- A group opportunity. Invite your friends.
-
13 people are interested
SMP Fraud/Abuse Specialist
ORGANIZATION: LiveOn-NY
Please visit the new page to apply.
- A group opportunity. Invite your friends.
-
13 people are interested
The New York Senior Medicare Patrol (SMP) project is part of a nationwide campaign to educate Medicare beneficiaries about the consequences and direct impact of healthcare fraud. Last year we lost an estiimated $65 billion to Medicare fraud and abuse!
Our mission is to empower and educate beneficiaries to prevent,. detect and report Medicare fraud. We work to ensure that older adults do not have to fall victim to this abuse.
SMP Volunteer Complex Interactions Specialist
Volunteers who handle complex issues work individually with beneficiaries to report specific instances of suspected health care fraud, error and abuse. They help beneficiaries distinguish error from potential fraud or abuse and act on the beneficiary's behalf to correct errors and refer suspected fraud and abuse to the appropriate authorities.
Volunteers who handle complex issues respond to beneficiary and caregiver inquiries that involve complaints of fraud, error, and abuse by:
- Interviewing the beneficiary and/or caregiver in person or by telephone
- Researching issues using SMP manuals and other Medicare program integrity resources
- Providing completed complex issues form and associated documentation of suspected fraud, error, or abuse to SMP headquarters to be reported in the SMART FACTS reporting and referrals system and for reporting to the appropriate government entity for investigation
- Assessing the case for further investigation and/or referral
- Supporting and following up with beneficiaries as their reported issue moves through the investigation and resolution process
Qualifications
- Research and case management skills
- Ability and willingness to learn and share information related to preventing, detecting, and reporting health care billing mistakes, fraud, and abuse
- Ability to follow case referral protocols
- Ability to work independently
- Computer literacy, including ability to use the Internet and on line reporting programs
Time Commitment: Volunteer schedules are flexible. The Volunteer Coordinator works with each volunteer to determine the number of hours the volunteer works each month, and to schedule assignments accordingly. Because of the training SMP volunteers receive, they are asked to commit to a minimum of one year.
Training/Support: All New York SMP volunteers receive training on the SMP program, Medicare Basics, and Medicare Fraud and Abuse. Volunteers will also be invited to attend update trainings made available by the New York SMP program or other program partner agencies.
More opportunities with LiveOn-NY
1 ReviewNo additional volunteer opportunities at this time.
About LiveOn-NY
Location:
49 West 45th Street, 7th Flr, New York, NY 10036, US
Mission Statement
Founded in 1979, LiveOn NY is a membership organization of nonprofit aging service providers that builds power and capacity at the city and state level to change public policy, grow resources, and strengthen services for older adults.
Description
At LiveOn NY, we don’t just talk about making the future better for older adults. We are on the front lines, working to make change happen now. We turn compassion into action, reaching more and more people every day. All because of our passionate belief that every New Yorker should grow old the same way that they’ve always lived: like New Yorkers.
LiveOn NY: Helping New Yorkers age with confidence, grace and vitality.
CAUSE AREAS
WHEN
WHERE
49 West 45th Street, 7th FlrNew York, NY 10036
DATE POSTED
January 30, 2017
SKILLS
- Case Work / Management
- Healthcare
- Administrative Support
GOOD FOR
- People 55+
- Group
REQUIREMENTS
- Orientation or Training