Fraud jobs in Commack, New YorkCreate job alerts

Job DescriptionDescription: • Schedules, reschedules, and cancels onsite surgical procedures properly and according to established NSPC guidelines., • Obtains and records patient demographics, insurance information, and all other pertinent details accurately in new and current patient charts to guarantee proper medical care and accurate claim payments., • Communicates pre-surgery instructions accurately to scheduled patients., • Interfaces with appropriate staff to ensure a cohesive working relationship in providing patient care services., • Enters notes/special instructions needed for scheduling in the electronic medical record (EMR) system., • Effectively utilizes clinical knowledge when determining if appointment is consistent with the diagnosis/indications indicated by the provider., • Completes accurate documentation of informed consent with patients for procedures and surgeries as needed., • Provides accurate, detailed information to patients regarding test preparations, time of patients scheduled arrival, and any other directional information needed; takes appropriate action in responding to questions from patients., • Confirms patient’s insurance provider and either obtains prior authorization or communicates need for prior authorization to appropriate parties as needed., • Ensures patients have proper medical clearance and pre-surgical testing as needed., • Completes pre-procedure phone calls and confirms appointment times with patients via telephone., • Ensures completion of assessment for advance directive, including DNR when applicable., • Reviews discharge instructions with patients and ensures proper follow-up appointments are scheduled at the time the procedure is scheduled., • Performs all aspects of patient care in an environment that organizes patient safety and reduces the likelihood of medical/health care errors., • Adhere to and uphold all applicable federal and state compliance regulations, the NSPC Code of Conduct, the NSPC Employee Handbook, compliance policies and procedures, and applicable healthcare fraud, waste and abuse laws., • Understand, comply with, and enforce all NSPC policies, procedures, codes of conduct, and OSHA and HIPAA privacy rules., • The Code of Conduct., • Annual completion of compliance training., • Adherence to the overall compliance program., • Reporting issues, • All other duties as assigned.Requirements:, • High school diploma or general education degree (GED) equivalent., • CPR/BLS certification is a plus., • At least one year of related administrative experience and/or training, preferably in a healthcare environment., • Excellent patient care skills and awareness of the legal implications of work and words in healthcare., • Knowledge of business/healthcare operations and standards of best practice, preferably those related to a specialty care provider., • Knowledge of and experience with EMR and/or Electronic Practice Management systems and technologies., • Proficiency with Microsoft Office suite, specifically Word and Excel., • The capacity to work in a fast-paced and demanding environment, while demonstrating resourcefulness and proactivity., • Excellent organizational/multi-tasking skills with acute attention to detail., • Ability to provide outstanding customer service at all times by communicating effectively and professionally with a diverse population.

Job Description We're Grön (pronounced like grew-n, Swedish for green). We craft the most delicious cannabis edibles on the planet. As a leading North American brand, we're dedicated to high-quality products that cater to our diverse customers. Driven by innovation, sustainability, and community, we create our edibles with care. Founded in her basement, chocolatier and mother Christine Apple started Grön in 2015, and has since grown the company into a team of over 200+ passionate individuals in 8 different markets (and counting). We hold ourselves to the highest standards of quality and professionalism as we serve millions of customers worldwide. Every team member is expected to contribute to our mission with dedication and teamwork, crafting our gummies and chocolates with love for the community. At Grön, we operate first by our Mission & Values: we win with dignity and grace, we only deliver excellence, we embrace transformation. We believe all Grön employees should embrace and operate with these values in mind. If you feel like you embody our values, keep reading to find out more about how you could make an impact as a part of our team. About the Role: Packaging Support at Grön is the daily facilitator for preparing and packaging all products needed for fulfillment. The packaging team must work at high levels of production efficiency and safety. The Packaging Support is expected to follow, maintain and hold the team accountable to standard work methods and safe work habits to ensure product packaging and fulfillment is as efficient and safe as possible. Shift schedule is typically Monday-Thursday from 7am to 5:30pm. Flexible schedules preferred. In this role you will: • Communicate clearly and frequently with the Packaging team and leadership to achieve daily goals, • Follow company and government compliance to complete daily packaging and prep, • Maintain a clear workspace, • Maintain our seed-to-sale system, METRC, by managing associated tags and batch stickers, • Complete daily checklists to keep facility running smoothly, • Learn to properly operate various types of machines in the packaging process, • Sleeve, sticker, package, wrap and heat seal all products post-production, • Keep a keen eye for the details to find tasks when there is a break in packaging, • Collaborate with coworkers to complete packaging tasks in a timely fashion You'll be a great fit if you have the following: • You have at least 1 year of experience working in a similar fast paced industry, • You believe in communicating early and often about things that work and things that don't, • You have the ability to lift 25+ pounds and stand for long periods of time, • You believe in doing things well the first time and have a strong attention for detail, • You take ownership and accountability of work for the whole team to be successful, • You uplift others and see yourself as a supportive team member and co-worker, • You demonstrate integrity and respect in all interactions, fostering a positive and supportive work environment., • You strive for the highest standards in every aspect of your role., • You can adapt to and drive change with enthusiasm. Interview Process: At Grön, we go through the same interview steps for all Packaging Support candidates to ensure equity in our hiring process. Our process is designed to learn as much about each candidate as possible, as well as give candidates access to our team and hear what it's like to work with us. This position has an hourly pay of $ 19/hr • Medical, dental, & vision insurance, • 401k Program, • PTO, • 10 Paid holidays BE AWARE OF FRAUD! Please be aware of potentially fraudulent job postings or suspicious recruiter activity by persons that are posing as a Grön recruiters. Please confirm that the person you are working with has an @eatgron email address. Additionally, Grön will never request financial information or payments from candidates at any point during the hiring process nor will we send checks for equipment at anytime. If you suspect fraudulent activity, please contact our team via

Job Description We're Grön (pronounced like grew-n, Swedish for green). We craft the most delicious cannabis edibles on the planet. As a leading North American brand, we're dedicated to high-quality products that cater to our diverse customers. Driven by innovation, sustainability, and community, we create our edibles with care. Founded in her basement, chocolatier and mother Christine Apple started Grön in 2015, and has since grown the company into a team of over 200+ passionate individuals in 8 different markets (and counting). We hold ourselves to the highest standards of quality and professionalism as we serve millions of customers worldwide. Every team member is expected to contribute to our mission with dedication and teamwork, crafting our gummies and chocolates with love for the community. At Grön, we operate first by our Mission & Values: we win with dignity and grace, we only deliver excellence, we embrace transformation. We believe all Grön employees should embrace and operate with these values in mind. If you feel like you embody our values, keep reading to find out more about how you could make an impact as a part of our team. About the Role: The Production Support role is the daily facilitator for preparing all products needed for fulfillment. The production team must work at high levels of production efficiency, safety, and hygiene. The Production Support is expected to follow, maintain, and hold the team accountable to standard work methods and safe work habits to ensure production is as efficient and safe as possible. Shifts are 10 hours Monday through Thursday within the hours of 7am to 5:30pm. Flexible friday schedules required. In this role you will: • Communicate regularly with Production Leads and the team, • Collaborate to meet production goals daily, weekly, and monthly, • Open and close workstations using standard procedures, • Prepare ingredients & maintain a clean and organized workspace as per company standards, • Adapt to various production tasks as required, • Use daily checklists for smooth facility operations, • Manage Biotrack tags and batch stickers, • Operate machinery as per the production schedule, • Approach various parts of the production process such as mix ingredients, weigh, and apply coating solutions, • Follow packaging protocols such as managing Biotrack (seed-to-sale system) tags, create batch stickers, and operate packaging machinery, • You have experience working in a high volume, quick-moving environment such as restaurants, production line, or retail., • You can lift 25 to 50 pounds comfortably and are able to stand for long periods of time, • You value your strong communication skills and ability to work closely with others in a work environment, • You value doing something well the first time, • You operate with high standards in mind, no cutting corners, • You feel strongly that each person in a workplace takes ownership and accountability of their work, • You think of yourself as a supportive team member and co-worker, • You demonstrate integrity and respect in all interactions, fostering a positive and supportive work environment, • You strive for the highest standards in every aspect of your role, • You can adapt to and drive change with enthusiasm Interview Process: At Grön, we go through the same interview steps for all Production candidates to ensure equity in our hiring process. Our process is designed to learn as much about each candidate as possible, as well as give candidates access to our team and hear what it's like to work with us. This position has an hourly rate of $19/hr • Health, Dental, Vision, • 401k, • PTO & Sick Leave, • 10 paid holidays, • Parental leave Grön is committed to equal employment opportunity for all employees and providing employees with a work environment free of discrimination and harassment. In accordance with applicable laws and regulations, our company provides a fair and equal employment opportunity for all Team Members and candidates regardless of race, color, religion or belief, national origin, gender, family or parental status, pregnancy, sexual orientation, gender identity/expression, age, marital status, disability, or any other legally protected characteristic. We hire and promote individuals solely based on qualifications for the position to be filled and business needs. Grön will not tolerate discrimination or harassment based on any of these characteristics. We encourage all applicants over the age of 21. BE AWARE OF FRAUD! Please be aware of potentially fraudulent job postings or suspicious recruiter activity by persons that are posing as a Grön recruiters. Please confirm that the person you are working with has an @eatgron email address. Additionally, Grön will never request financial information or payments from candidates at any point during the hiring process nor will we send checks for equipment at anytime. If you suspect fraudulent activity, please contact our team via

Job DescriptionHotel Night Auditor / Overnight Front Desk Agent 11pm-7am Residence Inn by Marriott & Courtyard by MarriottCentral Islip, NY Summary of Position First impressions mean everything! What you do the second a guest walks through the doors, sets the expectation for the rest of their stay. As an Overnight Front Desk Reception agent, you'll have every opportunity to "make someone's stay", by making their day. As an Overnight Front Desk / Night Auditor, you will: • Work the desk during our overnight hours, • Demonstrate welcoming hospitality to our overnight check ins, • Perform night audit functions, • Demonstrate a true desire to satisfy the needs of others, • Ensure all aspects of hotel accounting for all areas of hotel operations are processed correctly and accurately recorded, protecting the brand and asset against liability and fraud., • Audit, balance, post and report on front desk, rooms, and all food and beverage outlets cash and credit operations and reset all registers to ensure accurate, timely function and optimal operations management., • Provide rooms management with a clear picture of their performance using the data gathered, • Run the night audit final, after ensuring all revenue is in balance Benefits • Advancement Opportunities - We promote from within!, • Medical for FT Associates, • 401(k), • Paid vacation time, • Flexible schedules, • Teammate Assistance Fund, • Stability, • Competitive Wages, • Fun, Energetic Work Environment Keys to Success • Must be 18 years or older, • Customer service experience is required, preferably in a hotel or related field, • Must have a high school diploma or equivalent, • Must be able to work various shifts per week, • Hours for this position are 11PM to 7AM, and will include a varied shift schedule through the week, • An Accounting background is preferred, • Attention to detail and the ability to compile facts and figures, • In addition to general office equipment, you will regularly operate Briad systems and software, • Ability to communicate effectively and courteously over the telephone and in person; strong command of the English language including speaking, reading, and writing, • Ability to lift, pull, and push moderate weight (minimum of 20 lbs); may occasionally require lifting luggage up to 50 pounds About us. The Briad Group® is rapidly expanding to serve many hospitality needs. Our robust portfolio consists of Wendy's franchise locations, Marriott and Hilton brand hotels, unique rooftop lounges atop our most innovative hotels, and an outdoor lifestyle shopping center. Our mission. Create positive lifelong emotional connections with our teammates and our guests. Our formula for success includes building strong leadership teams. The Briad Group® takes pride in training, developing and promoting what it considers the hospitality industry's most talented employees. Apply today to become a part of our Family!! We Are An Equal Opportunity Employer - All applicants will receive consideration without discrimination based on sex, marital status, race, color, age, creed, national origin, sexual orientation, military reserve membership, ancestry, religion, height, weight, use of a guide or support animal because of blindness, deafness or physical handicap or the presence of disabilities.

Job Description In this Supervisor role you will assist IPRO’s Senior Director and the New York State Department of Health (NYSDOH), Office of Aging and Long-Term Care, Long Term care, with oversight of surveillance and investigation activities related to nursing homes (long term care). These activities are mandated to evaluate facility performance and monitor the quality of care and services provided. Duties include but are not limited to ensuring the quantity and quality of IPRO staff work output with acceptable outcomes; working with IPRO’s designated staff to ensure correct invoicing are submitted for staff; coordinating and assisting in providing preceptor surveillance training to IPRO surveyors; participating as a member of an interdisciplinary survey team and producing written documentation and draft Statements of Deficiencies (SOD); attend meetings and other duties assigned. The position will be located at the NYS DOH lower Manhattan OR Central Islip office. Non-travel days are based at the designated office or telecommuting, if approved. QUALIFICATIONS: • Demonstrate strong interpersonal skills with the ability to facilitate positive customer satisfaction in situations that are adverse or in controversy., • Ability to successfully work independently with minimal supervision, as well as in a team environment., • Excellent written and verbal skills with the ability to communicate professionally with co-workers, supervisors, providers, medical and administrative personnel, and residents/patients., • Ability to translate collected information into a clear, concise, legal, and defensible document., • Excellent investigative and analytical skills., • Strong computer skills with working knowledge of Microsoft office products, and the ability to learn new programs., • If approved to work remotely, must have secure internet that meets the speed required to perform all work duties, must have a workspace that provides privacy for all work-related calls, and must be able to secure all work-related items when not in use., • Must have a valid driver’s license & the ability to travel to on-site facilities review assignments. EDUCATION & EXPERIENCE: • NYS Licensed, Registered Nurse, required., • A minimum of two (2) years of experience in performing utilization review, claims adjudication, medical review, fraud investigation, surveillance, or monitoring activities, OR, three (3) years of clinical or administrative experience, OR A bachelor’s degree in nursing and two (2) years of clinical or administrative experience and two (2) years of supervisory experience., • Surveyor Minimum Qualifications Test (SMQT), required. The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. The salary range for this position is $109,750.00- $115,996.50. Actual salary range and /or hourly rate depends on a variety of factors including experience, education, credentials, location, and budget. The salary range and/or hourly rate listed does not include other forms of compensation or benefits. IPRO is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or military status.