- Conduent (Columbia, SC)
- …a culture where individuality is noticed and valued every day. **Call Center Representative - Medicaid Member Support** **ON-SITE Only in Columbia, SC** **$16.00 ... member eligibility , along with assisting callers with completing their Medicaid applications and providing updates on their application status. + Follows… more
- Molina Healthcare (Manhattan, NY)
- …sales and marketing of Molina Medicare products to dual eligible, Medicare- Medicaid recipients within approved market areas to achieve stated revenue, profitability, ... the product choices available to them, the enrollment process ( eligibility requirements, Medicare review/approval of their enrollment application, timing of… more
- Conduent (Topeka, KS)
- …Skills or Knowledge:** + Minimum of six (6) months' experience in Family Medical Medicaid eligibility + Knowledge of Medicaid and managed care programs ... Description:** As part of the KanCare Clearinghouse Program, the Customer Service Representative (CSR) will provide quality customer service in the KanCare Contact… more
- CVS Health (Annapolis, MD)
- …+ May participate in various internal and/or external meetings, serving as representative on behalf of the department. + Supports or assists with operational ... complex contracting options, financial/contracting arrangements and regulatory requirements. + Medicaid Network Management experience, preferably Maryland Medicaid … more
- Point32Health (RI)
- …(https://www.point32health.org/) . **Job Summary** Join our dynamic team as an Eligibility Representative in the Connecting Seniors to Coverage program, ... in person to explain eligibility criteria and assess eligibility . o Assist Medicaid -only prospects and current members in obtaining Medicare, enhancing their… more
- Whidbey General Hospital (Coupeville, WA)
- JOB SUMMARY The Patient Financial Services Representative supports the mission of providing quality healthcare to the patients of WhidbeyHealth by performing a ... support the financial health and well-being of the organization. The PFS Representative may be responsible for coordinating patient referrals and subsequent follow… more
- Ellis Medicine (Schenectady, NY)
- …benefits and coverage; HMO contracts through various agencies, Medicare and Blue Cross eligibility and benefits through the OMNIPRO system, Medicaid through the ... Questions? Connect with a recruiter at: ###@ellismedicine.org The Patient Access Representative II is responsible for verification of patient demographic and… more
- Adecco US, Inc. (Independence, KY)
- …by Federal, State, or local law; and Holiday pay upon meeting eligibility criteria. **IMPORTANT:** This **Community Outreach Representative ** job is being ... Adecco Healthcare & Life Sciences is hiring a Community Outreach Representative in Northen Kentucky! This role requires travel within Northern Kentucky, with… more
- City of New York (New York, NY)
- …with latitude to exercise independent judgment and initiative, the Client Services Representative is responsible for routing visitors to HRA sites with multiple ... areas to the appropriate service in connection with Public Assistance, SNAP, Medicaid and other HRA client-facing services FIA Operations is recruiting for four… more
- State of Minnesota (St. Paul, MN)
- …following: + Experience with eligibility systems such as the Minnesota Eligibility Technology System (METS) and Minnesota Medicaid Information System (MMIS); ... **Working Title: Appeals Representative ** **Job Class: Human Services Program Representative...: Health Care Administration / Integrity and Accountability - Eligibility Appeals + **Work Shift/Work Hours** : Day Shift… more
- R1 RCM (Wichita, KS)
- …AI, intelligent automation, and workflow orchestration. As Our Financial Counseling Representative I, you will be responsible for counseling patients or parties ... **Here is what you will experience working as a Financial Counseling Representative I:** + Explain financial responsibilities for services received payment options… more
- CVS Health (Charleston, WV)
- …8:30 AM - 5:00 PM EST, Monday through Friday As a Member Service Representative , you will be providing telephone assistance to Aetna Medicaid members and ... will assist with an array of inquiries such as eligibility , provider changes, and requests for ID cards. We...remotely in a call center setting - Experienced with Medicaid and Medicare **Education** High school diploma or equivalent… more
- UNC Health Care (Raleigh, NC)
- …process to enhance accuracy. Screen and assist patients with financial assistance, Medicaid eligibility and/or other funding sources available. 5. Monitor and ... counseling and customer service-related functions for patients and/or their representative including pre-service estimates, collection of pre-payments, collection of… more
- Hackensack Meridian Health (Tinton Falls, NJ)
- …or office appointment) or by phone. Directly responsible for accurately processing Presumptive Eligibility (PE) Medicaid and for the follow up process to ensure ... as a leader of positive change. The **Financial Assistance Representative ** is responsible for screening patients who have no...are under insured for State of New Jersey (NJ) Medicaid , State of NJ Charity Care or State of… more
- State of Minnesota (St. Paul, MN)
- …Title: Quality Assurance and Improvement Coordinator** **Job Class: Human Services Program Representative 2** **Agency: Human Services Dept** + **Job ID** : 89888 + ... Substance Use Disorder (SUD) and behavioral health systems within the Medicaid program. It focuses on utilization management, provider certification, managed care… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …On and Off Marketplace health insurance products, including Child Health Plus (CHP), Medicaid Managed Care (MA/MMC), Essential Plan (EP) and the Individual Market - ... the Health Plan regions Essential Accountabilities: Level I * Educates Medicaid , Medicare, and Commercial members on healthcare benefits, and community resources… more
- Kelly Services (Menands, NY)
- **Job Title:** Bilingual Benefits Representative **Location:** Menands, NY **Duration:** 4 months temp-to-perm **Hours:** 9am - 5pm (30-minute lunch) **Pay Rate:** ... access to essential medical services and medications, bridging the gap between Medicaid and private insurance and supporting individuals transitioning to Medicaid… more
- Huron Consulting Group (Boston, MA)
- …and employee engagement across the enterprise. + The Pre-Service Financial Representative supports the Revenue Cycle by financially clearing urgent and/or elective ... to secure authorizations and/or initiate notices of admission, the representative may be responsible for informing patients of payment...of birth to MassHeath if mother is enrolled in Medicaid plan. + Notifies payors of inpatient and observation… more
- Humana (Tallahassee, FL)
- …community and help us put health first** The Consumer Service Operations Representative 3 is responsible for the daily activities across multiple service functions ... area. The Consumer Service Operations Representative 3 performs advanced administrative/operational/customer support duties that require independent initiative and… more
- ManpowerGroup (Austin, TX)
- …**Pay Range:** $20/hour **What's the Job?** + Provide unbiased assistance to Medicaid providers and clients regarding eligibility , claims status, and program ... leader in Health Services, is seeking a Contact Center Representative to join their team.** As a **Contact Center... to join their team.** As a **Contact Center Representative ** , you will be part of the **Operations… more
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