Experience & Requirements
Certification or at least two (2) years experience working in a physician’s office and/or medical records management
Knowledge of Coordination of Benefit (COB) provisions in a commercial, Medicaid or Medicare environment
Knowledge of current medical terminology
Proven knowledge of ICD-9, HCPCS, CPT and revenue coding
Ability to recognize and interpret other insurance carriers EOBs and/or plan documents
Ability to interact with clinicians and office staff, administration, utilization review, provider operations, customer service and finance departments
Proven organizational and prioritization skills
Dedication 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.ResponsibilitiesBelow 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 determination
Upon MA approval, input Medicaid coverage info into YesCare transactional system to ensure COB on inpatient claims
Determine if other coverage exists upon intake or sick call for existing inmates, working with Intake Coordinator and custody staff
Work with COB Coordinator to search other coverage data bases, if current coverage is unknown
Track Medicaid eligibility denials for follow up when additional services are utilized
Ensure notice of coverage is provided to hospital upon admission for appropriate billing information
Submitting bills for repricing and ensuring receipt of bills from providers for payment.
YesCare Benefits (only applicable for full-time positions)
Health, Dental and Vision Insurance
Life and Disability Insurance
Generous PTO plan
401k with matching funds
Employee Discount and Rewards Program
Tuition Assistance
Continuing Education Reimbursement
About YesCare HealthCorrectional 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.ID 2024-20107Job Locations US-NY-GoshenCategory Healthcare SupportPosition Type Regular Full-timeShift / Schedule Weekday DayLocation ID 00295
