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Healthcare Program Associate - DOS 1156/1157

Company: Public Consulting Group, Inc
Location: Albany
Posted on: January 27, 2023

Job Description:

Overview
Healthcare Program Associate - Communications & Compliance in Menands, NY
2 Openings
Working in OHIP's Division of Operations and Systems, in the Bureau of Communications and Compliance, the candidate will report to the supervisor of the Data Access Unit. The candidate will work in the Bureau's Claim Detail Report request process.
Responsibilities
Responsibilities include:


  • Sorting, opening, and prioritizing incoming mail
  • Assessing requests to determine compliance with HIPAA and HITECH standards
  • for confidential medical records release and defining why requests cannot be complied
  • with
  • Logging in new and updating ongoing requests in Access database
  • Researching possible Medicaid members in the eMedNY and legacy WMS databases
  • to find or confirm their Medicaid identification
  • Accurately determining the appropriate disposition for each request
  • Printing completed Claim Detail Reports
  • Assembling accurate responses whether they are report, rejection, cannot comply, or
  • no match responses
  • Mailing out responses
  • Logging all requests and updating the status
  • Other tasks that support the work of the unit

    Qualifications
    Basic Qualifications:
    Associate Degree
    6 months experience in healthcare field
    Preferred Qualifications:

    • Knowledge of Microsoft Office Suite, Medicaid program, Medicaid claims, eMedNY system and/or HIPAA compliance standards preferred. Ability to type accurately at a moderate rate of speed preferred.

      Employees must follow established work schedules. The usual work schedule is 37.5 hours per week, Monday through Friday. Normal work hours are 8:00 a.m. to 4:30 p.m. unless otherwise specified by the supervisor, -this includes a half hour unpaid lunch break. Total work hours must equal 37.5 hours per week.
      Compensation for roles at Staffing Solutions Organization LLC (SSO) varies depending on a wide array of factors including, but not limited to, the specific office location, role, skill set, and level of experience.---As required by applicable law, SSO provides the following reasonable range of compensation for this role: [compensation range here]. In addition, SSO provides a range of benefits for this role.
      EEO Statement
      Public Consulting Group is an Equal Opportunity Employer dedicated to celebrating diversity and intentionally creating a culture of inclusion. We believe that we work best when our employees feel empowered and accepted, and that starts by honoring each of our unique life experiences. At PCG, all aspects of employment regarding recruitment, hiring, training, promotion, compensation, benefits, transfers, layoffs, return from layoff, company-sponsored training, education, and social and recreational programs are based on merit, business needs, job requirements, and individual qualifications. We do not discriminate on the basis of race, color, religion or belief, national, social, or ethnic origin, sex, gender identity and/or expression, age, physical, mental, or sensory disability, sexual orientation, marital, civil union, or domestic partnership status, past or present military service, citizenship status, family medical history or genetic information, family or parental status, or any other status protected under federal, state, or local law. PCG will not tolerate discrimination or harassment based on any of these characteristics. PCG believes in health, equality, and prosperity for everyone so we can succeed in changing the ways the public sector, including health, education, technology and human services industries, work.

Keywords: Public Consulting Group, Inc, San Francisco , Healthcare Program Associate - DOS 1156/1157, Healthcare , Albany, California

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