- 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 (Inpatient) Mount Sinai Morningside FT Days EOW** The Case Manager (CM) will be responsible for all aspects of case ... or utilization review preferred. + Discharge Planner or Case Manager preferred. + Manager or a minimum...with physicians and managed care companies on concurrent denial appeals 15. Communicates clinical information to the payor, as… 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
- City of New York (New York, NY)
- …- Investigates and advises the agency concerning contract disputes, and appeals on the rejection of equipment, materials, or workmanship; compiles contract ... or encapsulation of lead contained in or on any surface. CONSTRUCTION PROJECT MANAGER - 34202 Qualifications 1. A four-year high school diploma or its educational… 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
- 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
- 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
- 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
- Research Foundation CUNY (New York, NY)
- …the rating team; monitor ratings for consistency and accuracy, review appeals , implement inter-rater reliability systems, and monitor the Standards Inventory ... for consistency. Reporting to the Data Systems and Ratings Manager , the Ratings Specialist will lead the management of...+ Support the work of Data Systems and Ratings Manager to maintain ongoing monitoring systems for the QUALITYstarsNY… 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
- 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
- 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
- Federal Reserve Bank (Newark, NJ)
- …Assistant Vice President of Retirement Plans, Benefits Analysts, Consultants, and Manager ) Other key relationships: + President and Chief Executive Officer, Federal ... and non-qualified plans + Research and respond to complex participant issues and appeals + Direct activities related to procurement, audits and vendor management for… 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
- 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