Patient Service Representative jobs at UB Family medicine

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. Pay ranges from $17.00-$23.49 Other Duties: 1. Other duties as assigned.

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: Responsible for greeting every patient in a courteous, professional, and timely manner every Time. 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. 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. Registers patient. Reviews, verifies and corrects patient demographic and insurance information along with scanning current insurance cards into the patient's confidential medical record. 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. 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. Responsible for daily cash‐out and balancing in accordance with the Patient Cash Control Policy. 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. Adheres to departmental and organizational policies and attends meetings/huddles as required. Requires the ability to prioritize daily tasks simultaneously in a fast‐paced, ever changing work environment within a strong team structure. Maintains strict confidentiality related to patient health information in accordance with HIPAA compliance. Assists with and completes other projects or duties as assigned including participating in all quality initiatives established by the organization. Other Duties: Other duties as assigned. The pay ranges from $17.00-$23.49 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.

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.

The Insurance Eligibility Coordinator is responsible for verifying patient insurance coverage, ensuring accurate benefit information, and supporting efficient revenue cycle operations. This role works closely with patients, insurance carriers, clinical staff, and billing teams to confirm eligibility, resolve coverage discrepancies, and help prevent claims denials. Essential Functions: Verify patient insurance eligibility and benefits using electronic systems, payer portals, and direct insurance carrier communication. Accurate document coverage details, copayments, deductibles, prior authorization requirements, and plan limitations. Prepare and submit claims in a timely and accurate manner. Obtain Authorizations as required. Identify and correct rejected claims for prompt resubmission Submit and follow up on authorization requests. Follow up on denied or unpaid claims and work to resolve discrepancies. Post payments and adjustments to patient accounts in a timely manner. Communicate with insurance companies and internal staff regarding billing inquiries or issues. Maintain up-to-date knowledge of payer rules, policy changes, and medical coverage guidelines. Protect patient privacy and maintain compliance with HIPAA and organizational standards. Support revenue cycle improvement initiatives related to eligibility and insurance workflows. Participate in team meetings and contribute to quality improvement initiatives. Adhere to practice policies, procedures, and protocols including confidentiality. Other tasks as assigned. Travel: 100% Remote Supervisory Responsibilities: N/A Qualities & Skills: Strong understanding of insurance plans, terminology, HMOs, PPOs, Medicare/Medicaid and commercial payer policies in NJ, NY, & PA. Excellent communication, customer service, and problem-solving skills. Proficiency with medical practice management software, EHR systems, and payer portals. Ability to multitask and work in a fast-paced environment. Strong Knowledge of Microsoft Office Suite. Comfortable working independently and collaboratively. Outstanding problem solver and analytical thinking skills. Attention to detail and ability to prioritize. Ability to maintain confidentiality. Experience in Behavioral health is preferred. Education & Experience: High School diploma or equivalent required. 1-2 years of experience in medical insurance verification, medical billing, or related roles Compensation details: 20-24 Hourly Wage PI99bd830c2701-37***********5

Per Diem (Less than 20 hours per week) Monday - Friday: 2 - 3 days/week (late afternoon schedule start time) Weekends: 2 - 3/mth $16.00 - $23.00 Non-Exempt Medical Office Receptionist- Family Care Benefits: Shift Differential Closed on major holidays Free on-site parking CNY Family Care's commitment to excellence sets us apart and guides us as we provide care for our community. The Receptionist position will be part of our professional first contact staff. This position works collaboratively with all other staff to assist the patient and facilitate successful patient interaction with the practice team and deliver high level of customer service. Medical Office Receptionist- Family Care Responsibilities: Acknowledge and greet patients as they approach the desk. Review and updates all demographic/insurance information. Collect co-pays and balances as needed and enter payment into patient account. Balance cash drawer at the end of shift. Responsible for receiving incoming telephone calls in a prompt, courteous, and professional manner. Route calls appropriately taking accurate and complete phone messages when necessary. Schedule, cancel, or reschedule appointments when necessary. Document clinical messages in EMR based on established policy and procedures. Responsible for accurate documentation, reporting, and responses to patients relative to health issues. Follow established scheduling protocols and direct clinical concerns to the appropriate provider's staff for triage. Perform a variety of clerical duties including preparing mailings, filing, faxing, scanning and photocopying. Maintain confidentiality at all times following the HIPAA guidelines. Medical Office Receptionist - Family Care Education/Experience: High school diploma or general education degree (GED) required; one to two years of college preferred. Minimum of two years previous experience working in Health Care/ Medical Records required; or three or more years of related experience and/or training in a medical office which uses an Electronic Medical Record; or equivalent combination of education and experience. Demonstrated knowledge of medical terminology and procedures. Knowledge of medical insurances and various policies/requirements necessary to obtain verifications. PIe2af797ecb90-5617

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.

Elderwood at Wheatfield is searching for a seasoned Clinical Staff Scheduler to join our team. Minimum of two (2) years of related experience scheduling staff in a high volume healthcare environment is required. The Clinical Scheduling Specialist generates, manages and updates master schedules for the nursing department while making adjustments as needed according to budgetary constraints, census fluctuations, attendance tracking, benefit accrual entries, and leaves of absence. Responsibilities 1. Acts as the point person and lead for all matters related to scheduling staff. 2. Thoroughly understands and uses the master staffing schedule extensively. 3. Uses multiple staffing tools intricately and possesses an in-depth understanding staffing to census expectations. 4. Troubleshoots and effectively problem-solves staffing complexities with minimum supervision. 5. Displays understanding of PPD metric and how to staff accordingly. 6. Maintains regular, consistent communication with DON/ADON to ensure coordination of staffing. 7. Maintains accuracy of nursing schedule in Kronos and all required tracking. 8. Prepares daily staffing sheets with continual revisions as necessary. 9. Follows company policies for staffing as well as budgeted guidelines for assignment of staff. 10. Completes a listing of vacant nursing positions for DON weekly. 11. Schedules staff time off requests according to established guidelines and the DON/ADON's approval/direction. 12. Ensures at least one other staff member is trained on the Staffing Specialist's position in the event of vacation, sick leave, vacancy, etc. 13. Identifies critical or difficult to fill positions/shifts and takes proactive action to balance the schedule. 14. Reviews daily exception logs for payroll and assists with payroll preparation for the nursing and nursing admin department. 15. Communicates regularly with agency contacts and maintains positive, proactive business relationships. 16. Collaborates with human resources regarding policy implementation, compliance for new staff (both internal and agency) and properly communicates all staff requests (e.g. status changes). 17. Displays professionalism and ability to work in a high volume, fast-paced environment. 18. Communication expert with the ability to approach staff easily, form strong relationships and persuade staff to assist in times of need. 19. Consistently demonstrates fairness and impartiality in accordance with company scheduling/staffing practices. 20. Utilizes electronic timekeeping system as directed. Qualifications Minimum of Associates degree (Bachelors preferred) Minimum of six (6) years of related experience in a high paced environment preferably in staffing/scheduling or operations Proficiency in Microsoft Excel Prior experience with scheduling platforms, specifically Kronos, strongly preferred This position requires regular interaction with residents, coworkers, visitors, and/or supervisors. In order to ensure a safe work environment for residents, coworkers, visitors, and/or supervisors of the Company, and to permit unfettered communication between the employee and those residents, coworkers, visitors, and supervisors, this position requires that the employee be able to read, write, speak, and understand the English language at an intermediate or more advanced level. EOE Statement WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.

Scheduling Specialist Location: Saratoga Hospital, 211 Church Street, Saratoga Springs, NY12866 Employment Type: Part Time Shift/Schedule: Varied Department: ED Professional Services Salary Range: $30,500-32,500/annually#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 Scheduling Specialist#to join our team and help us continue delivering the level of care our patients and families deserve. In this role, you#ll be a vital part of our#team, ensuring excellent service, collaboration, and patient outcomes in a fast-paced healthcare environment. In this role, you will#provide#administrative support to the Emergency Medicine physician group with a primary focus on physician scheduling. What You#ll Do Manage, and update physician and Advanced Practice Provider (APP) schedules to ensure adequate shift coverage, including working to fill open shifts and emergency coverage. Process schedule changes, swaps, and time-off requests. Maintain accurate scheduling records and distribute updated schedules to physicians, APP#s and leadership. Serve as the primary contact for scheduling inquiries. Generate reports related to scheduling, shift assignments, and coverage metrics. #Assist with new physician onboarding related to scheduling. Provide additional administrative support as needed, including meeting coordination, document management, payroll and communication tasks. Support credentialing and compliance processes as directed. What You Bring High School Diploma or GED Bachelors or Associates Degree preferred Previous administrative or scheduling experience required Healthcare or physician group experience preferred. 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. Compensation may vary based upon, but not limited to: overall experience and qualifications, shift, and location. Scheduling Specialist Location: Saratoga Hospital, 211 Church Street, Saratoga Springs, NY12866 Employment Type: Part Time Shift/Schedule: Varied Department: ED Professional Services Salary Range: $30,500-32,500/annually 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 Scheduling Specialist to join our team and help us continue delivering the level of care our patients and families deserve. In this role, you'll be a vital part of our team, ensuring excellent service, collaboration, and patient outcomes in a fast-paced healthcare environment. In this role, you will provide administrative support to the Emergency Medicine physician group with a primary focus on physician scheduling. What You'll Do * Manage, and update physician and Advanced Practice Provider (APP) schedules to ensure adequate shift coverage, including working to fill open shifts and emergency coverage. * Process schedule changes, swaps, and time-off requests. * Maintain accurate scheduling records and distribute updated schedules to physicians, APP's and leadership. * Serve as the primary contact for scheduling inquiries. * Generate reports related to scheduling, shift assignments, and coverage metrics. * Assist with new physician onboarding related to scheduling. * Provide additional administrative support as needed, including meeting coordination, document management, payroll and communication tasks. * Support credentialing and compliance processes as directed. What You Bring * High School Diploma or GED * Bachelors or Associates Degree preferred * Previous administrative or scheduling experience required * Healthcare or physician group experience preferred. 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. Compensation may vary based upon, but not limited to: overall experience and qualifications, shift, and location.

JOB TITLE: Patient Service Coordinator DEPARTMENT: Urology STATUS: Full Time Non-Exempt (Hourly) REPORTS TO: Practice Director SHIFT/CORE HOURS: Monday-Friday 8:30 AM-5:00 PM The Patient Service Coordinator 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 TITLE: Patient Service Coordinator DEPARTMENT: Urology STATUS: Full Time Non-Exempt (Hourly) REPORTS TO: Practice Director SHIFT/CORE HOURS: Monday-Friday 8:30 AM-5:00 PM The Patient Service Coordinator 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

The Patient Service Coordinator 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 TITLE: Patient Service Coordinator DEPARTMENT: Urology STATUS: Full-Time Non-Exempt (Hourly) LOCATION: 50 Eastdale Ave Poughkeepsie, NY 12603 REPORTS TO: Practice Manager SHIFT/CORE HOURS: Monday- Friday 8:00-4:30PM or 8:30AM-5:00PM Exciting Careers Await at Premier Medical Group! Who We Are We are a physician-owned, multi-specialty medical practice with strong roots in the Hudson Valley. At Premier Medical Group, we are dedicated to delivering outstanding, quality healthcare across our community and beyond. Our large and diverse network is comprised of over 500 dedicated team members working across 16 locations, including a robust team of 100 providers offering care in 14 distinct specialties. We pride ourselves on delivering the latest in advanced diagnostic and therapeutic services, compassionate care, and a team-oriented approach. If you're passionate about making a difference and being part of a team committed to improving community health, we want YOU to join us! Who You Are You're a compassionate and results-oriented individual who thrives in a patient-centered healthcare environment! You're a skilled communicator, effortlessly connecting with patients, colleagues, physicians, and the public. You possess strong critical thinking abilities and a positive outlook, tackling challenges with creativity and flexibility. You're eager to contribute to the success of Premier Medical Group, embracing the opportunity to travel to different locations within our network as needed. What we offer • Comprehensive Medical, Dental, and Vision Coverage • Voluntary Benefits (e.g., life insurance, disability) • 22 paid time off days (including holidays) at start, with growth over time • 401(k) with up to 5% Employer Contribution/Profit Sharing • Education Assistance • Employee Assistance Program (EAP) for mental health and wellness support • ...And Much More! The Patient Service Coordinator 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

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

TITLE: Entitlement Medicaid Specialist (Part - Time) REPORTS TO: Director of Entitlements 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 Service (DSS), Human Resources Administration (HRA), the Social Security Administration (SSA), Medicaid Office/Expedited and Marketplace to ensure Medicaid Managed Care guidelines, policies and procedures are followed to receive appropriate funding for 819 and Part 820 programs. SPECIFIC DUTIES & RESPONSIBILITIES: Conduct daily comprehensive review of consumers' interviews to determine eligible for Entitlements benefits, Medicaid Eligibility, Medicaid Managed Care, Medicare, Private Insurance coverage, Self-Pay Case conference difficult cases with the Director for guidance and support to ensure funding for 819 and Part 820 programs are obtained in a timely fashion Conduct interviews on new admissions for HRA/DSS/SSI/SSD/Self-Pay Expedite consumers with the selection of Managed Care Organization and NY State Market Place at point of admissions and upon Medicaid Eligibility Daily Data Entry of Medicaid/Managed Care/Medicare/Private Insurance/MAT in AWARDS and E-Lab Navigate Inovalon / eMedNY (Epaces) / STARS / SAAMS / AWARDS / Manage Care System Portals for coverage Communicate with consumers regarding insurance coverage, restrictions, and disenrollment (Medicaid/Managed Care, Medicare, and Private Insurance) Process Medicaid applications and recertifications for consumers through the Department of Social Services, NY State Exchange/Marketplace Investigate Medicaid issues related to County/deferral/eligibility/denials/dropped/ recertifications Identify consumers with Medical/Pharmacy/Out-Patient restrictions to complete MAP forms for the removal of restrictions Process enrollment/disenrollments MAP forms through the Managed Care System (MCS) and to the Medicaid Inspector General OMIG Resolve problematic Medicaid Managed Care issues for Part 820 coverage Daily update the Entitlement 820 Reports with consumers' Medicaid (Fee-For-Service) / Expedited /Managed Care/Medicare/Private Insurance/Undocumented Complete and submit bi-weekly 820 Medicaid Managed Care Reports Submit weekly Medicaid Manage Care Reports to reflect consumers' coverage for 5 Residential Programs to the Pharmacy, Medical and LabCorp Performs related or similar duties assigned by Director. REQUIREMENTS: High School / associate degree Experience with Medicaid Managed Care and Human Service Background with DSS/HRA benefits, Recertifications, Medicaid Managed Care, Expediting, enrollment and disenrollment Demonstrated effective communication, proficiency in Excel, computer skills, organization and multitasking skills 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.