-
Search Jobs by Category
- Search All Categories
- Advanced Practice Nursing Jobs
- Building Services & Plant Operations Jobs
- Business Development Jobs
- Claims Jobs
- CNA Jobs
- Compliance Jobs
- Customer Service Jobs
- Development Jobs
- Environmental Services Jobs
- Facility Nursing Jobs
- Finance Jobs
- Food & Nutrition Services Jobs
- Health Information Management Jobs
- Home Care Nursing Jobs
- Home Health Aide Jobs
- Hospice Nursing Jobs
- Human Resources Jobs
- Information Technology Jobs
- Legal Jobs
- Managed Care Nursing Jobs
- Management - Clinical Jobs
- Management - Non-Clinical Jobs
- Medical Billing and Coding Jobs
- Occupational Therapy Jobs
- Office and Administrative Support Jobs
- Other Jobs
- Pastoral Care Jobs
- Pharmacy Services Jobs
- Physical Therapy Jobs
- Physicians Jobs
- Product Management Jobs
- Project Management Jobs
- Provider & Network Contracting Jobs
- Public Relations & Marketing Jobs
- Purchasing/Materials Management Jobs
- Quality Management Jobs
- Recreation Jobs
- Rehabilitation Services Jobs
- Research Jobs
- Sales & Marketing Jobs
- Security Jobs
- Social Work and Mental Health Services Jobs
- Speech Language Pathology Jobs
- Staff Education Jobs
- Search Jobs by Location
-
Search Jobs by Agency
- Search All Agencies
- Elderplan Jobs
- Isabella Center for Rehabilitation & Nursing Care Jobs
- Medical Associates, P.C. Jobs
- Menorah Center for Rehabilitation & Nursing Care Jobs
- MJHS Corporate Jobs
- MJHS Foundation Jobs
- MJHS Home Care Jobs
- MJHS Home Care Solutions Jobs
- MJHS Hospice & Palliative Care Jobs
- MJHS Institute for Innovation in Palliative Care Jobs
- Search All Jobs
- Req #:
- 1766
- Job ID:
- 13314
- Job Location:
- New York, NY
- Zip Code:
- 10041
- Category:
- Office and Administrative Support
- Agency:
- Elderplan
- Status:
- Regular Full-Time
- Office:
- Hybrid
- Salary:
- $35,041.49 - $43,801.86 per year
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.
Why work for MJHS?:
When you work with us you will receive comprehensive and affordable health and financial benefits, in addition to generous paid vacation, personal and holiday time that you won't find at our competitors. Do you receive a paid day off for your birthday now? No? You will here! You will also receive the training, tuition assistance and career development you desire to help you achieve your career goals. You take care of our patients, residents and health plan members, and we will take care of the rest!
Benefits include:
- Tuition Reimbursement for all full and part-time staff
- Generous paid time off
- Affordable medical, dental and vision coverage for employee and family members
- Two retirement plans! 403(b) AND Employer Paid Pension
- Flexible spending
- And MORE!
MJHS companies are qualified employers under the Federal Government’s Paid Student Loan Forgiveness Program (PSLF)
Responsibilities:
In this position, you will handle all provider file update requests, received from participating providers, in accordance with the established timeline while developing and maintaining positive provider/customer services. You will be asked to coordinate with various Elderplan departments and NPO teams to ensure provider file update requests and demographic-related claim denial inquiries are handled appropriately while balancing provider needs with Plan priorities. In addition, you will handle and organize correspondence from non-par providers, under the file update process, for the Data Maintenance Team, as needed. Communicate the receipt/completion of all file update correspondence received from provider/ designee in a timely and consistent manner. Other duties will involve educating participating providers regarding any updates to the processes and escalating any issues to the Provider Relations/IPA, among other teams.
Qualifications:
- High School diploma
- Bachelor’s degree preferred
- With Bachelor’s degree; minimum of one year of experience in Managed Care, provider billing, and/or customer service.
- Without Bachelor’s degree, minimum of three (3) years of experience, as above
- Knowledge of Microsoft Office