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  • Nursing Home Medicaid Specialist
    Nursing Home Medicaid Specialist
    26 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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  • Optical Sales Representative
    Optical Sales Representative
    2 months ago
    Full-time
    Manhattan, New York

    We are seeking a knowledgeable and enthusiastic Optical Sales Representative to join our team. This role involves engaging with customers to provide expert guidance on optical products and services, supporting clinical staff, and ensuring a seamless patient experience. The ideal candidate will possess a strong understanding of ophthalmology, medical terminology, and retail sales, with experience in optical or clinic environments. This position offers an excellent opportunity for individuals passionate about healthcare, optics, and customer service to grow within a dynamic organization committed to quality care. Duties Assist customers in selecting eyewear and optical products tailored to their needs, utilizing retail sales skills and product knowledge. Educate patients on lens options, frame styles, and optical procedures, applying physiology and anatomy knowledge. Support clinical staff by managing medical records, updating EMR systems such as Epic or other EMR platforms, and ensuring compliance with HIPAA regulations. Conduct basic vision assessments including vital signs where applicable, and assist with patient intake processes. Maintain accurate documentation of sales transactions, medical coding, billing procedures, and inventory management. Ensure aseptic techniques are followed during any clinical procedures or equipment handling. Collaborate with laboratory staff on optical measurements and lab-based processes to ensure precision in lens fitting. Support senior care or pediatrics patients by providing tailored optical solutions and compassionate service. Stay informed about new optical products, medical advancements in ophthalmology, and industry trends to enhance customer service. Requirements Prior experience in optical sales or clinic environments preferred; familiarity with ophthalmology is highly desirable. Knowledge of medical terminology, anatomy related to the eye, physiology, vital signs, and HIPAA compliance. Experience with EMR systems such as Epic or similar platforms; proficiency in medical billing and coding is a plus. Strong retail management skills including retail math for transactions and inventory control. Excellent communication skills to explain complex concepts clearly to patients of all ages including pediatrics and senior care populations. Ability to work effectively in a fast-paced environment while maintaining attention to detail. Basic laboratory experience related to optics or ophthalmic procedures is advantageous. A background in healthcare-related fields such as clinic experience or laboratory work will be considered an asset. This role is integral to delivering exceptional optical care while supporting the overall health services provided by our organization. We welcome motivated candidates eager to contribute their expertise in a collaborative healthcare setting.

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