Appeal Resolution Specialist jobs in Schenectady, NY

Appeal Resolution Specialist logs, tracks, and processes appeals and grievances. Sets up and maintains case files for each grievance and collects the information required by organizational policies and applicable regulations. Being an Appeal Resolution Specialist conducts research and coordination needed to evaluate, process, respond to, and refer or close appeals. May require an associate degree or equivalent. Additionally, Appeal Resolution Specialist typically reports to a supervisor. The Appeal Resolution Specialist works under moderate supervision. Gaining or has attained full proficiency in a specific area of discipline. To be an Appeal Resolution Specialist typically requires 1-3 years of related experience. (Copyright 2024 Salary.com)

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DME Specialist
  • OrthoNY
  • Clifton Park, NY FULL_TIME
  • Location/Department:


    Albany/Clinic


    Job Title:


    DME Specialist/ATC


    Reports to:


    Site Manager


    Grade:

    $23.00- $30.00 per hour


    Type of position:


    Full Time


    FLSA Status:


    Non-Exempt


    GENERAL DESCRIPTION


    The DME Specialist will primarily be performing casting and applying durable medical equipment for patients as well as routine clinical tasks related to patient care under the supervision of a provider as needed.


    RESPONSIBILITIES


    • Cast application, specialty casts, suture/staple removal, dressing changes; prepares injections, obtains cultures as ordered/needed;
    • Durable Medical Equipment (DME): Primary clinical staff to dispense DME to patients, application of DME, custom brace measurements, DME inventory and ordering DME supplies;
    • Verifying patient information; recording medical history and reporting to physician;
    • Assisting provider with patient care, including in office reductions/procedures;
    • Calling patients to make DME appointments once insurance authorization is obtained;
    • Maintain and safeguard all patient records as indicated and required by the policies of the practice and the Health Insurance Portability and Accountability Act (HIPAA).
    • Engage in a teamwork mentality by readily accepting additional responsibilities needed to make the office run efficiently.


    QUALIFICATIONS


    • Bachelor’s degree from a program in athletic training that is registered by the New York State Education Department as licensure qualifying (ATC required);
    • LPN License required
    • NYS License, NATA Board Certification and CPR required;
    • Valid Driver’s License;
    • Willing to train recent graduate. One to three years’ experience preferred;
    • Proficient in Microsoft Office; experience with electronic medical records (EMR) preferred;
    • Experience casting preferred, willing to train;
    • Excellent communication and customer service skills;
    • Must be familiar with medical terminology;


    OTHER INFORMATION


    • Travel between OrthoNY offices is required.
    • Scheduling varies in the clinic due to the times that the physician’s schedules begin and end.
    • Physical requirements include standing for long periods of time, walking and/or continuous moving around. Also kneeling, crouching, crawling and/or working in other unusual physical positions, climbing, balancing, stretching as well as pushing/pulling lifting/carrying objects up to 50 lbs. Assisted lifting is required for any athlete/other item over the 50 lb. limit.
  • 9 Days Ago

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To Go Specialist
  • Olive Garden
  • Queensbury, NY OTHER
  • For this position, pay will be variable by location - See additional job details and benefits below.Our Winning Family Starts With You! Check out these great benefits!Flexible schedules to help you ba...
  • 9 Days Ago

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Advisory specialist
  • Department Of The Treasury
  • Queensbury, NY FULL_TIME
  • DutiesWHAT IS THE WAGE AND INVESTMENTDIVISION?A description of the business units can be found at : https : / / www.jobs. irs.gov / about / who / business-divisionsVacancies will be filled in the foll...
  • 11 Days Ago

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Habilitation specialist
  • People With Developmental Disabilities, Office for
  • Saratoga Springs, NY FULL_TIME
  • Minimum Qualifications SELECTION CRITERIA : Ability to work as a team player. Ability to flex schedule to meet the needs of the individuals. Ability to manage time to meet the needs of the individuals...
  • 13 Days Ago

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To-Go Specialist
  • The Olive Garden
  • Queensbury, NY PART_TIME,FULL_TIME
  • The Olive Garden in Queensbury, NY is looking for qualified candidates to fill the role of ToGo Specialist. In this role you will be a takeout server. We offer many benefits, flexible schedules, compe...
  • 14 Days Ago

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Peer Specialist
  • Behavioral Health Services North Inc
  • Queensbury, NY FULL_TIME
  • A Spanish version of this position is available upon request La version de esta posicion esta disponible en Español si es requerida BHSN, one of the fastest growing organizations providing whole perso...
  • 14 Days Ago

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0 Appeal Resolution Specialist jobs found in Schenectady, NY area

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Project Manager Expert
  • Spruce Technology, Inc.
  • Albany, NY
  • Information Technology Services (ITS) is seeking a Project Manager Expert. This position is for an expert project manage...
  • 4/18/2024 12:00:00 AM

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Systems Analyst Expert
  • PSI International
  • Albany, NY
  • HBITS-05-12982BF Systems Analyst Expert Agency Name: OTDA Is this a Project/Program specific Position? Yes If YES, list ...
  • 4/17/2024 12:00:00 AM

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Data Analyst and Visualization Specialist - Remote
  • Workoo Technologies
  • Albany, NY
  • About the job Data Analyst and Visualization Specialist - Remote The Data Analyst and Visualization Specialist is respon...
  • 4/17/2024 12:00:00 AM

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Functional Expert Logistics Transportation
  • Sanofi-Aventis Deutschland GmbH
  • Albany, NY
  • **JOB PURPOSE** Position will apply functional / technical expertise in the area of Transportation Management and integr...
  • 4/16/2024 12:00:00 AM

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Nuclear Power Plant Training Specialist (SME)
  • Leidos
  • Ballston Spa, NY
  • Description Looking for an opportunity to make an impact? At Leidos, we deliver innovative solutions through the efforts...
  • 4/15/2024 12:00:00 AM

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Store Customer Service Specialist
  • Sherwin-Williams
  • Latham, NY
  • This is position is essential to the success of our retail stores. Customer Service Specialists work closely with wholes...
  • 4/11/2024 12:00:00 AM

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Environmental Specialist
  • Veolia Environnement SA
  • Rensselaer, NY
  • Company Description About Veolia North America A subsidiary of Veolia Group, Veolia North America (VNA) offers a full sp...
  • 2/20/2024 12:00:00 AM

C
Field Service Specialist
  • Clean Harbors
  • Glenmont, NY
  • Clean Harbors in Glenmont, NY is seeking a Field Service Sales Rep (Field Service Specialist) to scope projects, provide...
  • 2/9/2024 12:00:00 AM

Schenectady (/skəˈnɛktədi/) is a city in Schenectady County, New York, United States, of which it is the county seat. As of the 2010 census, the city had a population of 66,135. The name "Schenectady" is derived from a Mohawk word, skahnéhtati, meaning "beyond the pines". Schenectady was founded on the south side of the Mohawk River by Dutch colonists in the 17th century, many from the Albany area. They were prohibited from the fur trade by the Albany monopoly, which kept its control after the English takeover in 1664. Residents of the new village developed farms on strip plots along the rive...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Appeal Resolution Specialist jobs
$48,242 to $59,763
Schenectady, New York area prices
were up 1.5% from a year ago

Appeal Resolution Specialist in Colorado Springs, CO
As a Appeals Resolution Specialist, you will work directly with our Shared Service Centerproviding follow up to denied claims.
February 22, 2020
Appeal Resolution Specialist in Fort Smith, AR
Overcome objections that prevent payment of the claim and gain commitment forpayment through concise and effective appeal argument.
February 01, 2020
Appeal Resolution Specialist in Middlesex, NJ
Coordinate the overall process of complaint resolution, responding to all verbal and written complaints from members and/or providers relating to member eligibility and benefits, contract administration, claims processing, utilization management decisions, pharmacy and vision decisions.
January 25, 2020