Summer Intern - Utilization Management

Job Ref: TE0086
Category: Professional
Department: UTILIZATION MANAGEMENT
Location: 50 Water Street, 7th Floor, New York, NY 10004
Job Type: Temporary
Employment Type: Full-Time
Work Arrangement: Hybrid
Salary Range: $21.00 - $26.00

Empower. Unite. Care.

MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day.

About NYC Health + Hospitals

MetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens, and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly-owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States, MetroPlusHealth network includes over 27,000 primary care providers, specialists, and participating clinics. For more than 30 years, MetroPlusHealth has been committed to building strong relationships with its members and providers.

Position Overview

The intern, under the direction of the Director of Appeals, is responsible for the daily activities of the appeals department and processing all office functions, as well as for performing other duties associated with the coordination of the department as outlined and/or assigned by their manager.

Duties & Responsibilities

• Accurately assisting in processing all appeal mail and retro’s
• Work efficiently and diligently and meet minimal required performance expectations and quality requirements
• Assist co-workers and other staff as directed.
• Participate in special projects as requested or required.
• Scanning documents
• Filing documents
• Making copies of medical documents.
• Participate in departmental quality improvement activities
• Perform other duties as assigned.

Work Shifts

9:00 AM- 5:00 PM

Minimum Qualifications

• GED required/college Student
• Skilled in using a computer
• Ability to research on the Internet

Professional Competencies:

• Integrity and Trust
• Customer Focus
• Functional/Technical skills
• Written/Oral Communication