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Physical Therapists

New Wave People

  • Albany, NY
  • 5 days ago
  • $47–$52 Per Hour

Highlights

Parking Provided Position Description : Conduct comprehensive review of DMEPOS requests for Medicaid members to determine if the service falls within the scope of coverage of the Medicaid Program and NYS Regulation. Actively involved in the Fair Hearing process by providing supporting evidence in written format and represents the NYS Medicaid Prior Approval Department via telephone.

Numbers & Facts

LocationAlbany, NY
IndustryStaffing/Employment Agencies
Salary$47–$52 Per Hour
Company Size100 to 499 employees
Year Founded2000
Websitehttp://www.nwpusa.com/

Description

M-F 8:30-4:30
.30 Minute Unpaid Lunch Break
No Holiday work, Overtime or travel required
Paid
Parking Provided Position Description:
  • Conduct comprehensive review of DMEPOS requests for Medicaid members to determine if the service falls within the scope of coverage of the Medicaid Program and NYS Regulation.
  • Professional clinical knowledge and judgement used to render decisions that ensure the requested item is appropriate to meet the individual's medical needs.
  • Actively involved in the Fair Hearing process by providing supporting evidence in written format and represents the NYS Medicaid Prior Approval Department via telephone.
  • Knowledgeable of NYCRR Title 10 and 18 regulations. Utilizes national standards for procedure and diagnosis coding, reviews appropriate combinations of medical services and is instrumental in identifying methods to prevent fraud and abuse.
  • Works closely with physicians, outside stakeholders, and Medicaid members via written and telephonic correspondence.
Additional Skill Level, Experience or Other Requirements:
  • Current license/registration
  • Excellent oral and written skills required.
  • Experience in prior approval of medical supplies/equipment/services or experience in examination of medical records, documentation, and proposed treatment plans for medical necessity
  • Experience in evaluating, making recommendations, and writing medical justification for various DME
  • Experience with Microsoft Office
  • Willing to work weekend hours if needed
  • Proficient in the use of standard office technology
  • Ability to be flexible, innovative, and work in a team environment
  • NYS Unrestrictive License Required
Salary commensurate with scope of work job experience
Proper footwear required to perform tasks in a safe manner.
Perform other reasonably related duties as required.
New Wave People is an Equal Opportunity Employer (EEO).
 
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About Company

New Wave People, Inc. (NWP) is an established Woman Owned Small Business (WOSB), Minority, and Economically Disadvantaged (EDWOSB) business.  We are recognized by diverse organizations for our many contributions to the business world and the communities we serve. We have been honored among the Top 100 Hispanic-owned businesses in the United States by DiversityBusiness.com.   New Wave People provides professional contingent staffing for both short-term, or long- term assignments.  Our clients may request one contractor from us, or an entire project team with management oversite. We offer a wide variety of personnel to government and corporate clients nationwide. NWP’s management team with over 130 years of staffing industry experience is very proud to deliver quantifiable results to our clients and our employees exemplifying our commitment to business excellence and community.

 

 

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