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  • Nursing Home Medicaid Specialist
    Nursing Home Medicaid Specialist
    5 days ago
    Full-time
    Hewlett

    Job Overview We are seeking a dedicated and detail-oriented Nursing Home Medicaid Specialist to join our team. In this vital role, you will serve as a key resource in navigating the complex Medicaid reimbursement process for nursing home residents. Your expertise will ensure compliance with state and federal regulations, facilitate accurate documentation, and support residents' access to necessary benefits. This position offers an exciting opportunity to make a meaningful impact on patient care and facility operations through proactive case management and thorough knowledge of healthcare policies. Duties • Review and interpret medical records, discharge summaries, and clinical documentation to determine Medicaid eligibility for nursing home residents, • Collaborate with social workers, healthcare providers, and discharge planners to gather necessary documentation and ensure timely processing of Medicaid applications, • Conduct intake assessments, verify patient information, and facilitate the submission of Medicaid claims in accordance with state guidelines, • Utilize CPT (Current Procedural Terminology) coding, ICD-9, and ICD-10 coding systems to accurately classify diagnoses and procedures for billing purposes, • Maintain comprehensive medical records, ensuring HIPAA compliance and confidentiality at all times, • Assist with case management by coordinating services, supporting discharge planning, and addressing behavioral health or pediatric needs when applicable, • Proven experience in hospital or healthcare settings, particularly with acute care environments or discharge planning processes, • Strong knowledge of medical terminology, CPT coding, ICD-9/ICD-10 coding systems, and medical records management, • Familiarity with social work practices, behavioral health considerations, pediatrics (if applicable), and patient service protocols, • Understanding of HIPAA regulations to safeguard patient information during all stages of case management, • Excellent organizational skills with the ability to manage multiple cases efficiently under tight deadlines, • Effective communication skills to collaborate across multidisciplinary teams and explain complex processes clearly

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  • Medical Assistant
    Medical Assistant
    14 days ago
    $23–$26 hourly
    Full-time
    Wantagh

    Job Title: Medical Assistant / Receptionist Location: Primary Office – Wantagh, NY 11793 Satellite Location – Malverne, NY (1–2 times per month) Job Type: Full-Time About Us: Busy gastroenterology practice with two physicians seeking an experienced, reliable, and team-oriented Medical Assistant/Receptionist to join our growing team. We are looking for a motivated professional who can multitask efficiently in a fast-paced environment while providing excellent patient care and customer service. Responsibilities: Answering and managing incoming phone calls Scheduling office appointments and procedures Checking in patients and verifying demographic and insurance information Rooming patients and preparing them for physician evaluation Explaining procedure preparations (preps) clearly to patients Performing in-office breath tests Performing FibroScan procedures Assisting physicians and clinical staff as needed Obtaining prior authorizations for medications Securing medical clearances for procedures Maintaining accurate documentation in EMR Supporting both front desk and clinical operations Requirements: Previous experience as a Medical Assistant (required) Knowledge of insurance verification and prior authorizations Experience obtaining medical clearances for procedures Strong multitasking and organizational skills Excellent communication and patient service skills Ability to work independently and as part of a team Willingness to travel to Malverne location 1–2 times per month Qualifications: Medical Assistant certification preferred Gastroenterology experience is a plus EMR experience preferred We are seeking a dependable, detail-oriented professional who thrives in a collaborative team environment and is comfortable balancing both clinical and administrative responsibilities. Work Location: In person

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