Top 971 Provider enrollment Jobs in New York, Ny

Care Specialist (NYCE) - Remote
EmblemHealth —New York, NY
- $39,960 - $70,200 a year
- Weekends as needed
- Remote
- Microsoft Outlook
- Research
- Mid-level
Remote Enrollment - Outreach Coordinator
Medsien —New York, NY
- Contract
- Remote
- Older adults
- Communication skills
- Entry level
Quick Apply
People Team Assistant
Herbert Smith Freehills —New York, NY
- $65,000 - $75,000 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Office
People Operations Associate
TriEdge Investments —New York, NY
- $110,000 - $130,000 a year
- Full-time
- Hybrid work
- 5 years
- Mid-level
- Office
- 401(k)
Research Assistant I
Hospital for Special Surgery —New York, NY
- $23.35 - $35.51 an hour
- Full-time
- Surgery
- Ability to lift 50 pounds
- Bachelor's degree
Patient Navigator
Agency DEPT OF HEALTH/MENTAL HYGIENE —New York, NY
- $54,799 - $63,019 a year
- Full-time
- Mid-level
- High school diploma or GED
- Clinic
- Wellness program
- Health insurance
Telephone Representative II (Provider Relations)
1199SEIU Family of Funds —New York, NY
- $49,495.68 - $62,570.04 a year
- Full-time
- Research
- Mid-level
- High school diploma or GED
- Vision insurance
HR Generalist
Gruppo Orsero —New York, NY
- $65,000 - $90,000 a year
- Full-time
- Hybrid work
- Mid-level
- Office
- Warehouse
Quick Apply
9d
Educational Specialist - Family Child Care Network
Day Care Council of New York —Jamaica, NY
- $50,000 - $53,000 a year
- Full-time
- Hybrid work
- Bilingual
- Background check
- Google Workspace
- Health savings account
- Health insurance
Quick Apply
Community Habilitation Supervisor
Paul J. Cooper Center for Human Services, Inc —Brooklyn, NY
- From $24 an hour
- Full-time
- Mid-level
- Residential
- Master's degree
Quick Apply
Human Resources Generalist
Devocion —Brooklyn, NY
- $68,000 - $75,000 a year
- Full-time
- Hospitality
- Spanish
- English
- Health insurance
- Dental insurance
Quick Apply
Certified School Nurse
PATERSON PUBLIC SCHOOL —Paterson, NJ
- $63,130 - $101,425 a year
- Full-time
- Background check
- School experience
- CPR Certification
- Health insurance
- Dental insurance
Quick Apply
Financial Educator
Urban Upbound —Brooklyn, NY
- $65,000 - $70,000 a year
- Weekends as needed
- Bilingual
- Classroom
- Writing skills
- Health insurance
- Dental insurance
Quick Apply
Financial Educator
Urban Upbound —Brooklyn, NY
- $65,000 - $70,000 a year
- Weekends as needed
- Bilingual
- Classroom
- Writing skills
- Health insurance
- Dental insurance
Quick Apply
Director of Marketing
Larry Brantley Talent —Manhattan, NY
- $125,000 - $180,000 a year
- Full-time
- Marketing
- 5 years
- Office
- Health insurance
- Dental insurance
Quick Apply
8d
Educational Specialist
Urban Upbound —Long Island City, NY
- $50,000 - $55,000 a year
- Full-time
- Spanish
- Customer service
- Mid-level
Quick Apply
8d
Vendor Relations Manager
Select Home Warranty —Brooklyn, NY
- From $20 an hour
- 8 hour shift
- Mid-level
- Office
- US work authorization
- Paid training
- Paid holidays
Quick Apply
Physician Assistant (PA) – Telehealth Brooklyn Office
Medical Talent Pros —Brooklyn, NY
- $150,000 - $190,000 a year
- Full-time
- Urgent Care
- Clinic experience
- Mid-level
- Health insurance
- 401(k)
Quick Apply
6d
Family Advocate
Grand St Settlement Inc. —New York, NY
- $37,828.56 - $48,636.72 a year
- Online Application
- Microsoft Word
- Spanish
- CPR Certification
Quick Apply
Elementary School Education Specialist
Coalition for Hispanic Family Services —Brooklyn, NY
- $48,000 - $56,000 a year
- Email
- Background check
- School experience
- Mid-level
- Paid holidays
- Health insurance
Quick Apply

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provider enrollment jobs near new york, ny

Care Specialist (NYCE) - Remote

EmblemHealth -
New York, NY

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Job Details

$39,960 - $70,200 a year

Qualifications

Clinical data entry
Medical terminology
Quality data entry
Customer data entry

Full Job Description

Summary of Position

Responsible for the execution of the non-clinical aspects of the Care Management process. Ensure information is appropriately entered in the system to effectively execute member care plans, originate authorizations, request clinical information, perform case research, and essentially execute all behind the scenes desk-level procedures of a case. Work seamlessly with the Care Specialists, Care Managers and Social Workers (and other clinical staff) to ensure everything that a participant needs to tend to their health is addressed.Provide confidential administrative support and assistance to the department and support the department in all aspects of daily project operations.Assist the entire Care Management interdisciplinary team in managing members with Care Management needs.Provide telephonic outreach to members that have been identified for care management and ensure members’ needs are supported throughout the duration of member enrollment to the program, by completing screenings with members, coordinating with Care Manager on members’ care plan, making appropriate referrals to the interdisciplinary care team, coordinating post-acute services on behalf of members, assisting with community resource needs and more. Provide services per the NYCE contract.

Principal Accountabilities

Work collaboratively, as a critical component of the Medical Management team, to facilitate all clerical and administrative processes and activities.
Perform accurate and timely intake and data entry for all Care Management requests and referrals for all lines of business, upon receipt of inbound requests, via call, fax and web portal, in accordance with departmental policy and regulatory requirements.
Perform member telephonic outreach for program enrollment with the goal of retaining members in the Care Management Program.
Triage cases and assign receipts to appropriate teams.
Communicate and/or respond to inquiries from providers, facilities and members.
Initiate completion of member and provider correspondence and verbal outreach according to departmental guidelines.
Enter and maintain documentation in electronic record, meeting defined timeframes and performance standards.
Provide phone queue management for both incoming and outgoing calls.
Perform other related projects and duties as assigned.
Under the direction of a Care Manager, manage caseload and update care plans for low and moderate risk members in collaboration with the clinical team.
Support care interventions including making doctor’s appointments, health coaching, referrals to internal and external resources, assist with transportation issues.
Leverage motivational interviewing skills and a member-centric approach to identify members’ needs, prioritize and support care plan.
Perform a wide range of research and educational outreach activities to encourage healthy behaviors, such as outreaching to identified members who need a primary care provider or who may have gaps in care related to recommended tests or provider visits and facilitate gap closure and receipt of evidence-based care.
Adhere to processes for collecting member-specific clinical and demographic data from providers and other entities as required by clinical staff.
Support communication and coordination with delegated entities, as necessary.
Coordinate directly with community-based organizations and agencies to identify available and/or alternative resources for a wide range of concerns, including home safety, financial assistance, caregiver support and transition assistance.
Actively participate in assigned committees and projects.
Additional tasks and duties as required.
Required to work weekends, nights and holiday as necessary.

Qualifications

Bachelor’s Degree
Medical Assistant certification preferred
1 – 2+ years of previous client-facing or data entry experience in a health care environment
Additional experience/certifications/training may be considered in lieu of educational requirements
Strong verbal, written and interpersonal communication skills
Ability to work both independently and collaboratively with others
Previous system user experience in a highly electronic environment
Proficiency in MS Office (Word, Excel, Powerpoint, Teams, Outlook, etc.)
Knowledge of medical terminology and medical payment
Ability to prioritize multiple tasks
Ability and willingness to work a flexible schedule including weekends, nights, and holidays as needed

Additional Information

Requisition ID: 1000003210
Hiring Range: $39,960-$70,200

Apply Now

Refine Your Search

provider enrollment jobs in new york, ny

Care Specialist (NYCE) - Remote

Remote Enrollment - Outreach Coordinator

People Team Assistant

People Operations Associate

Research Assistant I

Patient Navigator

Telephone Representative II (Provider Relations)

HR Generalist

Educational Specialist - Family Child Care Network

Community Habilitation Supervisor

Human Resources Generalist

Certified School Nurse

Financial Educator

Financial Educator

Director of Marketing

Educational Specialist

Vendor Relations Manager

Physician Assistant (PA) – Telehealth Brooklyn Office

Family Advocate

Elementary School Education Specialist

I want to receive the latest job alert for provider enrollment in new york, ny

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