Occupational Therapist
Albany, NY 
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Posted 9 days ago
Job Description
Duration: 3 months to long term
Shift timing: Monday-Friday 8:30 am - 5:00 pm

Job Description:
  • Conduct a comprehensive review of Durable Medical Equipment, Prosthetics, Orthotics, and Supply requests for Medicaid recipients to determine if the service falls within the scope of coverage of the Medicaid Program and NYS Regulation.
  • Professional clinical knowledge and judgment are 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 representing 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/certification
  • Excellent oral and written skills are 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 with Microsoft Office
  • Proficient in the use of standard office technology
  • Ability to be flexible, innovative, and work in a team environment
Required documents:
  • Resume

About our Company: -

22nd Century Technologies, Inc., is one of the fastest growing IT Service Integrator and Workforce Solution companies in the United States. Founded in 1997, 22nd Century Technologies is a Certified National Minority Business Enterprise with 6,000+ people including 600+ Cyber SMEs nationwide supporting our customers in all 50 states, Canada, and Mexico. With HQs in Somerset, NJ and Mclean, VA, 22nd Century has 14 offices throughout the United States. As part of our unrelenting focus on quality and compliance, 22nd Century Technologies’ delivery is based on Certified Matured Processes including CMMI L3 Dev & SVC, ISO 20000, ISO 27001, and ISO 9001 quality processes. With a strong focus on the public sector, 22nd Century currently holds government contracts with 14 out of 15 Federal Executive agencies including DoD, 37 other Federal agencies, 50 States, 115+ Local agencies, and 37 School Districts. In the last three years, we have expanded our services to Fortune 500 and other commercial clients and currently support 80+ commercial clients.

Recognized among “Best Company to Work For” by Forbes, 22nd Century Technologies, Inc., consistently exceeds our clients’ expectations by focusing on their absolute satisfaction with jobs while keeping our employees motivated.
“22nd Century Technologies is an Equal Opportunity Employer" and “US Citizens & all other parties authorized to work in the US are encouraged to apply."

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

 

Contact Information
Sandeep Gill |Hiring Manager sandeepg@tscti.com |O: 804-372-0705 Ext. 2130 |Cell: 804-429-3261
Job Summary
Employment Term and Type
Regular, Full Time
Salary and Benefits
Pay rate: $50-$55/hr.
Required Education
High School or Equivalent
Required Experience
Open
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