- BronxCare Health System (Bronx, NY)
- Overview The Appeals Manager is responsible to assist in the analysis and preparation of response to denial notification letters that arrive in letter and ... to best respond to all hospital denials notification and documentation efforts. The Appeals Manager will provide timely tracking and trending of all denials and … more
- BronxCare Health System (Bronx, NY)
- …the analysis and preparation of responses to payor denials and develop strong appeals for the purpose of securing reimbursement for acute care services provided to ... identification of patterns and trends identified during the course of appeals preparation. Conduct departmental performance improvement audits, analyze findings and… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **RN/Case Manager MSH Case Management FT Days** The Case Manager (CM) will be responsible for all aspects of case management for an assigned ... care or utilization review preferred. Discharge Planner or Case Manager preferred. Manager or a minimum of...with physicians and managed care companies on concurrent denial appeals e. Communicates clinical information to the payor, as… more
- New Jersey Institute of Technology (Newark, NJ)
- Title: Prospect Manager Department: SVP Advancement Reports To: Executive Director of Operations and Analytics Position Type: Staff Position Summary: Prospect ... Manager is responsible for overall leadership of prospect development...and deadlines. -Guide constituent list segmentation for annual giving appeals , planned giving appeals and marketing, and… more
- Win (Women In Need) (New York, NY)
- Title of Position : Manager , Major Gifts Department: Development Reports to: AVP, Major Gifts Direct Reports: TBD Salary: $87-97k FLSA: Exempt About Win: Women in ... aid, high-impact youth programs, and housing assistance. Purpose of the Opportunity The Manager , Major Gifts, works closely with the AVP of Major Gifts to execute… more
- City of New York (New York, NY)
- …ARE PERMANENT (NOT PROVISIONAL) IN THE CIVIL SERVICE TITLE CONSTRUCTION PROJECT MANAGER . About the Agency: The Administration for Children's Services (ACS) protects ... seeks qualified applicants for the position of Construction Project Manager to play a critical role in the Planning,...correspondence - Investigate and advise on contract disputes and appeals ; compile documentation related to claims - Serve as… more
- Citigroup (New York, NY)
- …to facilitate loan closings, including pipeline management, loan escalations / appeals and advocacy, application quality and pricing issues. + Strictly adhere ... to internal control policies such as the account opening and credit protocols of accurate collection, completion and updating of all required documentation. + Appropriately assess risk when business decisions are made, demonstrating particular consideration… more
- Mount Sinai Health System (New York, NY)
- …collection. The Specialist works directly with the Department Administrator. Reports to Billing Manager /Revenue Cycle Manager . *Please note that this is NOT a ... financial implications of out-of-network benefits, including pre-determination of benefits, appeals and/or pre-certification limitations. + Develop and manages fee… more
- Molina Healthcare (Yonkers, NY)
- …medical necessity. * Participates in and maintains the integrity of the appeals process, both internally and externally. * Responsible for investigation of adverse ... and recommends corrective actions. * Conducts retrospective reviews of claims and appeals and resolves grievances related to medical quality of care. * Attends… more
- Akin Gump Strauss Hauer & Feld LLP (New York, NY)
- …Specialist in the Finance department, reporting to the Client Administration and Compliance Manager . The role will reside in either the New York, NY or Washington, ... teams to rectify issues. + Alert the Billing Specialist for timely resubmission/for appeals on the adjustments. + Assist the billing team with understanding errors… more
- Elevance Health (New York, NY)
- …and/or serve as a subject matter expert. + Perform first level provider appeals as designated by the client for adverse determinations. + Obtain additional state ... for services requested. + Makes medical necessity determinations for grievance and appeals appropriate for their specialty. + Ensures consistent use of company… more
- WMCHealth (Valhalla, NY)
- …Job Details: Job Summary: The Senior Inpatient Coder is responsible for addressing appeals to insurance companies and coding highly complex medical records using the ... role is expected. Does related work as required. Responsibilities: + Addresses appeals to insurance denials to facilitate expedient resolution and reimbursement. +… more
- City of New York (New York, NY)
- …PERMANENT EMPLOYEES IN THE TITLE AND THOSE THAT ARE REACHABLE ON THE ADMINISTRATIVE MANAGER CIVIL SERVICE LIST ARE ELIGIBLE TO APPLY. The New York City Department of ... work. Job Duties and Responsibilities: - Serve as the Reasonable Accommodations Appeals Unit coordinator and processing incoming requests. - Maintain an agencywide… more
- Mount Sinai Health System (New York, NY)
- …charge entry. 6. May run and work missing charges, edits, denials list and process appeals . Posts denials in EPIC/IDX on a timely basis. 7. Posts all payments in IDX ... billing concerns. 16. Mentors less experienced Billing staff and assists Billing Manager /FPA Manager in training new staff. 17. May approve EPIC work queue for… more
- Sponsors for Educational Opportunity (SEO) (New York, NY)
- …Events & Development Operations Department: Development Report to: Senior Manager , Development Operations Compensation: $30.82 - $36.30/Hour FLSA: Non-Exempt ... implement additional donor stewardship and cultivation activities. Reporting to Senior Manager , Development Operations, the Senior Associate will also work closely… more
- Molina Healthcare (Yonkers, NY)
- …* Provides second level behavioral health clinical reviews, peer reviews and appeals . * Supports behavioral health committees for quality compliance. * Implements ... (CPHM), Certified Professional in Health Care Quality (CPHQ), Commission for Case Manager Certification (CCMC), Case Management Society of America (CMSA) or other… more
- Elevance Health (New York, NY)
- …for services requested. + Makes medical necessity determinations for grievance and appeals appropriate for their specialty. + Ensures consistent use of company ... in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance Health location at least… more
- CUNY (New York, NY)
- …(TSSC) Academic Advisors. The Academic Advisors will report to the Academic Advising Manager . In addition to the CUNY Title Overview, the Academic Advisors will be ... and regular communication + Provide support with financial aid related applications or appeals + Collaborate with the Financial Aid Office to help students resolve… more
- Elevance Health (New York, NY)
- …for services requested. + Makes medical necessity determinations for grievance and appeals appropriate for their specialty. + Ensures consistent use of medical ... in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance Health location at least… more
- Touro University (New York, NY)
- …with graduate and professional school admissions procedures. + Prepare and submit appeals to the Committee on Academic Standing. + Compile lists of potential ... entering students and help them adjust to college life. + Serve as a case manager for students, assisting with college as well as community and social services. +… more