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  • Nursing Home Medicaid Specialist
    Nursing Home Medicaid Specialist
    hace 9 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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  • Postdoctoral Research/Clinical Fellowship in Trauma Psychology
    Postdoctoral Research/Clinical Fellowship in Trauma Psychology
    hace 1 mes
    $68000 anual
    Jornada completa
    Great Neck

    We are currently offering a Postdoctoral Research/Clinical fellowship focused on Trauma Psychology in Manhattan and Manhasset, NY. The fellowship is supported by the faculty of Northwell’s Center for Traumatic Stress, Resilience and Recovery (CTSRR), Directed by Dr. Mayer Bellehsen and Dr. Rebecca Schwartz. The fellowship will allow for robust training experiences focused on the intersection between trauma and mental health in both clinical and research capacities. Research activities will be under the supervision of Dr. Rebecca Schwartz and clinical placement will be under the supervision of Dr. Vien Cheung. The Fellow will receive the following opportunities: • Mentoring around developing a program of research that facilitates productivity in the publication of manuscripts, presentation of abstracts, and submission of grant applications., • Training in the conduct of trauma-related mental health research as it pertains to various populations with a primary focus on occupational stress and healthcare work. There will be opportunity to work with large databases containing well-being and mental health data. Additional potential research cohorts include Veterans and 9/11 World Trade Center responders., • Supervision and didactics in evidenced based trauma treatments, such as Prolonged Exposure and Cognitive Processing Therapy, and a didactic series focused on assessing, treating, and researching trauma., • Clinical training in the diagnostic assessment and treatment of trauma and PTSD among both health care workers and community members who have experienced traumatic stressors. This fellow will also be trained in resilience building interventions. Clinical placement will be at Lenox Hill Hospital in Manhattan. Qualifications: • Candidates must have completed their doctorate in clinical or counseling psychology and should be license eligible for the New York State Limited Permit in Psychology., • Ideal candidates will have attended an American Psychological Association (APA) approved graduate program and internship. Northwell Health is New York State’s largest health care provider and private employer with 105,000 employees, 28 hospitals and nearly 1,100 outpatient facilities. Northwell Health is ranked number one among hospital systems by Diversity Inc, recognized for its increasing commitment to effective diversity management and culturally competent care. We aim to foster an attractive and nurturing atmosphere of learning where diverse trainees, faculty, staff, and patients can understand, accept, and appreciate one another.

    Sin experiencia
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  • Denial Management Associate
    Denial Management Associate
    hace 2 días
    $19 por hora
    Jornada completa
    Uniondale

    Health Plus Management (HPM) is a Physician Support Organization and a market leader in clinical practice management within the physical medicine and rehabilitation sector. With over 50 locations across Westchester, NYC, NJ, CT, and Upstate NY, HPM empowers independent physician practices specializing in musculoskeletal care by providing professional business development, marketing, and back-office support comparable to much larger organizations. This enables client practices to establish and grow beyond what might otherwise be feasible, while maximizing clinical service and patient care. This position is primarily responsible for overseeing the Denial Management functions for our family of companies. Duties & Responsibilities: • Manage the timely review, investigation, and response to coding denials., • Determine required actions for appeals within contractual timeframes., • Review carrier guidelines and policies for denied services., • Prepare responses to delay letters received from carriers., • Identify denial trends and their root causes., • Maintain appropriate documentation and notes for all denial activity., • Support and assist the team with additional assigned tasks as needed. Education & Training: • High School Diploma or equivalent is required. Knowledge & Experience: • 2+ years of experience with Denial Management across multiple insurance carriers and specialties. Skills & Abilities: • Proficient in the use of computers, insurance web portals, and keyboarding, with knowledge of Microsoft Excel and Word required., • Detail-oriented and a strong team player., • Superior customer service and communication skills., • Self-starter with strong problem-solving skills., • Ability to meet high productivity and 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. Schedule: • Monday-Friday, 8am - 4:30pm Pay: • $19/hour

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  • Medical Assistant
    Medical Assistant
    hace 17 días
    $23–$26 por hora
    Jornada completa
    Wantagh

    Job Title: Medical Assistant / Receptionist Location: Primary Office – Wantagh, NY 11793 Satellite Location – Malverne, NY (1–2 times per month) Job Type: Full-Time About Us: Busy gastroenterology practice with two physicians seeking an experienced, reliable, and team-oriented Medical Assistant/Receptionist to join our growing team. We are looking for a motivated professional who can multitask efficiently in a fast-paced environment while providing excellent patient care and customer service. Responsibilities: Answering and managing incoming phone calls Scheduling office appointments and procedures Checking in patients and verifying demographic and insurance information Rooming patients and preparing them for physician evaluation Explaining procedure preparations (preps) clearly to patients Performing in-office breath tests Performing FibroScan procedures Assisting physicians and clinical staff as needed Obtaining prior authorizations for medications Securing medical clearances for procedures Maintaining accurate documentation in EMR Supporting both front desk and clinical operations Requirements: Previous experience as a Medical Assistant (required) Knowledge of insurance verification and prior authorizations Experience obtaining medical clearances for procedures Strong multitasking and organizational skills Excellent communication and patient service skills Ability to work independently and as part of a team Willingness to travel to Malverne location 1–2 times per month Qualifications: Medical Assistant certification preferred Gastroenterology experience is a plus EMR experience preferred We are seeking a dependable, detail-oriented professional who thrives in a collaborative team environment and is comfortable balancing both clinical and administrative responsibilities. Work Location: In person

    ¡Incorporación inmediata!
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  • Front Desk Coordinator
    Front Desk Coordinator
    hace 3 días
    $17–$18 por hora
    Jornada completa
    Merrick

    Health Plus Management (HPM) is a Physician Support Organization and market leader in clinical practice management in the physical medicine and rehabilitation market with 50+ locations serving Long Island, NYC, Westchester, Upstate NY, NJ and Connecticut. HPM provides independent physician practices specializing in musculoskeletal care with professional business development, marketing and back-office support typically seen in much larger organizations, thereby enabling clients to start and/or grow their private practice beyond what might otherwise be feasible (while maximizing clinical service and patient care). Health Plus Management is seeking an energetic, patient-centric and detail-oriented Front Desk Coordinator to greet patients, schedule appointments, answer phones and manage administrative records. In this role, you will set the stage for each patient's appointment. You will build and maintain professional relationships with our key stakeholders - specifically our patients, office staff and clinical team, while simultaneously ensuring that the office is organized and runs smoothly. Responsibilities: • Make sure patients feel welcome as soon as they walk in the door by delivering quality and compassionate care, • Answer incoming calls, take messages, and complete outreach to patients in a courteous and professional manner, • Be responsible for obtaining and filing patients' charts, and assisting our patients as needed, • Maintain the daily operations of the office by following standard operating procedures and guidelines, • Contribute to team effort by smoothly transitioning into daily roles as needed, • Protect patient's privacy by maintaining confidentiality of personal information (HIPAA compliant), • Navigate through NextGen to access and provide patient information, • Maintain compliance by contacting patients to confirm appointments, • Respond to inquiries, resolves risen issues, collect co pays and schedule patient appointments, • Responsible for the opening and closing procedures of the office as needed, • Assist in comforting the patients and maintaining the reception area, • Other administrative tasks as needed Knowledge and Experience • 1+ years of relevant medical administrative experience, preferred, • Experience with medical insurance/verification is a plus, • Knowledge of medical terminology & procedures, and the ability to intelligently and confidently converse with patients and referring doctors regarding treatment is preferred, • Experience with EMR, preferred, • Strong computer knowledge and windows program including Microsoft word/excel Skills and Abilities • Bilingual (English/Spanish) preferred, • Excellent verbal and written communication, • Ensuring a great patient experience by delivering outstanding customer service, • Exceptional organizational and time-managements skills - the ability to multi-task is a must, • Adaptability and flexibility while working in a fast-paced environment, • Problem-solving ability and aptitude, • Outcome-focused, with an ability to work under pressure, • A solution-oriented mindset, • A strong sense of urgency and focus in accomplishing tasks 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. Schedule: • Monday - Friday, 11:30am - 8:00pm Pay: $17 - $18 per hour

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  • Medical Accounts Receivable Specialist
    Medical Accounts Receivable Specialist
    hace 2 días
    $24–$26 por hora
    Jornada completa
    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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  • Billing Associate
    Billing Associate
    hace 4 días
    $19–$24 por hora
    Jornada completa
    Uniondale

    This position is primarily responsible for timely review and submission of medical claims to insurance companies via electronic and paper processes. Duties & Responsibilities: • Review insurance claims for accuracy and completeness as well as obtain and attach any missing documentation prior to submitting claim., • Carefully review procedures billed to ensure proper coding, • Review pre-billing dashboards for claim accuracy, • Preparation of paper claims, • Responsible for completing the proof of mailing, • Daily monitoring of claims with missing information, work closely with offices to obtain and ensure all claims are submitted timely to carriers, • Effectively communicate and correspond with team members and management Education & Training: • High School Diploma or equivalent required, • Certified Professional Coder preferred but not required, • Knowledge of No Fault/Worker’s Compensation guidelines preferred but not required, • 2+ years of experience with billing rules and regulations across multiple insurance carriers and specialties Knowledge and Experience: • Must have a strong knowledge of payers and medical insurance terminology, rules, and regulations, • Proficient in the use of computers, keyboarding with knowledge of Microsoft Excel and Word required, • Self-starter with strong problem-solving skills, • Ability to meet high productivity and accuracy standards, • Knowledge of ICD-10 and CPT codes Skills & Abilities: • Capable of working independently to accomplish individual and team objectives, • Excellent Communication Skills, verbal and written, • Ability to organize and prioritize work to meet strict deadlines, • Strong work ethic, • Excellent attention to detail Schedule: Full-Time, Monday-Friday Pay: $19 - $24/ hour Health Plus Management (HPM) is a Physician Support Organization and market leader in clinical practice management in the physical medicine and rehabilitation market with 50+ locations serving Westchester, NYC, NJ, CT & Upstate NY. HPM provides independent physician practices specializing in musculoskeletal care with professional business development, marketing and back-office support typically seen in much larger organizations, thereby enabling clients to start and / or grow their private practice beyond what might otherwise be feasible (while maximizing clinical service and patient care).

    ¡Incorporación inmediata!
    Sin experiencia
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