City of New York

Job Description

The Medical Assistance Program (MAP) administers public health insurance programs, including Medicaid, for the City of New York. Applying individuals and families are approved for eligibility against applicable Federal and State guidelines. Those found to be eligible can use coverage provided to access doctors, medication and other health care services at little or no cost.

MAP Managed Care Client Services (MCCS) assures the operational integrity of the Medicaid Managed Care program in the City of New York. MCCS acts as an interface between consumers, New York State Department of Health (SDOH), Managed Care Organizations (MCO’s), clinics, hospitals, physicians groups, and pharmacies, as well as, government agencies, facilitated enrollers, client advocates and the enrollment broker/contractor NY Medicaid CHOICE/MAXIMUS.

MCCS is recruiting for two (2) Clerical Associate III to function as Unit Clerks; who will:

• Receive, sort, process and deliver incoming mail, notices and other materials that are referred by the contractors to the appropriate sections within MAP to ensure appropriate delivery of services to clients enrolled in managed care.
• Type correspondences reports and other written materials.
• Maintain a filing system for the control of managed care cases for fair hearings such as representative assignment, fair hearing schedules and dispositions.
• Prepare daily and weekly volume count of pending and completed cases from the Undercare and Unborn/Newborn Units and update appropriate statistical reports.
• Provide support to the unit by contacting providers to obtain consent to participate as primary care providers for recipients in Restricted Recipient Program.
• Make determinations in order to resolve provider payment problems by researching the preparation of restricted recipient case forms in order to locate possible errors utilizing and retrieving data from the Welfare Management System (WMS).
• Perform other related clerical functions such as answering phones, referring calls, and making copies as needed.

CLERICAL ASSOCIATE - 10251

Qualifications

Qualification Requirements

A four-year high school diploma or its educational equivalent approved by a State's department of education or a recognized accrediting organization and one year of satisfactory clerical experience.

Skills Requirement

Keyboard familiarity with the ability to type at a minimum of 100 key strokes (20 words) per minute.

Additional Information

The City of New York is an inclusive equal opportunity employer committed to recruiting and retaining a diverse workforce and providing a work environment that is free from discrimination and harassment based upon any legally protected status or protected characteristic, including but not limited to an individual's sex, race, color, ethnicity, national origin, age, religion, disability, sexual orientation, veteran status, gender identity, or pregnancy.