- Healthfirst (NY)
- …appeal process + Additional duties as assigned Minimum Qualifications: + RN , LPN OR Dental Hygienist Preferred Qualifications: + Bachelors degree + Experience in ... clinical practice with experience in appeals & grievances, claims processing, utilization review or utilization management/case management. + Demonstrated… more
- Independent Health (Buffalo, NY)
- …Management Association (CCS-H, CCS-P), Certification Denials and Appeals Management (C-DAM), or NYS licensed RN or LPN required. LPN or RN preferred. + ... coding complexity. They will aid in training other team members, evaluating appeals , and share audit trends across the team. Expertise and proficiency demonstrated… more