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Support patient access assistance from prescriber decision through to fulfillment, supporting the entire Reimbursement journey through payer prior authorization to appeals/denials requirements procedures and forms.
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Discusses with patients the details concerning their insurance coverage and financial implications of out-of-network benefits, including pre-determination of benefits, appeals and/or pre-certification limitations.
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Become a digital fundraising maestro: You'll overseeeverything from crafting compelling email appeals to managingsocial media leads, ensuring every digital channel deliversresults. Main areas of responsibility include oversight ofhow our CRM and fundraising platforms interact with one another,converting generated social media leads to donations, andoptimizing digital channel communications, including emailfundraising appeals, search, paid ads, and social.
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Professional, academic, and services relationship with NYUSM is maintained through Jaime Inclan, Ph. D., Clinical Associate Professor of Psychiatry at the NYUSM, and Morris Gagliardi MD, Chief Medical Officer at Gouverneur and Clinical Assistant Professor, NYUSM. All medical staff is licensed in their profession and credentialed by the H+H| Gotham Health Medical Board.
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Proficiency in Oracle EBS modules such as Financials (GL, AP, AR, FA), Supply Chain Management (OM, PO, INV), Human Capital Management (HR, Payroll), and Customer Relationship Management (CRM.
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Understanding of mineral processing business drivers, and their relationship to current and future ore processing. Ability to interpret long-term mine plans and their relationship to current and future processing equipment requirements.
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Lead and demonstrate the ability to expand and build long-term key stakeholder relationships with assigned accounts by working closely with them to help remove access barriers and optimize adherence for Intercept patients; offer educational resources to support the entire patient access journey through payer prior authorization, appeals/denials procedures and forms to resolve any issues with access challenges.
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Coordinating the Foundling’s response to any claim for unemployment benefits, in consultation with the VP-HR, HR Directors, HR Generalists, or Senior Generalist or HR Coordinator, or others; monitoring the Foundling’s results in connection with unemployment claims; managing the Foundling’s relationship with outside consultant for unemployment services.
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Qualified candidates must be admitted to the bar of the State of New York as an active member in good standing or registered (or qualified to register) as in-house counsel under the Rules of the Court of Appeals of the State of New York. NY bar candidates may also be considered.
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Minimum of four years of administrative support experience in a health care organization required Knowledge of DOH and CMS Grievance and Appeals regulatory requirements and procedures for ensuring compliance preferred Proficient PC skills, including MS Excel, Word, and Access required Knowledge of Facets system preferred.
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The IOI team provides low-income New Yorkers with free comprehensive immigration services ranging from removal defense to both affirmative and defensive asylum to other matters before U.S. Citizenship and Immigration Services (USCIS), the Executive Office for Immigration Review (EOIR) and the Board of Immigration Appeals (BIA.
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The Senior Revenue Cycle Specialists responsibilities include identifying patient reimbursement issues, ensuring that claims, denials, and appeals are efficiently processed, and resolving billing-related issues.
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The US Analyst will work in a team environment, would support Analysts, and would interact closely with the Group's Transaction Manager, Relationship Managers, as well as external groups, such as the credit department, back/middle office, and various product groups.
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5+ years of prior experience in Retail Banking, Management, Consulting Software / FinTech Sales or Client Relationship Management. 5+ years of prior experience in Retail Banking, Management, Consulting Software / FinTech Sales or Client Relationship Management.
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We offer neurofeedback, psychiatric medication management, Cognitive Behavioral Therapy (CBT), Emotionally Focused Therapy (EFT), Mindfulness, Motivational Interviewing, Solution Focused Therapy (SFT), Attachment Based Therapy, Acceptance and Commitment Therapy (ACT), Eye Movement Desensitization and Reprocessing Therapy (EMDR), and systems-based relationship therapy.
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relationship appeals jobs Company: Metroplus Health Plan in Brooklyn, NY
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