- PruittHealth (Charlotte Hall, MD)
- **JOB PURPOSE:** The Business Office Medicaid Specialist plays a crucial role in supporting the financial operations of the organization, specifically focusing ... on Medicaid and compliance. This position is responsible for assisting...the business office, ensuring accurate and timely processing of Medicaid applications, managing resident accounts, and maintaining compliance with… more
- National Health Care Associates (Stafford Springs, CT)
- …appreciated. We invite you to join our team! **-** **What You'll Do:** As a Medicaid Specialist , you will support the center's business office in processing ... are valued and appreciated, we invite you to join our team as a Medicaid Specialist **-** **What We Offer** As an affiliate of National Health Care, our… more
- Bear Mountain Health Care (MA)
- …Home Medicaid EXPERT? Bear Mountain Healthcare is currently seeking a full time Medicaid Pending Specialist to assist in the completion of Medicaid ... facilities in Massachusetts. Duties include: . Responsible for working Pending Medicaid applications and re-determinations in order to ensure financial eligibility.… more
- Genesis Healthcare (Everett, WA)
- …complexities of Medicaid eligibility? Then join us as a Regional Floating Medicaid Application Specialist . In an assigned geography, you will improve the ... quality of all revenue cycle management Medicaid Eligibility related functions, from patient pre-admission to discharge, to optimize revenue collection. Position… more
- Accura Healthcare (Omaha, NE)
- …and Nebraska will be considered. Accura HealthCare has an opportunity to invite a Medicaid Billing Specialist - Lead to join our growing accounting and finance ... billing experience is necessary to be considered. JOB SUMMARY: The Medicaid Billing Specialist performs a range of functions necessary to accurately process… more
- PruittHealth (Norcross, GA)
- …the Elderly and Disabled Waiver Program (EDWP) clients who do not have active Medicaid eligibility [Potential Medicaid Assistance Only (PMAO) or Medicaid ... eligibility or continued eligibility status 3. Assists EDWP clients with the Medicaid Application process and renewals 4. Collects copies of financial documents from… more
- Conduent (Topeka, KS)
- …as assigned to develop and enhance current understanding of Kansas Medicaid eligibility programs. Through training and experience, begin to develop expertise ... of regulations, policies, and guidelines. **Preferred Skills or Knowledge:** Knowledge of Medicaid and managed care programs Minimum of two (2) years' experience in… more
- Wellpath (Waterbury, VT)
- …* Perform a variety of administrative duties such as answering phones, typing letters, filing, sorting and distributing mails for the department. * Coordinate and ... maintain office operations by maintaining files, ordering supplies, and performing relevant duties for senior management, ensuring the efficient functioning of the office. * Maintain and track a variety of records and files, including receiving and routing… more
- Commonwealth Care Alliance (Boston, MA)
- …that the applicable edits are compliant with applicable Medicare and Massachusetts Medicaid regulations. The role will also be responsible for timely review and ... as necessary on all new and revised coding logic, related Medicare/ Medicaid policies for review/approval through the Payment Integrity governance process.… more
- Commonwealth Care Alliance (Boston, MA)
- …The Claims Sr. Analyst serves as a subject matter expert on Medicaid (MassHealth), Medicare, and commercial payment methodologies and supports audit, compliance, and ... - AAPC + Certified Claims Professional (CCP) + Other AHIMA or Medicaid billing-related certifications **Required Experience (must have):** + 3+ years in healthcare… more
- US Tech Solutions (TX)
- …Experience required:** . Basic knowledge of **commercial insurance verifications and Medicaid ** would be nice. . **Microsoft Office (Excel in particular),** strong ... customer service skills, ability to multitask, quick learner, flexible adaptability, work in a fast-paced environment, goal driven, team player, attention to detail, and strong analytical skills. **Education:** . Minium high school. **About US Tech… more
- CVS Health (Helena, MT)
- …into applicable systems. **Required Qualifications** - 1-3 years' of Medicaid claims experience. - 1-3 years' Network background. **Preferred Qualifications** ... - 1+ years' QNXT experience. - Advanced Microsoft Excel skills including knowledge of formulas. - Strong written and verbal communication skills. - Demonstrated ability to handle multiple assignments. **Education** - High school diploma or GED **Anticipated… more
- University of Rochester (Canandaigua, NY)
- …equity considerations._ **Responsibilities:** GENERAL PURPOSE In addition to the duties of Medicaid Enrollment and Outreach Specialist (MEOS I), MEOS II supports ... Type: Full time Scheduled Weekly Hours: 40 Department: 500169 Medicaid Enrollment Work Shift: UR - Day (United States...MEOS IIs possess advanced knowledge of all aspects of Medicaid , are proficient in research, interpretation and application of… more
- Health Care Service Corporation (Richardson, TX)
- …designation such as Managed Healthcare Professional (MHP) or Certified Employee Benefit Specialist (CEBS) * Medicaid experience **This is a Flex (Hybrid) ... for planning, managing and controlling the activities of a team of Medicaid analysts that provides business intelligence support for business segments; leading… more
- DATAMAXIS (Springfield, IL)
- …Provide direction, guidance and recommendations supporting decision making for large Medicaid data warehouse implementation and operations. * With the specialized ... knowledge of the Medicaid and Children's Health Insurance Programs, lead and guide...and third-party liability. * Proactively identify and understand state Medicaid agency data needs and determines the recommended solution… more
- Molina Healthcare (Chandler, AZ)
- …with the standards and requirements established by the Centers for Medicare and Medicaid Services (CMS). **Essential Job Duties** * Enters denials and requests for ... Qualifications** * Customer/provider experience in a managed care organization ( Medicaid , Medicare, Marketplace and/or other government-sponsored program), or medical… more
- State of Indiana (Evansville, IN)
- …for Medicare & Medicaid Services certification as a Psychiatric Medicare/ Medicaid Hospital. Role Overview : Psychiatric Service Specialist provides clinical ... Psychiatric Services Specialist Date Posted: Nov 12, 2025 Requisition ID: 468030 Location: Evansville, IN, US, 47714 Work for Indiana Begin a fulfilling career with… more
- MyFlorida (West Palm Beach, FL)
- …AGENCY FOR PERSONS WITH DISABILITIES POSITION: HUMAN SERVICES PROGRAM SPECIALIST - Career Service WORKING TITLE: Medicaid Waiver ... MEDICAID WAIVER LIAISON - 67016227 Date: Dec 5,...866314 Agency: Agency for Persons with Disabilities Working Title: MEDICAID WAIVER LIAISON - 67016227 Pay Plan: Career Service… more
- State of Colorado (CO)
- CO Medicaid Enterprise Solution (CMES) Integration Business Analyst Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5148793) Apply CO ... Medicaid Enterprise Solution (CMES) Integration Business Analyst Salary $58,872.00...80203, USA Department Contact Information Sarah LaRue Talent Acquisition Specialist ###@state.co.us How To Apply Please submit an online… more
- Heritage Ministries (Greenhurst, NY)
- Job Description The Facility Financial Specialist is responsible for welcoming and directing new residents and their families on the day of admission. He/she is ... to complete all financial documents, explain billing procedures, and supervise the Medicaid process to ensure that the resident and/or responsible party fully… more