- 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
- Mount Sinai Health System (New York, NY)
- …issues in an accurate and timely fashion. In collaboration with the Underpayment Team manager , the Senior CBO Appeals Analyst will work to further the CBO's ... **Job Description** The Senior CBO Appeals Analyst position requires an in-depth knowledge of...hospital/healthcare environment is required. Advanced knowledge of Epic, Contract Manager , and Microsoft Excel Working knowledge of other Microsoft… more
- Mount Sinai Health System (New York, NY)
- …to Case Managers and other hospital personnel as needed. The Nursing Clinical Manager collaborates with Appeals Management, Managed Care Contracting and other ... **Job Description** The Nursing Clinical Manager (NCM) for Case Management is responsible for...performance evaluation, performance improvement, and staff education. The NCM Manager serves as a resource/mentor for Case Managers, Social… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **RN/Case Manager Inpatient Mount Sinai West FT Days 8a-4p EOW (Holiday Rotation)** The Case Manager (CM) will be responsible for all aspects ... or utilization review preferred. + Discharge Planner or Case Manager preferred. + Manager or a minimum...with physicians and managed care companies on concurrent denial appeals 5. Communicates clinical information to the payor, as… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **RN/Case Manager MSH Case Management PT Days** The Case Manager (CM) will be responsible for all aspects of case management for an assigned ... or utilization review preferred. + Discharge Planner or Case Manager preferred. + Manager or a minimum...with physicians and managed care companies on concurrent denial appeals e. Communicates clinical information to the payor, as… more
- City of New York (New York, NY)
- …hearings by mail, web, and mobile app. In addition, the judges hear appeals of parking ticket determinations, and a special unit for Commercial Adjudications ... conducts hearings and appeals on tickets issued to commercial vehicles. A Process Manager is needed in the Consolidated Adjudications Unit (CAU) to lead and… more
- City of New York (New York, NY)
- Job Description APPLICANTS MUST BE PERMANENT IN THE CONSTRUCTION PROJECT MANAGER CIVIL SERVICE TITLE, OR BE PERMANENT IN A COMPARABLE TITLE ELIGIBLE FOR 6.1.9 TITLE ... Operations, Bureau of Construction Management is recruiting for one (1) Construction Project Manager II to function as a Senior Construction Project Manager , who… more
- The Nightingale-Bamford School (New York, NY)
- ANNUAL GIVING MANAGER The Nightingale-Bamford School is seeking candidates for the position of annual giving manager to join the school's advancement team. The ... Fund. Reporting to the assistant director of institutional advancement, the annual giving manager will advance the continued growth of the Nightingale Fund, with a… more
- Tutor Perini (New York, NY)
- …or in the future Frontier-Kemper, a Tutor Perini Company, is seeking a **Safety Manager ** to join our Manhattan Tunnel Project in New York, New York. **About ... ventilation facility. **_Extraordinary Projects Need Exceptional Talent_** As a **Safety Manager ** at Frontier-Kemper, reporting to the **Project Manager ,** you… more
- CUNY (Bronx, NY)
- Associate Director of Compliance and Operations (Financial Aid Manager ) **POSITION DETAILS** The City University of New York (CUNY), the nation's largest public ... aspects of financial aid, from application and award to disbursements, appeals (including special circumstances, professional judgments). + Develops and implements a… more
- City of New York (New York, NY)
- …to treatment and application assistance with the federal disability application and appeals processes as appropriate. Under the general direction of the Director of ... for one (1) Administrative Contract Specialist, NMI to serve as a Contract Development Manager in CAS' Office of Contract, Finance & Management Planning, who will: -… more
- Mount Sinai Health System (New York, NY)
- …Specialist works directly with the Department Administrator. Reports to Billing Manager /Revenue Cycle Manager . **Qualifications** + Associates Degree preferred + ... financial implications of out-of-network benefits, including pre-determination of benefits, appeals and/or pre-certification limitations. + Develop and manages fee… 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
- Molina Healthcare (Yonkers, NY)
- …will work on set schedule) Looking for a RN with experience with appeals , claims review, and medical coding. **Job Summary** Utilizing clinical knowledge and ... resource for Utilization Management, Chief Medical Officers, Physicians, and Member/Provider Inquiries/ Appeals . + Provides training and support to clinical peers. +… more
- Amazon (New York, NY)
- …communications - Serve as the point of escalation for fraud related termination appeals for second tier investigations, and work with Legal partners in handling ... those appeals appropriately - Create and maintain fraud investigations and...operations, work with the Audible Fraud Defense program product manager on creating and implementing the fraud defense roadmap… more
- Mount Sinai Health System (New York, NY)
- …and procedures. 3. May run and work missing charges, edits, denials list and process appeals . Posts denials in IDX on a timely basis. 4. Posts all payments in IDX ... billing concerns. 13. Mentors less experienced Billing staff and assists Billing Manager /FPA Manager in training new staff. 14. May approve EPIC work queue for… more
- City of New York (New York, NY)
- …matters in other areas as determined by the General Counsel or Division manager . Additional Information: In compliance with federal law, all persons hired will be ... States law school as defined in the Rules of the New York Court of Appeals (Sections 520.3 or 520.5) or admission to the New York State Bar. Additional Information… more
- CUNY (New York, NY)
- …including the Annual Affirmative Action Plan; + As 504/ADA Coordinator, review appeals of reasonable accommodation request decisions; + Collaborating with the Office ... multiple, varying interests of those diverse stakeholders. + Experience as a manager and ability and desire to work proactively, collaboratively and creatively as… 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
- Mount Sinai Health System (New York, NY)
- …remittances (ERA) and EFT payments. 6. Posts declines and may process appeals 7. May investigate unidentified cash and resolve misdirected payments. 8. May ... supervisory approval. 10. Mentors less experienced staff and may assist Billing Manager with training new employees. 11. Performs other related duties. **About Us**… more