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Community health worker jobs in Hewlett, New YorkCreate job alerts

  • Nursing Home Medicaid Specialist
    Nursing Home Medicaid Specialist
    8 hours 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 Accounts Receivable Specialist
    Medical Accounts Receivable Specialist
    1 day ago
    $24–$26 hourly
    Full-time
    Uniondale

    Health Plus Management LLC (HPM) provides management services to medical practices specializing in Pain Management, PMN&R, and Orthopedics. HPM manages over 50 locations across Long Island, NYC (including the 5 boroughs), Westchester, NJ, CT, and Upstate New York. We enable physicians and therapists to focus on patient care by handling administrative needs. This position is primarily responsible for Accounts Receivable and Collections functions specifically related to No-Fault and Workers' Compensation for our practices. Key Responsibilities: • Manage insurance accounts receivable for various groups, specialties, and payors., • Proactively follow up with insurance companies on unpaid and denied claims., • Resolve claim errors and re-submit claims as necessary to ensure reimbursement., • Prepare and submit appeal letters to insurance carriers for denied claims where disagreement exists., • Identify and report payer issues, particularly those related to denial trends or payment changes., • Maintain meticulous documentation of all collection activity and notes for each account., • Assist with collection efforts in adherence to company policies and procedures, ensuring legal compliance., • Provide support to the team with additional assigned tasks as needed., • Communicate effectively with team members and management. Education & Training Requirements: • High School Diploma or equivalent is required., • 2+ years of experience in Accounts Receivable (A&R) or Denial Management across diverse insurance carriers and specialties. Knowledge & Experience: • 2+ years of experience with No-Fault & Workers' Compensation AR/Collection and Denial Management., • Strong understanding of payors and medical insurance terminology relevant to collections., • Knowledge of local coverage determinations policies, A/R follow-up procedures, and managed care regulations. Skills & Abilities: • Proficiency in computer usage, insurance web portals, and keyboarding., • Required knowledge of Microsoft Excel and Word., • Prior work experience with Athena is a plus., • Excellent verbal and written communication skills., • Strong work ethic and exceptional attention to detail., • Dedicated and effective team collaborator., • Ability to organize and prioritize work to meet deadlines. Physical Requirements: • Prolonged periods of sitting at a desk and working on a computer., • Ability to lift up to 25 pounds occasionally. Schedule: • Monday-Friday, 40 hours per week. Compensation: • $24 - $26 per hour.

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  • Billing Associate
    Billing Associate
    3 days ago
    $19–$24 hourly
    Full-time
    Uniondale

    This position is primarily responsible for timely review and submission of medical claims to insurance companies via electronic and paper processes. Duties & Responsibilities: • Review insurance claims for accuracy and completeness as well as obtain and attach any missing documentation prior to submitting claim., • Carefully review procedures billed to ensure proper coding, • Review pre-billing dashboards for claim accuracy, • Preparation of paper claims, • Responsible for completing the proof of mailing, • Daily monitoring of claims with missing information, work closely with offices to obtain and ensure all claims are submitted timely to carriers, • Effectively communicate and correspond with team members and management Education & Training: • High School Diploma or equivalent required, • Certified Professional Coder preferred but not required, • Knowledge of No Fault/Worker’s Compensation guidelines preferred but not required, • 2+ years of experience with billing rules and regulations across multiple insurance carriers and specialties Knowledge and Experience: • Must have a strong knowledge of payers and medical insurance terminology, rules, and regulations, • Proficient in the use of computers, keyboarding with knowledge of Microsoft Excel and Word required, • Self-starter with strong problem-solving skills, • Ability to meet high productivity and accuracy standards, • Knowledge of ICD-10 and CPT codes Skills & Abilities: • Capable of working independently to accomplish individual and team objectives, • Excellent Communication Skills, verbal and written, • Ability to organize and prioritize work to meet strict deadlines, • Strong work ethic, • Excellent attention to detail Schedule: Full-Time, Monday-Friday Pay: $19 - $24/ hour Health Plus Management (HPM) is a Physician Support Organization and market leader in clinical practice management in the physical medicine and rehabilitation market with 50+ locations serving Westchester, NYC, NJ, CT & Upstate NY. HPM provides independent physician practices specializing in musculoskeletal care with professional business development, marketing and back-office support typically seen in much larger organizations, thereby enabling clients to start and / or grow their private practice beyond what might otherwise be feasible (while maximizing clinical service and patient care).

    Immediate start!
    No experience
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