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  • Nursing Home Medicaid Specialist
    Nursing Home Medicaid Specialist
    hace 28 días
    Jornada completa
    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/Receptionist
    Medical Assistant/Receptionist
    hace 2 meses
    Jornada completa
    Valley Stream

    South Nassau Orthopedic is dedicated to providing exceptional interventional pain and Orthopedic services. Our focus is on improving the quality of life for our patients through innovative treatments and compassionate care. Summary We are seeking a Medical Receptionist to join our team at South Nassau Orthopedic. In this role, you will be the first point of contact for our patients, ensuring a welcoming and efficient experience while managing administrative tasks that support our healthcare operations. Responsibilities Greet patients and visitors warmly, providing excellent customer service. Manage patient check-in and check-out processes efficiently. Schedule appointments and coordinate patient flow within the clinic. Maintain accurate patient records and ensure confidentiality. Assist with insurance verification and billing inquiries. Communicate effectively with medical staff to facilitate patient care. Handle phone calls, respond to inquiries, and provide information about services. Requirements Proven experience as a medical receptionist or in a similar role in a healthcare setting. Strong knowledge of medical terminology is essential. Excellent communication and interpersonal skills to interact with patients and staff. Ability to manage multiple tasks in a fast-paced environment. Familiarity with electronic health records (EHR) systems is a plus. High school diploma or equivalent; additional certification in medical administration is preferred. If you are passionate about patient care and looking to make a difference in a dynamic healthcare environment, we invite you to apply today! Job Type: Full-time Pay: $19.00 - $22.00 per hour Benefits: 401(k) Health insurance Paid sick time Paid time off Paid training Ability to Commute: Valley Stream, NY 11580 (Required) Ability to Relocate: Valley Stream, NY 11580: Relocate before starting work (Preferred) Work Location: In person

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