Appeals jobs in New York, NY - Page 2Create job alerts

Our client, a prestigious government agency, is seeking contract attorneys barred and in good standing in any state with 1+ years of litigation experience to Work in Office on a long-term assignment. Responsibilities - Prepare for and/or try complex cases involving significant precedents, nove...

We are seeking a skilled Insurance Follow-Up Specialist to join a growing Ambulatory Surgery Center affiliated with one of the largest Health Systems in New York. This role is focused on insurance follow-up, resolving denied claims, and managing appeals to ensure timely reimbursement—particularly...

Our client, a prestigious government agency, is seeking contract attorneys barred and in good standing in any state with 1+ years of litigation experience to work remotely on a 1+ year assignment. This position is expected to start in June. Responsibilities: - Prepare for and/or try complex ca...

This position plays a critical role in ensuring accurate and timely billing for a designated portfolio of attorneys and clients. Oversee the full legal billing cycle, including prebills, invoice processing, rate management, task and activity coding, invoice review, and handling appeals. Process a...

Experience Desired: Case Management- Healthcare (3 yrs); Member/patient grievance and appeals (3 yrs); Customer service (6 yrs). Background in member/patient grievance and appeals case processing.

The Employment Law Unit (ELU) is a vital program situated within the Office of the General Counsel (OGC) at the NYC Health Department. Graduation from an accredited United States law school as defined in the Rules of the New York Court of Appeals (Sections 520. Preferred Skills: Knowledge of Empl...

Job Description Founded in 2020, UJUU is an eCommerce platform and brand development studio. We endeavor to connect a global audience of underserved and underrepresented consumers to a diverse community and collection of carefully curated and vetted emerging designers and brands. We achieve this ...

Job Description Founded in 2020, UJUU is an eCommerce platform and brand development studio. We endeavor to connect a global audience of underserved and underrepresented consumers to a diverse community and collection of carefully curated and vetted emerging designers and brands. We achieve this ...

Job Description Amen Clinics are outpatient health care clinics that have been providing mental wellness strategies to patients of all ages since 1989. We offer patient-first experiences and customized solutions to an array of behavioral and psychiatric conditions. This is an exciting and unique ...

Job DescriptionDescription: Wade Clark Mulcahy LLP, a dynamic and collegial law firm with offices in NY, NJ, PA, LA, FL and London, seeks an attorney to join its defense litigation team. We work on a hybrid work schedule wherein you have the opportunity to work remotely 2 days per week. We ar...

Job Description Benefits Supervisor Rainbow Apparel Co Brooklyn, New York, United States (On-site) Duties and Responsibilities Summary Founded in 1935, Rainbow USA Inc. is a women’s and children’s specialty retailer based in Brooklyn, NY with over 1,100 locations throughout the U.S. and Car...

Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States. Reviews appeals for denied services related to current relevant medical experience or knowledge...

Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States. Reviews appeals for denied services related to current relevant medical experience or knowledge...

EmblemHealth is actively seeking a dynamic and innovative Vice President of Grievances and Appeals to take command of our enterprise-wide, multi-state operations in this critical area. This leader will ensure that the team consistently delivers timely and accurate decisions on clinical and admini...

This position will involve handling all phases of litigation in both federal and state courts, including drafting pleadings, handling discovery, motions, trials and appeals.

The Claims Specialist will be responsible for reviewing claims processed by the outside vendor, including resolving provider appeals/disputes. Validates DRG grouping and (re)pricing outcomes presented by the claims processing vendor. Claims adjudication experience.

As unrestricted line officers, Marine Judge Advocates also have opportunities to serve in a wide variety of positions, from influencing battalions of Marines to arguing appellate cases before the Navy-Marine Corps Court of Criminal Appeals or the United States Court of Appeals of the Armed Forces...

Job DescriptionAbout The Role Brighton Health Plan Solutions (BHPS) is seeking an experienced Claim Dispute Specialist skilled in investigating and resolving provider payment disputes by our members and providers. Responsible for ensuring all determination responses are compliant with all establi...

Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States. Reviews appeals for denied services related to current relevant medical experience or knowledge...

Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States. Reviews appeals for denied services related to current relevant medical experience or knowledge...

Assist in tax controversy matters such as voluntary disclosures, audits, appeals, litigation, and collections involving the IRS, Tax Court, Department of Justice (Tax Division), and state tax authorities. Familiarity with international tax compliance and cross-border tax structures. Join a nation...

VillageCare is looking for a self-motivated and passionate RN for our Appeals Nurse position. While supporting the Utilization Management team, the Appeals Nurse will conduct comprehensive analytic reviews of clinical documentation. Collect information concerning eligibility, provider status, ben...

Represents the Authorities at administrative labor hearings and at arbitrations involving labor relations issues such as contract interpretation, disciplinary matter, medical appeals, Civil Service Law and matters affecting Authority-wide policy and procedures, as well as perform related tasks su...

The New York County District Attorney's Office is an inclusive equal opportunity employer committed to recruiting and retaining a diverse workforce and providing a work environment that is free from discrimination and harassment based upon any legally protected status or protected characteristic,...

This position serves as Appeals Analyst for Central Billing Office management. Responsible for monitoring contractual allowances, analyzing and pursuing appeals opportunities with payors and networks, and reporting performance on underpaid claims. Prepares Adhoc payor performance metrics detailin...

The NYIFUP program provides low-income New Yorkers who are detained by ICE at the time of our intake with free, comprehensive immigration services ranging from removal defense, bond hearings, appeals to the Board of Immigration Appeals, habeas corpus petitions in federal district court and Petiti...

Friendly? Assertive? Passionate about food made from the highest quality, local ingredients? Join the Proper Food team!. Now, we are embarking on our next chapter - bringing our fresh, honest fare to NYC and redefining 'fast food' in a way that appeals to the food-savvy and time-starved. Seeking ...

In this role, you will play a key part in managing and optimizing Medicare prior authorization and appeals processes, ensuring compliance with CMS guidelines while overseeing a dynamic team of pharmacists and technicians. Recruiting, onboarding, training, and managing of Medicare PA and Appeals p...

This position serves as Appeals Analyst for Central Billing Office management. Responsible for monitoring contractual allowances, analyzing and pursuing appeals opportunities with payors and networks, and reporting performance on underpaid claims. Prepares Adhoc payor performance metrics detailin...

The Criminal Appeals Bureau (CAB) of The Legal Aid Society is the largest post-conviction public defender in New York City, annually providing holistic, client-centered representation to over 1,000 people with misdemeanor, felony, and homicide convictions. The Legal Aid Society offers a generous ...

As part of an initiative called the New York Immigrant Family Unity Project (NYIFUP), ILU represents detained clients in removal and bond proceedings before the Immigration Court, the Board of Immigration Appeals, related proceedings before the United States Citizenship and Immigration Services (...

This position will provide, on an as needed basis, 1 to 3 days per week serving on the Paratransit Eligibility Appeals Board. The physician will provide medical expertise and support in the review of Access-A-Ride application documents and hearings for people appealing eligibility determinations ...

OATH is seeking attorneys to serve as Judicial Hearing Officers (JHOs) in its Hearings Division and Appeals Division. If assigned to the Hearings Division, JHOs will be conducting hearings remotely by phone. HEARING OFFICER (PER SESSION) - 95937.

Tracking and Analysis •Ensure accuracy and completeness of records in Blackbaud Raiser's Edge RENXT database, including tracking of campaigns and appeals, contact information, and relationship history.

Assist in tax controversy matters such as voluntary disclosures, audits, appeals, litigation, and collections involving the IRS, Tax Court, Department of Justice (Tax Division), and state tax authorities. RBPRSLLC is looking for candidates to fill the position of Tax Associate Attorney. Familiari...

Resolves issues arising from transmitted bills (rejections, deductions, appeals), coordinating with the Client Accounting Assistants and Coordinators, partners and clients as necessary. Transmits electronic bills to clients via third-party web sites or via other means as requested by clients. We ...

The RN Coordinator will investigate and respond to written and/or verbal clinical appeals, expedited clinical grievances and potential quality of care grievances submitted by members and providers in accordance with Elderplan Contract Benefits, CMS (Centers for.

Job Description The Legal Aid Society’s Civil Practice is seeking an experienced and talented lawyer with a deep commitment to public interest practice and policy to join a dedicated team of managers, staff attorneys, supervisors, paralegal case handlers, and support personnel as a Supervising At...

Job Description The Legal Aid Society’s Criminal Defense Practice is seeking an attorney to join the Women’s Pretrial Release Initiative (“WPRI”), a specialized team within the Decarceration Project. WPRI is devoted to securing the release of women who are detained pretrial in New York City...

Job Description LOCATION: George Rosenfield Center for Recovery - 13 Hell Gate Circle, Ward's Island, NY 10035 OUR MISSION: Since 1967, Odyssey House has gone beyond helping individuals beat drugs and alcohol. We help rebuild lives. There’s more to recovery than just getting clean. We help indi...

Job Description Dane Street, a nationally recognized Independent Review Organization (IRO), is expanding its panel of Physician Reviewers. We are currently seeking Board-Certified Orthopedic Spine Surgeons with an active New York medical license and Workers’ Compensation Board Certification to co...

Job Description We are looking for a dynamic and compassionate Case Planner to join our team. In this role you will work towards timely permanency planning for children and youth in foster care. Reports to: Foster Care Supervisor Location: 7 West Burnside Avenue, Bronx, New York 10453 Hours: 3...

Job Description Dane Street, a nationally recognized Independent Review Organization (IRO), is expanding its panel of Physician Reviewers. We are currently seeking Board-Certified Psychiatrist with an active New York medical license and Workers’ Compensation Board Certification to conduct Utiliza...

Job Description Overview Physician Affiliate Group of New York (PAGNY) is adding an Adult Unit Chief to the Inpatient Unit at NYC Health + Hospitals/Kings County. The Behavioral Health Center offers a comprehensive suite of services for mental health including First Episode Psychosis program, me...

Job Description Harlem Children’s Zone (HCZ) — a world-renowned education and poverty-fighting organization based in New York — seeks an enthusiastic, dedicated, and mission-aligned College Counselor to support the College Success Office. The College Counselor will bring a passion for the missio...

Job Description Who We Are: CAMBA is a community of staff, volunteers, clients, donors, neighbors and partners who work together to build an inclusive New York City, where all children and adults have access to the resources and supports they need to thrive. We take a comprehensive approach by of...

Job DescriptionMid-Level Tax Controversy Associate Attorney – San Francisco, Washington, D.C., New York, Palo Alto Direct Counsel is seeking a Mid-Level Tax Controversy Associate Attorney to join a highly regarded, nationally recognized law firm with a robust tax practice. This position offers th...

Job Description About the Organization The Children's Law Center (CLC) is a non-profit legal services organization that represents children in custody, visitation, guardianship, paternity, family offense, and related child protective (abuse or neglect) proceedings in the Family Courts and the Int...