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Job Description JOB-19203 Claims Processing Analyst-25465 Work Schedule: M-F 8:30am – 5:00pm (40 Hour Work Week) OR 9:00am – 5:00pm (37.5 Hour Work Week) Telecommuting: This position may be eligible for telecommuting up to 50% hours scheduled to work in a two (2) week pay period. For new hires, it is typical that the first six (6) weeks of the assignment would be on site, with the possibility of applying for a telecommuting work schedule at that point. All requests are reviewed based on operation need. A laptop and docking station would be provided for remote work use at that time. Duties: • Determine appropriate routing for reimbursement of AIHP medical providers;, • Process AIHP Nation pharmacy and vision memberships;, • Support accounts/payable process (key vouchers for AIHP/OHEHR);, • Provide administrative support (minutes, field calls from claims hotline) to AIHP contractors;, • Assist in preparation of periodic reports and analysis;, • Assist in the implementation and maintenance of policies and procedures related to control and processing of payment requests;, • Manage the Unit's workflow, troubleshoot and report to supervisor when necessary;, • Respond to inquiries from providers and Nation billing clerks. Skills required: • General/Basic Understanding of the medical claims’ submission process, which includes analyzing Explanation of Benefits (EOB) forms to interpret payment information, ability to read and interpret Medicaid billing schedules and policies, as well as Current Procedural Terminology (CPTs) and Healthcare Common Procedural Coding System (HCPCS);, • General knowledge of automated accounting systems;, • Ability to analyze data and apply basic Generally Accepted Accounting Principles (GAAP) when necessary;, • Proficiency in Microsoft Excel and Word programs;, • Good written and oral communication skills, as well as good organizational skills. Preferred Skills: Our extensive consultant placements cover a variety of roles, from Technical Architects and Specialists to Developers, Project Managers, Analysts, Executive Secretaries, Nurses, Dietitians, Paralegals, Computer Operators, Food Preparation Workers, and many other occupations. To date, KBI has successfully placed over 1,000 consultants across more than 100 private sector companies and public sector agencies in New York State and throughout the country. We are dedicated to recruiting candidates who consistently exceed our customers’ expectations. We provide equal employment opportunity for all applicants and employees regardless of race, color, sex, gender identity, gender expression, religion, age, national origin, citizenship, disability, medical condition, family care status, marital status, domestic partner status, sexual orientation, genetic information, military/veteran status, or any other protected basis.Established in 2005, Knowledge Builders Inc. (KBI) offers a wide range of services, including Information Technology Consulting, Administrative and Health Care Staffing solutions, Payrolling, and Call Center services to organizations of all sizes, including both private companies and governmental entities. KBI is a certified Woman-Owned Business Enterprise (WBE) recognized by New York State, New York City, and the Port Authority of New York and New Jersey.\r\n\r\nOur extensive consultant placements cover a variety of roles, from Technical Architects and Specialists to Developers, Project Managers, Analysts, Executive Secretaries, Nurses, Dietitians, Paralegals, Computer Operators, Food Preparation Workers, and many other occupations. To date, KBI has successfully placed over 1,000 consultants across more than 100 private sector companies and public sector agencies in New York State and throughout the country.\r\n\r\nWe are dedicated to recruiting candidates who consistently exceed our customers’ expectations.\r\n\r\nWe provide equal employment opportunity for all applicants and employees regardless of race, color, sex, gender identity, gender expression, religion, age, national origin, citizenship, disability, medical condition, family care status, marital status, domestic partner status, sexual orientation, genetic information, military/veteran status, or any other protected basis.

Job Description JOB-19239 Speech-Language Pathologists-25518 Mission statement of OHIP: The overall mission of the Office of Health Insurance Programs is to optimize the health of Medicaid members by wisely using all available resources. OHIP is responsible for administering New York’s Medicaid budget (approximately $65B for 2018) by collaborating with stakeholders across the health care industry including other state agencies, local and federal government agencies, providers, members, and community-based organizations. OHIP is also responsible for implementation of major initiatives including Medicaid Redesign, the Affordable Care Act, and State Administration of Medicaid. Division functions: Division Medical and Dental Directors The Division is responsible for the prior approval and pended claims functions for durable medical equipment, private duty nursing, hearing aids, vision care, and dental. The Division also manages the prior approval process for out-of-state nursing home placements, high tech radiology, the Center for Operational Excellence, and the Medical Indemnity Fund. The Bureau of Medical Review, within the Division of Medical and Dental Directors, performs Medicaid operational functions including prior authorization for supplies and services, review of pended claims for pricing, timeliness of submissions and adherence to Medicaid claims submission policy, prior authorization for Fee for Service (FFS) Medicaid beneficiaries seeking admission to skilled nursing facilities out of state, and operation of a call center to answer inquiries from providers and members about prior approval. Position Description: • Conduct comprehensive review of Speech Generating Device requests for Medicaid recipients to determine if the service falls within the scope of coverage of the Medicaid Program and NYS Regulation., • Professional clinical knowledge and judgement used to render decisions that ensure the requested device is appropriate to meet the individual’s medical needs., • Actively involved in the Fair Hearing process by providing supporting evidence in written format and represents the NYS Medicaid Prior Approval Department via telephone., • Knowledgeable of NYCRR Title 10 and 18 regulations. Works closely with physicians, outside stakeholders, and Medicaid members via written and telephonic correspondence., • Instrumental in evaluating and assist in the revision of guidelines for Speech Generating Devices for NYS Medicaid members as needed. Additional Skill Level, Experience or Other Requirements: • Current license/certification, • Experience with Microsoft Office, • Experience in prior approval of medical supplies/equipment/services or experience in examination of medical records, documentation, and proposed treatment plans for medical necessity, • Proficient in the use of standard office technology, • Ability to be flexible, innovative, and work in a team environment Our extensive consultant placements cover a variety of roles, from Technical Architects and Specialists to Developers, Project Managers, Analysts, Executive Secretaries, Nurses, Dietitians, Paralegals, Computer Operators, Food Preparation Workers, and many other occupations. To date, KBI has successfully placed over 1,000 consultants across more than 100 private sector companies and public sector agencies in New York State and throughout the country. We are dedicated to recruiting candidates who consistently exceed our customers’ expectations. We provide equal employment opportunity for all applicants and employees regardless of race, color, sex, gender identity, gender expression, religion, age, national origin, citizenship, disability, medical condition, family care status, marital status, domestic partner status, sexual orientation, genetic information, military/veteran status, or any other protected basis.Established in 2005, Knowledge Builders Inc. (KBI) offers a wide range of services, including Information Technology Consulting, Administrative and Health Care Staffing solutions, Payrolling, and Call Center services to organizations of all sizes, including both private companies and governmental entities. KBI is a certified Woman-Owned Business Enterprise (WBE) recognized by New York State, New York City, and the Port Authority of New York and New Jersey.\r\n\r\nOur extensive consultant placements cover a variety of roles, from Technical Architects and Specialists to Developers, Project Managers, Analysts, Executive Secretaries, Nurses, Dietitians, Paralegals, Computer Operators, Food Preparation Workers, and many other occupations. To date, KBI has successfully placed over 1,000 consultants across more than 100 private sector companies and public sector agencies in New York State and throughout the country.\r\n\r\nWe are dedicated to recruiting candidates who consistently exceed our customers’ expectations.\r\n\r\nWe provide equal employment opportunity for all applicants and employees regardless of race, color, sex, gender identity, gender expression, religion, age, national origin, citizenship, disability, medical condition, family care status, marital status, domestic partner status, sexual orientation, genetic information, military/veteran status, or any other protected basis.

Job Description JOB-19243 Physical Therapist-25519 Mission statement of OHIP: The overall mission of the Office of Health Insurance Programs is to optimize the health of Medicaid members by wisely using all available resources. OHIP is responsible for administering New York’s Medicaid budget by collaborating with stakeholders across the health care industry including other state agencies, local and federal government agencies, providers, members, and community-based organizations. OHIP is also responsible for implementation of major initiatives including Medicaid Redesign, the Affordable Care Act, and State Administration of Medicaid. Division functions: Division of Medical and Dental Directors (DMDD) The Division is responsible for the prior approval and pended claims functions for durable medical equipment, private duty nursing, hearing aids, vision care, and dental. The Division also manages the prior approval process for out-of-state nursing home placements, high tech radiology, the Center for Operational Excellence, and the Medical Indemnity Fund. The Bureau of Medical Review, within the Division of Medical and Dental Directors, performs Medicaid operational functions including prior authorization for supplies and services, review of pended claims for pricing, timeliness of submissions and adherence to Medicaid claims submission policy, prior authorization for Fee for Service (FFS) Medicaid beneficiaries seeking admission to skilled nursing facilities out of state, and operation of a call center to answer inquiries from providers and members about prior approval. Position Description: • Conduct comprehensive review of Durable Medical Equipment, Prosthetics, Orthotics, and Supply requests for Medicaid recipients to determine if the service falls within the scope of coverage of the Medicaid Program and NYS Regulation., • Professional clinical knowledge and judgement used to render decisions that ensure the requested item is appropriate to meet the individual’s medical needs., • Actively involved in the Fair Hearing process by providing supporting evidence in written format and represents the NYS Medicaid Prior Approval Department via telephone., • Knowledgeable of NYCRR Title 10 and 18 regulations. Utilizes national standards for procedure and diagnosis coding, reviews appropriate combinations of medical services and is instrumental in identifying methods to prevent fraud and abuse., • Works closely with physicians, outside stakeholders, and Medicaid members via written and telephonic correspondence. Additional Skill Level, Experience or Other Requirements: • Current license/certification, • Excellent oral and written skills required., • Experience in prior approval of medical supplies/equipment/services or experience in examination of medical records, documentation, and proposed treatment plans for medical necessity, • Experience with Microsoft Office, • Proficient in the use of standard office technology Our extensive consultant placements cover a variety of roles, from Technical Architects and Specialists to Developers, Project Managers, Analysts, Executive Secretaries, Nurses, Dietitians, Paralegals, Computer Operators, Food Preparation Workers, and many other occupations. To date, KBI has successfully placed over 1,000 consultants across more than 100 private sector companies and public sector agencies in New York State and throughout the country. We are dedicated to recruiting candidates who consistently exceed our customers’ expectations. We provide equal employment opportunity for all applicants and employees regardless of race, color, sex, gender identity, gender expression, religion, age, national origin, citizenship, disability, medical condition, family care status, marital status, domestic partner status, sexual orientation, genetic information, military/veteran status, or any other protected basis.Established in 2005, Knowledge Builders Inc. (KBI) offers a wide range of services, including Information Technology Consulting, Administrative and Health Care Staffing solutions, Payrolling, and Call Center services to organizations of all sizes, including both private companies and governmental entities. KBI is a certified Woman-Owned Business Enterprise (WBE) recognized by New York State, New York City, and the Port Authority of New York and New Jersey.\r\n\r\nOur extensive consultant placements cover a variety of roles, from Technical Architects and Specialists to Developers, Project Managers, Analysts, Executive Secretaries, Nurses, Dietitians, Paralegals, Computer Operators, Food Preparation Workers, and many other occupations. To date, KBI has successfully placed over 1,000 consultants across more than 100 private sector companies and public sector agencies in New York State and throughout the country.\r\n\r\nWe are dedicated to recruiting candidates who consistently exceed our customers’ expectations.\r\n\r\nWe provide equal employment opportunity for all applicants and employees regardless of race, color, sex, gender identity, gender expression, religion, age, national origin, citizenship, disability, medical condition, family care status, marital status, domestic partner status, sexual orientation, genetic information, military/veteran status, or any other protected basis.

Job Description JOB-19202 Administrative / Program Support-25465 Section: Perinatal Health Surveillance and Quality Bureau: Bureau of Data Analytics, Research and Evaluation (BDARE) Duties: • Provide support for the work of the Maternal Mortality Review Initiative which includes the Maternal Mortality Review Board (MMRB)., • Assist with collecting information for maternal mortality case ascertainment from multiple data sources, including autopsy, police report, Psychiatric Services and Clinical Knowledge for Medicaid members (PSYCKES), incarceration history, online information, and other sources;, • Assist with tracking the receipt of case information and follow up on missing information., • Enter vital death/birth file information and/or other related data as required by the Maternal Mortality Review Information Application (MMRIA);, • Assist in reviewing and verifying entered information; track the receipt of case information and follow up on missing information; and file, photocopy and download case information for case review and MMRB meetings., • Provide support for an internal obstetrician (OB) to review pregnancy-associated cases. i.e., enter data from the death certificate, birth certificate and autopsy into OB case review forms; downloads completed forms received from OB, • Provide support for the transfer of information to and from IPRO abstractors., • Assist in preparing case materials for MMRB reviewer;, • Provide logistical support for MMRB meetings;, • Perform general office and administrative related assignments. Skills required: • Strong office organizational skills related to collecting, tracking, and follow up of data, • Data entry experience, preferably in Access forms, • Experience with office machines to scan, fax, copy and compile documents, • Proficiency in Microsoft Office 365 software package with an emphasis on Excel., • Ability to accurately extract details from program submissions., • Excellent written and oral communication skills. Additional skill preferred: • Ability to organize work and document progress of projects through to completion. Our extensive consultant placements cover a variety of roles, from Technical Architects and Specialists to Developers, Project Managers, Analysts, Executive Secretaries, Nurses, Dietitians, Paralegals, Computer Operators, Food Preparation Workers, and many other occupations. To date, KBI has successfully placed over 1,000 consultants across more than 100 private sector companies and public sector agencies in New York State and throughout the country. We are dedicated to recruiting candidates who consistently exceed our customers’ expectations. We provide equal employment opportunity for all applicants and employees regardless of race, color, sex, gender identity, gender expression, religion, age, national origin, citizenship, disability, medical condition, family care status, marital status, domestic partner status, sexual orientation, genetic information, military/veteran status, or any other protected basis.Established in 2005, Knowledge Builders Inc. (KBI) offers a wide range of services, including Information Technology Consulting, Administrative and Health Care Staffing solutions, Payrolling, and Call Center services to organizations of all sizes, including both private companies and governmental entities. KBI is a certified Woman-Owned Business Enterprise (WBE) recognized by New York State, New York City, and the Port Authority of New York and New Jersey.\r\n\r\nOur extensive consultant placements cover a variety of roles, from Technical Architects and Specialists to Developers, Project Managers, Analysts, Executive Secretaries, Nurses, Dietitians, Paralegals, Computer Operators, Food Preparation Workers, and many other occupations. To date, KBI has successfully placed over 1,000 consultants across more than 100 private sector companies and public sector agencies in New York State and throughout the country.\r\n\r\nWe are dedicated to recruiting candidates who consistently exceed our customers’ expectations.\r\n\r\nWe provide equal employment opportunity for all applicants and employees regardless of race, color, sex, gender identity, gender expression, religion, age, national origin, citizenship, disability, medical condition, family care status, marital status, domestic partner status, sexual orientation, genetic information, military/veteran status, or any other protected basis.

Job Description Company Overview Dropoff is a same-day, last mile delivery service that enables businesses across industries to meet rising expectations for faster deliveries. Through our proprietary technology platform and trusted, professional delivery drivers, Dropoff seamlessly becomes an extension of any business and a true logistics partner. Dropoff Tracker increases enterprise businesses’ visibility into all of their deliveries, with details of all orders and assigned drivers available in one centralized and dynamic map. Real-time tracking and confirmations, transparent pricing, flexible delivery options, and feature-rich APIs bring modern courier services to market that equip businesses with the resources they need to satisfy customers and achieve their goals. Dropoff is looking for drivers in the Albany area for medical deliveries—both local and long haul. You'll be transporting boxed and sealed blood shipments (no direct handling) to hospitals and clinics. These orders come in on-demand and the location is open 24/7. Requirements: BBP & HIPAA certifications (free training provided if needed) Pickup Location: Albany, NY 12205 (all pickups are here) Delivery Area: New York, New Jersey, Pennsylvania Pay: $1.32 per mile A to B Advantages of Contracting with Dropoff • Flexible hours - you determine when you want to provide delivery services and for how long, • Paid by the delivery, • Drive packages, not people - never worry about who's getting in your car, • 21 years of age or older, • Solid knowledge of the city, • A registered, insured and inspected car, SUV or van less than 10 years old, • A current driving license and clean driving record, • Tech savvy -- you’re comfortable using a smartphone and apps Fill out the form below to indicate your interest in becoming a driver for Dropoff! All fields are required. Powered by JazzHR ipkUMEHRXJ