Patient Service Representative jobs at Excelsior Orthopaedics - 1152 jobs

Hours: M-F 8-5 The Patient Service Specialist provides direct, daily operational front office support in a manner consistent with Guthrie Medical Group's Service Excellence Standards. The Patient Service Specialist will continually demonstrate Patient Centeredness, Teamwork, and Excellence in the daily performance of their duties. This position requires the ability to be self‐motivated, flexible, punctual, detail oriented, have good time management skills and have excellent communication skills. Education, License & Cert: High School diploma/GED required. Graduation from a Medical Office Assistant school preferred. Experience: Demonstrated customer service commitment in a fast‐paced environment with a minimum of 1 year experience in a customer service related field preferred. Medical office experience and knowledge of medical terminology preferred. Must be comfortable with computers and learning new applications. Essential Functions: 1. Responsible for greeting every patient in a courteous, professional, and timely manner every Time. 2. Responsible for answering telephones in a friendly and efficient manner in conjunction with Guthrie's Telephone Standards. Screens telephone calls, takes messages and provides information. 3. Responsible for scheduling and maintaining all patient appointments electronically. Verifies patient information at time of scheduling and assigns B# / MRN to new patients. Responsible for editing appointment schedule at the direction of practice management. 4. Registers patient. Reviews, verifies and corrects patient demographic and insurance information along with scanning current insurance cards into the patient's confidential medical record. 5. Verify eligibility for major insurance carriers including but not limited to New York and Pennsylvania Medical Assistance to ensure accurate billing. Complete various types of insurance forms, pre‐certifications and referrals. 6. Possess the ability to inform, quote, and collect copayments, insurance deductibles, deposits, or unpaid balances at the time of registration as per Guthrie Medical Group, P.C. ‘s policies and guidelines. 7. Responsible for daily cash‐out and balancing in accordance with the Patient Cash Control Policy. 8. Performs liaison duties between patients, physicians, hospital staff, organizational departments, etc., keeping the departments fully aware of all necessary information. Keeps patients informed of any delays. 9. Adheres to departmental and organizational policies and attends meetings/huddles as required. 10. Requires the ability to prioritize daily tasks simultaneously in a fast‐paced, ever changing work environment within a strong team structure. 11. Maintains strict confidentiality related to patient health information in accordance with HIPAA compliance. 12. Assists with and completes other projects or duties as assigned including participating in all quality initiatives established by the organization. Other Duties: 1. Other duties as assigned. The pay ranges from $17.34-$23.96 per hour

The Patient Experience Representative influences the systems, processes and behaviors that cultivate positive experiences across the continuum of care. They have an unwavering commitment to the field of patient experience and to transforming human experience in healthcare. Experience: Minimum 3 Years' Experience In a Healthcare Setting Required. Education, License & Certification: Associate degree preferred or 5 years direct experience in a role of advocate in healthcare setting. Registered Nurse or other Healthcare related licensure preferred. Certified Patient Experience Professional (CPXP) required, or within 3.5 years of hire. Essential Functions: Advocates for the needs of our patients and their representatives in a proactive, inclusive, empathetic, and positive manner. Supports organizational learning and a holistic approach to our patient's needs. Provides guidance for new or inexperienced caregivers related to patient-service recovery. Collaborates with all caregivers to improve processes that directly impact patient and community perception. Oversees the internal system for managing patient/representative concerns and maintains applicable regulatory body compliance. Provides data analysis to identify trends specific to patient experience and develops corrective action plans based on those trends. Actively participates on or leads workgroups or committees related to patient advocacy. Supports the design and innovation of the Patient Family Advisory Council. Works collaboratively with the Patient Safety and Legal Departments. Other Duties: Travel for this position is sometimes required. It is understood that this description is not intended to be all‐inclusive and that other duties may be assigned as necessary in the performance of this position. update 1-13-25 About Us Joining the Guthrie team allows you to become a part of a tradition of excellence in health care. In all areas and at all levels of Guthrie, you'll find staff members who have committed themselves to serving the community. The Guthrie Clinic is an Equal Opportunity Employer. The Guthrie Clinic is a non-profit, integrated, practicing physician-led organization in the Twin Tiers of New York and Pennsylvania. Our multi-specialty group practice of more than 500 physicians and 302 advanced practice providers offers 47 specialties through a regional office network providing primary and specialty care in 22 communities. Guthrie Medical Education Programs include General Surgery, Internal Medicine, Emergency Medicine, Family Medicine, Anesthesiology and Orthopedic Surgery Residency, as well as Cardiovascular, Gastroenterology and Pulmonary Critical Care Fellowship programs. Guthrie is also a clinical campus for the Geisinger Commonwealth School of Medicine.

Communicates with patients, participants and staff to accurately schedule patients for prescribed procedures. Performs clerical and reception duties associated with patient registration. Education, License & Cert: High School Diploma or equivalent is required. Experience: - Customer/patient relations experience required (preferably in a healthcare setting). - At least 1‐year experience in a position requiring frequent and direct in‐person customer contact. - Candidate should have experience in a role that requires: • Strong organizational skills • Excellent verbal communication skills • Frequent keyboarding • Exceptional attention to detail Essential Functions: 1. Creates patient encounters in the EHR for ED, radiology, and outpatient patients. Performs all functions related to the integrity of the EHR (i.e., obtaining general consent for treatment, creating unknown encounters, merging records, scanning, prepared trauma packets) 2. Participates in daily auditing of registration processes. 3. Manages incoming and outgoing telephone calls, Vocera calls, Nurse call system. 4. Collects co‐pays and provides financial guidance related to paying outstanding balances, providing estimate letters for services rendered. 5. Performs the function of Health Information Management department after hours. 6. Participates in ED staff meetings and ED Shared Governance. Other Duties: Other duties as assigned. The pay range for this position is $17.00 - $22.37/hour

About Us We're Maimonides Health, Brooklyn's largest healthcare system, serving over 250,000 patients each year through the system's 3 hospitals, 1800 physicians and healthcare professionals, more than 80 community-based practices and outpatient centers. At Maimonides Health, our core values H.E.A.R.T drives everything we do. We uphold and maintain Honesty, Empathy, Accountability, Respect, and Teamwork to empower our talented team, engage our respective communities and adhere to Planetree's philosophy of patient-centered care. The system is anchored by Maimonides Medical Center, one of the nation's largest independent teaching hospitals and home to centers of excellence in numerous specialties; Maimonides Midwood Community Hospital (formerly New York Community Hospital), a 130-bed adult medical-surgical hospital; and Maimonides Children's Hospital, Brooklyn's only children's hospital and only pediatric trauma center. Maimonides' clincal progams rank among the best in the country for patient outcomes, including its Heart and Vascular Institute, Neuroscience Institute, Boneand Joint Center, and Cancer Center. Maimonides is an affiliate of Northwell Health and a major clinical training site for SUNY Downstate College of Medicine. Overview clinical training site for SUNY Downstate College of Medicine. We currently seek a Patient Representative to serve as liaison between patient and hospital staff while functioning as a patient advocate interfacing with patients, families, staff and hospital administration; assists patients in interpreting hospital policies, procedures and services, and in obtaining solutions to problems and concerns. Responsibilities * Patient Advocacy & Education Educates patients/families on hospital policies, the Patient's Bill of Rights, pain management, safety, & advance directives (HCP, DNR, MOLST.), in compliance with the Patient Self-Determination Act/Family Health Care Decisions Act. * Issue Resolution & Communication Serves as in-house Administrator on Call, addressing non-clinical patient concerns, resolving complaints, coordinating with hospital departments, and feedback to patients. * Documentation & Reporting Maintains comprehensive records of patient/family interactions, documents incidents and follow-ups, and provides reports to administration. * Interdisciplinary Collaboration & Committees Participates in & coordinates interdisciplinary patient care teams and hospital committees, including Ethics, Safety, Nursing, and Child Protection, EOL. * Emergency Department Responsibilities Supports patients/families in Emergency Department waiting areas, assists with patient admissions/transfers, expedites lab/X-ray processes * Access & Support Services Assists in referring patients to appropriate services when alternatives are unavailable, coordinates interpreter services, hospital notary, organ donor * Policy Compliance & Outreach Ensures adherence to department policies, performance improvement standards, and regulatory requirements; participates in community outreach, education programs, and staff in-services on patient rights and healthcare directives. Qualifications * Bachelor's degree in communications, social sciences or nursing preferred. * Minimum 5 years exp in hospital field or suitable combination education/experience preferred. * Knowledge of patient care and patient problems * Good interpersonal and English verbal/written communication skills; Bilingual preferred. Pay Range USD $63,500.00 - USD $63,500.00 /Yr. Equal Employment Opportunity Employer Maimonides Medical Center (MMC) is an equal opportunity employer.

Job Summary: To act as a liaison among patients, family members, visitors and staff in the Emergency Department (ED), with the aim of enhancing the personal service experienced by patients, family members and visitors while enabling ED staff to concentrate on direct patient care.# Also, working with the ED Director to monitor patient, family and visitor satisfaction in the ED.# Always works under the direct supervision of the Charge RN. Primary Job Responsibilities: Assists staff with supportive needs of patients and their families Makes contact with patients, family members and visitors in the ED waiting area, explaining policies and procedures as needed and directing patients to treatment areas when needed. Makes periodic rounds of waiting areas and exam rooms relaying information among patients, family members, and visitors in collaborating with the ED staff. Explains to patients, family members and visitors why visitation may be restricted to two family members at a time during flu season for example. Responds to patient, family member and visitor requests or problems with direct action or referral to the appropriate department or person. Works closely with the ED and registration staff to help maintain smooth patient flow and open communication among all concerned. Makes necessary calls to families and ministers, etc. for patient when requested. Assists in comforting those families who have experienced the death of a family member and assists with other necessary arrangements. Assists with diversional activity for children by providing coloring books and crayons, Teddy Bears and assisting parents as needed while maintaining a safe environment. Maintains knowledge of current ED services and hospital policies regarding patient registration, treatment, admission, discharge, visitation, information release, parking, etc. Additional Responsibilties: Unit Support Measures Assist unit secretary with clerical duties (answer phone, make copies of records, fax) Make arrangements for families regarding temporary housing Assist patients/families with transportation arrangements when necessary (taxi, bus, car rental) Assist in obtaining wheelchairs and stretchers for ED Minimum Qualifications: High School Graduate with 2 years of experience dealing with the public. Experience in Emergency Department setting strongly preferred.#Minimum of 2 years of college or an equivalent combination of college level education and healthcare experience#preferred. # Salary Range: $17.58 - $25.87 Pay Grade: 15 Compensation may vary based upon, but not limited to: overall experience and qualifications, shift, and location. # Job Summary: To act as a liaison among patients, family members, visitors and staff in the Emergency Department (ED), with the aim of enhancing the personal service experienced by patients, family members and visitors while enabling ED staff to concentrate on direct patient care. Also, working with the ED Director to monitor patient, family and visitor satisfaction in the ED. Always works under the direct supervision of the Charge RN. Primary Job Responsibilities: Assists staff with supportive needs of patients and their families * Makes contact with patients, family members and visitors in the ED waiting area, explaining policies and procedures as needed and directing patients to treatment areas when needed. * Makes periodic rounds of waiting areas and exam rooms relaying information among patients, family members, and visitors in collaborating with the ED staff. * Explains to patients, family members and visitors why visitation may be restricted to two family members at a time during flu season for example. * Responds to patient, family member and visitor requests or problems with direct action or referral to the appropriate department or person. * Works closely with the ED and registration staff to help maintain smooth patient flow and open communication among all concerned. * Makes necessary calls to families and ministers, etc. for patient when requested. * Assists in comforting those families who have experienced the death of a family member and assists with other necessary arrangements. * Assists with diversional activity for children by providing coloring books and crayons, Teddy Bears and assisting parents as needed while maintaining a safe environment. * Maintains knowledge of current ED services and hospital policies regarding patient registration, treatment, admission, discharge, visitation, information release, parking, etc. Additional Responsibilties: Unit Support Measures * Assist unit secretary with clerical duties (answer phone, make copies of records, fax) * Make arrangements for families regarding temporary housing * Assist patients/families with transportation arrangements when necessary (taxi, bus, car rental) * Assist in obtaining wheelchairs and stretchers for ED Minimum Qualifications: High School Graduate with 2 years of experience dealing with the public. Experience in Emergency Department setting strongly preferred. Minimum of 2 years of college or an equivalent combination of college level education and healthcare experience preferred. Salary Range: $17.58 - $25.87 Pay Grade: 15 Compensation may vary based upon, but not limited to: overall experience and qualifications, shift, and location.

#Patient Nutrition Representative #Location: Saratoga Hospital, 211 Church Street, Saratoga Springs, NY 12866 #Employment Type:#Full Time#Availability #Shift/Schedule:#Varied shifts with rotating weekends and holidays #Department: Food # Nutritional Services #Salary Range:#$17.38#- $25.12#hourly, based on experience and qualifications #About Saratoga Hospital At#Saratoga Hospital, we#ve built a reputation for high-quality, compassionate care and a commitment to the health and well-being of our community. As part of the Albany Med Health System, we combine advanced technology with a deeply personal approach#creating a supportive environment for patients, staff, and providers alike. We believe that exceptional care starts with exceptional people. #About the Role We#re looking for a dedicated Patient Nutrition Representative#to join our team and help us conduct#face-to-face patient meal preference interviews,#verify#diet order based on#individualization of patient information and preferences,#process#menu and tray tickets,#distribute#production sheets and compile daily record-keeping forms. #You Could Be In One of a Few Areas Works effectively as part of the Ambassador team to provide quality meal options within their special dietary consideration guidelines. Serves as department liaison, is the last person to check for tray accuracy prior to meal service; uses Diet Order Sheet to verify diet and status (NPO); consults with nursing when discrepancies are indicated. Monitors floor stock per PAR levels established on units assigned; fills orders, logs refrigerator temperatures and maintains sanitary conditions of refrigerators and freezers; discards outdated and unauthorized items. Processes patient diet changes and menu selections accurately, courteously and efficiently during interview. Assists patients with meal selections; adhering to dietary restrictions and communicating appropriate alternatives when unable to meet patient needs with standard menu. Accurately and courteously delivers and prepares meals/snacks using patient identifiers, ensures#that the correct temperatures are maintained throughout process. Identifies and reports patients that do not consume between-meal snacks and/or oral supplements #What You Bring High School diploma or GED preferred. Formal training/education and previous work experience with diets, preferred. Previous Customer Service experience/training in a high-stress atmosphere preferred. Understanding of kitchen jobs essential, training on pertinent kitchen positions required. #Why Saratoga Hospital A caring, community-focused culture rooted in teamwork and trust Supportive leadership that invests in your development and well-being Comprehensive benefits, including medical, dental, retirement plans, tuition assistance, and wellness programs.#Click here to view our complete benefits guide. Opportunities to grow within the Albany Med Health System Located in#beautiful Saratoga Springs, known for its vibrant community, outdoor recreation, and cultural attractions #Our Commitment We are an equal opportunity employer and strongly encourage individuals of all backgrounds and experiences to apply. If you#re passionate about healthcare and community service#even if you don#t meet every qualification listed#we#d still love to hear from you. #How to Apply Click the #apply# button to submit your resume and complete our online application. Applications are reviewed on a rolling basis#apply today and discover what makes Saratoga Hospital a special place to grow your career. Patient Nutrition Representative Location: Saratoga Hospital, 211 Church Street, Saratoga Springs, NY 12866 Employment Type: Full Time Availability Shift/Schedule: Varied shifts with rotating weekends and holidays Department: Food & Nutritional Services Salary Range: $17.38 - $25.12 hourly, based on experience and qualifications About Saratoga Hospital At Saratoga Hospital, we've built a reputation for high-quality, compassionate care and a commitment to the health and well-being of our community. As part of the Albany Med Health System, we combine advanced technology with a deeply personal approach-creating a supportive environment for patients, staff, and providers alike. We believe that exceptional care starts with exceptional people. About the Role We're looking for a dedicated Patient Nutrition Representative to join our team and help us conduct face-to-face patient meal preference interviews, verify diet order based on individualization of patient information and preferences, process menu and tray tickets, distribute production sheets and compile daily record-keeping forms. You Could Be In One of a Few Areas * Works effectively as part of the Ambassador team to provide quality meal options within their special dietary consideration guidelines. * Serves as department liaison, is the last person to check for tray accuracy prior to meal service; uses Diet Order Sheet to verify diet and status (NPO); consults with nursing when discrepancies are indicated. * Monitors floor stock per PAR levels established on units assigned; fills orders, logs refrigerator temperatures and maintains sanitary conditions of refrigerators and freezers; discards outdated and unauthorized items. * Processes patient diet changes and menu selections accurately, courteously and efficiently during interview. Assists patients with meal selections; adhering to dietary restrictions and communicating appropriate alternatives when unable to meet patient needs with standard menu. * Accurately and courteously delivers and prepares meals/snacks using patient identifiers, ensures that the correct temperatures are maintained throughout process. * Identifies and reports patients that do not consume between-meal snacks and/or oral supplements What You Bring * High School diploma or GED preferred. Formal training/education and previous work experience with diets, preferred. Previous Customer Service experience/training in a high-stress atmosphere preferred. Understanding of kitchen jobs essential, training on pertinent kitchen positions required. Why Saratoga Hospital * A caring, community-focused culture rooted in teamwork and trust * Supportive leadership that invests in your development and well-being * Comprehensive benefits, including medical, dental, retirement plans, tuition assistance, and wellness programs. Click here to view our complete benefits guide. * Opportunities to grow within the Albany Med Health System * Located in beautiful Saratoga Springs, known for its vibrant community, outdoor recreation, and cultural attractions Our Commitment We are an equal opportunity employer and strongly encourage individuals of all backgrounds and experiences to apply. If you're passionate about healthcare and community service-even if you don't meet every qualification listed-we'd still love to hear from you. How to Apply Click the 'apply' button to submit your resume and complete our online application. Applications are reviewed on a rolling basis-apply today and discover what makes Saratoga Hospital a special place to grow your career.

JOB TITLE: Surgical Scheduler/Prior Authorization Specialist DEPARTMENT: Urology STATUS: Full Time Non-Exempt (Hourly) REPORTS TO: Practice Director SHIFT/CORE HOURS: Monday-Friday 8:30 AM-5:00 PM The Surgical Scheduler/Prior Authorization Specialist will support the Providers while monitoring patient flow, scheduling patient appointments, attaining prior authorizations and processing necessary insurance information. The Patient Service Coordinator uses his/her working knowledge of urology and the health care industry to address patient inquiries, solve problems and ensure a positive patient experience ESSENTIAL DUTIES AND RESPONSIBILITIES: * Schedules office and hospital based medical and surgical procedures, as well as in-office diagnostic and imaging tests. * Completes pre-procedural phone calls three days prior to confirm appointment times with patients. Provides accurate, detailed information to patients regarding test preparations, and confirms patients' scheduled time of arrival for test or procedure. * Takes appropriate action in responding to questions from patients. * Checks insurance eligibility * Contacts insurance companies to obtain benefits and prior authorizations, if needed, as required by patients' insurance plan, within 72 hours of scheduled procedure. * Scans surgical packets and all other relevant documents (medical/cardiac clearances, bloodwork, EKG, etc.) into the patient's EMR. * Contacts appropriate vendors to ensure all equipment will be on site for office and hospital based procedures, including confirmation of attendance by contracted anesthesia groups if required for procedure or test. * Collaborates with appropriate hospital/ASC staff to ensure a cohesive working relationship for continuity in providing patient care services. * Schedules post-op follow-up as needed and provides any other directional information. * Reviews provider's schedule for accuracy, and reschedules appointments as needed. * Completes requests for medical records or information following HIPAA guidelines. * Other job duties as assigned. EDUCATION AND EXPERIENCE: * Minimum of a High School diploma; Associates Degree preferred. * 1 - 2 years' related experience in a medical practice; or equivalent combination of education and experience. * Must possess strong interpersonal skills to communicate effectively with patients, co-workers, management, and providers. * Proven history of providing exceptional patient service * Demonstrated experience responding to questions and addressing concerns in a tactful & professional manner * Ability to multi-task in a busy medical practice. * Able to work both independently and collaboratively in a team environment. * Able to manage demanding workload with accuracy. * Working knowledge of EMR and Microsoft Office products preferred * Willingness to travel to designated Premier Medical Group locations. Premier Medical Group is an Equal Opportunity Employer

Job Description Enjoy what you do while contributing to a company that makes a difference in people's lives. RMA of New York City, one of the premier fertility centers in the United States, seeks experienced, compassionate, and dynamic team players who are committed to delivering exceptional patient care to join our growing practice. The work we do building families offers stimulation, challenge, and personal reward. We have an immediate opening for a Patient Services Coordinator II to join our RMA of New York City team at our Eastside practice. The schedule is working Full-Time Monday- Friday, daytime hours. This full-time (40 hours a week) day shift position requires one weekend (Saturday and Sunday) shift a month and two holidays a year at our Madison Ave location. When working on the weekend and/or holiday the hours are 7:00AM to 12:00PM. The pay range for this position is $26.00-$31.00 per hour. How You'll Contribute: We always do whatever it takes, even if it isn't specifically our “job.” In general, the Patient Services Coordinator II is responsible for: Interacting with patients; practicing effective, courteous communication Working the front desk Scheduling patient appointments and in-office procedures Managing the physician's schedules and preparing letters and reports and handling special projects as assigned Handle all letters for patients and assist with patient requests related to their treatment at our practice Act as the key liaison with the MD, clinical, and other staff members to ensure all administrative functions are completed What You'll Bring: The skills and education we need are: Good judgement and takes initiative. Interpersonal Skills: approachable, outgoing, and exhibit a professional disposition. Passionate about providing excellent patient care. Ability to work independently and as part of the team. A successful candidate must possess a bachelor's degree or higher. Medical office experience is a plus; related job experience is required Interest in the field of reproductive medicine is a must. Excellent organizational and interpersonal skills are required Strong verbal and written communication skills are a must Familiarity with computer applications (Microsoft Suite) is required and with Nextgen is a plus. More important than the best skills, however, is the right person. Employees who embrace our mission, vision, and core values are highly successful. What We Offer: Full-Time Employees (30+ hours/week): Medical, dental, and vision insurance, 401(k) with company match, tuition assistance, performance-based bonus opportunities, generous paid time off, and paid holidays Part-Time Employees: 401(k) with company match and performance-based bonus opportunities Per Diem Employees: 401(k) with company match At RMA of New York City, we promote and develop individual strengths in order to help staff grow personally and professionally. Our core values guide us daily to work hard and enjoy what we do. We're committed to growing our practice and are always looking to promote from within. This is an ideal time to join our team! To learn more about our company and culture, visit here.

Job Description Enjoy what you do while contributing to a company that makes a difference in people's lives. RMA of New York, one of the premier fertility centers in the United States, seeks experienced, compassionate, and dynamic team players who are committed to delivering exceptional patient care to join our growing practice. The work we do building families offers stimulation, challenge, and personal reward. We have an immediate opening for a Patient Services Coordinator II to join our RMA of New York team at our Downtown practice. The schedule is working Full-Time Monday through Friday, daytime hours. This full-time (40 hours a week) day shift position requires one weekend (Saturday and Sunday) shift a month and two holidays a year at our Madison Ave location. When working on the weekend and/or holiday the hours are 7:00 AM to 12:00 PM. The pay range for this position is $26.00-$31.00 per hour. How You'll Contribute: We always do whatever it takes, even if it isn't specifically our “job.” In general, the Patient Services Coordinator II is responsible for: Interacting with patients; practicing effective, courteous communication Working the front desk Scheduling patient appointments and in-office procedures Managing the physician's schedules and preparing letters and reports and handling special projects as assigned Handle all letters for patients and assist with patient requests related to their treatment at our practice Act as the key liaison with the MD, clinical, and other staff members to ensure all administrative functions are completed What You'll Bring: The skills and education we need are: Good judgement and takes initiative. Interpersonal Skills: approachable, outgoing, and exhibit a professional disposition. Passionate about providing excellent patient care. Ability to work independently and as part of the team. A successful candidate must possess a bachelor's degree or higher. Medical office experience is a plus; related job experience is required Interest in the field of reproductive medicine is a must. Excellent organizational and interpersonal skills are required Strong verbal and written communication skills are a must Familiarity with computer applications (Microsoft Suite) is required and with Nextgen is a plus. More important than the best skills, however, is the right person. Employees who embrace our mission, vision, and core values are highly successful. What We Offer: Full-Time Employees (30+ hours/week): Medical, dental, and vision insurance, 401(k) with company match, tuition assistance, performance-based bonus opportunities, generous paid time off, and paid holidays Part-Time Employees: 401(k) with company match and performance-based bonus opportunities Per Diem Employees: 401(k) with company match At RMA of New York, we promote and develop individual strengths in order to help staff grow personally and professionally. Our core values guide us daily to work hard and enjoy what we do. We're committed to growing our practice and are always looking to promote from within. This is an ideal time to join our team! To learn more about our company and culture, visit here.

JOB TITLE: Surgical Scheduler/Prior Authorization Specialist DEPARTMENT: Urology STATUS: Full Time Non-Exempt (Hourly) REPORTS TO: Practice Director SHIFT/CORE HOURS: Monday-Friday 8:30 AM-5:00 PM The Surgical Scheduler/Prior Authorization Specialist will support the Providers while monitoring patient flow, scheduling patient appointments, attaining prior authorizations and processing necessary insurance information. The Patient Service Coordinator uses his/her working knowledge of urology and the health care industry to address patient inquiries, solve problems and ensure a positive patient experience ESSENTIAL DUTIES AND RESPONSIBILITIES: Schedules office and hospital based medical and surgical procedures, as well as in-office diagnostic and imaging tests. Completes pre-procedural phone calls three days prior to confirm appointment times with patients. Provides accurate, detailed information to patients regarding test preparations, and confirms patients' scheduled time of arrival for test or procedure. Takes appropriate action in responding to questions from patients. Checks insurance eligibility Contacts insurance companies to obtain benefits and prior authorizations, if needed, as required by patients' insurance plan, within 72 hours of scheduled procedure. Scans surgical packets and all other relevant documents (medical/cardiac clearances, bloodwork, EKG, etc.) into the patient's EMR. Contacts appropriate vendors to ensure all equipment will be on site for office and hospital based procedures, including confirmation of attendance by contracted anesthesia groups if required for procedure or test. Collaborates with appropriate hospital/ASC staff to ensure a cohesive working relationship for continuity in providing patient care services. Schedules post-op follow-up as needed and provides any other directional information. Reviews provider's schedule for accuracy, and reschedules appointments as needed. Completes requests for medical records or information following HIPAA guidelines. Other job duties as assigned. EDUCATION AND EXPERIENCE: Minimum of a High School diploma; Associates Degree preferred. 1 - 2 years' related experience in a medical practice; or equivalent combination of education and experience. Must possess strong interpersonal skills to communicate effectively with patients, co-workers, management, and providers. Proven history of providing exceptional patient service Demonstrated experience responding to questions and addressing concerns in a tactful & professional manner Ability to multi-task in a busy medical practice. Able to work both independently and collaboratively in a team environment. Able to manage demanding workload with accuracy. Working knowledge of EMR and Microsoft Office products preferred Willingness to travel to designated Premier Medical Group locations. Premier Medical Group is an Equal Opportunity Employer

Job Description Enjoy what you do while contributing to a company that makes a difference in people's lives. RMA of New York City, one of the premier fertility centers in the United States, seeks experienced, compassionate, and dynamic team players who are committed to delivering exceptional patient care to join our growing practice. The work we do building families offers stimulation, challenge, and personal reward. We have an immediate opening for a Patient Services Coordinator I to join our RMA of New York City team at our Brooklyn practice. The schedule is working Full-Time Monday- Friday, daytime hours. One weekend per month at the Madison Ave or Brooklyn locations Saturday and Sunday 6:45AM to 12:00PM and two holidays per year also at the Madison Ave location or Brooklyn location 6:45AM to 12:00PM. The pay range for this position is $18.00 - $19.50 per hour. How You'll Contribute: We always do whatever it takes, even if it isn't specifically our “job.” In general, the Patient Services Coordinator I is responsible for: Interacting with patients; practicing effective, courteous communication Working the front desk Answering telephone and scheduling appointments Preparing charts; consistently ensuring appropriate forms are used Collecting patient payments due at the time of service; verifying accurate insurance information Good judgement and takes initiative. Interpersonal Skills: approachable, outgoing, and exhibit a professional disposition. Passionate about providing excellent patient care. Ability to work independently and as part of the team. What You'll Bring: The skills and education we need are: A successful candidate must possess a High School Degree, Associates or bachelor's preferred. Strong verbal and reading skills. Basic familiarity with computers and office devices. Familiarity with computer applications (Microsoft Suite). Medical office experience is a plus, interest in the field of reproductive medicine a must. More important than the best skills, however, is the right person. Employees who embrace our mission, vision, and core values are highly successful. What We Offer: We are proud to provide a comprehensive and competitive benefits package tailored to support the needs of our team members across all employment types: Full-Time Employees (30+ hours/week): Medical, dental, and vision insurance, 401(k) with company match, tuition assistance, performance-based bonus opportunities, generous paid time off, and paid holidays Part-Time Employees: 401(k) with company match and performance-based bonus opportunities Per Diem Employees: 401(k) with company match At RMA of New York City, we promote and develop individual strengths in order to help staff grow personally and professionally. Our core values guide us daily to work hard and enjoy what we do. We're committed to growing our practice and are always looking to promote from within. This is an ideal time to join our team! To learn more about our company and culture, visit here.

Job Description Enjoy what you do while contributing to a company that makes a difference in people's lives. RMA of New York, one of the premier fertility centers in the United States, seeks experienced, compassionate, and dynamic team players who are committed to delivering exceptional patient care to join our growing practice. The work we do building families offers stimulation, challenge, and personal reward. We have an immediate opening for a Patient Services Coordinator to join our RMA of New York team in Mount Kisco, New York. The schedule is working Full-Time Monday through Friday, daytime hours. There is a weekend and holiday rotation as needed. The pay range for this position is $18.00 to $19.50 per hour. How You'll Contribute: We always do whatever it takes, even if it isn't specifically our “job.” In general, the Patient Services Coordinator is responsible for: Interacting with patients; practicing effective, courteous communication Working the front desk Answering telephone and scheduling appointments Preparing charts; consistently ensuring appropriate forms are used Collecting patient payments due at the time of service; verifying accurate insurance information Good judgement and takes initiative. Interpersonal Skills: approachable, outgoing, and exhibit a professional disposition. Passionate about providing excellent patient care. Ability to work independently and as part of the team. What You'll Bring: The skills and education we need are: A successful candidate must possess a High School Degree, Associates or bachelor's preferred. Strong verbal and reading skills. Basic familiarity with computers and office devices. Familiarity with computer applications (Microsoft Suite). Medical office experience is a plus, interest in the field of reproductive medicine a must. More important than the best skills, however, is the right person. Employees who embrace our mission, vision, and core values are highly successful. What We Offer: We are proud to provide a comprehensive and competitive benefits package tailored to support the needs of our team members across all employment types: Full-Time Employees (30+ hours/week): Medical, dental, and vision insurance, 401(k) with company match, tuition assistance, performance-based bonus opportunities, generous paid time off, and paid holidays Part-Time Employees: 401(k) with company match and performance-based bonus opportunities Per Diem Employees: 401(k) with company match At RMA of New York, we promote and develop individual strengths in order to help staff grow personally and professionally. Our core values guide us daily to work hard and enjoy what we do. We're committed to growing our practice and are always looking to promote from within. This is an ideal time to join our team! To learn more about our company and culture, visit here.

Department/Unit: Patient Simulation Center Work Shift: Day (United States of America) Salary Range: $0.00 - $0.00The standardized participant must be able to independently, consistently and accurately portray clinical situations. Roles may include patient, family member or health care worker. Portrayals may be specific emotions, behaviors, disease symptoms or physical exam findings. The standardized participant will interact with students in the health care field during simulated encounters designed to enable experiential learning and/or assessment of students' skills. The standardized participant may be asked to assess student behaviors using validated measurement tools and provide verbal as well as written feedback. In addition, the standardized participant will be involved in group training and/or mentorship of entry-level standardized participants. The standardized participant work will be varied. It is part-time, as needed. High school education is required and college preferred. The standardized participant must be able to independently, consistently and accurately portray clinical situations. Roles may include patient, family member or health care worker. Portrayals may be specific emotions, behaviors, disease symptoms or physical exam findings. The standardized participant will interact with students in the health care field during simulated encounters designed to enable experiential learning and/or assessment of students' skills. The standardized participant may be asked to assess student behaviors using validated measurement tools and provide verbal as well as written feedback. In addition, the standardized participant will be involved in group training and/or mentorship of entry-level standardized participants. The standardized participant work will be varied. It is part-time, as needed. High school education is required and college preferred. Thank you for your interest in Albany Medical Center! Albany Medical is an equal opportunity employer. This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that: Access to information is based on a “need to know” and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Med Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.

Department/Unit: Patient Simulation Center Work Shift: Day (United States of America) Salary Range: $0.00 - $0.00 The standardized participant must be able to independently, consistently and accurately portray clinical situations. Roles may include patient, family member or health care worker. Portrayals may be specific emotions, behaviors, disease symptoms or physical exam findings. The standardized participant will interact with students in the health care field during simulated encounters designed to enable experiential learning and/or assessment of students' skills. The standardized participant may be asked to assess student behaviors using validated measurement tools and provide verbal as well as written feedback. In addition, the standardized participant will be involved in group training and/or mentorship of entry-level standardized participants. The standardized participant work will be varied. It is part-time, as needed. High school education is required and college preferred. The standardized participant must be able to independently, consistently and accurately portray clinical situations. Roles may include patient, family member or health care worker. Portrayals may be specific emotions, behaviors, disease symptoms or physical exam findings. The standardized participant will interact with students in the health care field during simulated encounters designed to enable experiential learning and/or assessment of students' skills. The standardized participant may be asked to assess student behaviors using validated measurement tools and provide verbal as well as written feedback. In addition, the standardized participant will be involved in group training and/or mentorship of entry-level standardized participants. The standardized participant work will be varied. It is part-time, as needed. High school education is required and college preferred. Thank you for your interest in Albany Medical Center! Albany Medical is an equal opportunity employer. This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that: Access to information is based on a "need to know" and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Med Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.

Dent Neurologic Institute is committed to excellence in all we do. Our culture is built on 4 key pillars: respect, quality, productivity, and well-being. By remaining dedicated to these values and the overall mission, we are dedicated to making a difference for both patients and colleagues. When you join the Dent team, you can take advantage of a variety of benefits: Work-Life Balance(no overnight shifts) Medical, Dental & Vision Plans Life Insurance 401(k) Retirement Plan Critical Illness, Accident, & Legal Plans Wellness Program Learning &Development Opportunities Paid Time Off Paid Holidays Free Onsite Parking at All Locations Schedule : Monday- Friday, 8:00am - 4:30pm or 8:30am - 5:00pm Responsibilities of Position: Provide excellent customer service in all interactions with patients, clinical support staff, management, and providers Demonstrate the ability to remain calm and respectful when dealing with all callers Demonstrate the ability to work well with high call volumes Demonstrate the ability to accept responsibility for appropriate conduct within the office setting and with other department associates by professional interactions with other representatives of services at the Dent Ability to collaborate with coworkers and be a team player Demonstrates a thorough understanding of Call Center policies and procedures as outlined in the training manual Transfer telephone calls to appropriate locations, departments and personnel within the organization Transfer patients to proper clinical resources for health care questions and to proper clerical resources for non-clinical support Work with referring provider offices to schedule patients in a timely and accurate manner, to meet both patient and provider needs Create and update patient accounts with demographic and insurance information Confirm and cancel patient appointments for all specialties and multiple ancillary services Schedule neurology appointments Possess an understanding and knowledge of subspecialty and individual provider scheduling protocols and guidelines Possess an understanding of injection scheduling protocols and guidelines including when prior authorization is needed Possess an understanding of insurance participation, co-pays, and deductibles Maintain strict confidentiality of all patient information Page on call provider for hospital consult requests Work with support staff to provide external providers with immediate access to Dent providers for emergent requests Completes clerical duties in a time efficient manner as set forth by the Manager Functions as a member of the health care team related to patient care by interactions and cooperation with physicians and other health care professionals Work with medical secretaries, checkout staff, triage nurses, and medical assistants to ensure appropriate scheduling and handling of patient needs Meet or exceed key performance indicators Meet or exceed expectations for tone, accuracy, call volumes, response times, and average durations Meet or exceed expectations on monthly call grading Actively participate in ongoing training and development in a professional manner. Participate in weekly team huddle and monthly team meeting Demonstrate the ability to review and discuss performance with the Manager Reports errors or problems in a timely and professional manner so that appropriate action may be taken for patient care Performs other duties as assigned or requested Other Duties Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. Skills & Experience Necessary: Ability to maintain strict confidentiality Good verbal communication, interpersonal and telephone skills Good working knowledge of medical terminology Good planning, organizational, and problem solving skills Ability to work independently or within a team environment Willing and able to work overtime as required to meet operational needs and perform all duties Availability for departmental meetings, which may require reporting early and staying late Working knowledge of general office equipment including multi-line phone, computer, copier, calculator and fax machines Preferred Experience 1-year experience in a call center or customer service environment Compensation: Most candidates will start within the first quartile of the pay range Rates are commensurate with experience EEO Statement Dent Neurologic Institute offers an inclusive work environment built on kindness and respect for all. Dent provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws as the basis for an employment decision. All qualified individuals are encouraged to apply and will receive consideration.

Dent Neurologic Institute is committed to excellence in all we do. Our culture is built on 4 key pillars: respect, quality, productivity, and well-being. By remaining dedicated to these values and the overall mission, we are dedicated to making a difference for both patients and colleagues. When you join the Dent team, you can take advantage of a variety of benefits: Work-Life Balance(no overnight shifts) Medical, Dental & Vision Plans Life Insurance 401(k) Retirement Plan Critical Illness, Accident, & Legal Plans Wellness Program Learning &Development Opportunities Paid Time Off Paid Holidays Free Onsite Parking at All Locations Schedule: Monday- Friday, 8:00am - 4:30pm or 8:30am - 5:00pm Responsibilities of Position: Provide excellent customer service in all interactions with patients, clinical support staff, management, and providers Demonstrate the ability to remain calm and respectful when dealing with all callers Demonstrate the ability to work well with high call volumes Demonstrate the ability to accept responsibility for appropriate conduct within the office setting and with other department associates by professional interactions with other representatives of services at the Dent Ability to collaborate with coworkers and be a team player Demonstrates a thorough understanding of Call Center policies and procedures as outlined in the training manual Transfer telephone calls to appropriate locations, departments and personnel within the organization Transfer patients to proper clinical resources for health care questions and to proper clerical resources for non-clinical support Work with referring provider offices to schedule patients in a timely and accurate manner, to meet both patient and provider needs Create and update patient accounts with demographic and insurance information Confirm and cancel patient appointments for all specialties and multiple ancillary services Schedule neurology appointments Possess an understanding and knowledge of subspecialty and individual provider scheduling protocols and guidelines Possess an understanding of injection scheduling protocols and guidelines including when prior authorization is needed Possess an understanding of insurance participation, co-pays, and deductibles Maintain strict confidentiality of all patient information Page on call provider for hospital consult requests Work with support staff to provide external providers with immediate access to Dent providers for emergent requests Completes clerical duties in a time efficient manner as set forth by the Manager Functions as a member of the health care team related to patient care by interactions and cooperation with physicians and other health care professionals Work with medical secretaries, checkout staff, triage nurses, and medical assistants to ensure appropriate scheduling and handling of patient needs Meet or exceed key performance indicators Meet or exceed expectations for tone, accuracy, call volumes, response times, and average durations Meet or exceed expectations on monthly call grading Actively participate in ongoing training and development in a professional manner. Participate in weekly team huddle and monthly team meeting Demonstrate the ability to review and discuss performance with the Manager Reports errors or problems in a timely and professional manner so that appropriate action may be taken for patient care Performs other duties as assigned or requested Other Duties Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. Skills & Experience Necessary: Ability to maintain strict confidentiality Good verbal communication, interpersonal and telephone skills Good working knowledge of medical terminology Good planning, organizational, and problem solving skills Ability to work independently or within a team environment Willing and able to work overtime as required to meet operational needs and perform all duties Availability for departmental meetings, which may require reporting early and staying late Working knowledge of general office equipment including multi-line phone, computer, copier, calculator and fax machines Preferred Experience 1-year experience in a call center or customer service environment Compensation: Most candidates will start within the first quartile of the pay range Rates are commensurate with experience EEO Statement Dent Neurologic Institute offers an inclusive work environment built on kindness and respect for all. Dent provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws as the basis for an employment decision. All qualified individuals are encouraged to apply and will receive consideration. Mon-Fri 8:00am-4:30pm or 8:30am - 5:00pm 40 hours/week

Job Description TITLE: Medicaid Specialist REPORTS TO: Director of Entitlements DEPARTMENT: Entitlements - 219 East 121st St. New York, NY 10035 Our Mission: Since 1967, Odyssey House has been providing innovative services and programs to a broad population of individuals and families struggling with substance use and mental health disorders. Odyssey House helps New Yorkers of all ages-and across all five boroughs-beat drugs and alcohol with highly individualized treatment programs. Odyssey House provides high quality, holistic treatment impacting all major life spheres, including: psychological, physical, social, family, educational and spiritual in order to support personal rehabilitation, renewal and family restoration. If that sounds different than other treatment programs, you're right. Because Odyssey is where recovery gets real. In addition to competitive salaries, Odyssey House offers: A 35-hour work week (as opposed to a 40-hour work week) Vacation Plan and Holiday Schedule Life Insurance Medical Insurance (Two Plans) Dental and Vision Insurance Additional Insurance Coverages (hospitalization, accidental, critical illness coverage) Long-Term & Short-Term Disability Flexible Spending Account/Health Reimbursement Account 403(b) Plan Corporate Counseling Associates (CCA) EAP benefit Ability Assist Counseling Services (through The Hartford) Commuter Benefits Educational Assistance Programs Special shopping discounts through ADP Marketplace and PlumBenefits RUFit?! Fitness Program Legal Assistance through ARAG Optum Financial Service through ConnectYourCare Benefit Advocacy Center through Gallagher MAJOR FUNCTIONS: Maintain a working relationship with the Department of Social Services/Medicaid Office/Expedited and Marketplace to ensure Medicaid Managed Care guidelines and policies and procedures are follow. SPECIFIC DUTIES & RESPONSIBILITIES: • Conduct a comprehensive review to determine eligibility for Medicaid and Managed Care for the 820 Programs • Daily Review of consumers' insurance verification and Medicaid Managed Care coverage • Communicate with consumers regarding insurance coverage, restrictions, and disenrollment (Medicaid/Managed Care, and Medicare) • Process Medicaid applications and recertifications for potential consumers through the Local Department of Social Services or the NY State Exchange/Marketplace • Investigate Medicaid issues related to eligibility, deferrals, denials and recertifications • Identify consumers with Medical and Pharmacy restrictions to complete MAP forms to the removal of restrictions • Process restrictions through the Managed Care System (MCS), Office of the Medicaid Inspector General (OMIG) • Resolve problematic Medicaid Managed Care and Department of Social Services issues • Navigate eMedNY (ePACES) / Managed Care Portals / Inovalon / STARS / AWARDS • Daily Data Entry of Medicaid Managed Care / Medicare / Private Insurance / MAT in AWARDS and E-Lab • Prepare weekly status of consumers' Medicaid Managed Care / Medicare / Private Insurance status and Expedite consumers with straight Medicaid coverage • Review weekly consumers' Medicaid Managed Care coverage and dropped coverage • Prepare biweekly Medicaid Manage Care Reports to reflect current coverage • Assist consumers with the selection of Managed Care and NY State Market Place • Performs related or similar duties assigned by Director. REQUIREMENTS: • Associate/BA Degree preferred • Experience with Medicaid and Managed Care and in Human Service Field • Minimum 2 years of experience in Medicaid, managed care plans, application process, recertifications and regulations • Demonstrated effective communication, proficient with Excel, computer skills, organization and multitasking Odyssey House is an equal opportunity employer maintaining a non-discriminatory policy on hiring of its personnel. Odyssey House, and its operational divisions, will not discriminate against any employee or applicant because of race, creed, color, national origin, sex, disability, marital status, sexual orientation or citizen status in all employment decisions including but not limited to recruitment, hiring, upgrading, demotion, downgrading, transfer, training, rate of pay or other forms of compensation, layoff, termination and all other terms and conditions of employment.

TITLE: Medicaid Specialist REPORTS TO: Director of Entitlements DEPARTMENT: Entitlements - 219 East 121st St. New York, NY 10035 Our Mission: Since 1967, Odyssey House has been providing innovative services and programs to a broad population of individuals and families struggling with substance use and mental health disorders. Odyssey House helps New Yorkers of all ages-and across all five boroughs-beat drugs and alcohol with highly individualized treatment programs. Odyssey House provides high quality, holistic treatment impacting all major life spheres, including: psychological, physical, social, family, educational and spiritual in order to support personal rehabilitation, renewal and family restoration. If that sounds different than other treatment programs, you're right. Because Odyssey is where recovery gets real. In addition to competitive salaries, Odyssey House offers: A 35-hour work week (as opposed to a 40-hour work week) Vacation Plan and Holiday Schedule Life Insurance Medical Insurance (Two Plans) Dental and Vision Insurance Additional Insurance Coverages (hospitalization, accidental, critical illness coverage) Long-Term & Short-Term Disability Flexible Spending Account/Health Reimbursement Account 403(b) Plan Corporate Counseling Associates (CCA) EAP benefit Ability Assist Counseling Services (through The Hartford) Commuter Benefits Educational Assistance Programs Special shopping discounts through ADP Marketplace and PlumBenefits RUFit?! Fitness Program Legal Assistance through ARAG Optum Financial Service through ConnectYourCare Benefit Advocacy Center through Gallagher MAJOR FUNCTIONS: Maintain a working relationship with the Department of Social Services/Medicaid Office/Expedited and Marketplace to ensure Medicaid Managed Care guidelines and policies and procedures are follow. SPECIFIC DUTIES & RESPONSIBILITIES: • Conduct a comprehensive review to determine eligibility for Medicaid and Managed Care for the 820 Programs • Daily Review of consumers' insurance verification and Medicaid Managed Care coverage • Communicate with consumers regarding insurance coverage, restrictions, and disenrollment (Medicaid/Managed Care, and Medicare) • Process Medicaid applications and recertifications for potential consumers through the Local Department of Social Services or the NY State Exchange/Marketplace • Investigate Medicaid issues related to eligibility, deferrals, denials and recertifications • Identify consumers with Medical and Pharmacy restrictions to complete MAP forms to the removal of restrictions • Process restrictions through the Managed Care System (MCS), Office of the Medicaid Inspector General (OMIG) • Resolve problematic Medicaid Managed Care and Department of Social Services issues • Navigate eMedNY (ePACES) / Managed Care Portals / Inovalon / STARS / AWARDS • Daily Data Entry of Medicaid Managed Care / Medicare / Private Insurance / MAT in AWARDS and E-Lab • Prepare weekly status of consumers' Medicaid Managed Care / Medicare / Private Insurance status and Expedite consumers with straight Medicaid coverage • Review weekly consumers' Medicaid Managed Care coverage and dropped coverage • Prepare biweekly Medicaid Manage Care Reports to reflect current coverage • Assist consumers with the selection of Managed Care and NY State Market Place • Performs related or similar duties assigned by Director. REQUIREMENTS: • Associate/BA Degree preferred • Experience with Medicaid and Managed Care and in Human Service Field • Minimum 2 years of experience in Medicaid, managed care plans, application process, recertifications and regulations • Demonstrated effective communication, proficient with Excel, computer skills, organization and multitasking Odyssey House is an equal opportunity employer maintaining a non-discriminatory policy on hiring of its personnel. Odyssey House, and its operational divisions, will not discriminate against any employee or applicant because of race, creed, color, national origin, sex, disability, marital status, sexual orientation or citizen status in all employment decisions including but not limited to recruitment, hiring, upgrading, demotion, downgrading, transfer, training, rate of pay or other forms of compensation, layoff, termination and all other terms and conditions of employment.

TITLE : Medicaid Specialist REPORTS TO: Director of Entitlements DEPARTMENT : Entitlements - 219 East 121st St. New York, NY 10035 Our Mission: Since 1967, Odyssey House has been providing innovative services and programs to a broad population of individuals and families struggling with substance use and mental health disorders. Odyssey House helps New Yorkers of all ages-and across all five boroughs-beat drugs and alcohol with highly individualized treatment programs. Odyssey House provides high quality, holistic treatment impacting all major life spheres, including: psychological, physical, social, family, educational and spiritual in order to support personal rehabilitation, renewal and family restoration. If that sounds different than other treatment programs, you're right. Because Odyssey is where recovery gets real. In addition to competitive salaries, Odyssey House offers: A 35-hour work week (as opposed to a 40-hour work week) Vacation Plan and Holiday Schedule Life Insurance Medical Insurance (Two Plans) Dental and Vision Insurance Additional Insurance Coverages (hospitalization, accidental, critical illness coverage) Long-Term & Short-Term Disability Flexible Spending Account/Health Reimbursement Account 403(b) Plan Corporate Counseling Associates (CCA) EAP benefit Ability Assist Counseling Services (through The Hartford) Commuter Benefits Educational Assistance Programs Special shopping discounts through ADP Marketplace and PlumBenefits RUFit?! Fitness Program Legal Assistance through ARAG Optum Financial Service through ConnectYourCare Benefit Advocacy Center through Gallagher MAJOR FUNCTIONS: Maintain a working relationship with the Department of Social Services/Medicaid Office/Expedited and Marketplace to ensure Medicaid Managed Care guidelines and policies and procedures are follow. SPECIFIC DUTIES & RESPONSIBILITIES: • Conduct a comprehensive review to determine eligibility for Medicaid and Managed Care for the 820 Programs • Daily Review of consumers' insurance verification and Medicaid Managed Care coverage • Communicate with consumers regarding insurance coverage, restrictions, and disenrollment (Medicaid/Managed Care, and Medicare) • Process Medicaid applications and recertifications for potential consumers through the Local Department of Social Services or the NY State Exchange/Marketplace • Investigate Medicaid issues related to eligibility, deferrals, denials and recertifications • Identify consumers with Medical and Pharmacy restrictions to complete MAP forms to the removal of restrictions • Process restrictions through the Managed Care System (MCS), Office of the Medicaid Inspector General (OMIG) • Resolve problematic Medicaid Managed Care and Department of Social Services issues • Navigate eMedNY (ePACES) / Managed Care Portals / Inovalon / STARS / AWARDS • Daily Data Entry of Medicaid Managed Care / Medicare / Private Insurance / MAT in AWARDS and E-Lab • Prepare weekly status of consumers' Medicaid Managed Care / Medicare / Private Insurance status and Expedite consumers with straight Medicaid coverage • Review weekly consumers' Medicaid Managed Care coverage and dropped coverage • Prepare biweekly Medicaid Manage Care Reports to reflect current coverage • Assist consumers with the selection of Managed Care and NY State Market Place • Performs related or similar duties assigned by Director. REQUIREMENTS: • Associate/BA Degree preferred • Experience with Medicaid and Managed Care and in Human Service Field • Minimum 2 years of experience in Medicaid, managed care plans, application process, recertifications and regulations • Demonstrated effective communication, proficient with Excel, computer skills, organization and multitasking Odyssey House is an equal opportunity employer maintaining a non-discriminatory policy on hiring of its personnel. Odyssey House, and its operational divisions, will not discriminate against any employee or applicant because of race, creed, color, national origin, sex, disability, marital status, sexual orientation or citizen status in all employment decisions including but not limited to recruitment, hiring, upgrading, demotion, downgrading, transfer, training, rate of pay or other forms of compensation, layoff, termination and all other terms and conditions of employment.