- Trinity Health (Troy, NY)
- …denial coordination with Patient Business Service (PBS) centers; including analysis of clinical documentation, assist in appeals as needed, root cause analysis ... **Employment Type:** Full time **Shift:** Day Shift **Description:** **Revenue Integrity Charge Specialist ** If you are looking for a full time 100% Remote position,… more
- Sharecare (Albany, NY)
- …enrollment / new hire plan selection, claims issues, ID card issues, grievances/ appeals , utilization management (UM) status, including but not limited to medical, ... payers or 3rd parties for:** + Claims adjustments + Grievances and appeals submissions + Utilization management intake or status + Complex pharmacy inquiries… more
- Evolent (Albany, NY)
- …guidance and expertise to ensure the application of best practices. + Provides clinical rationale for standard and expedited appeals . + Discusses determinations ... Are you ready to make a meaningful impact on patient care in a non- clinical setting? Join our Utilization Management team as a Field Medical Director, Cardiovascular… more