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Job DescriptionAbout Us Synergy Nutrition and Wellness is a rapidly growing integrative wellness center dedicated to whole-person health and root-cause healing. We blend eastern and western modalities, functional muscle testing, and family practice medical services to help individuals and families achieve long-term, sustainable wellness. Our team is collaborative, mission-driven, and passionate about creating a welcoming experience rooted in education, empowerment, and holistic healing. Position Overview We are hiring a motivated and wellness-aligned Medical Assistant to support our busy holistic medical practice. This is a temporary maternity leave position, with strong potential for continued employment and advancement into other roles within the company. Possible future opportunities include: • Front Desk, • Ordering & Inventory, • Patient Coordination, • Wellness Support Roles If you are a self-starter with strong customer service skills who thrives in a fast-paced, purpose-driven environment, we want to meet you. Responsibilities (Immediate Medical Assistant Role) • Assist practitioners with patient care using traditional and holistic modalities, • Address and manage provider messages in Praxis, • Create new patient charts, ensuring accurate documentation and labeling, • Copy daily schedules from MindBody into Praxis, including provider notes, • Scan and upload physical medical records into the appropriate charts, • Sort PraxDocs with accurate service and collection dates, • Request medical records from outside facilities as needed, • Manage incoming and outgoing faxes, • Create patient charts for HBOT clearance requests and attach documentation, • Schedule patients per provider request, • Handle medical-related calls from pharmacies, labs, insurance companies, and medical offices, • Process medication and supplement script requests, imaging orders, and medical/surgical clearances, • Assist with prior authorizations and appeals, • Submit Boston Heart inquiries as directed, • Assist with EKGs, vitals, and Alpha-Stim devices, • Provide scribing support when necessary, • Assist patients during checkout, schedule follow-up visits, and support supplement purchases Qualifications • Medical Assistant experience preferred but not required for the right candidate, • Experience with Praxis preferred but not required, • Strong computer skills; familiarity with Google Workspace, • Interest in holistic wellness, functional medicine, and integrative healthcare, • Excellent communication and interpersonal skills, • Positive, dependable, and team-oriented, • Strong organizational and multitasking abilities, • Quick learner with high adaptability, • Customer service mindset is essential Ideal Candidate • Wellness-minded and open to holistic health approaches, • A supportive and collaborative team player, • Thrives in a learning-focused environment, • Empathetic, professional, and patient-centered, • Proactive and able to take initiative What We Offer • Opportunities for advancement across multiple departments, • Supportive and collaborative team culture, • Exposure to both eastern and western medical practices, • Competitive pay and company discounts How to Apply Please submit your resume and three references to: Open Interviews Thursday, 12/11/25 & 12/16/25 9:00 am–11:00 am 6622 Main Street, Suite 7, Williamsville, NY No appointment required.

Job DescriptionBenefits: • No Nights or Weekends, • 401(k), • Paid time off, • Competitive salary, • Flexible schedule, • Flexible Scheduling, • Competitive Compensation Responsibilities • Will be responsible for reviewing office notes, and assign appropriate coding to visit notes., • Must be well-versed in ICD-10, CPT coding, and quality measures., • Must be proficient at posting patient and insurance payments, both manual and auto post., • Will work denials, produce patient billing statements, process appeals, and consistently adhere to HIPAA regulations., • Will have excellent communication and strong interpersonal skills and demonstrate discretion and tact when handling sensitive patient information.Qualifications, • High school diploma/GED or equivalent, • Previous experience as a Medical Coder, Biller, or in a similar position, • Medent experience preferred, • Strong written and verbal communication skills, • Highly organized and able to problem-solve, • Ability to adhere to strict confidentiality guidelines., • Minimum 4 years of Primary Care Billing/Coding is a must, • Certified Medical Coder or Biller is preferred

Job Description Dent Neurologic Institute is committed to excellence in all we do. Our culture is built on 4 key pillars: respect, quality, productivity, and well-being. By remaining dedicated to these values and the overall mission, we are dedicated to making a difference for both patients and colleagues. When you join the Dent team, you can take advantage of a variety of benefits: • Work-Life Balance (no overnight shifts), • Medical, Dental & Vision Plans, • Life Insurance, • 401(k) Retirement Plan, • Critical Illness, Accident, & Legal Plans, • Wellness Program, • Learning & Development Opportunities, • Paid Time Off, • Paid Holidays, • Free Onsite Parking at All Locations Working Schedule: Full-time, Monday - Friday, 8:30 am to 5:00 pm Location: Amherst Position Summary: Under direct supervision, is responsible for initiating and coordinating all functions related to submitting and collecting on medical claims. This includes charge entry, payment posting, claims appeals, cash management and collections. Responsibilities of Position: • Answer all phone calls in an effort to assist patients with billing questions, • Sort mail appropriately, • Demonstrates the ability to accept responsibility for appropriate conduct within the office setting and with other department associates by interacting calmly, respectfully and in a friendly manner with other representatives of services at Dent., • Maintains strict confidentiality of patient information., • Completes clerical duties in a time efficient manner as set forth by the Team Leader. Reports errors or problems so that appropriate action may be taken for patient care., • Performs other duties as assigned or requested, • In addition, all staff will be responsible for one or more of the following:, • Prepares all payments for posting, • Enters all deposits and checks into appropriate spreadsheet., • A/R Follow-up:, • Works denials from all insurances for assigned physicians., • Works accounts receivable for unpaid claims for assigned physicians., • Follows up on insurance inquiries to ensure payment is received., • Works Workers Comp and No Fault denials., • Works accounts receivable for unpaid Comp and No Fault claims. Other Duties Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. Skills & Experience Necessary: • Strong general office skills, including typing skills, • Strong planning, problem solving and organizational skills, • Working knowledge of Microsoft windows programs including Excel and Word, • Working knowledge of general office equipment including multi-line phone, computer, copier, calculator, and fax machines, • Effective communication and interpersonal skills, • Medical Terminology Required Education • High school diploma and 2-4 years of related experience Preferred Education: • · Associates Degree in Medical Billing and Reimbursement with a minimum of 1 years of Medical Billing experience, • Previous experience in medical practice setting, • Experience with ICD-10 and CPT coding, • Knowledgeable in collection process Working Conditions: • Normal working environment, typical of most office settings, • Minimal physical effort, requires some lifting of files, usually not in excess of 15 pounds., • Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions Compensation: • Most candidates will start within the first quartile of the pay range, • Rates are commensurate with experience EEO Statement Dent Neurologic Institute offers an inclusive work environment built on kindness and respect for all. Dent provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws as the basis for an employment decision. All qualified individuals are encouraged to apply and will receive consideration. Mon- Fri 8:30am - 5:00pm 40 hours/week

Job DescriptionJob Title: Denial Management SpecialistLocation: Buffalo, NYHire Type: Temp to PermPay Range: $20.00 - $26.00/hourWork Type: Full-timeWork Model: RemoteWork Schedule: Monday – Friday, 8am – 4:30pm Recruiter Contact: Karissa Lubberts | & Scope:Positional OverviewAre you a detail-oriented professional with a passion for resolving denied insurance claims? Our client is seeking a Denials Management Specialist for a contingent role to take charge of managing, tracking, and resolving claim denials efficiently. In this role, you will collaborate with internal teams and external insurance companies to ensure claims are accurately appealed, corrected, and re-submitted for payment. Additionally, you will work alongside the training team to develop educational materials for providers and staff, helping to prevent future denials by aligning procedures with insurance guidelines. If you thrive in a fast-paced environment and have a keen eye for identifying trends and improving processes, we want to hear from you!Role & Responsibility:Tasks That Will Lead to Your Success • Analyze and identify reasons for denial of claims., • Review denied claims for accuracy and eligibility., • Ensure that claims are coded correctly and in compliance with payer requirements., • Develop and submit appeal letters and support documentation for denied claims., • Track all appeals and follow up to ensure timely resolution., • Communicate with insurance companies to resolve discrepancies and prevent future denials., • Work with healthcare providers, coding specialists, and billing departments to resolve issues related to denials., • Serve as the primary point of contact for other departments and insurance companies regarding claim denials., • Generate and review regular reports on denial trends to identify recurring issues., • Provide feedback to management on denial patterns and suggest corrective actions to reduce future denials., • Ensure all processes follow industry regulations and payer-specific guidelines., • Maintain a comprehensive knowledge of insurance payer policies and procedures., • Communicate professionally with patients to inform them of claim denials and necessary actions., • Assist in resolving patient billing issues arising from denied claims.Skills & ExperienceQualifications That Will Help You Thrive, • High School Diploma or Equivalent required., • Associates Degree preferred., • Three (3) to five (5) years medical billing experience strongly preferred., • Understanding of insurance policies, healthcare regulations, medical terminology, and coding systems (ICD-10, CPT, etc.)., • Ability to identify errors and discrepancies in claim submissions., • Strong written and verbal communication skills for effective interaction with insurance companies, healthcare staff, and patients., • Ability to assess situations and propose solutions to resolve claim issues., • Organized and have a thorough understanding of Microsoft Office and Excel.

Job Description We exist for workers and their employers -- who are the backbone of our economy. That is where Centivo comes in -- our mission is to bring affordable, high-quality healthcare to the millions who struggle to pay their healthcare bills. The Recovery Analyst is primarily responsible for managing all file requirements from beginning to end for subrogation cases, No Surprises Act (NSA) disputes, and overpayment recoveries with the assigned third-party vendor. This includes researching paid claims, answering inquiries, coordinating with other departments, and adjusting claims based on overpayments of claims and settlements for both the subrogation and NSA processes. This individual will work as an effective interface between internal and external customers and maintain good member and partner relationships. Responsibilities Include: * Prepare documentation, review claim history, and other documentation related to overpayment, subrogation, and NSA requests. * Utilize available resources to investigate claim situations for overpayment, subrogation, and NSA cases. * Follow-up with responsible departments and delegated entities to ensure compliance. * Monitors daily and weekly inventory to ensure internal and regulatory timeframes are met. * Identify areas of potential improvement and provide feedback and recommendations to management on issue resolution, quality improvement, network contracting, policies and procedures, administrative costs, cost-saving opportunities, best practices, and performance issues. * Notifies the assigned vendors and clients of the subrogation and recovery interest; confers with other parties, internal departments, and clients concerning potential settlement or other actions. * Represents Centivo in meetings concerning recovery, subrogation, and NSA matters, including facilitating calls between Centivo’s third-party vendor and the client, to obtain final approval. * Maintain data entry requirements for all complaints and appeals. * Perform any other additional tasks or duties as assigned or required. Qualifications: Required Skills and Abilities: * Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information from others. * Must possess proven organizational, rational reasoning, ability to examine information, and problem-solving skills, with attention to detail necessary to act within complex environment. * Knowledge of applicable rules and statutes, of the process and principles of insurance and of basic subrogation and NSA concepts. * Ability to comprehend and produce grammatically accurate, error-free business correspondence required. * Ability to appropriately identify urgent situations and follow the appropriate protocol. * Requires the ability to plan, manage multiple priorities, and deliver complete, accurate, and timely results in a fast-paced office environment. Education and Experience: * High School diploma or equivalent required, Associate degree preferred. * At least one year of experience in health plan operations, claims processing, subrogation, or other experience directly related to position duties and knowledge. * Additional years of experience/training may be considered in lieu of educational requirements required. Preferred Qualifications: * Prior subrogation or NSA experience. Work Location: Candidates located within commuting distance of our Buffalo office will be considered for both in-person and hybrid roles. All other applicants will be considered for remote positions. Who we are: Centivo is an innovative health plan for self-funded employers on a mission to bring affordable, high-quality healthcare to the millions who struggle to pay their healthcare bills. Anchored around a primary care based ACO model, Centivo saves employers 15 to 30 percent compared to traditional insurance carriers. Employees also realize significant savings through our free primary care (including virtual), predictable copay and no-deductible benefit plan design. Centivo works with employers ranging in size from 51 employees to Fortune 500 companies. For more information, visit centivo.com. Headquartered in Buffalo, NY with offices in New York City and Buffalo, Centivo is backed by leading healthcare and technology investors, including a recent round of investment from Morgan Health, a business unit of JPMorgan Chase & Co. Compensation Range: $55K - $60K

Job Description We exist for workers and their employers -- who are the backbone of our economy. That is where Centivo comes in -- our mission is to bring affordable, high-quality healthcare to the millions who struggle to pay their healthcare bills. Centivo is seeking a Claims Supervisor in Management Ancillary Services (CMAS). The Supervisor will be responsible for the oversight and management of the claim processing functions related to claims adjudication, appeals, escalations, quality, and recovery. The CMAS Supervisor will have direct management of a team that supports, researches, and resolves the accurate processing of healthcare claims for employer-sponsored health plans. This role sets productivity benchmarks, enforces quality standards, and drives continuous improvement. They will collaborate with internal and external partners to resolve issues and standardize processes, ensuring standard processes are established, policies are enforced, and issues are mitigated through collaborative decision-making. Responsibilities Include: · Demonstrates knowledge and understanding of benefit administration for self-funded healthcare plans · Ensures that claims, appeals, and adjustments are processed and paid in accordance with benefit plans, pricing agreements, and required authorizations · Manages the inventory of claims against standard service level agreements (SLA’s) · Educates and mentors claims staff to ensure proper application of client benefit plans to claims processed, at the required quality and production metrics, including establishing performance plans for those falling below expectations with appropriate coaching and mentoring to achieve improvement. · Provides reports to department leaders on claim inventory, production, turn-around lag, and quality metrics · Develops policy and procedures to ensure that benefit plans and claim standards are properly administered; assists in developing policies and procedures for operations, and monitors claim staff for compliance · Accountable for positively influencing the morale of the department employees, including setting achievable goals, fostering teamwork by involving team in the design/implementation of solutions to problems · Responsible to establish annual goals for staff that align with organization strategies and personal growth and can provide timely and constructive feedback on performance . Liaison for the CMAS Team on various projects and/or initiatives including claims and testing needs to support system implementations and/or upgrades · Performs other duties as deemed essential and necessary Qualifications: Required Skills and Abilities: * Knowledge: Thorough understanding of insurance policies, claims handling processes, and legal requirements associated with claims. * Leadership: Strong leadership and team management skills, with the ability to effectively manage and motivate a team. * Analytical Skills: Ability to analyze claims data and make informed decisions based on findings. * Experience: Previous experience in claims processing or a related field, including supervisory experience. * Understands health insurance benefit administration in a Self-Funded environment * Ability to read and understand various forms, documentation, files, and information with the department. Education and Experience: · 5 years or more experience with healthcare claims administration, self-funded preferred. · Experience leading and delegating tasks to multiple direct reports. . Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information from others. . Must possess proven organizational, rational reasoning, ability to examine information, and problem-solving skills, with attention to detail necessary to act within complex environment. · Proficient experience in MS Word, Excel, Outlook, and PowerPoint required. · Candidates must have prior experience with a highly automated and integrated claim adjudication system; El Dorado-Javelina and/or Health Rules Payer experience preferred but not required. Preferred Qualifications: · Experience with member appeals, recovery processes, including NSA, subrogation and overpayment process, member, and/or client escalations. · Ability to understand how, and to do thorough research, comfortable interviewing internal expertise and applying the 5 W’s and/or other tools to complete root cause analysis. · Ability to assimilate quickly to the organization or department’s culture and speak in the voice of the brand; able to see the perspective of others and how to translate towards effective solutions. · Ability to take complex issues and break them down so that it can be understood by others; ability to communicate with non-expert audiences. · Strong knowledge of benefit plans, policies, and procedures, understanding of medical terminology. · Strong technical and analytical skills. Work Location: * An ideal candidate would be assigned to the Buffalo Office with ability to work from home. * If not in the Buffalo area, the opportunity can be remote. Leadership Skills & Behaviors: ● Strategic Thinking – Knack for sorting through clutter to find the best route, often by pulling up from the current complexity to identify patterns that guide future direction and allow one to narrow the options and articulate the options from which others can work backward. ● Business Acumen – A keenness and quickness in understanding and dealing with a business situation (risks and opportunities) in a manner that is likely to lead to a good outcome. Critical to this is an ability to think beyond their own function. ● Systems/Analytical Thinking – Demonstrates the ability to think fluidly and integrate information. Able to anticipate non-linear and non-obvious relationships. Often includes an ability to think holistically/conceptually – very powerful when accompanied by ability to communicate & clarify tactically. ● Flexibility/Working through Ambiguity – Tendency to be energized by new experiences/perspectives that test assumptions and thinking. Considers different points of view, sometimes with fragmented information, to arrive at practical, effective, actionable next steps. ● Communicate – Managers discuss the company’s vision and strategies, the department’s direction and goals, and in times of crisis, what we know and don’t know to make sure team members know what they need to know. ● Clarify – As managers, it’s up to us to clarify what good looks like. What do we expect? What do our clients, customers or colleagues need? If our teams are not performing as expected, managers must clarify expectations and ensure understanding. ● Coach – Managers provide recognition and feedback; help team members find solutions to challenges; amplify good and filter weaker aspects of organizational culture and the work as they coach employees in their day-to-day performance and their growth and career development. ● Connect – Managers help our teams see their collective purpose and how their work connects to the greater whole. We connect people within our company and network. ● Customize – As managers, we need to understand what makes each team member unique, and then customize, tailor and adapt how we support them. Who we are: Centivo is an innovative health plan for self-funded employers on a mission to bring affordable, high-quality healthcare to the millions who struggle to pay their healthcare bills. Anchored around a primary care based ACO model, Centivo saves employers 15 to 30 percent compared to traditional insurance carriers. Employees also realize significant savings through our free primary care (including virtual), predictable copay and no-deductible benefit plan design. Centivo works with employers ranging in size from 51 employees to Fortune 500 companies. For more information, visit centivo.com. Headquartered in Buffalo, NY with offices in New York City and Buffalo, Centivo is backed by leading healthcare and technology investors, including a recent round of investment from Morgan Health, a business unit of JPMorgan Chase & Co. Compensation Range: $70K - $80K

Annual Salary: $60k-$85k (varies depending on years of experience) An established orthopedic and spine surgery practice is seeking an experienced Medical Biller with a strong background in out-of-network billing and spine-related claims. This role is responsible for managing the full revenue cycle with a focus on accurate claims submission, payment resolution, and reimbursement optimization. Key Responsibilities • Manage end-to-end medical billing and accounts receivable for orthopedic and spine surgical cases., • Submit and track out-of-network claims to commercial payers., • Handle the Independent Dispute Resolution (IDR) process including documentation preparation, submissions, and follow-up., • Review, correct, and resubmit denied or underpaid claims in a timely manner., • Post payments, reconcile explanations of benefits (EOBs), and identify discrepancies., • Follow up aggressively on unpaid or delayed claims to ensure maximum reimbursement., • Communicate with insurance carriers regarding claim status, appeals, and payment disputes., • Work closely with the clinical and administrative teams to resolve coding and documentation issues., • Maintain strict compliance with HIPAA and billing regulations., • Generate A/R aging reports and participate in revenue cycle performance discussions., • Maintain accurate patient account records and billing documentation. Required Qualifications • Proven experience as a Medical Biller / A/R Specialist in a physician practice or surgical specialty., • Orthopedic and spine billing experience is required., • Out-of-network billing experience is required., • Independent Dispute Resolution (IDR) experience is required., • Strong understanding of commercial insurance reimbursement processes., • Excellent attention to detail, organization, and follow-through., • Ability to work independently in a fast-paced, high-volume environment., • Strong communication skills for payer and internal team interactions. — Atlas Search is a tri-state area recruitment agency, connecting new graduates, Advanced Practice Providers, Physicians and Nurse Leaders to hospitals, clinics, multi-specialty groups, nursing homes, managed care companies, private practices, and healthcare start-ups. If you would like to learn more about the opportunities we offer, please submit your CV for consideration here.

Key Responsibilities Perform follow-up and denial activities with payers to resolve claim payment issues Mentor AR Specialist team members on the denials and appeals process Document activities accurately and provide recommendations to management on trends and issues Required Qualifications, Tr

Key Responsibilities Manage claims including follow-up, posting, appeals, and documentation requests Investigate and resolve denied claims by coordinating with providers and payors Submit claims and communicate billing information to insurance carriers accurately and timely Required Qualificati

A company is looking for a Payment Integrity Analyst II - DRG Auditor.Key Responsibilities Review and complete internal audits and appeals based on client policies and CMS guidelines Utilize clinical judgment to analyze documentation for claim audits Attend meetings and complete additional assig

Hearing Officer 1 (NY HELPS) Assistant Attorney 1; OR Assistant Attorney 2; OR Assistant Hearing Officer Announcement Posted: 12/9/2025 Responses must be hand delivered or postmarked by: 2/28/2026 Salary Range: $96,336 - $121,413 (Hearing Officer); OR $66,951 (Assistant Attorney 1); OR $74,193 (Assistant Attorney 2); OR $82,326 (Assistant Hearing Officer) Location: Office of Administrative Hearings 295 Main Street Buffalo, NY 14203 Grade: 25/NS Candidates Must Meet the Following Qualifications: NY HELPS: This title is part of the New York Hiring for Emergency Limited Placement Statewide program (NY HELPS). For the duration of the NY HELPS Program, candidates may be hired via a non-competitive appointment if they meet the below NY HELPS minimum qualifications. At a future date (within one year of permanent appointment), it is expected employees hired under NY HELPS will have their non-competitive employment status converted to competitive status, without having to compete in an examination. Employees will then be afforded all of the same rights and privileges of competitive class employees of New York State. While serving permanently in a NY HELPS title, employees may take part in any promotion examination for which they are qualified. NON-COMPETITIVE QUALIFICATIONS: • Hearing Officer 1 (SG-25): 12 months as an Assistant Hearing Officer, or Admission to the NYS Bar and 24 months of subsequent satisfactory legal experience in the trial of issues in courts of record or in the conduct or trial of adversary proceedings, quasi-judicial in nature, before a governmental department or agency • Assistant Attorney 1 (NS equated to SG-18): Law school graduation and/or eligibility for NYS Bar Admission, • Assistant Attorney 2 (NS equated to SG-20): Admission to NYS Bar, • Assistant Hearing Officer (NS equated to SG-22): 12 months as an Assistant Attorney 2, or Admission to the NYS Bar and 12 months of subsequent satisfactory legal experience in the trial of issues in courts of record or in the conduct or trial of adversary proceedings, quasi-judicial in nature, before a governmental department or agency. COMPETITIVE QUALIFICATIONS: Eligible for a lateral transfer or eligible for transfer under Section 52.6 of the Civil Service Law by having one year of permanent competitive service in an appropriate title. Information regarding transfer eligibility is available on the Civil Service Career Mobility Office website at Please note: Titles which require special qualifications must also meet the following criteria: • Hearing Officer 1 (SG-25): 12 months as an Assistant Hearing Officer, or Admission to the NYS Bar and 24 months of subsequent satisfactory legal experience in the trial of issues in courts of record or in the conduct or trial of adversary proceedings, quasi-judicial in nature, before a governmental department or agency, • Assistant Attorney 1 (NS equated to SG-18): Law school graduation and/or eligibility for NYS Bar Admission, • Assistant Attorney 2 (NS equated to SG-20): Admission to NYS Bar, • Assistant Hearing Officer (NS equated to SG-22): 12 months as an Assistant Attorney 2, or Admission to the NYS Bar and 12 months of subsequent satisfactory legal experience in the trial of issues in courts of record or in the conduct or trial of adversary proceedings, quasi-judicial in nature, before a governmental department or agency, Desired Competencies: • The Office of Administrative Hearings (OAH) seeks the best candidates for positions across New York State. OAH needs decision-makers - like you - fair, impartial, and dedicated. Research shows that women and people from under-represented groups often apply to jobs only if they meet 100% of the desired competencies. We encourage you to apply even if you do not believe you meet all the desired competencies. • OAH wants to represent every segment of New York State’s population. If you are looking to make a direct impact in the lives of New York State’s most vulnerable population, this might be the next role for you. • Ideal candidates are passionate, polite, patient, have a strong academic background, and can handle a fast-paced workload. It helps to be energetic, creative, well-organized, independent, hard-working, personable, with oral advocacy and succinct writing skills. Experience with social service benefit programs is helpful but not necessary. Hearing Officers produce “signature ready” decisions after completing hearings. OAH’s training program includes administrative and substantive law, writing, and how to create a full record while presiding over administrative hearings. • Successful candidates should research OTDA and OAH before submitting cover letters and resumes. We recommend reviewing the OTDA and OAH websites, New York State Social Services Law Section 22 et seq., 18 NYCRR 358 et seq., Goldberg v. Kelly, 397 US 254 (1970), and Executive Order 131 issued by Governor Mario Cuomo on December 4, 1989. Duties of Position: Hearing Officers will serve as Administrative Law Judges presiding over impartial hearings for applicants and recipients of, social services benefit programs administered by OTDA and other Executive agencies (e.g., the Department of Health’s Medicaid program, the Office of Children and Family Services’ foster care and childcare programs, and the Office for People with Developmental Disabilities waiver programs). Duties include but are not limited to the following: • Reviews requests for hearings to determine probable issues and apply the appropriate regulations and sections of law. • Directs the attendance of witnesses and the production of necessary books, records and other documents. • Manages hearing calendars to ensure all cases are heard and decided in a timely manner as prescribed by applicable statute. • Conducts hearings to review and/or decide appeals from agency determinations, claims regarding issues such as eligibility for benefits, discontinuance, denial, adequacy, or reduction of benefits, revocation or suspension of licenses, violations of State laws, and enforcement of health and safety laws and regulations. • Instructs the parties of their rights; and maintains an atmosphere of fairness, impartiality and due process. • Administers oaths and affirmations. • Elicits testimony from parties relative to the issues of the hearing and questions witnesses to obtain facts. • Rules on various issues including objections by parties, relevancy and admissibility of evidence and exhibits, and requests for adjournment. • Organizes legal information or records; receives and identified all exhibits produced and enters admissible evidence into the record. • Maintains a record of the hearing proceeding. • Applies appropriate laws, regulations and policies to the facts and evidence. • Analyzes data to discover facts in case. Research laws, regulations, policies, and precedent decisions to prepare for hearings and to determine conclusions. • Decides the issue being adjudicated as authorized by the applicable statue or rule. • Drafts written opinions and decisions. When designated, may issue final and binding hearing decisions. • Recommends the acceptance or rejection of claims or compromise settlements according to laws, regulations, policies, and precedent decisions. • May explain to parties how to appeal unfavorable rulings. • Reviews new legislation, regulations and other developments that have an impact on the conduct of hearings or on hearing decisions, and studies court cases having an impact on the hearing process. • May assist in defending lawsuits regarding hearing decisions by conducting research, drafting briefs and other supporting documents. • May assist in post issuance review of hearing decisions by conducting research and drafting responses to review requests. Conditions of Employment: Full time, permanent appointments will be made. Hearing Officers are expected to travel to various locations to conduct hearings including residences as assigned. You may be eligible to be appointed into a legal traineeship. Trainees must be admitted to practice in New York State within two years of starting the traineeship. Outside activities, including volunteer activities conducted outside work hours require permission and review by OTDA’s ethics officer. Applicants should include preferred office assignment(s) and highlight relevant legal experience, training, decision making, teamwork, and leadership in cover letters and resumes. A writing sample may be requested. Your resume must indicate how you meet the minimum qualifications for this position. Non-specific submissions may be disqualified from further consideration if the information you provide does not meet the minimum qualifications. Telecommuting up to 50% may be available in accordance with The Office of Temporary and Disability Assistance policy and can be discussed during the interview. Remarks: • Candidates should reference posting 25-198 when submitting your application. • If submitting electronically, please reference posting 25-198 as part of your subject line. • If you are interested in applying to this position, please visit how to apply for applicant instructions. NYS OTDA seeks to promote a diverse workforce that is a representation of the various cultures, voices, backgrounds, ideas, and talents of the citizens and communities that we serve. In alignment with New York State’s Executive Orders 187 and 31, OTDA is committed to advancing diversity, equity, inclusion, and accessibility by fostering an inclusive workplace.

Junior Writer Job Duties: • Create effective and compelling copy • Write clear, concise and grammatically correct content that appeals to our various target markets in our brand voice •

A company is looking for an Appeals Specialist I (Remote).

A company is looking for an Appeals and Grievances Dismissal Specialist.Key Responsibilities Independently manage a caseload through the complete case lifecycle, including outreach and dismissal Analyze appeals and grievances for eligibility based on Medicaid and Medicare guidelines Draft and is

Competitive pay / Benefits - As an Accounts Receivable Specialist at Ensemble Health Partners, you will: Examine denied and other non-paid claims to determine the reason for discrepancies; Communicate directly with payers to follow up on outstanding claims, file technical and clinical appeals, resol