Jobs
>
New York City

    eligibility verification specialist - New York, United States - City of New York

    City of New York
    City of New York New York, United States

    2 weeks ago

    Default job background
    Description
    Job Description


    The Bureau of Case Integrity & Eligibility Verification's mission is to maximize revenue generation for DSS/HRA/DHS and outside Agencies, ensure payments are categorically eligible for their respective funding streams and carry out cost avoidance projects to minimize audit disallowances.

    The Office of Revenue Management and Development (ORMD) is recruiting one (1)

    Principal Administrative Associate II position in its Bureau of Case Integrity and Eligibility Verification (BCIEV)/Eligibility Unit, who will:


    • Review and provide documentation for: Safety Net cases with Single Issuance payments to determine eligibility for claim adjustments, and Housing Preservation and Development (HPD) cases, ensuring cases are categorically eligible for their respective funding streams.
    • Work on projects to determine which cases qualify for a category eligible for state or federal funding, and the effective date of adjustment for federal and state reimbursements by reviewing case record entries and date of change and occurrence.
    • Review Duplicate Client Identification Number (CIN) cases to determine which CIN should be disenrolled.
    • Process invalid Social Security Numbers files produced by Family Independence Administration (FIA) to assist in reducing fraud.
    • Participate in the Turnaround Document (TAD) Error Correction Project to target centers with the largest number of backlogged cases in error status, identify problems and recommend corrective action.
    • Perform quality assurance for Enterprise Data Warehouse (EDW) queries, and Welfare Management System (WMS) lookups.
    Qualifications


    • A baccalaureate degree from an accredited college and three years of satisfactory full-time progressively responsible clerical/administrative experience, one year of which must have been in an administrative capacity or supervising staff performing clerical/administrative work of more than moderate difficulty; or
    • An associate degree or 60 semester credits from an accredited college and four years of satisfactory full-time progressively responsible clerical/administrative experience including one year of the administrative supervisory experience described in "1" above; or
    • A four-year high school diploma or its educational equivalent approved by a State's department of education or a recognized accrediting organization and five years of satisfactory full-time progressively responsible clerical/administrative experience including one year of the administrative supervisory experience as described in "1" above;
    • Education and/or experience equivalent to "1", "2", or "3" above. However, all candidates must possess the one year of administrative or supervisory experience as described in "1" above. Education above the high school level may be substituted for the general clerical/administrative experience (but not for the one year of administrative or supervisory experience described in "1" above) at a rate of 30 semester credits from an accredited college for 6 months of experience up to a maximum of 31⁄2 years.
    Additional Information


    The City of New York is an inclusive equal opportunity employer committed to recruiting and retaining a diverse workforce and providing a work environment that is free from discrimination and harassment based upon any legally protected status or protected characteristic, including but not limited to an individual's sex, race, color, ethnicity, national origin, age, religion, disability, sexual orientation, veteran status, gender identity, or pregnancy.

  • Manhattan Endoscopy Center (MECN)

    Benefit Verification Specialist

    2 weeks ago

    Manhattan Endoscopy Center (MECN) New York, United States

    **Manhattan Endoscopy Center (MECN), a GI focused Ambulatory Surgery Center (ASC) located in New York, NY, has an exciting opportunity for a full-time Benefit Verification Specialist to join their team** · **What makes us awesome**: · - Perks and benefits offered to eligible empl ...

  • NYC Careers

    Field Eligibility Verification Specialist

    2 weeks ago

    NYC Careers Manhattan, United States

    **FIELD ELIGIBILITY VERIFICATION SPECIALIST**: · - Apply**FIELD ELIGIBILITY VERIFICATION SPECIALIST**: · - Agency: HRA/DEPT OF SOCIAL SERVICES · - Posted on: 04/24/2024- Job type: Full-time · Location · MANHATTAN · - Title Classification: Exam may be required · Department · Reven ...

  • Alvita Home Care

    Onboarding & Verification Specialist (Remote)

    3 weeks ago

    Alvita Home Care New York, United States

    **Onboarding & Verification Specialist (remote)** · Alvita Care is a preferred provider of private home care services. We supply premier in-home care services designed to enhance the well-being, independence & dignity of our clients in the NY and NJ area. · It's an exciting time ...

  • 61st Street Service Corp

    Insurance Verification Specialist Ii #full Time

    3 weeks ago

    61st Street Service Corp New York, United States Full time

    **Job Summary**: · The Insurance Verification Specialist II is responsible for verifying health insurance benefits for all new patients or existing patients. This position will contact patient's insurance company to verify coverage levels and works with patients to walk them thro ...

  • 61st Street Service Corp

    Insurance Verification Specialist Iii #full Time

    3 weeks ago

    61st Street Service Corp New York, United States Full time

    **Job Summary**: · The Insurance Verification Specialist III is responsible for verifying health insurance benefits for all new patients or existing patients. This position will contact patient's insurance company to verify coverage levels and works with patients to walk them thr ...

  • City of New York

    eligibility verification specialist

    10 hours ago

    City of New York New York, United States

    Company Description · Job Description · The Bureau of Case Integrity & Eligibility Verification's mission is to maximize revenue generation for DSS/HRA/DHS and outside Agencies, ensure payments are categorically eligible for their respective funding streams and carry out cost av ...

  • 61st Street Service Corp

    Insurance Verification Specialist I #full Time

    5 days ago

    61st Street Service Corp New York, United States Full time

    **Job Summary**: · The Insurance Verification Specialist I is responsible for verifying health insurance benefits for all new patients or existing patients. This position will contact patient's insurance company to verify coverage levels and works with patients to walk them throu ...

  • Hudson Regional Hospital

    verification specialist

    4 weeks ago

    Hudson Regional Hospital Secaucus, United States

    Responsibilities: · Verifies all insurances for Same Day Surgery Cases. · Ensures that patients healthcare benefits cover all required procedures. · Contacts insurance company to verify coverage levels. · Communicates closely with the OR Scheduling Supervisor and Director of ...

  • Hudson Regional Hospital

    verification specialist

    2 weeks ago

    Hudson Regional Hospital Secaucus, United States

    Job Description · Job DescriptionResponsibilities: · Verifies all insurances for Same Day Surgery Cases. · Ensures that patients healthcare benefits cover all required procedures. · Contacts insurance company to verify coverage levels. · Communicates closely with the OR Schedulin ...

  • MARIAN DAVID M D P C

    Insurance Verification Specialist

    1 week ago

    MARIAN DAVID M D P C Kew Gardens, United States

    Medium-size Cardiology Practice located in Kew Gardens, Queens, is seeking an **Insurance Verification Specialist** that meets the following requirements: · - proven experience with insurance verification of commercial and HMO plans and ability to demonstrate understanding of tec ...

  • Marks Home Care Agency, Inc

    Attendance Verification Specialist

    1 day ago

    Marks Home Care Agency, Inc Jamaica, United States

    **Job Summary** · The Attendance Verification Specialist is responsible for ensuring accurate visit verification records for field employees CDPAP Personal Assistants. They will verify attendance data, resolve discrepancies, and communicate with relevant personnel to address any ...

  • Kofinas Fertility Group

    Insurance Verification Specialist

    3 weeks ago

    Kofinas Fertility Group New York, United States

    Job Description · Job DescriptionJOB SUMMARY: · Hours: Monday - Friday 7am-5pm (Flexible) · Location: 65 Broadway, New York, NY 10006. · The Insurance Verification Specialist provides comprehensive advanced billing support to KFG Fertility Billing Service, to enhance the generat ...

  • CorVel Corporation

    Data Verification Specialist

    2 weeks ago

    CorVel Corporation Florham Park, United States

    This is a hybrid position. · **ESSENTIAL FUNCTIONS & RESPONSIBILITIES**: · - Responsible for validation of incoming data to the Bill Review system · - Requires continual and consistent communication with supervisor regarding status of Data Verification queues and workload · - Ass ...

  • New York City, NY

    Eligibility Verification Specialist

    2 weeks ago

    New York City, NY Manhattan, United States

    The Bureau of Case Integrity & Eligibility Verification's mission is to maximize revenue generation for DSS/HRA/DHS and outside Agencies, ensure payments are categorically eligible for their respective funding streams and carry out cost avoidance projects to minimize audit disall ...

  • PHYSICAL THERAPY OF THE BRONX P C

    Insurance Verification Specialist

    3 weeks ago

    PHYSICAL THERAPY OF THE BRONX P C New York, United States

    Job Description · Job DescriptionPhysical Therapy Office · Mon/Wed/Fri 8-2 · Tues/Thur 8-530 · Sometimes Saturdays · ...

  • Community Pain Medicine

    Medical Insurance Verification Specialist

    2 weeks ago

    Community Pain Medicine Flushing, United States

    Medical Doctors Office seeking a full-time assistant for insurance verification and medical billing duties. · Responsibilities will include: · - checking patients' insurances to verify benefits and eligibility · - corresponding with insurance companies · - inputting patients' dem ...

  • Onco360

    Pharmacy Benefit Verification Specialist

    6 days ago

    Onco360 New Hyde Park, United States

    **Are you someone looking for professional career growth? **Onco360 Pharmacy is looking for **Pharmacy Benefit Verification Specialists** for our Pharmacy located in New Hyde Park, NY**.** Onco360 Pharmacy is a unique oncology pharmacy model created to serve the needs of communit ...

  • Foot and Ankle Specialists

    Health Insurance Verification Specialists

    1 week ago

    Foot and Ankle Specialists Plainfield, United States

    Well-established private medical office seeking part-time, **experienced** receptionist/insurance coordinator. · - be comfortable navigating an electronic health record system, answering phone calls, scheduling patients, and verifying patient insurance information · - have a gene ...

  • Girling Health Care of New York

    Insurance Verification Specialist

    16 hours ago

    Girling Health Care of New York Brooklyn, United States

    Girling Home Care of NY is looking for an experienced and reliable Insurance Verification Specialist to fill an open position in our Brooklyn office. The primary function of the Insurance Verification Specialist is to contact carrier groups to obtain eligibility information, ensu ...

  • CorVel Corporation

    Data Verification Specialist

    3 weeks ago

    CorVel Corporation Parsippany, United States OTHER

    The Data Verification Specialist is responsible for all bill review clerical functions, including mail, prepping and scanning medical bills, data entry, data verification and assisting with various phone and email tasks to support the bill review department. · This is a hybrid po ...