Are you a business? Hire care support worker candidates in NY
The RCM Insurance Arbitration Support Paralegal will join our dedicated out-of-network team, focusing on fully supporting the arbitration process for state and federal cases while maximizing reimbursements from out-of-network payers. This critical role involves managing arbitration processes when major payers are pushed out of network and supporting the team in handling all out-of-network claims to ensure appropriate claim processing by the insurance companies. Key responsibilities include preparing and overseeing arbitration cases, negotiating non-arbitrated disputes to secure maximum payments, and providing essential support to the Managed Care team during payer negotiations. The ideal candidate will possess strong organizational and legal research skills, along with a deep understanding of insurance claims and healthcare reimbursement. RESPONSIBILITIES Arbitration Support: Assist in preparing and managing the arbitration process for out-of-network claims, including gathering necessary documentation, drafting legal correspondence, and coordinating with external legal counsel as needed. Ensure compliance with state and federal arbitration regulations. Dispute Resolution: Handle other out-of-network disputes that do not result in arbitration by negotiating with payers to process claims at maximum reimbursements. Collaborate with the out-of-network team to prepare and submit appeal letters and follow up on denied or underpaid claims to ensure optimal financial outcomes. Provide guidance on tactics for maneuvering the landscape for major markets. Managed Care Support: Collaborate with the Managed Care team to provide guidance on applicable state and federal guidelines for arbitration when major payers move to out-of-network status. Documentation and Compliance: Maintain accurate and up-to-date records of all arbitration and dispute cases. Ensure that all activities are following relevant laws, regulations, and organizational policies. Legal Research: Conduct legal research on state and federal arbitration laws and regulations to support case preparation and strategy. Stay updated on changes in healthcare and insurance laws that may impact arbitration and dispute processes. REQUIRED QUALIFICATIONS Bachelor's Degree preferred and Paralegal Certificate required. Minimum of three years of related experience with Litigation Healthcare Insurance law, No Surprise Act claims and arbitrations. Strong skills in data mining and is a detail researcher with fact-checking. Ability to recognize and analyze complex contracting issues and discuss such issues with in-house attorneys and internal departments. Excellent written and verbal communication skills. High level of professionalism, dependability, and strong interpersonal skills. Ability to work independently and efficiently in a fast-paced, deadline-driven business environment, with a high focus on accuracy. High level of proficiency with Apttus, MS Office products, including Word, Excel, and SharePoint.
Position Available: Live in Companion (LIC) and Coach Location: Katonah, NY (Westchester County) Compensation: Furnished room, private bath, food stipend; car provided for local transportation during work hours; hourly wage for 20 hours/week for coaching/companionship Description: Two young adults with moderate developmental challenges require a live-in companion/caregiver in a beautiful five-bedroom home within walking distance from town. The companion will have their furnished room and bathroom and have full use of the common areas of the house and grounds. They will be expected to support the adults with daily living skills. Direct support for one or both young adults during the week is required compensation of up to $45/hour. Wages will be paid through a Self-Directed budget/ fiscal intermediary. Live-in /Overnight hours Sunday evening until Friday morning Sunday: 10:00 pm - 7:00 am Monday - Thursday 9:30 pm - 7:00 am Coaching/Caregiver hours required: 20 paid hours Monday - Friday: 7:00am - 9:00am Sunday: 6:00 pm -10:00 pm Monday - Thursday: 8:00 pm - 9:30 pm Coaching/Caregiver responsibilities: Socialize in the evening after dinner Ensure bedtime and morning routines Support personal goals Provide local transportation for morning activities Communicate with other coaches working with the two adults as well as their family members, especially in urgent situations; participate in one weekly "team meeting" via Zoom Requirements: Experience working with young adults, preferably with and ASD or I/DD Excellent time management and communication skills Driver’s license and a clean driver record At least two references No smoking/vaping/drugs of any kind No pets An overall positive and friendly disposition Flexibility and a willingness to adapt should some circumstances change Authorized to work in the US Minimum one-year commitment
Kings Bay Y / JCC Brooklyn The opportunity: Inspired by Jewish values and ideas, the Kings Bay YM-YWHA strives to build and strengthen communities, create meaningful relationships and lasting friendships, and foster deeper connections among individuals, families, and partner institutions in Brooklyn. From our flagship base in southern Brooklyn, where we operate a successful full-service Jewish community center, to our more recent inroads in Brownstone Brooklyn and North Brooklyn under the JCC Brooklyn umbrella, the Kings Bay Y has remained true to its 60-year-old mission. Position Summary: The Administrative Assistant oversees the day-to-day operations and long-term planning of the early childhood program. Responsibilities include staff management, family communication, and ensuring a high-quality learning environment. Key Responsibilities: Program Management: Ensure daily operations comply with licensing regulations and maintain a safe, nurturing environment. Provide occasional classroom coverage and after-care support. Staff Management: Supervise and mentor staff, coordinate scheduling, and organize training sessions. Parent Communication: Maintain strong family relationships, provide program updates, and organize parent events. Manage social media accounts. Enrollment & Recruitment: Collaborate on student enrollment, conduct tours, and maintain student records. Administrative: Oversee purchasing, manage records, and ensure regulatory compliance. Qualifications: Associate’s degree in Early Childhood Education or related field (Bachelor’s preferred) 3+ years of experience in early childhood education or management Strong leadership, organizational, and communication skills Familiarity with Jewish culture and traditions Proficiency in Microsoft Office, Google Suite, and management software Job Benefits: Health and vision coverage & dental coverage optional Pension Benefit plan, after one year, with agency contribution Life insurance, Optional 403/b plan & parental leave Generous Paid time off (PTO) Paid federal and additional holidays Employee program discounts Professional development opportunities- conferences and licenses Schedule: Full-time position: Monday to Friday, 8-hour shift Salary: $45,000 - $50,000