- 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
- Greenwich Country Day School (Greenwich, CT)
- …other programs as determined + Direct segmentation strategy to deliver well-timed appeals . + Collaborate with Advancement Gift Manager , Advancement Operations, ... mailing lists and ensure timely execution of solicitations. + Work with the Gift Manager to ensure that gifts are accurately and completely recorded in a timely… more
- GMHC (New York, NY)
- Manager , Content & Storytelling WFH Flexible * New York, NY (http://maps.google.com/maps?q=New+York+NY+USA+10018) * Communications and Branding Job Type Full-time ... edits high-visibility content, including newsletters, blogs, marketing emails, fundraising appeals , direct response campaigns, press materials, and website copy.… 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
- EAC Network (Garden City, NY)
- …Category Human Service Description Join Our Team as a Grants and Development Manager ! Are you passionate about supporting diverse populations and making a real ... Long Island and NYC, is looking for a dedicated full time Grants and Development Manager to join the Development team here at EAC Network. + Salary: $75,000 to… 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
- Animal Care Centers of NYC (New York, NY)
- Development Operations Manager Schedule The working schedule for this position is Monday - Friday, 9AM - 5PM with Saturday and Sunday off. To Apply Please apply ... people and animals in need. Summary The Development Operations Manager is a key member of ACC's Development team,...data entry, list creation for direct mail or email appeals , and tracking participation or engagement metrics. + Support… more
- Merck (New York, NY)
- **Job Description** The Field Access Manager (FAM) serves as the subject-matter expert on access related issues for healthcare professionals (HCPs) and healthcare ... HCP accounts on patient access, including benefit verification, prior authorization process, appeals process, and patient support programs in both live and virtual… more
- City of New York (New York, NY)
- …inspections. Reporting to the VP for PMO HUD Inspections, the Project Manager will be responsible for overall management and administration of compliance with ... 1. Support Property Management with training/guidance for NSPIRE inspections, appeals , certification of health and safety violations monitoring/tracking/reporting on… 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
- Animal Care Centers of NYC (New York, NY)
- …to end animal homelessness in New York City. Reporting to the Senior Manager , Individual Giving, this position is responsible for maintaining accurate donor records ... staff, assisting with prospect research, and contributing to donor communications and appeals . In this role, the Development Associate helps ensure timely follow-up… 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
- 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
- Molina Healthcare (Yonkers, NY)
- JOB DESCRIPTION **Job Summary** Provides support for medical claim and internal appeals review activities - ensuring alignment with applicable state and federal ... a clinical resource for utilization management, CMOs, physicians and member/provider inquiries/ appeals . + Provides training and support to clinical peers. +… 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
- 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