Job Description

IF YOU ARE HIRED PROVISIONNALLY IN THIS TITLE YOU MUST TAKE AND PASS THE CLERICAL ASSOCIATE EXAM WHEN IT BECOMES AVAILABLE FOR CONTINUED EMPLOYMENT.

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) - Restricted Recipient Program (RRP) Unit imposes limits on State identified over utilizers of Medicaid services to a primary physician, clinic, pharmacy or hospital for the purpose of cost containment and improved case management. Legislation recently expanded the role of this program to include all in-patient and out-patient services, whether Medicaid only or Public Assistance. This program serves as a liaison to City, State and Federal officials on all Restricted Recipient program issues in New York City; as well as provides service to approximately 6,500 recipients.

The Medical Assistance Program (MAP), is recruiting for one (1) Clerical Associate III to function as a Unit Clerk 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.

• 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.

WORK HOURS:Monday-Friday 9AM - 5PM (FLEX)

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.