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  • Medical Accounts Receivable Specialist
    Medical Accounts Receivable Specialist
    21 hours 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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  • New Store Opening, Culinary Trainer
    New Store Opening, Culinary Trainer
    3 days ago
    $80000–$120000 yearly
    Full-time
    SoHo, Manhattan

    New Store Opening, Culinary Trainer maman Multi-Market Role (home base in NYC, Charlotte, Dallas, DC or Greater Miami) Extensive Travel Required At maman, we believe every café should feel like coming home --- warm hospitality, thoughtful food, beautiful spaces, and teams that care deeply about the guest experience. As we continue to grow, we are looking for a New Store Opening, Operations Training Specialists specialized in the back of house field. This role will help bring each new maman to life with excellence, consistency, and heart. This role is for a hands-on hospitality leader who thrives in fast-paced environments, loves building teams from the ground up, and feels energized by travel and new beginnings. While this role may be based in NYC, Charlotte, Dallas, DC, or the Greater Miami area, it requires extensive travel (approximately 9--10 months per year) to support new café openings, with cross-market support as needed. About the Role As our BOH NSO Specialist, you will lead kitchen pre-openings from setup through stabilization. You'll ensure every new maman kitchen opens organized, food-safe, fully trained, and operating with consistency from day one. You will oversee equipment ordering and installation, kitchen organization, BOH onboarding and certification, and operational readiness. During non-opening periods, you'll support retraining and operational reinforcement in existing markets. What You'll Do Kitchen Setup Launch • Order and set up kitchen equipment, smallwares, and appliances, • Organize BOH stations, storage, pars, and prep systems, • Oversee equipment installation and functionality checks, • Ensure full compliance with food safety and sanitation standards BOH Training Certification • Lead hands-on training for line cooks, prep cooks, bakers, and porters, • Train teams on recipe execution, portioning, labeling, dating, and storage, • Certify station proficiency and track training progress, • Coach in real time and address performance gaps with clarity and care Operational Excellence • Train on KDS, ordering platforms, inventory systems, and daily BOH procedures, • Support inventory controls, food ordering, and waste management, • Support in first schedule templates and schedule building, • Conduct readiness assessments before opening, • Step into shifts as needed to model standards and execution, • Partner cross-functionally to ensure smooth, scalable openings Who You Are • Experienced in multi-unit restaurant openings or high-volume kitchen training, • Strong culinary background (line cook experience required; baking experience a plus), • Deep knowledge of food safety, sanitation, and inventory systems, • A calm, accountable leader who builds trust in the kitchen, • Highly organized and detail-oriented, • Comfortable working hands-on in a fast-paced environment, • Bilingual (English/Spanish) candidates are highly celebrated within our growing markets, • Energized by travel and being on the road extensively Requirements • Must be 21 years of age or older and legally authorized to work in the U.S., • Ability to stand for extended periods and work full shifts, • Open availability, including holidays and weekends, • Reliable transportation and ability to travel extensively within assigned region, • State based Food Handler Certification (or willingness to obtain) Compensation Benefits Salary Range: 80,000 - 120,000 (location dependant) Multi-Location Role Extensive Travel Required We offer: • Medical, Dental, and Vision Insurance, • 401(k) Retirement Plan opportunities, • Employee Discount Benefits salary may vary by state and eligibility

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  • Nursing Home Medicaid Specialist
    Nursing Home Medicaid Specialist
    28 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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