- Humana (Tampa, FL)
- **Become a part of our caring community and help us put health first** The Bilingual Telephonic Care Specialist / Bilingual Telephonic Care Coach ... care and wellbeing of members. Tampa, FL area **The Bilingual Telephonic Care Coach Specialist / Care...case. + Identifies through a screening process for potential eligibility for state and federal benefits. + Ensures member… more
- NorthWest Senior & Disability Services (Salem, OR)
- …+ Maintains reception area and office supplies + Facilitates confidence in Office Specialist 2, and therefore the Agency and programs + Protects consumers and ... and process EBT card orders + Processing Prior Authorization forms in Medicaid Management Information System (MMIS) including Emergency Response Systems (ERS) and… more
- Elevance Health (Houston, TX)
- **Title: Outreach Specialist ** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of one of our ... PulsePoint locations. The **Outreach Specialist ** will be responsible for serving as the initial...Comprehends the various cultural and linguistic needs of the Medicaid and SCHIP population. + Knowledge of the various… more
- Truecare Homecare Agency (Flushing, NY)
- …Multiple Openings! Position: Clerical/Administrative Assistant, Scheduling Coordinator, or Admissions Specialist Must be Bilingual : Cantonese, Mandarin or ... between the agency and partnering contracts to discuss member eligibility and start of care processes + Working with...obtain necessary documentation and assisting new patients to get Medicaid or refer patients to a third party to… more
- Healthfirst (NY)
- …or complete outbound calls according to approved scripts. + Searches ePACEs for Medicaid eligibility , exclusion, and exemption codes. + Searches in Marx (CMS) ... for Medicare eligibility , enrollments, and special elections. + Achieves daily, weekly,...field and tele video conference appointments for HF CompleteCare Specialist and Intake Nurses in Salesforce. + Schedules Entitlement… more
- Adelante (Phoenix, AZ)
- Eligibility and Outreach Specialist - Central Phoenix Job Details Job Location Adelante Healthcare Central Phoenix - Phoenix, AZ Position Type Full Time Job ... of health care programs available through state and federal programs such as Medicaid /AHCCCS, DES, etc. + Bilingual English/Spanish. Must have the ability to… more
- LifePoint Health (Las Cruces, NM)
- …Growth Opportunities o And much more *_Position Summary _* The Scheduling and Eligibility Specialist assumes responsibility for knowing the details of scheduling ... Services* **Organization:** **Las Cruces Gen Surgery Assoc* **Title:** *Scheduling & Eligibility Specialist New Mexico Cardiac Care* **Location:** *New… more
- MyFlorida (West Palm Beach, FL)
- …with their process. Interviews client by obtaining information to determine financial eligibility for Medicaid and Health Care District. Interview client in ... RECORDS SPECIALIST - 64065873 Date: Sep 20, 2024 The...status in the Florida System, PEPW database, and client's eligibility file. On Medicaid Denials required documents… more
- Ventura County (Ventura, CA)
- Medical Billing Specialist III/IV Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4539404) Apply Medical Billing Specialist III/IV Salary ... Additionally, they effectively lead and train billers on Managed Care, Medicaid , Medi-Cal, Medicare, and Commercial Insurance, ensuring regulatory adherence and… more
- Molina Healthcare (Lexington, KY)
- …Passport Health Plan by Molina Healthcare, and Affordable Care Act benefits and eligibility rules preferred. + Three years of Medicaid experience, including ... -5pm **Passport by Molina Healthcare** is hiring for a **Front Office, Healthplan Specialist ** to serve in the Lexington, Kentucky office. This position will be… more
- CVS Health (Lansing, MI)
- …health care more personal, convenient and affordable. **Position Summary** The Care Manager Specialist is a member of the Care Team. The Care Manager Specialist ... conditions. These members are usually stratified as low risk. The Care Manager Specialist will work in conjunction with the Nurse Care Manager, Care Coordinator,… more
- Planned Parenthood of Central and Western NY (West Seneca, NY)
- …of NextGen computer system, verifying insurance, and screening applicants for presumptive eligibility , Medicaid for Pregnant Women, and the Family Planning ... Patient Services Specialist (Medical Receptionist ) - Regular Part-Time or...other payment sources, such as but not limited to: Medicaid Presumptive Eligibility for Pregnant Women and… more
- Community Health Action of Staten Island (Staten Island, NY)
- …process of new referrals to the Health Home program, including confirmation of program eligibility . The Intake Specialist works closely with the Health Home team ... intakes and ensure completion of intake documents and initial assessments. + Ensure Medicaid and program enrollment eligibility through use of EPACES, MAPP, and… more
- Randstad US (Boston, MA)
- …Knowledge of Utilization Management regulations and standards + Experience with Medicare, Medicaid , and Commercial lines of business + bilingual preferred. ... clinical support specialist - utilization mngmt. + boston , massachusetts...strong knowledge and understanding of processing requests per Medicare, Medicaid , andcommercial lines of business + Meet quality standards… more
- HCA Healthcare (Lees Summit, MO)
- …provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility , for external clients across the country. Parallon has ... Introduction **Do you have the career opportunities as a Patient Account Collections Specialist you want with your current employer? We have an exciting opportunity… more
- Peak Vista (Colorado Springs, CO)
- Enrollment Services Specialist Summary Title:Enrollment Services Specialist ID:0910-Multiple Department Location:Multiple locations Category:Administrative / ... of enrollment and insurance screening functions with the objective of determining eligibility for medical coverage according to the terms of numerous state and… more
- AdventHealth (Hinsdale, IL)
- …follows deferral procedure as required + Connects patients with financial counseling or Medicaid eligibility vendor as appropriate + Contacts patient to advise ... Verifies medical necessity in accordance with Centers for Medicare & Medicaid Services (CMS) standards and communicates relevant coverage/ eligibility information… more
- State of Connecticut, Department of Administrative Services (Hartford, CT)
- Education Services Specialist (35 Hour) Hybrid Recruitment # 240911-3230EA-001 Location Hartford, CT Date Opened 9/23/2024 12:00:00 AM Salary $90,310* - ... (CSDE (https://portal.ct.gov/SDE) ) is accepting applications for an Education Specialist (https://www.jobapscloud.com/CT/specs/classspecdisplay.asp?ClassNumber=3230EA&R1=&R3=) (ESS) for the Bureau of Child Nutrition… more
- Chautauqua Opportunities (Jamestown, NY)
- Lead Program Specialist Jamestown, NY (http://maps.google.com/maps?q=402+Chandler+St.+Jamestown+NY+USA+14701) Job Type Full-time Description Position Data: Title: ... Lead Program Specialist Grade: 6 Exempt: Non-exempt X Immediate Supervisor: Healthy...* Coordinate with Lead Program Clerk to establish customer eligibility * Refer customers to other essential support services… more
- Hackensack Meridian Health (Brick, NJ)
- …Tuition Reimbursement, Employee Discounts and much more The Patient Access Specialist is responsible for all Inpatient and Outpatient Patient Access functions ... validate patient identity. Conducts intensive screening of all Medicare, Medicaid and managed care patients to identify network status...status and level of care. + Initiate real time eligibility query (RTE) on all eligible insurances. Must review… more