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Enrollment Representative MJHS Job Description Job DescriptionThe challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life on their own terms.
This position maintains up-to-date knowledge of Homefirst Managed Long Term Care Plan (MLTCP), Elderplan
Responsible for documenting updates and outcomes in Market Prominence, the enrollment tracking software program, Bachelor's Degree or 2 years health care experience; managed care/sales experience is a plus. Excellent communication, time management, and presentation skills, strong telephone etiquette and comfort with the geriatric population. Spanish, Cantonese or another language fluency may be required. Requires ability to learn, understand and explain healthcare eligibility requirements, conduct business Operates in accordance with regulatory agency contract guidelines. Posted 5 hours ago Pharmacy Specialist. MJHS The Pharmacy Specialist will perform duties to support the efforts of Elderplan Pharmacy Department in the development, coordination, and maintenance of the plan’s pharmacy program. These duties involve administrative tasks and outreach calls to members, providers, and pharmacies as directed by the supervisor. Reviews and identifies opportunities for FWA (fraud, waste, and abuse) control through a review of high-cost drug claims as directed by pharmacists. All outreach activities, documents and reporting requirements are prepared and conducted in a professional and well-coordinated manner to comply with all Part D regulations and guidance. Posted 5 hours ago Contracting Administrator . MetroPlusHealth MetroPlus Health provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly-owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States, MetroPlus Health 's network includes over 27,000 primary care providers, specialists and participating clinics. For more than 30 years, MetroPlus Health has been committed to building strong relationships with its members and providers to enable New Yorkers to live their healthiest life. Posted 5 hours ago A&G Specialist. MJHS The A&G Specialist will process the department correspondence, incoming and outgoing, and provide back-up support to the A&G Coordinators and Director, in order to insure that grievances and appeals are processed within established regulatory time frames and in accordance with Agency and department standards. The Specialist will open, date-stamp and log all incoming mail; prioritize and distribute correspondence to appropriate individuals; prepare and maintain departmental files; and additional administrative duties as assigned. Posted 5 hours ago Full Time - Cashier - Day. Lowe's Lowe’s is an equal opportunity employer and administers all personnel practices without regard to race, color, religious creed, sex, gender, age, ancestry, national origin, mental or physical disability or medical condition, sexual orientation, gender identity or expression, marital status, military or veteran status, genetic information, or any other category protected under federal, state, or local law. Posted 10 hours ago Billing Representative. Hackensack Meridian Health The Billing Representative is responsible for maintaining patient EMR, including processing physician orders and discharge summaries. In addition, responsible for processing billing information, including verifying accuracy and data entry into the system. Posted 13 hours ago Entry Level Sales. SPECTRUM Accurately completes all necessary paperwork to support sales activities in a manner consistent with quality control guidelines, including but not limited to the following: dispositioning, entering sales orders, and reporting on sales. Posted 17 hours ago Medical Receptionist - Primary Care (Physician Practice) Hackensack Meridian Health Manages patient check-in process. Consistently and courteously obtains and verifies required demographic information (date stamp and/or copy insurance card). Collects copayment and any applicable balances; Verifies insurance eligibility; Ensures appropriate referrals are obtained (specialty offices); Ensures patient completes appropriate paperwork including but not limited to face sheet, ABN, and HIPAA forms; Accurately enters patient demographic information in billing/computer system. Posted 19 hours ago Coordinator - Financial. Columbia University The Financial Coordinator is responsible to process invoices for purchasing orders, check requests, Net30 invoices, and other types of financial transactions; performs billing and processes ITF; interacts with vendors and the administrative offices at Columbia, including Purchasing, Capital Assets Accounting, Accounts Payable, Sponsored Projects Administration, and Sponsored Projects Finance to assure a smooth flow of transactions, and resolves any processing issues with vendors and Columbia central offices in a timely manner. Posted 19 hours ago Lab Support Clerk. Quest Diagnostics Incorporated Under direct supervision, the Lab Support Clerk provides general clerical support services.This includes filing of all pathology slides, daily mail distribution and maintenance of the postage machine. Posted 19 hours ago Description
Job Description Job Description
The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life on their own terms.
This position maintains up-to-date knowledge of Homefirst Managed Long Term Care Plan (MLTCP), Elderplan
Responsible for documenting updates and outcomes in Market Prominence, the enrollment tracking software program, Bachelor's Degree or 2 years health care experience; managed care/sales experience is a plus. Excellent communication, time management, and presentation skills, strong telephone etiquette and comfort with the geriatric population. Spanish, Cantonese or another language fluency may be required. Requires ability to learn, understand and explain healthcare eligibility requirements, conduct business Operates in accordance with regulatory agency contract guidelines. View more.. 
