Available Positions

Entitlement Specialist at Managed Long-Term Care Facility in Suffolk County, New York , United States —

  • Healthcare
  • Managed Long-Term Care Facility
  • Suffolk County, New York , United States
  • 3/3/21

Job ID: 152318

Job Description

  • Managed Long-Term Care Facility in Suffolk looking for an Entitlement Specialist to join their team
  • Responsibilities will include:
    • Perform recertification calls and follow up calls
    • Represents patients; obtain back coverage to ensure that agency receives payment for services rendered to patient
    • Review all surplus cases to ensure that payments are being received are being adhere to
    • Research and resolve Medicaid issues to ensure that codes are removed when appropriate, to allow agency to be paid for services rendered
    • Gather and submits supporting documentation for cases with eligibility discrepancies and ensures Integra receives claim remissions for the appropriate time periods
    • Support enrollment staff in researching and resolving eligibility issues


  • 1+ year of medical coding/billing experience preferred
  • Bi-lingual Bengali required
  • 1+ years of experience working with Medicaid/Medicare


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