Specialist jobs at New Horizon Counseling Center - 642 jobs
Intake Specialist (Suffolk County)
New Horizon Counseling Center 3.9
Specialist job at New Horizon Counseling Center
🌟 Join Our Team! Intake Specialist - Health Home Program
Job Type: Full-Time Starting Salary: $42,000/year
At New Horizon Counseling Center, we're committed to providing comprehensive, compassionate care to individuals managing chronic health and mental health conditions. Through our Health Home Program, we help clients navigate the complex healthcare system and connect them with the services they need to thrive.
We are currently seeking a dedicated Intake Specialist to join our team. This position involves both office work and fieldwork/outreach across Suffolk County. If you're passionate about helping others and enjoy working in a community-based setting, we want to hear from you!
💼 About the Role
As an Intake Specialist, you will be responsible for gathering and documenting key client information, determining eligibility for the Health Home Program, and ensuring that clients have access to the resources and services they need. This role requires flexibility to conduct outreach in local communities, visit clients in the field, and collaborate with community partners.
Key Responsibilities:
Conduct intake assessments in-person in different settings (hospitals, homes, shelters, office settings)
Verify client eligibility for the Health Home Program
Gather and accurately document client information (demographics, medical, and psychosocial)
Perform fieldwork and outreach visits in Suffolk County to engage clients and gather necessary documentation
Maintain organized, confidential records in accordance with HIPAA regulations
Coordinate with internal teams and external partners to ensure smooth client enrollment and care coordination
Participate in staff meetings and trainings Achieve a conversion rate comparable or above industry standard
Provide ongoing follow-up and outreach to clients as needed
👤 What We're Looking For
High school diploma or equivalent required
Strong written communication skills are essential
Strong organizational skills and attention to detail
Ability to work independently and in a team environment
Comfortable with fieldwork and traveling between Brooklyn and Queens
Previous experience in healthcare, human services, or customer service is a plus
Bilingual (English/Spanish or other languages) a bonus
Basic computer skills required (experience with databases a plus)
💚 What We Offer
Starting salary: $42,000/year
Full benefits package: health, dental, vision, and retirement plans
Paid time off, holidays, and sick leave
Supportive, team-oriented environment
Opportunities for professional development and growth
$42k yearly Auto-Apply 60d+ ago
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Patient Relations Support Specialist
NYC Health + Hospitals/Correctional Health Services 4.7
New York, NY jobs
NYC Health + Hospitals is the largest public health care system in the nation. We are a network of 11 hospitals, trauma centers, neighborhood health centers, nursing homes, post-acute care centers, and correctional health services. We are a home care agency and a health plan, MetroPlus. Our health system provides essential services to 1.4 million New Yorkers every year in more than 70 locations across the city's five boroughs. Our diverse workforce of more than 42,000 employees are uniquely focused on empowering New Yorkers.
NYC Health + Hospitals/Correctional Health Services is one of the nation's leading correctional health care systems in quality of and innovations to care, and access from pre-arraignment through compassionate release. In-jail services include medical, nursing, mental health, substance use treatment, social work, dental and vision care, discharge planning, and reentry support. In addition to providing direct patient care in the jails, CHS leverages the resources of the nation's largest municipal health care system to help discharged patients successfully return to their communities. CHS is also a pivotal partner in New York City's criminal justice reform efforts.
NYC Health + Hospitals/Correctional Health Services is one of the nation's leading correctional health care systems in quality of, and innovations and access to care. In-jail services include medical, mental health, nursing, substance use treatment, social work, dental and vision care, discharge planning, and reentry support. In addition to providing direct patient care in the jails, CHS conducts enhanced pre-arraignment screening and forensic psychiatric examinations; and leverages the resources of the Health + Hospitals system to help discharged patients successfully return to their communities. CHS is also a pivotal partner in New York City's criminal justice reform efforts. Our workforce is comprised of more than 1,500 dedicated professionals, with locations in all five boroughs and on Rikers Island.
Under the direction of the Director and/or Deputy Director of Patient Relations, the Assistant Coordinating Manager will be responsible for documenting, managing incoming phone calls and emails, maintaining accurate records, updating the databases and coordinating complaints and requests relating to health care provided in the City's jails.
Examples of work:
Review dashboard on a daily basis, notify emergency contact for patients with specific serious injuries, hospitalizations and enter into database.
Assist in coordinating the bi-monthly QIC meetings by recording meeting minutes and updating the database with relevant outcomes and follow-up action items.
Answer incoming calls, compose email identifying case as a complaint and/or request.
Review voicemails, transcribing messages and email.
Enter and update new cases into the Patient Relations database.
Monitor and maintain the Patient Relations email in-box for all correspondences received and appropriately handle according to standardized procedures and policies.
Complete day-end reconciliation of inquiries received, assigned and sent.
Perform additional tasks as assigned.
Minimum Qualifications:
1. A Baccalaureate Degree from an accredited college or university in Business Administration, Community Health, Psychology or related discipline with one year of full-time experience in a supervisory or administrative capacity in business management systems, general administration, health care and medical/patient systems administration; or,
2. A satisfactory combination of education, training and experience.
NYC Health and Hospitals offers a competitive benefits package that includes:
Comprehensive Health Benefits for employees hired to work 20+ hrs. per week
Retirement Savings and Pension Plans
Paid Holidays and Vacation in accordance with employees' Collectively bargained contracts
Loan Forgiveness Programs for eligible employees
College tuition discounts and professional development opportunities
College Savings Program
Union Benefits for eligible titles
Multiple employee discounts programs
Commuter Benefits Programs
$40k-61k yearly est. 4d ago
Patient Service Specialist- Endocrinology-Full Time
Guthrie 3.3
Big Flats, NY 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
$17.3-24 hourly 4d ago
Associate Trauma Specialist (NYC Metro)
Globus Medical 4.5
New York, NY jobs
At Globus Medical, we move with a sense of urgency to deliver innovations that improve the quality of life of patients with musculoskeletal disorders. Our team is inspired by the needs of these patients, and the surgeons and healthcare providers who treat them. We embrace a culture of exceptional response by partnering with researchers and educators to transform clinical insights into tangible solutions. Our solutions improve the techniques and outcomes of surgery so patients can resume their lives as quickly as possible.
Position Summary:
The Associate Trauma Specialist will work together with the Trauma Territory Manager and will have territory coverage, inventory management, and limited sales responsibilities. The Associate Trauma Specialist will represent the company in accordance with the company's quality policy and procedures.
Essential Functions:
Gains and consistently increases product knowledge through formal sales training; surgeon speaker programs, attends surgeries/operating room visits, and industry research
Meets or exceeds all sales goals and objectives assigned
Conducts sales calls to promote, sell, and service Globus Medical products and services to existing and competitive customers based on a strategic plan
Assists the Trauma Territory Manager on field calls for assigned geography and address and problems that arise on the account
Performs field ride along with the Area Director and Trauma Territory Manager on a regular basis
Develops and increases customer base and continually enhances Globus product market share within assigned territory
Provides feedback regularly on topics such as product development opportunities, new target accounts, sales performance, and market feedback
Maintains conduct that is aligned with company quality policy and procedures, and protects confidentiality with proprietary information
Stays current with all compliance training requirements
Adheres to the letter and spirit of the company Code of Conduct, the AdvaMed Code, MedTech Code, and all other company policies.
Ensures Compliance with applicable governmental laws, rules, and regulations, both in the United States and internationally, by completing introductory and annual training and maintaining knowledge of compliance as it applies to your role
Represents the company in a professional manner and uphold the highest standards of ethical business practices and socially responsible conduct in all interactions with other employees, customers, suppliers, and other third parties
Reasonable accommodations may be made to enable individuals with disabilities to perform these
essential
functions.
Qualifications:
1-2 years' successful Trauma sales experience preferred, may consider other healthcare related sales and or business to business sales experience
Bachelor's degree in Science or Business
Exemplary ability to listen, communicate and influence
Ability to travel as necessary, which may include nights and/or weekends
Strong understanding of extremeties' anatomy
Ability to make sales presentations with positive results
Physical Demands:
The physical demands listed here are representative of those that must be met by and employee to successfully perform the essential functions of this job.
Required to sit; climb or balance; and stoop, kneel, crouch or crawl
Required to regularly lift and/or move up to 10 pounds, and occasionally lift and/or move up to 25 pounds
Required to possess specific visons abilities, including: close vision, distance vision, color vision, peripheral vision, depth perception and capacity to adjust focus.
Our Values:
Our Life Moves Us philosophy is built on four values: Passionate About Innovation, Customer Focused, Teamwork, and Driven.
Passionate about Innovation: Improving patient care by delivering advanced technology to our customers is at the core of what we do. We are passionate in our role in improving the lives of patients by continuously developing better solutions.
Customer Focused: We listen to our customers' needs and respond with a sense of urgency.
Teamwork: Working together, anything is possible. We value every person on our team and treat each other with respect. We are accountable to one another and support each other. Together, we make each other stronger.
Driven: We pursue our mission with energy and passion. We are nimble, results-oriented and decisive. We overcome obstacles that arise in our quest to deliver solutions that will improve the lives of our customers and patients.
Equal Employment Opportunity:
Globus Medical is an equal opportunity employer. All applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, age, disability, marital status, pregnancy, national origin or citizenship. We are committed to a diverse workforce. We value all employees' talents and support an environment that is inclusive and respectful.
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.
$95k-110k yearly est. Auto-Apply 5d ago
Associate Spine Specialist (Buffalo, NY)
Globus Medical Inc. 4.5
New York, NY jobs
At Globus Medical, we move with a sense of urgency to deliver innovations that improve the quality of life of patients with musculoskeletal disorders. Our team is inspired by the needs of these patients, and the surgeons and healthcare providers who treat them. We embrace a culture of exceptional response by partnering with researchers and educators to transform clinical insights into tangible solutions. Our solutions improve the techniques and outcomes of surgery so patients can resume their lives as quickly as possible.
Position Summary:
The Associate Spine Specialist will work together with the Spine Territory Manager and will have territory coverage, inventory management, and limited sales responsibilities. The Associate Spine Specialist will represent the company in accordance with the company's quality policy and procedures.
Essential Functions:
* Gains and consistently increases product knowledge through formal sales training; surgeon speaker programs, attends surgeries/operating room visits, and industry research
* Meeting or exceeds all sales goals and objectives assigned
* Conducts sales calls to promote, sells, and services Globus Medical products and services to existing and competitive customers based on a strategic plan
* Assists the Spine Territory Manager on field calls for assigned geography and address and problems that arise on the account
* Performs field ride along with the Area Director and Spine Territory Manager on a regular basis
* Develops and increases customer base and continually enhances Globus product market share within assigned territory
* Provides feedback regularly on topics such as product development opportunities, new target accounts, sales performance, and market feedback
* Maintains conduct that is aligned with company quality policy and procedures, and protects confidentiality with proprietary information
* Stays current with all compliance training requirements
* Adheres to the letter and spirit of the company Code of Conduct, the AdvaMed Code, MedTech Code, and all other company policies.
* Ensures Compliance with applicable governmental laws, rules, and regulations, both in the United States and internationally, by completing introductory and annual training and maintaining knowledge of compliance as it applies to your role
* Represents the company in a professional manner and uphold the highest standards of ethical business practices and socially responsible conduct in all interactions with other employees, customers, suppliers, and other third parties
Reasonable accommodations may be made to enable individuals with disabilities to perform these essential functions.
Qualifications:
* 1-2 years' successful spine sales experience preferred, may consider other healthcare related sales and or business to business sales experience
* Bachelor's degree in Science or Business
* Exemplary ability to listen, communicate and influence
* Ability to travel as necessary, which may include nights and/or weekends
* Strong understanding of spinal anatomy
* Ability to make sales presentations with positive results
Physical Demands:
The physical demands listed here are representative of those that must be met by and employee to successfully perform the essential functions of this job.
* Required to sit; climb or balance; and stoop, kneel, crouch or crawl
* Required to regularly lift and/or move up to 10 pounds, and occasionally lift and/or move up to 25 pounds
* Required to possess specific visons abilities, including: close vision, distance vision, color vision, peripheral vision, depth perception and capacity to adjust focus.
Our Values:
Our Life Moves Us philosophy is built on four values: Passionate About Innovation, Customer Focused, Teamwork, and Driven.
* Passionate about Innovation: Improving patient care by delivering advanced technology to our customers is at the core of what we do. We are passionate in our role in improving the lives of patients by continuously developing better solutions.
* Customer Focused: We listen to our customers' needs and respond with a sense of urgency.
* Teamwork: Working together, anything is possible. We value every person on our team and treat each other with respect. We are accountable to one another and support each other. Together, we make each other stronger.
* Driven: We pursue our mission with energy and passion. We are nimble, results-oriented and decisive. We overcome obstacles that arise in our quest to deliver solutions that will improve the lives of our customers and patients.
Equal Employment Opportunity:
Globus Medical is an equal opportunity employer. All applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, age, disability, marital status, pregnancy, national origin or citizenship. We are committed to a diverse workforce. We value all employees' talents and support an environment that is inclusive and respectful.
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.
$95k-110k yearly est. 12d ago
Associate Trauma Specialist (NYC Metro)
Globus Medical, Inc. 4.5
New York jobs
At Globus Medical, we move with a sense of urgency to deliver innovations that improve the quality of life of patients with musculoskeletal disorders. Our team is inspired by the needs of these patients, and the surgeons and healthcare providers who treat them. We embrace a culture of exceptional response by partnering with researchers and educators to transform clinical insights into tangible solutions. Our solutions improve the techniques and outcomes of surgery so patients can resume their lives as quickly as possible.
**Position Summary** **:**
The Associate Trauma Specialist will work together with the Trauma Territory Manager and will have territory coverage, inventory management, and limited sales responsibilities. The Associate Trauma Specialist will represent the company in accordance with the company's quality policy and procedures.
**Essential Functions** **:**
+ Gains and consistently increases product knowledge through formal sales training; surgeon speaker programs, attends surgeries/operating room visits, and industry research
+ Meets or exceeds all sales goals and objectives assigned
+ Conducts sales calls to promote, sell, and service Globus Medical products and services to existing and competitive customers based on a strategic plan
+ Assists the Trauma Territory Manager on field calls for assigned geography and address and problems that arise on the account
+ Performs field ride along with the Area Director and Trauma Territory Manager on a regular basis
+ Develops and increases customer base and continually enhances Globus product market share within assigned territory
+ Provides feedback regularly on topics such as product development opportunities, new target accounts, sales performance, and market feedback
+ Maintains conduct that is aligned with company quality policy and procedures, and protects confidentiality with proprietary information
+ Stays current with all compliance training requirements
+ Adheres to the letter and spirit of the company Code of Conduct, the AdvaMed Code, MedTech Code, and all other company policies.
+ Ensures Compliance with applicable governmental laws, rules, and regulations, both in the United States and internationally, by completing introductory and annual training and maintaining knowledge of compliance as it applies to your role
+ Represents the company in a professional manner and uphold the highest standards of ethical business practices and socially responsible conduct in all interactions with other employees, customers, suppliers, and other third parties
_Reasonable accommodations may be made to enable individuals with disabilities to perform these_ essential _functions._
**Qualifications** **:**
+ 1-2 years' successful Trauma sales experience preferred, may consider other healthcare related sales and or business to business sales experience
+ Bachelor's degree in Science or Business
+ Exemplary ability to listen, communicate and influence
+ Ability to travel as necessary, which may include nights and/or weekends
+ Strong understanding of extremeties' anatomy
+ Ability to make sales presentations with positive results
**Physical Demands** **:**
The physical demands listed here are representative of those that must be met by and employee to successfully perform the essential functions of this job.
+ Required to sit; climb or balance; and stoop, kneel, crouch or crawl
+ Required to regularly lift and/or move up to 10 pounds, and occasionally lift and/or move up to 25 pounds
+ Required to possess specific visons abilities, including: close vision, distance vision, color vision, peripheral vision, depth perception and capacity to adjust focus.
**Our Values** **:**
Our Life Moves Us philosophy is built on four values: Passionate About Innovation, Customer Focused, Teamwork, and Driven.
+ **Passionate about Innovation** : Improving patient care by delivering advanced technology to our customers is at the core of what we do. We are passionate in our role in improving the lives of patients by continuously developing better solutions.
+ **Customer Focused** : We listen to our customers' needs and respond with a sense of urgency.
+ **Teamwork** : Working together, anything is possible. We value every person on our team and treat each other with respect. We are accountable to one another and support each other. Together, we make each other stronger.
+ **Driven** : We pursue our mission with energy and passion. We are nimble, results-oriented and decisive. We overcome obstacles that arise in our quest to deliver solutions that will improve the lives of our customers and patients.
**Equal Employment Opportunity** **:**
Globus Medical is an equal opportunity employer. All applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, age, disability, marital status, pregnancy, national origin or citizenship. We are committed to a diverse workforce. We value all employees' talents and support an environment that is inclusive and respectful.
**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.
$95k-110k yearly est. 4d ago
Associate Spine Specialist (Buffalo, NY)
Globus Medical, Inc. 4.5
Buffalo, NY jobs
At Globus Medical, we move with a sense of urgency to deliver innovations that improve the quality of life of patients with musculoskeletal disorders. Our team is inspired by the needs of these patients, and the surgeons and healthcare providers who treat them. We embrace a culture of exceptional response by partnering with researchers and educators to transform clinical insights into tangible solutions. Our solutions improve the techniques and outcomes of surgery so patients can resume their lives as quickly as possible.
**Position Summary** **:**
The Associate Spine Specialist will work together with the Spine Territory Manager and will have territory coverage, inventory management, and limited sales responsibilities. The Associate Spine Specialist will represent the company in accordance with the company's quality policy and procedures.
**Essential Functions** **:**
+ Gains and consistently increases product knowledge through formal sales training; surgeon speaker programs, attends surgeries/operating room visits, and industry research
+ Meeting or exceeds all sales goals and objectives assigned
+ Conducts sales calls to promote, sells, and services Globus Medical products and services to existing and competitive customers based on a strategic plan
+ Assists the Spine Territory Manager on field calls for assigned geography and address and problems that arise on the account
+ Performs field ride along with the Area Director and Spine Territory Manager on a regular basis
+ Develops and increases customer base and continually enhances Globus product market share within assigned territory
+ Provides feedback regularly on topics such as product development opportunities, new target accounts, sales performance, and market feedback
+ Maintains conduct that is aligned with company quality policy and procedures, and protects confidentiality with proprietary information
+ Stays current with all compliance training requirements
+ Adheres to the letter and spirit of the company Code of Conduct, the AdvaMed Code, MedTech Code, and all other company policies.
+ Ensures Compliance with applicable governmental laws, rules, and regulations, both in the United States and internationally, by completing introductory and annual training and maintaining knowledge of compliance as it applies to your role
+ Represents the company in a professional manner and uphold the highest standards of ethical business practices and socially responsible conduct in all interactions with other employees, customers, suppliers, and other third parties
_Reasonable accommodations may be made to enable individuals with disabilities to perform these_ essential _functions._
**Qualifications** **:**
+ 1-2 years' successful spine sales experience preferred, may consider other healthcare related sales and or business to business sales experience
+ Bachelor's degree in Science or Business
+ Exemplary ability to listen, communicate and influence
+ Ability to travel as necessary, which may include nights and/or weekends
+ Strong understanding of spinal anatomy
+ Ability to make sales presentations with positive results
**Physical Demands** **:**
The physical demands listed here are representative of those that must be met by and employee to successfully perform the essential functions of this job.
+ Required to sit; climb or balance; and stoop, kneel, crouch or crawl
+ Required to regularly lift and/or move up to 10 pounds, and occasionally lift and/or move up to 25 pounds
+ Required to possess specific visons abilities, including: close vision, distance vision, color vision, peripheral vision, depth perception and capacity to adjust focus.
**Our Values** **:**
Our Life Moves Us philosophy is built on four values: Passionate About Innovation, Customer Focused, Teamwork, and Driven.
+ **Passionate about Innovation** : Improving patient care by delivering advanced technology to our customers is at the core of what we do. We are passionate in our role in improving the lives of patients by continuously developing better solutions.
+ **Customer Focused** : We listen to our customers' needs and respond with a sense of urgency.
+ **Teamwork** : Working together, anything is possible. We value every person on our team and treat each other with respect. We are accountable to one another and support each other. Together, we make each other stronger.
+ **Driven** : We pursue our mission with energy and passion. We are nimble, results-oriented and decisive. We overcome obstacles that arise in our quest to deliver solutions that will improve the lives of our customers and patients.
**Equal Employment Opportunity** **:**
Globus Medical is an equal opportunity employer. All applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, age, disability, marital status, pregnancy, national origin or citizenship. We are committed to a diverse workforce. We value all employees' talents and support an environment that is inclusive and respectful.
**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.
$94k-109k yearly est. 12d ago
Evaluation Specialist III
Health Research, Inc. 4.5
Albany, NY jobs
Applications to be submitted by January 23, 2026 Compensation Grade: P23 Compensation Details: Minimum: $86,019. 00 - Maximum: $86,019. 00 Annually Positions with a designated work location in New York City, Nassau, Rockland, Suffolk, or Westchester Counties will receive a $4,000 annual downstate adjustment (pro-rated for part-time positions).
Department (OHEHR) AI - AIDS Institute Job Description: Responsibilities The Evaluation Specialist III will contribute toward developing data systems to help realize the end of the HIV epidemic in New York State and promote health equity of all New Yorkers.
As such, the incumbent in this position will have many opportunities to: (1) collaborate with staff across multiple program areas within the AIDS Institute; (2) design, create, and implement new data tools; (3) analyze data and present findings at management and stakeholder meetings as well as at professional/academic conferences; and (4) publish in peer-reviewed journals.
The Evaluation Specialist III will be located in the Office of Program Evaluation and Research (OPER) at the AIDS Institute.
The Evaluation Specialist III will conduct and/or provide oversight on project activities within the Office of Program Evaluation and Research, responsible for the development and implementation of program evaluation projects in the areas of HIV/AIDS, STIs, viral hepatitis, drug-user health, and LGBTQ health.
The incumbent will participate in all phases of the complete evaluation research process, including problem definition, planning, implementation, analysis, interpretation, and reporting of findings.
The incumbent will work on multiple projects and will provide supervision to project teams in accomplishing specific project goals.
Other related duties as assigned.
Minimum Qualifications Bachelor's degree in a related field and three years of experience in the evaluation and/or analysis of health, human services or related programs and/or fields; OR an Associate's degree in a related field and five years of such experience; OR seven years of such experience.
A Master's degree in a related field may substitute for one year of such experience.
Preferred Qualifications Master's degree in public health, epidemiology, social and behavioral sciences, or related fields.
Experience in data collection and evaluation of data for review and analysis of public health program areas.
Experience in data analysis using SAS, SPSS, R, Excel and/or other analytical and data management tools.
Experience working with large population-based data sets, client and agency surveys.
Experience in project management.
Experience with creation of high-quality infographics.
Conditions of Employment Grant funded position.
Compliance with funding requirements such as time and effort reporting, grant deliverables, and contract deliverables, is required.
Valid and unrestricted authorization to work in the U.
S.
is required.
Visa sponsorship is not available for this position.
Travel up to 10% of the time will be required.
The selected candidate must reside within a reasonable commuting distance of the official work location specified in the job posting and must also be located in or willing to relocate to one of the following states: New York, New Jersey, Connecticut, Vermont, or Massachusetts, prior to hire.
Telecommuting will be available.
HRI participates in the E-Verify Program.
Affirmative Action/Equal Opportunity Employer/Qualified Individuals with Disabilities/Qualified Protected Veterans www.
healthresearch.
org About Health Research, Inc.
Join us in our mission to make a difference in public health and advance scientific research! At Health Research, Inc.
(HRI), your work will contribute to meaningful change and innovation in the communities we serve! At HRI, we are on a mission to transform the health and well-being of the people of New York State through innovative partnerships and cutting-edge public health initiatives.
As a dynamic non-profit organization, HRI plays a crucial role in advancing the strategic goals of the New York State Department of Health (DOH), Roswell Park Comprehensive Cancer Center (RPCCC), and other health-related entities.
HRI offers a robust, comprehensive benefits package to eligible employees, including: Health, dental and vision insurance - Several comprehensive health insurance plans to choose from; Flexible benefit accounts - Medical, dependent care, adoption assistance, parking and transit; Generous paid time off - Paid federal and state holidays, paid sick, vacation and personal leave; Tuition support - Assistance is available for individuals pursuing educational or training opportunities; Retirement Benefits - HRI is a participating employer in the New York State and Local Retirement System and offers optional enrollment in the New York State Deferred Compensation Plan.
HRI provides a postretirement Health Benefits Plan for qualified retirees to use towards health insurance premiums and eligible medical expenses; Employee Assistance Program - Provides educational and wellness programs, training, and 24/7 confidential services to assist employees, both personally and professionally; And so much more! As the Executive Director of Health Research, Inc.
(HRI), I would like to welcome you to HRI's career page.
HRI's mission is to build a healthier future for New York State and beyond through the delivery of funding and program support to further public health and research programs in support of the New York State Department of Health, Roswell Park Comprehensive Cancer Center and other entities.
This achievement is made possible through the recruitment of highly talented and qualified individuals.
As an Equal Opportunity and Affirmative Action employer, all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, citizenship, age, disability, protected veteran status, or any other characteristic protected by law.
HRI is committed to fostering an environment that encourages collaboration, innovation, and mutual respect and we strive to ensure every individual feels welcomed and appreciated.
We invite you to explore and apply for any open positions that align with your interests.
--- If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability.
You can request reasonable accommodations by contacting HRI Human Resources at hrihr@healthresearch.
org or **************.
$86k yearly Auto-Apply 8d ago
Evaluation Specialist III
Health Research, Inc. 4.5
Albany, NY jobs
Applications to be submitted by January 23, 2026
Compensation Grade:
P23
Compensation Details:
Minimum: $86,019.00 - Maximum: $86,019.00 Annually
Positions with a designated work location in New York City, Nassau, Rockland, Suffolk, or Westchester Counties will receive a $4,000 annual downstate adjustment (pro-rated for part-time positions).
Department
(OHEHR) AI - AIDS Institute
Job Description:
Responsibilities
The Evaluation Specialist III will contribute toward developing data systems to help realize the end of the HIV epidemic in New York State and promote health equity of all New Yorkers. As such, the incumbent in this position will have many opportunities to: (1) collaborate with staff across multiple program areas within the AIDS Institute; (2) design, create, and implement new data tools; (3) analyze data and present findings at management and stakeholder meetings as well as at professional/academic conferences; and (4) publish in peer-reviewed journals.
The Evaluation Specialist III will be located in the Office of Program Evaluation and Research (OPER) at the AIDS Institute. The Evaluation Specialist III will conduct and/or provide oversight on project activities within the Office of Program Evaluation and Research, responsible for the development and implementation of program evaluation projects in the areas of HIV/AIDS, STIs, viral hepatitis, drug-user health, and LGBTQ health. The incumbent will participate in all phases of the complete evaluation research process, including problem definition, planning, implementation, analysis, interpretation, and reporting of findings. The incumbent will work on multiple projects and will provide supervision to project teams in accomplishing specific project goals. Other related duties as assigned.
Minimum Qualifications
Bachelor's degree in a related field and three years of experience in the evaluation and/or analysis of health, human services or related programs and/or fields; OR an Associate's degree in a related field and five years of such experience; OR seven years of such experience. A Master's degree in a related field may substitute for one year of such experience.
Preferred Qualifications
Master's degree in public health, epidemiology, social and behavioral sciences, or related fields. Experience in data collection and evaluation of data for review and analysis of public health program areas. Experience in data analysis using SAS, SPSS, R, Excel and/or other analytical and data management tools. Experience working with large population-based data sets, client and agency surveys. Experience in project management. Experience with creation of high-quality infographics.
Conditions of Employment
Grant funded position. Compliance with funding requirements such as time and effort reporting, grant deliverables, and contract deliverables, is required.
Valid and unrestricted authorization to work in the U.S. is required. Visa sponsorship is not available for this position.
Travel up to 10% of the time will be required.
The selected candidate must reside within a reasonable commuting distance of the official work location specified in the job posting and must also be located in or willing to relocate to one of the following states: New York, New Jersey, Connecticut, Vermont, or Massachusetts, prior to hire. Telecommuting will be available.
HRI participates in the E-Verify Program.
Affirmative Action/Equal Opportunity Employer/Qualified Individuals with Disabilities/Qualified Protected Veterans
**********************
About Health Research, Inc.
Join us in our mission to make a difference in public health and advance scientific research! At Health Research, Inc. (HRI), your work will contribute to meaningful change and innovation in the communities we serve! At HRI, we are on a mission to transform the health and well-being of the people of New York State through innovative partnerships and cutting-edge public health initiatives. As a dynamic non-profit organization, HRI plays a crucial role in advancing the strategic goals of the New York State Department of Health (DOH), Roswell Park Comprehensive Cancer Center (RPCCC), and other health-related entities.
HRI offers a robust, comprehensive benefits package to eligible employees, including:
Health, dental and vision insurance - Several comprehensive health insurance plans to choose from;
Flexible benefit accounts - Medical, dependent care, adoption assistance, parking and transit;
Generous paid time off - Paid federal and state holidays, paid sick, vacation and personal leave;
Tuition support - Assistance is available for individuals pursuing educational or training opportunities;
Retirement Benefits - HRI is a participating employer in the New York State and Local Retirement System and offers optional enrollment in the New York State Deferred Compensation Plan. HRI provides a postretirement Health Benefits Plan for qualified retirees to use towards health insurance premiums and eligible medical expenses;
Employee Assistance Program - Provides educational and wellness programs, training, and 24/7 confidential services to assist employees, both personally and professionally;
And so much more!
$86k yearly Auto-Apply 9d ago
Housing Specialist
Odyssey House Inc. 4.1
New York, NY jobs
Our Mission:
Since 1967, Odyssey House has gone beyond helping individuals beat drugs and alcohol. We help rebuild lives. There's more to recovery than just getting clean. We help individuals get healthy again, too, with medical and dental care, fitness programs, support for your mental health and more. Individuals can stay with their children while in treatment, while learning new life skills, so they can stay together and repair other broken relationships in their lives. We provide educational and work skill trainings, outpatient services and available housing assistance, so individuals can step back into real life with a real future.
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
Pet Insurance
Legal Assistance
Optum Financial Service through ConnectYourCare
Benefit Advocacy Center through Gallagher
Salary Range: $45,000.00-55,000.00
MAJOR FUNCTIONS:
The Housing Specialist will assess the client's eligibility for housing assistance, and complete necessary documentation for transitional housing. The Housing Specialist will assist clients in the development of skills necessary for a successful and sustainable transition into community living.
SPECIFIC DUTIES & RESPONSIBILITIES
Within seven days of admission, in collaboration with the resident, draft an Independent Living Plan (ILP).
Develop and facilitate Independent Living Skills workshops to build skills and increase knowledge related to activities of daily living, ability to access community-based resources, spending habits and money management.
Assist residents in navigating the subsidized housing identification and application process. This includes completing 2010e applications on all residents seeking subsidized housing.
Assist residents in filling out all necessary paperwork, accompanying residents to interviews, following up with supportive housing agencies and ensuring that all housing units applied for are safe and affordable.
Identify, conduct outreach and establish cooperative service agreements with concrete resources that directly provide housing and/or access to housing suitable for older adults in recovery.
Link program completers to psychosocial/healthcare support services (e.g. SUD recovery supports, aftercare, mental health, primary care, social adult day services, senior centers, etc.)
Prepare and train Odyssey House staff on housing related issues including the completion of 2010e applications.
Prepare all required housing related reports and document all services.
Attend regularly scheduled staff meetings and case conferences.
Attend all required in-service training seminars.
Participate in quality improvement activities.
Other relevant duties as assigned.
REQUIREMENTS: EDUCATION/TRAINING AND EXPERIENCE KNOWLEDGE, SKILLS AND ABILITIES
Bachelor's Degree or Associate's Degree with two years of related experience in housing placement services for low income, geriatric and/or homeless populations.
Knowledge of city, state, and federal guidelines for public and private low-income housing.
Ability to research and network with other agencies/community-based services to meet a variety of client needs.
Proficiency with computer operation (Microsoft Word, Excel, AWARDS, and Outlook programs).
Excellent written and verbal communications skills.
Must be able to work a flexible schedule.
This position requires regular travel throughout the five (5) boroughs.
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.
$45k-55k yearly Auto-Apply 60d+ ago
Nursing Home Billing Specialist
Teresian House 3.8
Albany, NY jobs
Job Description
The Teresian House is currently hiring. This opportunity is a Full Time Day position, working 8 am-4 pm! Thank you for considering Teresian House in your choice for employment!
The Nursing Home Billing Specialist is responsible for:
Timely insurance verification of all referrals for potential admission to the facility.
Ensuring accurate and timely billing of all services rendered to residents in compliance with NYS Medicaid, Medicare, Mafae Care Organizations (MCO's) and private insurance.
Preparing and submitting claims, resolving billing issues, managing accounts receivable, and working with families and third-party payers to ensure proper reimbursement.
Verifying resident insurance eligibility and insurance coverage using Availity, Epaces and other electronic systems daily.
Preparing and submitting timely billing for Medicare, MCO's, Medicaid and private insurers using electronic and payer formats. Monitor and manage outstanding balances and follow-up on unpaid claims.
Communicating with families, residents and insurance companies regarding account status and unpaid claims.
Maintaining up to date knowledge of Medicare, MCO and NYS Medicaid regulations and billing practices.
Working with other departments to ensure accurate census date and payer sources are maintained.
Assisting with audits and providing requested documentation for compliance and financial reviews.
Maintain accurate and confidential billing records in accordance with HIPAA regulations.
Qualifications:
High School Diploma or GED required. Associate's Degree in Accounting, Business or related field experience preferred.
2+ years of billing experience in a skilled nursing facility (SNF) or healthcare setting
Strong knowledge of Medicare Part A/B, MCO's, NYS Medicaid and commercial billing.
Experience with billing software - Point Click Care
Proficient in Excel and data entry
Excellent communication and organizational skills
Ability to manage multiple tasks and meet deadlines
Knowledge of HIPAA regulations and healthcare confidentiality standards.
Preferred Skills:
Previous Nursing Home Billing experience.
Knowledge of claims and experience resolving billing issues.
Experience with SNF benefits specific to rehabilitation.
Knowledge of NYS Medicaid application process.
Do you want to join a team committed to enhancing the lives of our residents by providing optimal service in a homelike atmosphere? We invite you to join our team and reap the benefits of becoming part of the Teresian House family:
Excellent starting pay rate with competitive and generous benefits
Generous paid time off with cash-in options
Cost-shared health, dental, and optical insurance with a significant employer paid share
Opportunity for career pathways
Retirement plan with employer match
Free meal daily
Fully paid group life insurance
Employee Assistance Plan including individual counseling and referral to community services
Tuition assistance and scholarships!
Our mission is evident in the daily interactions our staff have with residents and their families. At Teresian House, we are truly "Where the spirit of love and dedication lives..."
$33k-42k yearly est. 13d ago
Utilization Review Specialist
Odyssey House Inc. 4.1
New York, NY jobs
REPORTS: Director of Utilization Review
DEPARTMENT: Clinical
MAJOR FUNCTIONS:
Under the direction of the Director of Utilization Review, the Specialist will coordinate Medicaid Managed Care authorizations and re-authorizations for clients receiving behavioral healthcare services from Odyssey House's Part 820 residential programs. The Specialist will monitor claims and approvals, and coordinate internally and externally, to ensure uninterrupted service provision. This position is responsible for all verbal and written documentation as required by payers. Candidates must understand the various aspects of the managed care system including LOCATDR 3 criteria, behavioral health benefits, precertification, utilization review, peer reviews, discharge reviews, and appeals. Knowledge of substance use and mental health disorder treatments, including assessments, treatment planning, continuing care recommendations, DSM 5 and ICD 10 diagnostic codes, medications, and medicated assisted treatment is required.
SPECIFIC DUTIES & RESPONSIBILITIES:
Complete utilization review-based documentation and all required updates.
Complete utilization, discharge, and peer reviews.
Initiate and resolve appeals.
Ensure clinical documentation is up to date and complete.
Utilizes the Concurrent Review/LOCATDR 3 to identify and advocate for appropriate level of care placement.
Ensure that both effective utilization review management and client experience standards are maintained.
Monitor concurrent and retro-review status.
Help assess and implement systems and protocols to improve the utilization process.
Meet regularly with multi-disciplinary team members concerning consumer and program issues; assists in development or modification of procedures for improvement of services.
Stay abreast of new developments in the field of Quality Assurance/Improvement as related to substance use disorder and mental health treatment, recommend new policies and revise existing policies/procedures for compliance with all applicable laws and standards.
Assist with training on relevant topics to management team, clinical staff, and other relevant GRCR staff.
Prepare, file, and maintain department tracking systems related to authorizations and communications with clinical team as needed.
Attend regularly scheduled staff meetings and case conferences.
Attend all required in-service training seminars.
Other relevant duties as required.
REQUIREMENTS:
Master's degree in social work preferred, Counseling, Psychology, Public Health, etc. with one (1) year experience working in a social service, health care insurance or utilization review role OR at least 5 years employment with progressive responsibility in a social service, health care or utilization review role.
Qualified Health Professional (LCSW, LMSW, LMHC, LMFT preferred) CASAC-T required with ability to secure CASAC within 6 months from hire.
Knowledge of OASAS regulations preferred.
Highly organized and ability to manage multiple projects and priorities to meet deadlines and revenue goals.
Communicate effectively, both orally and in writing.
Ability to work within the context of a multi-disciplinary team, build relationships and foster partnerships.
Proficiency with computer operation (Microsoft Word, Excel, Electronic Health Records, and Outlook programs).
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
Pet Insurance
Legal Assistance
Optum Financial Service through ConnectYourCare
Benefit Advocacy Center through Gallagher
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.
$31k-45k yearly est. Auto-Apply 60d+ ago
Utilization Review Specialist
Odyssey House Inc. 4.1
New York, NY jobs
Job DescriptionREPORTS: Director of Utilization Review
DEPARTMENT: Clinical
MAJOR FUNCTIONS:
Under the direction of the Director of Utilization Review, the Specialist will coordinate Medicaid Managed Care authorizations and re-authorizations for clients receiving behavioral healthcare services from Odyssey House's Part 820 residential programs. The Specialist will monitor claims and approvals, and coordinate internally and externally, to ensure uninterrupted service provision. This position is responsible for all verbal and written documentation as required by payers. Candidates must understand the various aspects of the managed care system including LOCATDR 3 criteria, behavioral health benefits, precertification, utilization review, peer reviews, discharge reviews, and appeals. Knowledge of substance use and mental health disorder treatments, including assessments, treatment planning, continuing care recommendations, DSM 5 and ICD 10 diagnostic codes, medications, and medicated assisted treatment is required.
SPECIFIC DUTIES & RESPONSIBILITIES:
Complete utilization review-based documentation and all required updates.
Complete utilization, discharge, and peer reviews.
Initiate and resolve appeals.
Ensure clinical documentation is up to date and complete.
Utilizes the Concurrent Review/LOCATDR 3 to identify and advocate for appropriate level of care placement.
Ensure that both effective utilization review management and client experience standards are maintained.
Monitor concurrent and retro-review status.
Help assess and implement systems and protocols to improve the utilization process.
Meet regularly with multi-disciplinary team members concerning consumer and program issues; assists in development or modification of procedures for improvement of services.
Stay abreast of new developments in the field of Quality Assurance/Improvement as related to substance use disorder and mental health treatment, recommend new policies and revise existing policies/procedures for compliance with all applicable laws and standards.
Assist with training on relevant topics to management team, clinical staff, and other relevant GRCR staff.
Prepare, file, and maintain department tracking systems related to authorizations and communications with clinical team as needed.
Attend regularly scheduled staff meetings and case conferences.
Attend all required in-service training seminars.
Other relevant duties as required.
REQUIREMENTS:
Master's degree in social work preferred, Counseling, Psychology, Public Health, etc. with one (1) year experience working in a social service, health care insurance or utilization review role OR at least 5 years employment with progressive responsibility in a social service, health care or utilization review role.
Qualified Health Professional (LCSW, LMSW, LMHC, LMFT preferred) CASAC-T required with ability to secure CASAC within 6 months from hire.
Knowledge of OASAS regulations preferred.
Highly organized and ability to manage multiple projects and priorities to meet deadlines and revenue goals.
Communicate effectively, both orally and in writing.
Ability to work within the context of a multi-disciplinary team, build relationships and foster partnerships.
Proficiency with computer operation (Microsoft Word, Excel, Electronic Health Records, and Outlook programs).
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
Pet Insurance
Legal Assistance
Optum Financial Service through ConnectYourCare
Benefit Advocacy Center through Gallagher
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.
$31k-45k yearly est. 18d ago
Underpayment Specialist
St. John's Episcopal Hospital 4.2
Garden City, NY jobs
Who We Are: St. John's Episcopal Hospital is the only hospital providing emergency and ambulatory care to the densely populated, culturally and economically diverse, and medically underserved populations of the Rockaways and Five Towns in southern Queens County and southwestern Nassau County, New York. Celebrating over 110 years of community care, the 257-bed facility provides people of all faiths with comprehensive preventive, diagnostic treatment and rehabilitative services, regardless of ability to pay.
Come Grow With Us!
Type: Full-Time (75 hours biweekly)
Shift: Days
Hours: 8:00 AM - 4:30 PM in our Garden City Office
Pay: $39.45 - $41.22 per hour
Job Summary:
The Revenue Cycle Underpayment Specialist is responsible for the thorough review, research, and ultimate resolution of denials and underpayments by government, commercial, and client payers. The Specialist will also follow up on any unpaid or underpaid aging claims and determine needed action. The core daily functions will be the resolution of denied and/or underpaid claims, which includes researching accounts, analyzing EOBs, and interacting with insurance companies and government payers. The Specialist must demonstrate high-level problem solving skills to perform root cause analysis on denied and underpaid accounts and extrapolate those causes across large volumes identified as denial trends for assigned accounts. This position requires the ability to evaluate complex account issues and communicate effectively to support the organizational goals for specific key performance indicators as they relate to denials and underpayments management.
Responsibilities:
* Analyze and research reasons for denials or underpayments on each account assigned
* Contact third party payors and patient when necessary to the denials recovery process
* Utilize electronic hospital systems to track correspondence, document follow up/appeals activities, and to confirm receipt and determination of denials appeals
* Understand payor contracts, state/national guidelines, and contract management system
* Make necessary adjustments to patient demographic, insurance, and account balance information
* Process appeals, rebills, adjusted bills, and other requested information to resolve denied claims and track progress until issue is resolved
Requirements:
* Associate Degree required, Bachelor's degree preferred
* Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) required within 1 year of hire
* Strong knowledge of ICD-10, CPT-4, and/or HCPCS coding systems
* 3-5 years experience working in a hospital acute care setting/revenue cycle, reimbursement, managed care, or related consulting with a focus on billing
* 2-3 years experience focused on denials and underpayments hospital claims resolution
* Experience working with multiple hospital systems and payer portals, and analyzing healthcare claims
* Understanding of governmental and third-party payer authorization, claim submission, and reimbursement guidelines
* Strong PC skills including word processing and spreadsheets
$39.5-41.2 hourly 60d+ ago
Peer Specialist
Odyssey House Inc. 4.1
New York, NY jobs
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 (Full-Time Employees Only):
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
Pet Insurance
Legal Assistance
Optum Financial Service through ConnectYourCare
Benefit Advocacy Center through Gallagher
Hourly Compensation Rate: $20.80
MARJOR FUNCTIONS:
The Peer Specialist is a fully integrated outreach team member who provides linkage and referrals services to recipients with mental health and co-occurring disorders. Because of their personal life experiences with mental health wellness and co-occurring recovery, which demonstrates self-sufficiency, the Peer Specialist provides expertise that other professional training cannot replicate.
The Peer Specialist will advocate, counsel, educate and find specific resources to refer/link the enrolled recipient(s) to reach their individual goals. The enrollment into the program for referrals/linkages will remain in place for six weeks. Once that timeframe has been reached the individual recipient case will be closed out, however there could be exceptions if the recipient(s) needs further assistance in reaching their individual goal.
SPECIFIC DUTIES & RESPONSIBILITIES:
Provide outreach to the community at large in an effort to locate, intake and refer/link recipients to mental health and other services; as outlined in the Recovery/Action Plan (10 recipients a month).
Keep charts updated weekly. Weekly contact with the recipient needs to be documented in the chart in regard to progress, lack there-of or change in objectives, interventions and goals.
Support the recipient(s) in maintaining focus and accomplishment of their identified goals.
Organize and facilitate focus topic wellness group. In these groups' attendance will be taken and only unduplicated recipients will be counted as a contact monthly.
Assist the Outreach Coordinator or be able to provide presentation of the program at potential or existing sites.
Provide street outreach (tabling) and individual contact in regard to our services as offend as necessary (evenings & weekends).
Promote/develop the recipient's self-advocacy skills.
Meet monthly with Outreach Coordinator for supervision.
Other duties as required.
REQUIREMENTS: EDUCATION/TRAINING, EXPERIENCE, KNOWLEDGE, SKILLS & ABILITIES
High School Diploma or G.E.D.
Certified Recovery Peer Advocate (CRPA-P/CRPA/CRPA-A) certificate highly preferred but not required.
Must be able to work a flexible work schedule.
Must be proficient in Microsoft products (Outlook, Word, Excel, Teams, etc.)
Drivers license
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.
$20.8 hourly Auto-Apply 60d+ ago
Peer Specialist
Odyssey House Inc. 4.1
New York, NY jobs
Job Description
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 (Full-Time Employees Only):
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
Pet Insurance
Legal Assistance
Optum Financial Service through ConnectYourCare
Benefit Advocacy Center through Gallagher
Hourly Compensation Rate: $20.80
MARJOR FUNCTIONS:
The Peer Specialist is a fully integrated outreach team member who provides linkage and referrals services to recipients with mental health and co-occurring disorders. Because of their personal life experiences with mental health wellness and co-occurring recovery, which demonstrates self-sufficiency, the Peer Specialist provides expertise that other professional training cannot replicate.
The Peer Specialist will advocate, counsel, educate and find specific resources to refer/link the enrolled recipient(s) to reach their individual goals. The enrollment into the program for referrals/linkages will remain in place for six weeks. Once that timeframe has been reached the individual recipient case will be closed out, however there could be exceptions if the recipient(s) needs further assistance in reaching their individual goal.
SPECIFIC DUTIES & RESPONSIBILITIES:
Provide outreach to the community at large in an effort to locate, intake and refer/link recipients to mental health and other services; as outlined in the Recovery/Action Plan (10 recipients a month).
Keep charts updated weekly. Weekly contact with the recipient needs to be documented in the chart in regard to progress, lack there-of or change in objectives, interventions and goals.
Support the recipient(s) in maintaining focus and accomplishment of their identified goals.
Organize and facilitate focus topic wellness group. In these groups' attendance will be taken and only unduplicated recipients will be counted as a contact monthly.
Assist the Outreach Coordinator or be able to provide presentation of the program at potential or existing sites.
Provide street outreach (tabling) and individual contact in regard to our services as offend as necessary (evenings & weekends).
Promote/develop the recipient's self-advocacy skills.
Meet monthly with Outreach Coordinator for supervision.
Other duties as required.
REQUIREMENTS: EDUCATION/TRAINING, EXPERIENCE, KNOWLEDGE, SKILLS & ABILITIES
High School Diploma or G.E.D.
Certified Recovery Peer Advocate (CRPA-P/CRPA/CRPA-A) certificate highly preferred but not required.
Must be able to work a flexible work schedule.
Must be proficient in Microsoft products (Outlook, Word, Excel, Teams, etc.)
Drivers license
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.
$20.8 hourly 24d ago
820 Billing Specialist - Part-Time!
Odyssey House Inc. 4.1
New York, NY jobs
SCHEDULE: Only Mondays, Wednesdays and Fridays from 9am-5pm
REPORTS TO: Director of Revenue Cycle
DEPARTMENT: Finance
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 FUNCTION:
The 820 Billing Assistant is responsible for assisting billing team with collection of Managed Care Organization payments.
SPECIFIC DUTIES & RESPONSIBILITIES:
Reconcile client number of days stay between AWARDS and Census Reports
Verify accuracy of clients' health insurance in AWARDS through ePaces
Access real-time payer portals to verify accuracy in authorization ID entered in AWARDS
Verify and confirm appropriate diagnosis and procedure coding as per clinical documentation
Navigate payee websites/portals to keep track payments or denials
Works closely with co-workers to analyze and identify issues
Calling insurance companies to research the reason for denials
Post payments in AWARDS database
REQUIREMENTS:
Excellent analytical, problem solving, and interpersonal and communication skills
Proficiency in Microsoft Excel
Must be able to work independently and with a team
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.
$32k-39k yearly est. Auto-Apply 60d+ ago
820 Billing Specialist - Part-Time!
Odyssey House Inc. 4.1
New York, NY jobs
SCHEDULE: Only Mondays, Wednesdays and Fridays from 9am-5pm
REPORTS TO: Director of Revenue Cycle
DEPARTMENT: Finance
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 FUNCTION:
The 820 Billing Assistant is responsible for assisting billing team with collection of Managed Care Organization payments.
SPECIFIC DUTIES & RESPONSIBILITIES:
Reconcile client number of days stay between AWARDS and Census Reports
Verify accuracy of clients' health insurance in AWARDS through ePaces
Access real-time payer portals to verify accuracy in authorization ID entered in AWARDS
Verify and confirm appropriate diagnosis and procedure coding as per clinical documentation
Navigate payee websites/portals to keep track payments or denials
Works closely with co-workers to analyze and identify issues
Calling insurance companies to research the reason for denials
Post payments in AWARDS database
REQUIREMENTS:
Excellent analytical, problem solving, and interpersonal and communication skills
Proficiency in Microsoft Excel
Must be able to work independently and with a team
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.
$32k-39k yearly est. Auto-Apply 60d+ ago
820 Billing Specialist - Part-Time!
Odyssey House Inc. 4.1
New York, NY jobs
Job Description
SCHEDULE: Only Mondays, Wednesdays and Fridays from 9am-5pm
REPORTS TO: Director of Revenue Cycle
DEPARTMENT: Finance
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 FUNCTION:
The 820 Billing Assistant is responsible for assisting billing team with collection of Managed Care Organization payments.
SPECIFIC DUTIES & RESPONSIBILITIES:
Reconcile client number of days stay between AWARDS and Census Reports
Verify accuracy of clients' health insurance in AWARDS through ePaces
Access real-time payer portals to verify accuracy in authorization ID entered in AWARDS
Verify and confirm appropriate diagnosis and procedure coding as per clinical documentation
Navigate payee websites/portals to keep track payments or denials
Works closely with co-workers to analyze and identify issues
Calling insurance companies to research the reason for denials
Post payments in AWARDS database
REQUIREMENTS:
Excellent analytical, problem solving, and interpersonal and communication skills
Proficiency in Microsoft Excel
Must be able to work independently and with a team
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.
$32k-39k yearly est. 19d ago
PEER SPECIALIST
Family Service League Inc. 3.7
Hauppauge, NY jobs
Job Description
Established in 1926, Family Service League is a social services agency transforming lives and communities through mental health, addiction, housing, and essential human services with more than 60 social service programs in over 20 locations.
SCHEDULE
Open shifts available - not to exceed 19 hours per week:
Mon 12p-6p
Fri 12p-6p
Fri 4p-10p
Sat 9a-5p
SUMMARY
Family Service League is seeking a part-time Peer Specialist for the DASH (Diagnostic, Assessment, and Stabilization Hub) Crisis Center in Hauppauge. The DASH Crisis Center is a 24-hour per day, 7 day per week outpatient crisis stabilization program that includes a 24-hour crisis hotline and mobile response team. The Peer Specialist will engage and support individuals, children and adults, utilizing the Intensive Crisis Stabilization Center by sharing lived experience and maintaining a trauma informed environment.
RESPONSIBILITIES
The Peer Specialist will provide outreach to clients and/or their families in the field, by phone, and in person.
Facilitate engagement in services and offer linkage to community resources.
Participate in crisis assessments and linkages as part of multidisciplinary team.
Provide recovery readiness support through linkage to community resources.
The Peer Specialist will provide warm hands off to all levels of treatment.
Provide person centered care and share lived experience to facilitate engagement.
Coordinate with collateral contacts, including family and other providers.
Utilize motivational interviewing to assist individuals in readiness for change.
Provide opioid overdose education and train individuals and families to use Narcan.
Work as part of a multidisciplinary team, partnering with Social Workers, Registered Nurses, Nurse Practitioners and Peers to work collaboratively on clients needing assessments and linkage.
The Peer Specialist will coordinate care planning with other providers of services/resources to ensure goal-directed, collaborative care, including care transitions.
Act as a resource to all team members on community-based recovery supports.
Complete thorough and timely documentation according to regulations in an Electronic Health Record.
Complete trainings and maintain proficiency with de-escalation and crisis intervention techniques.
Conduct field work.
All other duties as assigned.
QUALIFICATIONS
High school diploma or equivalent required.
Peer Certification (NYCPS, CRPA, CRPA-P, CRPA-FPA. CRPA-YPA) or willingness to become certified in one of the following peer credentials (Certified Peer Specialist, Certified Recovery Peer Advocate, or Family and Youth Peer Advocate) required.
Prior experience as a peer, paid or volunteer preferred.
Relevant life experience required and willingness to draw upon this experience to engage individuals and serve as a role model.
Excellent interpersonal and verbal and written communication skills required.
Ability to work both independently, as well as part of a team. Must be responsive to time deadlines and able to multitask.
Proficient computer skills, including Microsoft Office required. Experience with EHR preferred.
Possible evening and weekend hours required.
PHYSICAL REQUIREMENTS
Ability to bend, stretch and stand for long periods of time and the ability to physically restrain clients.
$36k-62k yearly est. 27d ago
Learn more about New Horizon Counseling Center jobs