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  • Nursing Home Medicaid Specialist
    Nursing Home Medicaid Specialist
    1 day 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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  • Front Desk Coordinator
    Front Desk Coordinator
    3 days ago
    $17–$18 hourly
    Full-time
    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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