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  • Lien Associate
    Lien Associate
    1 day ago
    $19–$24 hourly
    Full-time
    Uniondale

    Health Plus Management LLC (HPM) provides management services to medical practices specializing in the area of Pain Management and Physical Medicine & Rehabilitation. HPM manages over 50 locations throughout Long Island, NYC including the 5 boroughs, Westchester, Connecticut, NJ and Upstate NY. We provide management services that give the physician and therapists the opportunity to provide patient care without worrying about the administrative needs of the practice. We continually strive to support these practices by recruiting and retaining the most qualified and dedicated individuals. HPM provides an excellent path for personal and professional growth, along with competitive salary and benefits. This position is responsible for follow up with attorneys on denied no-fault claims & slip and fall cases that are on a medical lien (a legally binding contract between the provider & personal injury attorney.) Job Description/Summary: • Track & review accounts for status update with Law Firms / Attorneys, • Follow up on outstanding lien settlements, • Prepare balance invoices for attorneys, • Document & maintain detailed lien activity on patient account’s resulting from an email or phone call, • Supports & assists team with additional assigned tasks as needed Knowledge & Experience: • Medical collections, • Medical Claims, • Must be able to communicate professionally with Attorneys & Law office Personnel., • Experience with medical liens and arbitration, preferred but not required., • Experience with No Fault Regulations preferred. Skills & Abilities: • Excellent Customer Service & communication skills, • Proficient in computer operations, • Microsoft Office (excel & word), • Detail Oriented, • Problem solving skills, • Ability to meet high productivity & accuracy standards Physical Requirements: • Prolonged periods of sitting at a desk and working on a computer., • Must be able to lift up to 25 pounds at times. Additional Information: • In person position: Uniondale, NY, • Full-Time, Monday-Friday, 40 hours per week, • Approximate Pay: $19-$24/hour

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  • Nursing Home Medicaid Specialist
    Nursing Home Medicaid Specialist
    14 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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