Trabajos medicare en Cicero, New YorkCrear alertas

A healthcare facility in the Syracuse, NY area is seeking a detail-oriented Medicaid Coordinator to support business office operations and resident financial processes. This role plays a key part in guiding residents and families through coverage, documentation, and admission requirements. What You’ll Do: * Serve as a primary point of contact for residents and families regarding financial responsibilities and coverage questions * Prepare, track, and submit documentation for Medicaid and other public assistance programs, ensuring timely follow-up * Maintain accurate census, billing, and account information within internal systems * Monitor accounts and assist with the collection of private pay balances and income * Support insurance verification and authorization workflows * Manage resident personal funds in accordance with established policies * Ensure admission and financial agreements are completed accurately and on time * Provide general administrative support as needed What We’re Looking For: * Experience or working knowledge of Medicaid, Medicare, and insurance processes preferred * Strong interpersonal skills with the ability to communicate financial information clearly and professionally * Proficiency in Microsoft Office and comfort navigating multiple systems * Strong organizational skills with close attention to detail

Job Description INTRODUCTION Company Overview: This position is available with Upstate HomeCare, a BioMatrix company. BioMatrix is a nationwide, independently-owned infusion pharmacy with decades of experience supporting patients on specialty medication. Our compassionate care team helps patients navigate the often-challenging healthcare environment. We treat our patients like family and get them started on therapy quickly. We work closely with them as well as their family and their healthcare providers throughout the patient journey, staying focused on optimal clinical outcomes. At BioMatrix the heart of our Inclusion, Diversity, Equity, & Access (IDEA) philosophy is the commitment to cultivate a welcoming space where everyone’s contributions are acknowledged and celebrated. Our goal is to draw in, develop, engage, and retain talented, high-performing individuals from diverse backgrounds and viewpoints. We believe that both respecting and embracing diversity enriches the experiences and successes of our patients, employees, and partners. Schedule: Monday Through Friday From 8:30am Eastern Standard Time To 5pm Eastern Standard Time Work schedule is subject to change based on business needs. Location: Upon successful completion of on-site training, it is anticipated that an incumbent in this role will work on-site at our location in Syracuse, NY. Work location is subject to change based on business needs. Job Description: Directly provides efficient retrieval and management of all documentation required to bill claims for services provided. Ensures all documentation is aligned with prevailing company, state and federal payer standards. Adheres to strict governance in all aspects of obtaining complete and accurate documentation requirements. QUALIFICATION REQUIREMENTS • High school diploma or GED required, • Minimum of two (2) years of customer service experience in healthcare industry required, • Demonstrates strong computer literacy and aptitude as evidenced by proficiency and/or training with applicable software systems, • Knowledge of NYS payers, • Good written and verbal communication, • Prioritization skills, • Alignment to given instructions, • Providing excellent customer service by:, • Being courteous and prompt in response to customer/staff inquiries, • Explaining documentation requirements to co-workers, physicians, physician’s office staff, discharge planners, and customer and/or caregiver, • Documenting customer account issues/concerns (when applicable) and forwarding to the appropriate manager, • Improves departmental/company productivity and efficiency by:, • Obtaining required qualifying documents to include:, • CMN’s: Sending to physicians on a regular basis as established by company policy, • Doctor’s Orders: Sending to physicians on a regular basis as established by company policy, • Insurance requests for additional medical documentation (i.e., sleep studies, requests for additional documentation), • Prescriptions, • Insurance Prior Authorizations, • Renewal CMNs, • Renewal Insurance Prior Authorizations, • Medicaid Written Prior Authorizations, • Maintaining open communication with Branch Managers and CSR’s, • Reviewing and keeping all corporate billing hold reports current, • Monitoring timely acquisition of required documentation, • Monitoring all documentation for accuracy, • Reviewing documentation for qualification based on Compliance Policy, • Receiving all documentation in the computer system for release of all pending claims, • Volunteering or initiating assistance in other activities (not listed in job description) when it is beneficial to the department/company, • Follows company policies and procedures by:, • Understanding and following the Company’s Confidentiality Policy, • Serving as company resource on documentation issues, • Understanding scope and range of services, • Understanding and following complaint procedures, • Monitoring that appropriate signatures & medical justification accompany service orders, • Following applicable Medicare, Medicaid regulations, • Following state and insurance carrier regulations, • Following regulations set forth in company contracts, • Following company policy on CMN/medical justification retrieval, • Shows teamwork, initiative and accountability by:, • Volunteering to assist co-workers, • Staying current with industry/coverage changes, • Reviewing all documentation literature regularly to maintain updated on medical policy, • Presenting solutions in conjunction with problems, • Exhibits exceptional work ethics by:, • Not being wasteful or abusing branch/region resources (vehicles, buildings, equipment, supplies, phones, utilities, time at work and time absent from work, etc.), • Presenting fair and honest reports of expenses (travel, gas, on call, etc.), • Following through timely with commitments, • Allowing others to speak without interruption, • Asking clarifying questions and showing consideration of others comments, • Using proper grammar, a respectful tone and language free of prejudice, harassment, profanity or ill will connotations, • Answering calls within three rings and properly introducing self in a pleasant and clear voice, • Returning phone messages promptly, responding calmly to angry or upset referrals/customers and avoiding personal calls (or minimizes) to allow customer access to business lines Communication Skills • Oral Communication - Speaks clearly and persuasively in positive or negative situations; listens and gets clarification; Responds well to questions; Demonstrates group presentation skills; Participates in meetings., • This position requires constant sitting with occasional walking, standing, kneeling or stooping., • This position requires the use of hands to finger, handle or feel objects and the ability to reach with hands and arms., • This position requires constant talking and hearing., • Specific vision abilities required by this job include close vision and the ability to adjust focus. PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. If needing a reasonable accommodation within the application process, please contact the BioMatrix People & Culture team at or 954.385.7322 x 1425. While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; talk or hear; taste or smell. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus. OTHER • Will participate in legal and ethical compliance training each year., • Will consistently behave in compliance with the BioMatrix, LLC’s legal and ethical policies and procedures., • Will abide by the policies of BioMatrix, LLC as set forth in the Compliance Manual., • Will not participate in any conduct considered to be unethical or illegal. EXPECTATION FOR ALL EMPLOYEES Supports the organization's mission, vision, and values by exhibiting the following behaviors: integrity, dedication, compassion, enrichment and enthusiasm, places patients first, is all-in with stacked-hands, and is focused on relentless consistency wins. GENERAL INFORMATION: The above statements are intended to describe the general nature and level of work being performed by individuals assigned to this position. They are not intended to be an exhaustive list of all duties, responsibilities, and skills required of personnel so classified. The incumbent must be able to work in a fast-paced environment with demonstrated ability to juggle and prioritize multiple, competing tasks and demands and to seek supervisory assistance as appropriate. Incumbents within this position may be required to assist or find appropriate assistance to make accommodations for disabled individuals in order to ensure access to the organization's services (may include: visitors, patients, employees, or others). All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Job Description INTRODUCTION Company Overview: This position is available with Upstate HomeCare, a BioMatrix company. BioMatrix is a nationwide, independently-owned infusion pharmacy with decades of experience supporting patients on specialty medication. Our compassionate care team helps patients navigate the often-challenging healthcare environment. We treat our patients like family and get them started on therapy quickly. We work closely with them as well as their family and their healthcare providers throughout the patient journey, staying focused on optimal clinical outcomes. At BioMatrix the heart of our Inclusion, Diversity, Equity, & Access (IDEA) philosophy is the commitment to cultivate a welcoming space where everyone’s contributions are acknowledged and celebrated. Our goal is to draw in, develop, engage, and retain talented, high-performing individuals from diverse backgrounds and viewpoints. We believe that both respecting and embracing diversity enriches the experiences and successes of our patients, employees, and partners. Schedule: Monday Through Friday From 8:30am Eastern Standard Time To 5pm Eastern Standard Time Work schedule is subject to change based on business needs. Location: Upon successful completion of on-site training, it is anticipated that an incumbent in this role will work in a hybrid capacity from one of the noted locations on Mondays, Wednesdays, & Fridays while working from home on Tuesdays & Thursdays. Work location is subject to change based on business needs. Job Description: Directly provides efficient management and collections of patient/customer accounts aligning with prevailing company, state, federal and payer standards. QUALIFICATION REQUIREMENTS • High school diploma or GED required, • Minimum of two (2) years of billing experience required, • Demonstrates strong computer literacy and aptitude as evidenced by proficiency and/or training with applicable software systems, • Knowledge of NYS Medicaid, Medicare Part B, and third-party payers, • Good written and verbal communication, • Prioritization skills, • Alignment to given instructions, • Associate’s degree in Health Care Service, Medical Sales, or a related field preferred, • Providing excellent customer service by:, • Being courteous and prompt in response to customer/staff inquiries, • Explaining financial responsibilities with customer and/or caregiver, • Providing accurate information to customer and/or caregiver and/or staff, • Documenting customer account issues/concerns (when applicable) and forwarding to the appropriate manager, • Improves departmental/company productivity and efficiency by:, • Making corrections and updating patient account files, • Accurately submitting claims to correct carriers on a regular schedule, • Reviewing and resubmitting aged claims well in advance of time limits, • Handling denials in manners most advantageous to quick resolution and payment, • Working aged claims as instructed, monitoring progress weekly, negotiating payer commitments, • Volunteering or initiating assistance in other activities (not listed in JD) when it is beneficial to the department/company, • Minimizing claims aged beyond 90 days, • Follows departmental/company policies and procedures by:, • Understanding and following Confidentiality Policy, • Serving as company resource on processing/reimbursement issues, • Maintaining a safe, clean and organized work area, • Understanding and following complaint procedures, • Monitoring that appropriate signatures & justification accompany service orders, • Following applicable Medicare, Medicaid regulations, • Following state and insurance carrier regulations, • Following regulations set forth in company contracts, • Shows teamwork, initiative and accountability by:, • Volunteering to assist co-workers, • Staying current with industry/coverage changes, • Ensuring completion of required in-services, testing and/or immunizations, • Complying with applicable memo’s and policy changes as issued, • Presenting solutions in conjunction with problems, • Exhibits exceptional work ethics by:, • Not being wasteful or abusing branch/region resources (vehicles, buildings, equipment, supplies, phones, utilities, time at work and time absent from work, etc.), • Presenting fair and honest reports of expenses (travel, gas, on call, etc.), • Following through timely with commitments, • Allowing others to speak without interruption, • Asking clarifying questions and showing consideration of others comments, • Using proper grammar, a respectful tone and language free of prejudice, harassment, profanity or ill will connotations, • Answering calls within three rings and properly introducing self in a pleasant and clear voice, • Returning phone messages promptly, responding calmly to angry or upset referrals/customers and avoiding personal calls (or minimizes) to allow customer access to business lines Communication Skills • Oral Communication - Speaks clearly and persuasively in positive or negative situations; listens and gets clarification; Responds well to questions; Demonstrates group presentation skills; Participates in meetings., • This position requires constant sitting with occasional walking, standing, kneeling or stooping., • This position requires the use of hands to finger, handle or feel objects and the ability to reach with hands and arms., • This position requires constant talking and hearing., • Specific vision abilities required by this job include close vision and the ability to adjust focus., • This position must occasionally lift and/or move up to 20 pounds, • Required to move/lift physical hardware. PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. If needing a reasonable accommodation within the application process, please contact the BioMatrix People & Culture team at or 954.385.7322 x 1425. While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; talk or hear; taste or smell. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus. OTHER • Will participate in legal and ethical compliance training each year., • Will consistently behave in compliance with the BioMatrix, LLC’s legal and ethical policies and procedures., • Will abide by the policies of BioMatrix, LLC as set forth in the Compliance Manual., • Will not participate in any conduct considered to be unethical or illegal. EXPECTATION FOR ALL EMPLOYEES Supports the organization's mission, vision, and values by exhibiting the following behaviors: integrity, dedication, compassion, enrichment and enthusiasm, places patients first, is all-in with stacked-hands, and is focused on relentless consistency wins. GENERAL INFORMATION: The above statements are intended to describe the general nature and level of work being performed by individuals assigned to this position. They are not intended to be an exhaustive list of all duties, responsibilities, and skills required of personnel so classified. The incumbent must be able to work in a fast-paced environment with demonstrated ability to juggle and prioritize multiple, competing tasks and demands and to seek supervisory assistance as appropriate. Incumbents within this position may be required to assist or find appropriate assistance to make accommodations for disabled individuals in order to ensure access to the organization's services (may include: visitors, patients, employees, or others). All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Job Description Rezolut Imaging is seeking a Credentialing Specialist to join our team! Who is Rezolut? Rezolut is a national emerging platform of diagnostic medical imaging services. With focus on four key platforms, our vision is to provide topnotch patient care partnered with innovative technology — to achieve better health outcomes. Position Summary The Northeast Credentialing Specialist will be responsible for supporting national payor and facility credentialing support growing Radiology Services Organization. Note: This role will be specifically supporting New York, New Jersey, and Pennsylvania credentialing. As a member of the Payor Contracting and Credentialing team this teammate will be a key contributor to company’s objectives by improving our credentialing execution, management and other special projects.The ideal candidate will reside in the New York or California area. Position Duties and Responsibilities • Own, track, and manage Medicare, Medicaid, and other third-party public and private payor, facility and provider enrollment and credentialing., • Primary point of contact inside and outside of the organization for related questions and requests., • Develop and maintain relationships with new and existing third-party payors credentialing counterparts, • Knowledgeable of credentialing process and best practices as well as staying on top of new trends and respective company impacts., • Track, organize and provide timely update for all credentialing applications., • Problem solves, troubleshoot and research credentialing issues independently., • Partner and support Payor Contracting and Revenue Cycle Management (RCM) departments, patients, etc. with related ad-hoc reporting and analyses as needed., • Creation and updating of guides, Standard Operating Procedures (SOPs), announcements, and other documentation for the department and RCM customers., • Required: at least 2 years of experience in the field or in a related area, • Required: experience with New York Medicare & Medicaid, NYWC and other 3rd party New York payors, • Competent in Excel, Powerpoint, Smartsheet, OneNote, • Nice to have – experience with Credential Stream and Availity, • Prior Healthcare, RCM, Credentialing, or Medical Billing experience is required, • Working knowledge and understanding of Medicare physician reimbursement methodologies is required, • Work collaboratively across multiple functions (Credentialing, RCM, and Payor Contracting), • Highly motivated self-starter who is an excellent team player, • Outstanding organizational and communication (both verbal and written) skills, • Ability to innovate in a fast-growing work environment and comfortable dealing with ambiguity, • Immediately accrue PTO as you work! (Full Time), • 6 Observed Holidays, • Medical, Dental, Vision, Life and other voluntary insurances for full-time employees, • 401(k) Retirement plan

Job Description INTRODUCTION Company Overview: This position is available with Upstate HomeCare, a BioMatrix company. BioMatrix is a nationwide, independently-owned infusion pharmacy with decades of experience supporting patients on specialty medication. Our compassionate care team helps patients navigate the often-challenging healthcare environment. We treat our patients like family and get them started on therapy quickly. We work closely with them as well as their family and their healthcare providers throughout the patient journey, staying focused on optimal clinical outcomes. At BioMatrix the heart of our Inclusion, Diversity, Equity, & Access (IDEA) philosophy is the commitment to cultivate a welcoming space where everyone’s contributions are acknowledged and celebrated. Our goal is to draw in, develop, engage, and retain talented, high-performing individuals from diverse backgrounds and viewpoints. We believe that both respecting and embracing diversity enriches the experiences and successes of our patients, employees, and partners. Schedule: Monday Through Friday From 8:30am Eastern Standard Time To 5pm Eastern Standard Time Work schedule is subject to change based on business needs. Location: Upon successful completion of on-site training, it is anticipated that an incumbent in this role will work in a hybrid capacity from our location in Syracuse, NY on-site three (3) days per week while working from home two (2) days per week. Work location is subject to change based on business needs. Join our team, bring your best, and receive a $300 retention bonus as our way of saying thanks for being part of our success. Job Description: The Patient Referral Coordinator is responsible for the processing and coordination of all new referrals with the main objective being to clear all patients prior to service in order to ensure proper payment in compliance within all legal and regulatory parameters. This person will ensure accurate, efficient and timely processing of new referrals for Infusion and Enteral services to include, but not be limited to, obtaining all necessary supporting documentation, confirming insurance coverage, coding and pricing of products, documenting patient in applicable computer system, submitting for pre-authorization and coordinating of initial “pushing” of the referral. The Admissions Representative provides support and works collaboratively with referral sources, hospital liaisons, the pharmacy, nursing, and billing and branch personnel. QUALIFICATION REQUIREMENTS • Associate’s degree in Business, Health Care Services, or Medical Sales required, • Minimum of one (1) year of experience in healthcare industry required, • Strong working knowledge of first- and third-party payer requirements as it pertains to the billing and collection industry, • Excellent management, communication, interpersonal, team-orientation, organizational and analytical skills, • Prioritization and multi-tasking skills, • Proficiency with problem resolution, • Self-motivated and self-disciplined, • Computer aptitude, • Minimum of two (2) years of experience with a home care company preferred, • Provide knowledge and leadership regarding infusion intake processes by:, • Receiving new requests for services via phone, fax or other means, • Obtaining all information necessary to accurately process the referral according to established procedures, • Completing referral process within time frame required to meet the needs of the patient, family and referral source, • Accurately completing the patient record in applicable computer system to include all required demographics, insurance and clinical information; recording appropriate progress notes and alerts to present a clear concise picture of patient data, • Confirming insurance coverage for services requested; gathering detailed information regarding, but not limited to, eligibility, deductible, out of pocket, authorization requirements and patient obligations, • Communicating with referral source or liaison regarding, but not limited to, insurance coverage, information limitations and status of referral, • Obtaining insurance authorization when necessary; entering and documenting authorization according to established procedure; tracking authorizations due to expire and obtaining renewals as needed, • Assuring accurate and complete billing information is obtained and recorded to allow for timely claim submission and payment, thus reducing accounts receivable days outstanding, • Communicating any financial obligations to the patient or his/her designee; assuring their understanding and agreement to pay; establishing a payment method up-front, i.e. credit card, • Maintaining the pending referral log on a daily basis; attending rounds each morning prepared to discuss status of each patient, • Responding to requests for assistance from pharmacy billing and clinical personnel, • Remaining familiar with specific payer guidelines, requirements and contracts, • Staying current and implementing industry changes, • Consulting with the Admissions Director or Admissions Manager when faced with unfamiliar situations and when decisions outside of the Intake Representative’s scope need to be made, • Assisting with special projects and perform other duties at the discretion of the Admissions Director or Admissions Manager, • Maintaining monthly Referral Census Log, • Serving as a company resource with regards to Infusion processing and reimbursement, • Demonstrating a professional, cooperative and friendly attitude toward all internal and external customers and co-workers; demonstrating excellent customer service skills, • Using discretion in handling confidential matters, • Adhere to departmental/company policies and procedures by:, • Adhering to policies and procedures, • Adhering to regulations set forth by Medicare and Medicaid, • Adhering to regulations set forth by insurance carriers, • Adhering to regulations set forth in established company contracts, • Exhibits exceptional work ethics by:, • Not being wasteful or abusing branch/company resources (vehicles, building, equipment, supplies, phone, utilities time at work, time absent from work, etc.), • Presenting fair and honest reports of expense, • Following through timely on commitments, • Returning phone calls and e-mails promptly, • Being flexible and having the ability to prioritize, • Allowing others to speak without interruption, • Using proper grammar, a respectful tone and language free of prejudice, harassment, profanity or ill will connotations Communication Skills • Oral Communication - Speaks clearly and persuasively in positive or negative situations; listens and gets clarification; Responds well to questions; Demonstrates group presentation skills; Participates in meetings., • This position requires constant sitting with occasional walking, standing, kneeling or stooping., • This position requires the use of hands to finger, handle or feel objects and the ability to reach with hands and arms., • This position requires constant talking and hearing., • Specific vision abilities required by this job include close vision and the ability to adjust focus., • This position must occasionally lift and/or move up to 20 pounds, • Required to move/lift physical hardware. PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. If needing a reasonable accommodation within the application process, please contact the BioMatrix People & Culture team at or 954.385.7322 x 1425. While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; talk or hear; taste or smell. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus. OTHER • Will participate in legal and ethical compliance training each year., • Will consistently behave in compliance with the BioMatrix, LLC’s legal and ethical policies and procedures., • Will abide by the policies of BioMatrix, LLC as set forth in the Compliance Manual., • Will not participate in any conduct considered to be unethical or illegal. EXPECTATION FOR ALL EMPLOYEES Supports the organization's mission, vision, and values by exhibiting the following behaviors: integrity, dedication, compassion, enrichment and enthusiasm, places patients first, is all-in with stacked-hands, and is focused on relentless consistency wins. GENERAL INFORMATION: The above statements are intended to describe the general nature and level of work being performed by individuals assigned to this position. They are not intended to be an exhaustive list of all duties, responsibilities, and skills required of personnel so classified. The incumbent must be able to work in a fast-paced environment with demonstrated ability to juggle and prioritize multiple, competing tasks and demands and to seek supervisory assistance as appropriate. Incumbents within this position may be required to assist or find appropriate assistance to make accommodations for disabled individuals in order to ensure access to the organization's services (may include: visitors, patients, employees, or others). All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Job Description Hueman is actively hiring Nurse Practitioners and Physician Assistants to complete in-home Health Risk Assessments (HRAs) for Medicare and Medicaid members in New York. Nurse Practitioners and Physician Assistants will be required to travel the entire state, with travel to additional states based on the needs of the business. NPs/PAs will complete an average of 30 assessments per week/6 assessments per day. Extended stays away from home location will likely occur. Providers will be reimbursed for travel, mileage, hotel, and meals. Benefits include: • Competitive compensation and travel reimbursement, • Comprehensive home assessment training, • Dedicated patient scheduling assistance, • Medical, Liability, and 401K benefits, • Additional State Licensure Assistance Qualified Nurse Practitioners and Nurse Practitioners interested in this position will have the opportunity to interact with members in a more intimate setting. Unlike a typical clinic visit, this role allows NPs/PAs to connect with patients on a more personal and effective level. Nurse Practitioners performing HRAs are not required to treat or prescribe in the home. Nurse Practitioner/Physician Assistant Responsibilities • Travel to and from patients’ homes., • Perform comprehensive, non-invasive physical assessments., • Review medical history and ensure accurate and timely documentation., • Conduct medical reconciliation to ensure patient safety and compliance., • Master’s Degree OR commensurate experience and satisfactory completion of NP/PA license, • Active State NP/PA license, • Active National board certification, • Current BLS certification About Hueman At Hueman, we're dedicated to guiding you toward fulfilling career opportunities. We believe that happiness should be a fundamental part of every role in risk assessment. Our opportunities provide flexibility, extra income, and integration into your local healthcare network. If this resonates with your idea of career satisfaction, allow us to assist you in discovering your next healthcare position! #Thistle

Job Description INTRODUCTION Company Overview: This position is available with Upstate HomeCare, a BioMatrix company. BioMatrix is a nationwide, independently-owned infusion pharmacy with decades of experience supporting patients on specialty medication. Our compassionate care team helps patients navigate the often-challenging healthcare environment. We treat our patients like family and get them started on therapy quickly. We work closely with them as well as their family and their healthcare providers throughout the patient journey, staying focused on optimal clinical outcomes. At BioMatrix the heart of our Inclusion, Diversity, Equity, & Access (IDEA) philosophy is the commitment to cultivate a welcoming space where everyone’s contributions are acknowledged and celebrated. Our goal is to draw in, develop, engage, and retain talented, high-performing individuals from diverse backgrounds and viewpoints. We believe that both respecting and embracing diversity enriches the experiences and successes of our patients, employees, and partners. Schedule: Monday Through Friday From 8:30am Eastern Standard Time To 5pm Eastern Standard Time Work schedule is subject to change based on business needs. Location: Upon successful completion of on-site training, it is anticipated that an incumbent in this role will work in a hybrid capacity from our location in Syracuse, NY on Mondays, Wednesdays, & Fridays while working from home on Tuesdays & Thursdays. Work location is subject to change based on business needs. Job Description: The Enteral Admission Coordinator is responsible for the processing and coordination of all new referrals with the main objective being to clear all patients prior to service in order to ensure proper payment in compliance within all legal and regulatory parameters. This person will ensure accurate, efficient and timely processing of new referrals for Enteral services to include, but not be limited to, obtaining all necessary supporting documentation, confirming insurance coverage, coding and pricing of products, documenting patient in applicable computer system, submitting for pre-authorization and coordinating of initial “pushing” of the referral. The Enteral Admission Coordinator provides support and works collaboratively with referral sources, hospital liaisons, the pharmacy, nursing, and billing and branch personnel. QUALIFICATION REQUIREMENTS • High school diploma or GED required, • Minimum of one (1) year of call center experience required, • Excellent management, communication, interpersonal, leadership, organizational and analytical skills, • Skills with prioritization and multi-tasking, • Proficiency with problem resolution, • Self-motivated and self-disciplined, • Computer aptitude, • Prior enteral or home Infusion experience on the provider or payer side preferred, • Minimum of two (2) years of experience with a home care company preferred, • Receiving new requests for services via phone, fax or other means, • Obtaining all information necessary to accurately process the referral according to established procedures, • Completing referral process within time frame required to meet the needs of the patient, family and referral source, • Accurately completing the patient record in applicable computer system to include all required demographics, insurance and clinical information; recording appropriate progress notes and alerts to present a clear concise picture of patient data, • Confirming insurance coverage for services requested; gathering detailed information regarding, but not limited to, eligibility, deductible, out of pocket, authorization requirements and patient obligations, • Communicating with referral source or liaison regarding, but not limited to, insurance coverage, information limitations and status of referral, • Obtaining insurance authorization when necessary; entering and documenting authorization according to established procedure; tracking authorizations due to expire and obtaining renewals as needed, • Assuring accurate and complete billing information is obtained and recorded to allow for timely claim submission and payment, thus reducing accounts receivable days outstanding, • Communicating any financial obligations to the patient or his/her designee; assuring their understanding and agreement to pay; establishing a payment method up-front, i.e. credit card, • Maintaining the pending referral log on a daily basis; attending rounds each morning prepared to discuss status of each patient, • Responding to requests for assistance from pharmacy billing and clinical personnel, • Remaining familiar with specific payer guidelines, requirements, • Consulting with VP of Clinical & Financial Services when faced with unfamiliar situations and when decisions outside of the Intake Representative’s scope need to be made, • Assisting with special projects and perform other duties at the discretion of the VP of Clinical & Financial Services, • Maintaining monthly Referral Census Log, • Serving as a company resource with regards to service processing and reimbursement, • Demonstrating a professional, cooperative and friendly attitude toward all internal and external customers and co-workers; demonstrating excellent customer service skills, • Using discretion in handling confidential matters, • Adhere to departmental/company policies and procedures by:, • Adhering to policies and procedures, • Adhering to regulations set forth by Medicare and Medicaid, • Adhering to regulations set forth by insurance carriers, • Adhering to regulations set forth in established company contracts, • Exhibits exceptional work ethics by:, • Not being wasteful or abusing branch/company resources (vehicles, building, equipment, supplies, phone, utilities time at work, time absent from work, etc.), • Presenting fair and honest reports of expense, • Following through timely on commitments, • Returning phone calls and e-mails promptly, • Being flexible and having the ability to prioritize, • Allowing others to speak without interruption, • Using proper grammar, a respectful tone and language free of prejudice, harassment, profanity or ill will connotations Communication Skills • Oral Communication - Speaks clearly and persuasively in positive or negative situations; listens and gets clarification; Responds well to questions; Demonstrates group presentation skills; Participates in meetings., • This position requires constant sitting with occasional walking, standing, kneeling or stooping., • This position requires the use of hands to finger, handle or feel objects and the ability to reach with hands and arms., • This position requires constant talking and hearing., • Specific vision abilities required by this job include close vision and the ability to adjust focus., • This position must occasionally lift and/or move up to 20 pounds, • Required to move/lift physical hardware. PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. If needing a reasonable accommodation within the application process, please contact the BioMatrix People & Culture team at or 954.385.7322 x 1425. While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; talk or hear; taste or smell. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus. OTHER • Will participate in legal and ethical compliance training each year., • Will consistently behave in compliance with the BioMatrix, LLC’s legal and ethical policies and procedures., • Will abide by the policies of BioMatrix, LLC as set forth in the Compliance Manual., • Will not participate in any conduct considered to be unethical or illegal. EXPECTATION FOR ALL EMPLOYEES Supports the organization's mission, vision, and values by exhibiting the following behaviors: integrity, dedication, compassion, enrichment and enthusiasm, places patients first, is all-in with stacked-hands, and is focused on relentless consistency wins. GENERAL INFORMATION: The above statements are intended to describe the general nature and level of work being performed by individuals assigned to this position. They are not intended to be an exhaustive list of all duties, responsibilities, and skills required of personnel so classified. The incumbent must be able to work in a fast-paced environment with demonstrated ability to juggle and prioritize multiple, competing tasks and demands and to seek supervisory assistance as appropriate. Incumbents within this position may be required to assist or find appropriate assistance to make accommodations for disabled individuals in order to ensure access to the organization's services (may include: visitors, patients, employees, or others). All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Sumo Medical Staffing is recruiting for an experienced Psychiatrist to work forensic outpatient shifts with the New York OMH in Marcy, New York (NY) Starting in January, the role offers ongoing work with a competitive market rate and benefits. We will have this contract to bid until August 2026. Forensic Inpatient Psychiatry Role: Provide psychiatric care for Bridgeview residents, including medication management and treatment for sexual arousal (SSRIs, antiandrogen therapy). Collaborate with multidisciplinary teams and maintain compliance with documentation standards. Location: STARC Oakview (CNYPC), Marcy, NY Schedule: Full-time, 40 hours/week | Monday–Friday | 8:00 AM – 4:00 PM Responsibilities • Manage psychiatric medications and treatment plans., • Evaluate established residents at least every three months; assess new residents as needed., • Document in EHR, order medications and labs., • Respond to emergencies (restraints, observation, safety concerns)., • Collaborate with healthcare professionals for continuity of care., • Explain diagnoses and treatments to patients and families., • Refer individuals to other providers when necessary., • Participate in admission, transfer, and discharge planning., • Maintain required documentation., • Consult with other psychiatrists and medical staff., • Provide clinical supervision and training to staff., • Review records for accuracy and appropriateness., • Serve on treatment teams and committees., • Assist in developing and updating psychiatric policies. REQUIRED: NY License, active and unrestricted BC-Psychiatry Enrolled in NYS Medicare/Medicaid 1-year forensic experience. Experience working with individuals with paraphilias and those who have committed sexual offenses is preferred Benefits: • Competitive Market Rate (rate based on availability, experience and certifications), • Housing and transportation needs covered., • Malpractice insurance provided, • Our specialist recruitment team will support you every step of the way through application to credentialing to starting in your new role., • Rewarding referral program – earn extra income by recommending other healthcare professionals to Sumo Medical Staffing.

Capital District Psychiatric Center (CDPC) is currently hiring a Licensed Psychologist for their Albany Outpatient Clinic located on their main campus at 75 New Scotland Avenue in Albany, NY. CDPC, a Joint Commission accredited Office of Mental Health (OMH) facility, provides inpatient and outpatient treatment and rehabilitation to adults who have been diagnosed with serious mental illness, outpatient treatment services for children and adolescents diagnosed with serious emotional disturbances, and operates adult community residences in the Albany/Capital District area. CDPC is committed to supporting underserved individuals, organizations, and communities along with activities and initiatives to reduce disparities in access, quality, and treatment for underserved populations. Psychologists assigned to CDPC’s Outpatient Clinic function as part of an interdisciplinary team. Tasks include: • Conducting therapy with individuals who present with a variety of symptoms and diagnoses, • Facilitating group therapies such as DBT, CBT for psychosis, Cognitive Remediation, • Conducting comprehensive psychological and risk assessments, • Maintaining records and documentation, • Providing supervision and mentorship to doctoral level practicum students and Psychology interns, • Consulting on behavioral plans and integration of psychological reports in treatment planning If you would like to join the CDPC team and contribute to a workforce dedicated to public service, we offer a generous benefits package including: • NYS Retirement programs, • NYS medical, dental, and vision insurance, • Excellent opportunities for advancement and professional growth, • Paid time off including vacation, holidays, personal, & sick leave Minimum Qualifications: • Licensed and currently registered as a Psychologist in New York. The Mission of the New York State Office of Mental Health (OMH) is to promote the mental health of all New Yorkers, with a focus on providing hope and supporting recovery for adults with serious mental illness and children with serious emotional disturbances. Applicants with lived mental health experience are encouraged to apply. OMH is deeply committed to supporting underserved individuals, organizations, and communities. To this end, OMH is focused on implementing activities and initiatives to reduce disparities in access, quality, and treatment outcomes for underserved populations. A critical component of these efforts is ensuring OMH is a diverse and inclusive workplace where all employees' unique attributes and skills are valued and utilized to support the mission of the Agency. OMH is an equal opportunity/affirmative action employer. Pursuant to Executive Order 161, no State entity, as defined by the Executive Order, is permitted to ask, or mandate, in any form, that an applicant for employment provide his or her current compensation, or any prior compensation history, until such time as the applicant is extended a conditional offer of employment with compensation. If such information has been requested from you before such time, please contact the Office of Employee Relations at (518) 474-6988 or via email at . In order to be eligible for appointment and to maintain employment, you cannot be listed as an excluded individual or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal or Federally assisted program). If you are appointed and subsequently listed as an excluded individual or entity on any of these lists (or excluded from any other Federal or federally assisted program), you may be terminated from your employment. If appointed you may be required to become an enrolled Medicare provider; obtain and provide to your employer a National Provider Identifier (NPI) number issued by the National Plan and Provider Enumeration System (NPPES); and otherwise actively participate to the degree necessary to allow for your services to be billed through Medicare and Medicaid. If you are appointed and you lose the ability to bill through Medicare and Medicaid, you may be terminated from your employment. Background checks will be required.

Licensed Master Social Workers and Licensed Clinical Social Workers – Care that Gives Hope Are you looking for a job where you can make a difference? Hutchings Psychiatric Center (HPC), an Office of Mental Health (OMH) Joint Commission accredited facility, located in downtown Syracuse is recruiting Licensed Master Social Workers (LMSW) and Licensed Clinical Social Workers (LCSW) to join their Social Work team. Opportunities are available to work with individuals with mental illness in HPC’s inpatient units; the shift schedule is days including one (1) weekend day and one (1) evening. As an LMSW or LCSW assigned to HPC’s Inpatient unit, you will be part of a multidisciplinary team that provides culturally competent and evidence-based treatment and support services in a recovery-oriented environment including: • Performing appropriate assessment of risk, crisis intervention, and referrals in response to mental health crises, • Developing individualized treatment and discharge plans, • Providing counseling and education to individuals, groups, and families, • Advocating and providing connections to needed services About HPC HPC is a comprehensive, community-based mental health facility serving individuals from the Central New York region. HPC is committed to supporting underserved individuals, organizations, and communities along with activities and initiatives to reduce disparities in access, quality, and treatment for underserved populations. If you would like to join HPC and contribute to a workforce dedicated to public service, we offer: • Competitive Salaries, • Shift Differential pay for evenings, nights, and weekends., • Access to tuition assistance programs, • Generous paid time off, including thirteen (13) vacation days, eight (8) sick days, and five (5) personal days accrued during the first year of employment; thirteen (13) paid holidays each year., • Option to choose a NYS health insurance plan that meets your needs., • Dental and vision coverage., • NYS Retirement Programs – Pension & Deferred Compensation, • Excellent opportunities for advancement and professional growth. Minimum Qualifications: • LMSW - License and current registration by New York State as an LMSW., • LCSW – License and current registration by New York State as a LCSW. The Mission of the New York State Office of Mental Health is to promote the mental health of all New Yorkers, with a focus on providing hope and supporting recovery for adults with serious mental illness and children with serious emotional disturbances. Applicants with lived mental health experience are encouraged to apply. OMH is deeply committed to supporting underserved individuals, organizations, and communities. To this end, OMH is focused on implementing activities and initiatives to reduce disparities in access, quality, and treatment outcomes for underserved populations. A critical component of these efforts is ensuring OMH is a diverse and inclusive workplace where all employees' unique attributes and skills are valued and utilized to support the mission of the Agency. OMH is an equal opportunity/affirmative action employer. Pursuant to Executive Order 161, no State entity, as defined by the Executive Order, is permitted to ask, or mandate, in any form, that an applicant for employment provide his or her current compensation, or any prior compensation history, until such time as the applicant is extended a conditional offer of employment with compensation. If such information has been requested from you before such time, please contact the Office of Employee Relations at (518) 474-6988 or via email at . In order to be hired and to maintain your employment, candidates cannot be listed as an excluded individual or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists. If appointed and subsequently listed as an excluded individual or entity on any of these lists, you may be terminated from your employment. Background checks are required. Background checks are required. Salary $72,032 to $91,381

Capital District Psychiatric Center (CDPC), an Office of Mental Health (OMH) Joint Commission accredited facility, is currently recruiting overnight Licensed Social Workers for their Crisis Intervention Unit (CIU). Overnight shift is from 11:00 pm to 7:30 am with a rotating weekend schedule. The CIU provides 24-hour crisis response to children, adolescents, and adults in the Capital Region. Individuals can be referred by a mobile crisis team, law enforcement, outpatient clinics, local hospitals, or individuals can self-present in a time of crisis. Licensed Social Workers will collaborate with a multidisciplinary team to triage and assess individuals in a psychiatric emergency room setting including: • Completing psychiatric assessments with a Physician to determine if the individual would benefit from inpatient psychiatric hospitalization., • Providing verbal de-escalation and participating in interventions as needed., • Triaging phone calls and providing telephonic crisis response., • Securing inpatient bed for individuals in need and facilitating transfers., • Working with insurance companies to gain preauthorization for inpatient hospitalization., • Connecting individuals to outpatient services at the time of discharge., • Assisting in training and orientation of new staff and/or interns. If you would like to join the CDPC Team and contribute to a workforce dedicated to public service, we offer a generous benefits package including: • Competitive Salaries, • Shift differential pay for evening, nights, and weekends, • NYS medical, dental, & vision insurance, • NYS retirement program- Pension and Deferred Compensation, • Access to tuition assistance programs, • Paid time off – 13 paid vacation days in the first year, 5 paid personal days, 13 paid holidays, & paid sick leave, • Excellent opportunities for advancement & professional growth Minimum Qualifications: Licensed and currently registered as a Licensed Master Social Worker or Licensed Clinical Social Worker in New York. Additional Notes: The Mission of the New York State Office of Mental Health (OMH) is to promote the mental health of all New Yorkers, with a focus on providing hope and supporting recovery for adults with serious mental illness and children with serious emotional disturbances. Applicants with lived mental health experience are encouraged to apply. OMH is deeply committed to supporting underserved individuals, organizations, and communities. To this end, OMH is focused on implementing activities and initiatives to reduce disparities in access, quality, and treatment outcomes for underserved populations. A critical component of these efforts is ensuring OMH is a diverse and inclusive workplace where all employees' unique attributes and skills are valued and utilized to support the mission of the Agency. OMH is an equal opportunity/affirmative action employer. Pursuant to Executive Order 161, no State entity, as defined by the Executive Order, is permitted to ask, or mandate, in any form, that an applicant for employment provide his or her current compensation, or any prior compensation history, until such time as the applicant is extended a conditional offer of employment with compensation. If such information has been requested from you before such time, please contact the Governor’s Office of Employee Relations at (518) 474-6988 or via email at . In order to be hired and to maintain your employment, candidates cannot be listed as an excluded individual or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists. If appointed and subsequently listed as an excluded individual or entity on any of these lists, you may be terminated from your employment. If appointed, you may be required to become an enrolled Medicare provider; obtain and provide to your employer a National Provider Identifier (NPI) number issued by the National Plan and Provider Enumeration System (NPPES); and otherwise actively participate to the degree necessary to allow for your services to be billed through Medicare and Medicaid. If you are appointed and you lose the ability to bill through Medicare and Medicaid, you may be terminated from your employment. Background checks are required.

SonderMind is a leading mental health care platform revolutionizing therapy services. We are seeking compassionate and highly skilled licensed mental health therapists to join our expanding network. As a SonderMind therapist, you will have the opportunity to meaningfully impact the lives of individuals seeking therapy while enjoying the flexibility and support of our innovative platform. Our therapists are committed to delivering best-in-class care to all individuals by focusing on high-quality clinical outcomes – and finding new ways to use data to help people get better. At SonderMind, we enable clinicians to thrive. Benefits of Joining SonderMind: • Flexibility: Enjoy the freedom to set your own working hours and maintain a healthy work-life balance, • Free and stress-free credentialing with major insurers: We have streamlined the credentialing process and handle all the hard stuff for you so that you can expand your practice by accepting insurance from major payors in your state in weeks, not months., • Exclusive Insurance Payor Access: Only SonderMind provides complimentary credentialing for both traditional Medicare and Medicare Advantage plans, including Humana and United Healthcare., • Clinical Autonomy: SonderMind values your clinical expertise and empowers you to make informed decisions about treatment approaches, • Supportive Community: Access a network of like-minded therapists, dedicated support from our platform, and ongoing opportunities for collaboration and growth, • Guaranteed Pay: We handle all the billing for you and guarantee pay bi-weekly for completed sessions-including no-shows, • Thoughtful client matching and dedicated coaches to grow your practice: We help you get paired with individuals who are ideal clinical matches so that you can control and personalize your caseload, and a dedicated coach to help you help your clients, no matter what your specialty, from pediatric to geriatric mental health, trauma, anxiety or addiction, we help you help others, • Professional Development: SonderMind is committed to helping therapists grow professionally, offering ongoing training and resources to enhance skills, • Master's degree or higher in counseling, psychology, social work, or a related field., • Must be fully licensed by the State Board to provide therapy independently and without supervision (e.g., LPC, LCSW, LMFT, LMHC, LCPC, LCSW-C, LISW, or LP). Pay: $86-$116 per hour. Pay rates are based on the provider license type, session location, and session types.

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Field Based Community position covering Broome County, NY Highly Preferred Bilingual Languages English/Ukrainian, Russian, Polish, Arabic (or any Second Language) Position Purpose: The Health Benefit Representative (HBR) sells Fidelis Care products and services by first identifying membership growth opportunities in an assigned territory and then meeting or exceeding production goals by enrolling individuals in the appropriate Fidelis Care product. The HBR fully and thoroughly understands and is able to effectively explain, communicate, recommend and enroll individuals into the best product for their unique needs. In-depth knowledge of all Fidelis Care products, including “metal” products offered through the New York State of Health (NYSOH), Medicaid Managed Care, Child Health Plus, Medicare, MLTC, FIDA and HARP. Ability to answer product feature and benefit questions; compare and contrast Fidelis Care products and provider network of competing plans in assigned territory. • The HBR interacts directly with individuals, first conducting a needs based analysis to better understand and recommend the best product for their unique needs. They educate individuals on healthy lifestyles, preventive care services and assist them through each step of the application and enrollment process., • This position may represent Fidelis Care at various community events, marketing sites, and in an individual’s home. By virtue of understanding and serving the individual’s needs, they generate referrals from the individuals they have assisted for other individuals that may benefit from one of Fidelis Care’s products., • The successful HBR also builds and establishes relationships within the community in order to find new opportunities and sites in their assigned territory. The HBR may routinely deliver presentations in order to educate and promote Fidelis Care products. This includes presentations to individuals, groups, providers, community based organizations and local businesses leaders. Customer Service experience Health Insurance experience a plus Health Navigator experience a plus Sales experience Highly Preferred Bilingual Languages English/Ukrainian, Russian, Polish, Arabic (or any Second Language) 100% Field-Based community travel for Broome County, NY. Work Schedule Monday - Friday with occasional evenings and weekends. Education/Experience: High School diploma or GED, required. 2 to 5 years prior experience in managed care, sales, customer service or related experience preferred. Basic computer skills. Driver’s License required. Specific language skills may be required by some plans. Pay Range: $22.79 - $38.84 per hour Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act