Motivated professional seeking an administrative role to leverage skills and contribute to a dynamic work environment. Dedicated to delivering exceptional organizational support and ensuring smooth operations. Adept at managing multiple tasks, prioritizing deadlines, and maintaining a high level of accuracy. Committed to providing excellent customer service and fostering positive relationships with colleagues and clients.
Ensure that you meet or exceed the agency's existing performance standards for yourself and your functional unit (e.g. clinic, program, etc.) in the domains of regulatory compliance, financial accountability (or productivity), quality, and satisfaction of patients, adolescents, or others served by START.
2. Researches patients Medicaid eligibility through eMEDNY.org and EPACES, upon arrival at the clinics. 3. Prepare and submit monthly Managed Care Enrollment /Roster Reports and weekly encounter reports. 4. Monitor Medicaid re-certification timeframes for each active patient, and contact patient or primary caregiver in person, by phone or letter to arrange a meeting, two months prior to the Medicaid expiration date. 5. Keep up-to-date on Medicaid Managed Care and other program issues, as well as changes in Medicaid/Medicare/HMO laws, and share information with members as necessary. 6. Contributes to the teams’ efforts to treat every member with respect courtesy, and fairness in a way that provides superior customer services. 7. Access the NYS Department of Health PTAR System (Public Transportation Automated Reimbursement System) to determine the status of car fare checks for Medicaid/Medicare patients. 8. Assist patients with the preparation and submission of PTAR car fare complaint forms. 9. Assist with Managed Care, Medicare and private pay billing issues to maximize revenues. 10. Escalate Medicaid Managed Care and operational issues to Managed Care Relations Manager for resolution. 11. Assist with the accurate and timely credentialing and re-credentialing of new and existing providers with Managed Care Organizations. First Name Robbin Last Name Davis Position Code A208 Position Name Medicaid Service Coordinator Department Code 001150 Department Name MMTP - Kaleidoscope Facility Code KAL Facility Name Kaleidoscope Manager Name N/A Hire Date 10/31/2016 Employee Number 010953 Corporation N/A FTE N/A Anniversary Date 10/31/2016 12. Maintain the highest level of integrity, courtesy, and respect while interacting with members, employees and business contacts. 13. Participate in Health Home meetings as necessary and required, to support START’s Health Home Initiative.