Goshen, NY, US
20 days ago
Affordable Care Act Coordinator
Welcome page Returning Candidate? Log back in! Affordable Care Act Coordinator ID 2024-20107 Job Locations US-NY-Goshen Category Healthcare Support Position Type Regular Full-time Shift / Schedule Weekday Day Location ID 00295 Experience & Requirements Certification or at least two (2) years experience working in a physician’s office and/or medical records managementKnowledge of Coordination of Benefit (COB) provisions in a commercial, Medicaid or Medicare environmentKnowledge of current medical terminologyProven knowledge of ICD-9, HCPCS, CPT and revenue codingAbility to recognize and interpret other insurance carriers EOBs and/or plan documentsAbility to interact with clinicians and office staff, administration, utilization review, provider operations, customer service and finance departmentsProven organizational and prioritization skillsDedication to quality, team work and customer service

A background check, security clearance and drug screening are required for this role.

 

YesCare is an Equal Opportunity/Affirmative Action Employer. In compliance with federal and state employment opportunity laws, qualified applicants are considered for all positions without regard to race, gender, national origin, religion, age, sexual orientation, disability, Vietnam era veteran, or disabled Veteran status. EOE including Disability/Protected Veterans.

Responsibilities

Below is a list of your responsibilities as an Affordable Care Act Coordinator with YesCare at Orange County Jail located in Goshen, NY: 

Submit inmate applications to Medicaid outpost worker for eligibility determination and track to final determinationUpon MA approval, input Medicaid coverage info into YesCare transactional system to ensure COB on inpatient claimsDetermine if other coverage exists upon intake or sick call for existing inmates, working with Intake Coordinator and custody staffWork with COB Coordinator to search other coverage data bases, if current coverage is unknownTrack Medicaid eligibility denials for follow up when additional services are utilizedEnsure notice of coverage is provided to hospital upon admission for appropriate billing informationSubmitting bills for repricing and ensuring receipt of bills from providers for payment.

YesCare Benefits (only applicable for full-time positions)

Health, Dental and Vision InsuranceLife and Disability InsuranceGenerous PTO plan401k with matching fundsEmployee Discount and Rewards ProgramTuition Assistance Continuing Education Reimbursement About YesCare Health Correctional healthcare is not just a job. It’s a calling. 

By choosing a career with YesCare, you are choosing the opportunity to truly make a difference in the health, well-being, and future of the patients you serve. We take pride in being a pioneer provider of correctional healthcare. As a YesCare professional, you have access to the resources and support to enhance your skills, build a solid foundation to reach your career potential, and contribute to the care and well-being of an underserved population. There is no greater calling. Join YesCare today and be part of our legacy of innovation and clinical expertise. 

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