital (Saratoga Springs, NY)
- …for tracking denied HIS inpatient accounts, working with HIS Coders, payers, Department Directors, Clinical Managers, Case Management , Patient Access, and PFS. ... general supervision of the Manager, Health Information Services, the Denials Specialist performs activities to ensure appropriate financial reimbursement for HIS… more