- Spartanburg County School (Roebuck, SC)
- …for missing information and authorization/control numbers and works with the Medicaid eligibility staff Maintains confidentiality of all information. Completes ... Announcement of Vacancy for: Medicaid Specialist Minimum Qualifications : High School Diploma...is preferred, but not required) 5 years' experience with Medicaid insurance, billing, school based programs Performance Responsibilities: Ensures… more
- Treasure State Orthotic & Prosthetic Clinic, Inc. (Billings, MT)
- …verification and preauthorization will be daily tasks. A sound foundation in Medicare/ Medicaid patient benefit eligibility and coverage a must. Private health ... insurance billing experience would be beneficial. Compensation will depend on experience. Benefits include paid holidays, PTO, 401k plan and profit sharing upon meeting company requirements. Please send cover letter and resume to ###@tsopmt.com recblid… more
- Lundbeck (Edmond, OK)
- …and effectively address payer access issues (IDNs, Medicare, Medicaid , Commercial) using Lundbeck resources. Pharmaceutical Environment/Compliance - Ability ... and proficiency for the role. Salary Pay Range: $117,000 - $137,000 and eligibility for a sales incentive target of $39,000.Benefits for this position include… more
- Lundbeck (Raleigh, NC)
- …anticipate and effectively address payer access issues (IDNs, Medicare, Medicaid , Commercial) using Lundbeck resources. Pharmaceutical Environment/Compliance - Apply ... and proficiency for the role. Salary Pay Range $108,000 to $125,000 and eligibility for a sales incentive target of $39,000.Benefits for this position include… more
- D-H Lebanon-MHMH (Bennington, VT)
- …involve educating patients about their financial options, guiding them through the Medicaid eligibility criteria, and ensuring that all necessary documentation ... Engage with patients to assess their financial needs and explain the Medicaid application process, including eligibility criteria and required documentation. -… more
- Iconma LLC (Harrisburg, PA)
- …in the medical office or other medical setting preferred General knowledge of eligibility verification ( Medicaid eligibility and program requirements for ... with team members and external customers Must have ability to research and resolve issues related to Medicaid program and service eligibility Previous experience… more
- StateJobsNY (Staten Island, NY)
- …and maintain eligibility for full and unconditional participation in the Medicaid and Medicare programs. Failure to maintain Medicaid /Medicare eligibility ... will result in the termination of employment. Additional Comments The mission of the New York State Office of Addiction Services and Supports (OASAS) is to provide, support, and oversee a data-driven continuum of addiction services delivered with equity,… more
- StateJobsNY (Orangeburg, NY)
- …and maintain eligibility for full and unconditional participation in the Medicaid and Medicare programs. Failure to maintain Medicaid /Medicare eligibility ... specialized experience; 150 clock hours of relevant addictions for CASAC credential eligibility may be substituted for the one year of specialized experience. NOTE:… more
- WMC Health (Valhalla, NY)
- …procedures for Facility Billing, Insurance Verifications, Third Party Insurance coverage, Medicaid and Medicare eligibility , Insurance denial review and overturn ... data on all documents and bills to third party billing companies, Medicare and Medicaid , as well as insurance denial review as appropriate. Ability to multi-task in… more
- Miracle Houses (Charlotte, NC)
- …receipt of referral. Complete pre-screening process for all incoming referrals. Verify Medicaid eligibility Follow-up on referrals with incomplete or incorrect ... information. Address crisis calls as necessary. Track all consumers for unscheduled, scheduled, completed, or missed psychological/psychiatric appointments. Manage employee and Staff records Ensure all approved authorizations are processed and assigned to a… more
- SCO Family of Services (Brooklyn, NY)
- …necessary to gain health care services, including but not limited to: 1. Medicaid 2. Cash Assistance Eligibility 3. Social Security 4. Supplemental Nutrition ... OF THE POSITION: The Care Managers service youth who are enrolled in Medicaid , have two or more chorionic conditions, HIV/AIDS, Sickle Cell, Serious Emotional… more
- StateJobsNY (Brooklyn, NY)
- …and maintain eligibility for full and unconditional participation in the Medicaid and Medicare programs. Failure to maintain Medicaid /Medicare eligibility ... will result in the termination of employment. Additional Comments Background Investigation Requirements: Prospective appointees will be: 1) Checked against the Staff Exclusion List (SEL) maintained by the Justice Center for the Protection of People with… more
- StateJobsNY (Brentwood, NY)
- …maintain eligibility for full and unconditional participation in the Medicaid and Medicare programs. Failure to maintain licensure, certification and Medicaid ... result in your application not being processed. If you are a current or former NYS employee, please provide your Social Security # for verification of eligibility . more
- Families and Youth Inc (Las Cruces, NM)
- …record all required data relevant to Treat First Verify Private insurance as well as Medicaid eligibility (via NM Medicaid portal) for clients Utilize EMR ... clinical database to activating new clients and manager referrals for the agency Qualifications and Experience Bachelor's Degree in a human service field from an accredited university and one (1) year relevant experience working with the target population; or… more
- Pitt County, NC (Greenville, NC)
- …Purpose of Position: This position is responsible for determining continued eligibility of benefits established during intake. This position must explain program(s) ... requirements and options and advise or refer clients to other program services as appropriate. Duties and Responsibilities or Knowledge, Skills, Abilities Considerable knowledge of the program/areas of assignment. General knowledge of all agency and community… more
- HCA Healthcare (Englewood, CO)
- …provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility , for external clients across the country. Parallon has ... full-time and part-time colleagues based on income. Learn more about Employee Benefits Note: Eligibility for benefits may vary by location. Come join our team as a… more
- Global Channel Management Inc. (East Hartford, CT)
- About the job Medicaid Appeals Coordinator Medicaid Appeals Coordinator needs 2+ years of grievance or appeals experience Medicaid Appeals Coordinator ... Strong organizational and communication skills, oral and written. Working knowledge of Eligibility rules and processes and a willingness to gain an understanding of… more
- HCA Healthcare (Lexington, MO)
- …provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility , for external clients across the country. Parallon has ... and part-time colleagues based on income. Learn more about Employee Benefits Note: Eligibility for benefits may vary by location. Our teams are a committed, caring… more
- Astor Services (Bronx, NY)
- …and maintain public benefits necessary to gain health care services, including Medicaid and cash assistance eligibility , Social Security, SNAP, housing, legal ... provide supportive services to an average caseload of 30 children who meet eligibility of NYS Children's Health Home program. The Care Manager guides program… more
- Kaiser Permanente (Clackamas, OR)
- …hospital and Kaiser Permanente internal resources. Knowledge of Medicare and Medicaid regulations related to eligibility requirements: hospital, nursing ... facilities, home health, hospice, and Durable Medical Equipment (DME). Knowledge of utilization management principles and tools. Demonstrated clinical judgment and customer-focused service skills. Knowledge of principles of patient teaching, disease prevention… more
