Enter a job title or keyword
Physical Therapists
Job Location:
Job Location:
Albany, GA - USA
Hourly Salary:
USD 47 - 52
Hourly Salary:
Posted:
6 October 2026 (6 days ago)
Posted:
Application Deadline:
3 January 2027
Application Deadline:
Vacancies:
1 Vacancy
Vacancies:
Job Summary
M-F 8:30-4:30
.30 Minute Unpaid Lunch Break
No Holiday work Overtime or travel required
Paid
Parking Provided Position Description:
Proper footwear required to perform tasks in a safe manner.
Perform other reasonably related duties as required.
New Wave People is an Equal Opportunity Employer (EEO).
#HCIND123
.30 Minute Unpaid Lunch Break
No Holiday work Overtime or travel required
Paid
Parking Provided Position Description:
- Conduct comprehensive review of DMEPOS requests for Medicaid members to determine if the service falls within the scope of coverage of the Medicaid Program and NYS Regulation.
- Professional clinical knowledge and judgement used to render decisions that ensure the requested item is appropriate to meet the individuals medical needs.
- Actively involved in the Fair Hearing process by providing supporting evidence in written format and represents 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.
- Current license/registration
- Excellent oral and written skills 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 in evaluating making recommendations and writing medical justification for various DME
- Experience with Microsoft Office
- Willing to work weekend hours if needed
- Proficient in the use of standard office technology
- Ability to be flexible innovative and work in a team environment
- NYS Unrestrictive License Required
Proper footwear required to perform tasks in a safe manner.
Perform other reasonably related duties as required.
New Wave People is an Equal Opportunity Employer (EEO).
#HCIND123
Required Experience:
IC
