- Polaris Law Group, LLC (St. Charles, MO)
- Legal Assistant - Medicaid Eligibility Specialist - MO HealthNet/Long-Term Care Applications All potential candidates should read through the following details ... an application. We are seeking a detail-oriented, compassionate, and highly organized Medicaid Eligibility Specialist to prepare, submit, and follow through on… more
- Community LIFE (Pittsburgh, PA)
- Summary of Job Duties: The Medicaid Application Specialist is the liaison for the Medicaid application process. This person is responsible for tracking and ... analyzing completed Medicaid Applications and all supporting documentation. The Medicaid Application Specialist will be the applicants primary contact person… more
- Erickson Senior Living (Baltimore, MD)
- Location: Erickson Senior Living The Home Care Coding Specialist independently reviews OASIS and provides ICD 10- CM coding support to the agencies. This person will ... changes, and regulations set forth by the Centers for Medicare and Medicaid Services (CMS). Safeguard the confidentiality of medical records in compliance with… more
- Novo Nordisk Inc. (Bronx, NY)
- …of the local payer market including Medicare, Commercial and Medicaid benefit designs, Payer Coverage, Prescription Coverage Requirements, Step Therapy, ... in this job family are as follows: Cardiometabolic Care Specialist I - $86,000 to $106,000 Cardiometabolic Care ...Specialist I - $86,000 to $106,000 Cardiometabolic Care Specialist II - $113,000 to $138,000 Senior Cardiometabolic Care… more
- Novo Nordisk Inc. (Salinas, CA)
- …of the local payer market including Medicare, Commercial and Medicaid benefit designs, Payer Coverage, Prescription Coverage Requirements, Step Therapy, ... Coverage Gap, Copays, and Deductibles and the impact on customer decisions Demonstrates understanding of territory customer groups and affiliations such as IPAs, Medical Groups, Health Systems, and Local Clinics and uses this to identify business opportunities… more
- AdaptHealth LLC (Torrance, CA)
- …to succeed in this role Find out below. Position Summary: The Operations Specialist is responsible for supporting the Operations Team through multiple tasks required ... systems as well as system interaction General knowledge of Medicare, Medicaid , and Commercial health plan methodologies and documentation requirements preferred.… more
- MVP Health Care (Rochester, NY)
- …improvement. To achieve this, we're looking for an Associate, Post-Acute Clinical Support Specialist to join #TeamMVP. If you have a passion for enhancing patient ... metrics. Review documentation for completeness ensuring compliance (eg: CMS, Medicaid , NCQA). Support quality improvement initiatives and process enhancements. Serve… more
- Affinity Dental Management (Richmond Hill, NY)
- …(preferred) Excellent communication and interpersonal skills Experience with Medicaid patient care (preferred) What We Offer Production-based compensation: ... completion of a background check, reference check, and employment verification. {Endodontic Specialist , Dental Pulp Specialist , Root Canal Specialist ,… more
- Carle Health (Peoria, IL)
- …follow patients monitoring disease status. Schedule referrals for patients with specialist or outpatient as requested by the provider. Complete appropriate forms ... follow patients monitoring disease status. Schedule referrals for patients with specialist or outpatient as requested by the provider. Complete appropriate forms… more
- 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
