- Mount Sinai Hospital (New York, NY)
- Job Description Accounting Clerk- Patient Financial Services (Medicare & Medicaid Claims Follow-Up)-Corporate 150 East 42nd Street - Full-Time Days Under the ... supervision of the Patient Financial Supervisor /Manager, performs a variety of patient accounting functions, including but not limited to financial verification,… more
- Sentara Healthcare (Richmond, VA)
- City/State Richmond, VA Work Shift First (Days) Overview: Overview The Supervisor , Health Plan Business Systems Operations will lead a team focused on delivering ... expertise in supporting governmental and commercial reimbursement policies. The Supervisor will oversee claims and system administration activities, manage… more
- Henry J Austin Health Center (Trenton, NJ)
- …other post-secondary education and/or training preferred. Employee must pass the presumptive eligibility NJ state exam ( Medicaid enrollment exam) within the ... earned time if repeat training classes are necessary. Failure to pass the Presumptive Eligibility NJ State exam ( Medicaid Enrollment exam) within the first year… more
- SUNSHINE ENTERPRISE USA LLC (Orange, CA)
- …below. Job Title: Claims Resolution Specialist Department(s): Customer Service Reports to: Supervisor Customer Service Hourly: $24.52 - $37.55 Duration: Up to 6 ... in resolving provider claims payment status issues, provider payment disputes, eligibility , and authorization verification. The incumbent will be responsible for… more
- FaithBridge (Alpharetta, GA)
- …of the youth in Extended Reach (ER). Staff will request, and process eligibility paperwork, inform and assist youth with their initial inquiries on program ... The role will keep referral sources, youth and staff apprised of the eligibility status while they await potential acceptance into the Youth Opportunities Program.… more
- CentroMed San Antonio (Converse, TX)
- …and name of clinic. Demonstrate an excellent understanding of insurance (especially Medicaid , Medicare, and CHIP) and eligibility (Methodist Homeless) programs. ... Demonstrate proficiency in entering charges for self-pay, insurance, and eligibility programs. Reconciles charges at the end of each...and other duties as assigned by the Director or Supervisor . PHYSICAL REQUIREMENTS: Must be able to perform the… more
- The Bridge Inc. (New York, NY)
- …Friday 9 AM - 5 PM Description Under the direction of the Supervisor and/or Director, the Engagement and Enrollment Specialist provides outreach and enrolls eligible ... services and assists with member retention needs. Services are provided for Medicaid and Non- Medicaid recipients living with co-occurring medical, mental health,… more
- Innova solutions (St. Louis, MO)
- …challenges regarding projects. Should be able to own the delivery team as a supervisor and manage their performance. Assign and oversee the daily tasks of technical ... of managerial experience Deep functional knowledge of healthcare processes specially Medicaid Business Aware of the Data Warehouse architecture along with… more
- Atlantic Health System (Morristown, NJ)
- …with patients, physicians, and other center personnel. Makes recommendations to supervisor on related duties, policies and procedures. *Enhances environment of ... a clean and orderly environment in the lab. Notifies supervisor of stocking needs and equipment needs or problems....twelve consecutive times, and the Centers for Medicare and Medicaid Services awarded us again with its highest five-start… more
- Jonathan's Place (Dallas, TX)
- …community-based providers for additional services based on resident needs and eligibility (this includes expanding the existing referral network as necessary). ... dental evaluation, drug and alcohol assessments, school enrollment, DHS, and Medicaid appointments for clients on as needed basis. *Requires on-call responsibilities… more
- Fountain House, Inc. (New York, NY)
- …have Medicaid , ensuring those individuals (members) are screened for eligibility and navigated to the appropriate health-related social services. Primary to this ... our members. This new and exciting position is in response to a new Medicaid benefit called Health Related Social Needs (HRSN) and the creation of Social Care… more
- Saint Francis Hospital (Evanston, IL)
- …Responsibilities The Ambulatory Pharmacy Technician reports to the Ambulatory Pharmacy Technician Supervisor and plays a key role in the ambulatory pharmacy space, ... patients navigate insurance coverage, and facilitating financial assistance through eligibility screenings and supporting documentation. They will maintain accurate… more
- HonorHealth (Scottsdale, AZ)
- …Responsible for adhering to all third party payer requirements including Medicare, Medicaid , managed care, Blue Cross and commercial plans. Verifies insurance ... eligibility and coverage and executes appropriate insurance notification procedures....necessity and follows appropriate procedures depending on results. Keeps supervisor and/or lead informed of all unique situations and… more
- Ohio Department of Aging (Batavia, OH)
- …staff and other departments; represent & acts for the Building Maintenance Supervisor at meetings with vendors (ie environmental issues, cleaning products & ... reviews, recommendations &/or deficiencies for housekeeping rom surveys (ie internal Medicaid , licensure) & takes corrective action; accompanies survey personnel on… more
- Texas Health and Human Services Commission (Austin, TX)
- …applications. Skill in the analysis of estimated fiscal impacts related to Medicaid or other health-related changes. Ability to audit financial statements, reports, ... notify the person scheduling the interview. Pre-Employment Checks and Work Eligibility : Depending on the program area and position requirements, applicants selected… more
- Ellis Medicine (Schenectady, NY)
- …on programs to assist patient and family financial issues (ie Medicaid Program, Uncompensated Care). Facilitates in gathering accurate patient billing information. ... for data entry errors and make corrections. Notify the supervisor when a system error occurs. Log and forward...Rejection Remittance Reports to verify all payor denials, including eligibility denials, and edit denials. Calculate the usual and… more
- White Plains Hospital (Harrison, NY)
- …demonstrating tact and sensitivity in stressful situations. Proficiency in health insurance eligibility as it pertains to Medicare and Medicaid regulations, ... communicates concerns/ problems relating to patients and/or staff with immediate supervisor . 10. Adheres to White Plains Hospital infection control standards… more
- Quipt Home Medical Corp (Savannah, GA)
- …Basic Brightree Functions Proper Intake Procedures Insurance Verification and Eligibility CMN Requirements and Prior Authorizations Documentation Requirements of the ... other duties not specifically listed in this position description as assigned by supervisor . Continually strive to develop your knowledge and skills in all areas of… more
- DHR Health (Mcallen, TX)
- …, Private Insurance, and Worker's Compensation. Familiar with eligibility requirements and authorization requirements. *Prioritizes customer service. Maintains ... match color adequately. 3 I have read and reviewed my job description with my supervisor or designee and I understand the job I am expected to perform. If… more
- St. Elizabeth Healthcare (Lawrenceburg, IN)
- …- Refer non-nursing functions, such as assisting patients with completion of Medicaid , disability, pharmacy program or other eligibility applications, and ... make decisions on his or her own before seeking the support of a supervisor . - Assist providers, patients, and families with Advance Care Planning - Explain results… more
