investigation and processing of medical necessity appeal requests from... members and providers. Primary duties include: - Managing... Fair Hearing and External Medical Review requests to support... legal, management, and executive leadership. - Acting as a resource for clinical and non-clinical teams by...
Title: Public Benefits Staff Attorney Job Responsibilities: The Public Benefits Staff Attorney will be responsible for serving low-income individuals and families in Westchester and Putnam Counties. Key responsibilities include: - Handling individual case work related to public benefits such as Medicaid, Food Stamps,...
Title: Staff Attorney – Housing Job Responsibilities: The Staff Attorney at the organization will focus on housing-related legal matters within Northern Westchester and Putnam County courts. The attorney will represent low-income individuals and families on issues such as eviction, unlawful lock-outs, habitability...
Title: Senior Director, Employment Law Job Responsibilities: The Senior Director, Employment Law will be responsible for providing global employment law advice and counsel. The main responsibilities include: - Collaborating with Human Resources, business units, and other company functions to support business strategy execution...
Job Title: Medical Invoicing Specialist (Legal) Job Responsibilities: -... guidelines. - Analyze and interpret medical Explanation of Benefits (EOBs)... compliance with regulations. - Collaborate with attorneys, medical professionals, and clients to... clarify billing questions or discrepancies. - Monitor account balances, payment statuses, and client bi...
reimbursement cases. - Reconcile payments, identify discrepancies, and resolve issues promptly. - Communicate with clients, healthcare providers, insurers, and internal legal... teams regarding outstanding balances. - Prepare aging reports, dashboards, and follow-up schedules. - Support attorneys and case teams with reimbursement inquiries. - Maintain accurat...
Title: Insurance Relations Specialist Job Responsibilities: - Build and maintain strong relationships with insurance carriers and clients to resolve outstanding awards, underpayments, and discrepancies. - Coordinate with insurance carriers to optimize timeliness and accuracy of client payments. - Provide guidance to internal stakeholders and...
Fair Lawn, NJ, is seeking a Healthcare Reimbursement Attorney to handle a variety of reimbursement disputes on behalf of medical providers. This role requires... expertise in New Jersey Personal Injury Protection (PIP) arbitration, as well as experience managing Workers’ Compens...