What are the responsibilities and job description for the Physical Therapist position at Tandym Group?
A public health organization in the Capital Region is currently seeking a new, licensed Physical Therapist (PT) to join their growing team in Albany.
About the Opportunity :
Assignment Length : Ongoing
Schedule : Monday to Friday
Hours : 8 : 30am to 4 : 30pm or 9am to 5pm
Setting : Public Health
Responsibilities :
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
Render decisions that ensure the requested item is appropriate to meet the individual's medical needs
Provide supporting evidence in written format and represent the NYS Medicaid Prior Approval Department via telephone
Review appropriate combinations of medical services and is instrumental in identifying methods to prevent fraud and abuse
Work closely with Physicians, outside stakeholders, and Medicaid members via written and telephonic correspondence
Perform other duties, as needed
Qualifications :
Bachelor's Degree
Active NYS Physical Therapist (PT) license
Knowledgeable of NYCRR Title 10 and 18 regulations
Experience in prior approval of medical supplies / equipment / services
Experience in examination of medical records, documentation, and proposed treatment plans for medical necessity
Microsoft Office proficient
Solid assessment and documentation skills
Great interpersonal skills
Excellent communication skills (written and verbal)
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