- Conduent (Topeka, KS)
- …training as assigned to develop and enhance current understanding of Kansas Medicaid eligibility programs. Through training and experience, begin to develop ... part of a culture where individuality is noticed and valued every day. **Position is onsite in Topeka, KS** Tentative Start Date 1/12/2026 **Hours:** 8 - 4:30 pm CST… more
- DATAMAXIS (Springfield, IL)
- …like the following: CMS Federal Reporting, quality measures, claims processing, Medicaid program eligibility , provider enrollment, third-party liability. * ... Provide direction, guidance and recommendations supporting decision making for large Medicaid data warehouse implementation and operations. * With the specialized… more
- TEKsystems (Montgomery, AL)
- Description The ServiceNow Developer will support the Medicaid Enterprise Systems (MES) project by designing, developing, configuring, and maintaining ServiceNow ... * ServiceNow Certified System Administrator (CSA) * ServiceNow Certified Implementation Specialist (CIS) - ITSM * ServiceNow Certified Application Developer (CAD)… more
- CAI (Newark, DE)
- … Specialist you will be responsible for assisting clients in navigating Medicaid eligibility processes, ensuring compliance with Federal and State laws, and ... **Job Description** We are looking for a **Product Support Specialist ** for a **full-time, fully onsite ** opportunity...clients with an "intake" questionnaire to assess an applicant's eligibility for Medicaid benefits. + Analyze the… more
- Helio Health Inc. (Syracuse, NY)
- …health disorders, and other behavioral healthcare issues. The Patient Access Specialist (PAS)meets with patients entering our programs to collect necessary data ... produce cash receipts. + Review other methods of payment such as third-party and Medicaid . + Assist patients with Medicaid applications, obtain patient ID, rent… more
- Louisiana Department of State Civil Service (LA)
- Medical Certification Specialist 1 - 2 (Field Office 3) Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/5060748) Apply Medical Certification ... Specialist 1 - 2 (Field Office 3) Salary $6,337.07...compliance with state and federal regulations, including Medicare and Medicaid standards. + Review facility records, policies, and procedures… more
- Elevance Health (Las Vegas, NV)
- **Outreach Specialist ** **Location :** This **field-based role** enables associates to primarily operate in the field, traveling to client sites or designated ... accommodation is granted as required by law. The **Outreach Specialist ** is responsible for serving as the initial and...Comprehends the various cultural and linguistic needs of the Medicaid and SCHIP population, knowledge of the various health… more
- University of Washington (Seattle, WA)
- …insurance coverage and/or Financial Assistance + Refer uninsured patients for Medicaid /Financial eligibility screening + Prepare estimates of fees upon ... **Job Description** **UW Medicine Insurance Eligibility and Financial Counseling Services Team (IECS)** has...- Friday; 8:00am - 5:00pm + Day Shift + Onsite at Harborview Medical Center / Ground West Lobby… more
- Elevance Health (Washington, DC)
- **Medical Management Specialist I** **Location:** Washington, DC. This role requires associates to be in-office 4 days per week, fostering collaboration and ... law. **Schedule:** Monday-Friday 8:00AM-5:00PM or 8:30AM-5:30PM EST The **Medical Management Specialist I** will be responsible for providing non-clinical support to… more
- UNC Health Care (Goldsboro, NC)
- …Work Queue assignments provided by supervisor. 12. Completes basic screening for Medicaid eligibility and financial assistance. 13. Abides by the Wayne ... **Description** Summary: The Patient Access Specialist ensures each registered patient has a complete...unable to pay liabilities. 10. Re-runs RTE (real time eligibility ) to ensure the coverage is active and the… more
- TEKsystems (San Pedro, CA)
- Job Title: Insurance Verification Specialist Pay: $24/hr Location: San Pedro, CA 90732 Schedule + Sub Acute: Monday - Friday, 8:30 AM - 5:00 PM + ED: Start time ... options for pre-registration: + HMO vs. PPO + Medicare, Medicaid + Collect co-pays and explain shared costs/patient financial...pay range for this position is $24.00 - $24.00/hr. Eligibility requirements apply to some benefits and may depend… more
- Aston Carter (Beaverton, OR)
- Job Title: Payroll SpecialistJob Description The Payroll Specialist will focus on semi-monthly payroll, processing new hires, ensuring accuracy in time data entry ... software. + Experience in healthcare or care facility payroll, including Medicare/ Medicaid . Additional Skills & Qualifications + Bachelor's degree in Accounting,… more
- Philips (Chicago, IL)
- …and developing systems /procedures to address issues. + Determining patient eligibility along with basic benefit verification (qualifying diagnoses, prior testing ... and authorization requirements) and reading eligibility of benefits, to determine claim processing by insurance...issue trends. + Knowledge of insurnace payers, including Medicare, Medicaid , Blue Cross Blue Shield and commercial plans. You… more
- University of Michigan (Ann Arbor, MI)
- …Varis, Medicaid and other various commercial audits. The Appeals Specialist will communicate and provide education, with information gained from the audits ... Audits & Appeals (HBAA) Department?** The Audit and Appeals Specialist has a strong knowledge of medical appeal and...as necessary prior to release of claims. + Monitor Medicaid retrospective eligibility cases, complete required forms,… more
- Actalent (Portland, OR)
- Job Title: Medical Authorization Review Specialist Job Description We are seeking a dedicated Medical Authorization Review Specialist to analyze all prior ... ability to analyze authorization requests. + Knowledge of Medicare and Medicaid regulations preferred. + Familiarity with utilization management processes. +… more
- University of Washington (Olympia, WA)
- **Job Description** **UW Medicine Insurance Eligibility and Financial Counseling Services Team (IECS)** has an outstanding opportunity for a **Financial Counselor ... 6-month probation period **POSITION HIGHLIGHTS** + This is an onsite position for the first 6 months, with potential...to assess insurance coverage and refer uninsured patients for Medicaid or Financial Assistance screening + Train, orient, and… more
- CVS Health (Oklahoma City, OK)
- …to identify post-discharge needs, including but not limited to: medications, specialist appointments, home health, DME, caregiver support, social determinants of ... Valid driver's license and ability to travel daily (anticipated 4-5 days/week onsite at various hospitals/facilities in OKC and/or Tulsa area) + Reliable… more
- ChenMed (St. Louis, MO)
- …years' previous experience as Medical Director or equivalent with a Medicare or Medicaid patient population + Board eligibility is required. + Board Certified ... the assigned centers. + Participates in recruiting and interviewing PCP and specialist candidates. + Partners with Clinical COE and Talent Acquisition to support… more
- Rochester Regional Health (Rochester, NY)
- …oversight from the Director of Care Management. Provides daily oversight of the onsite review activities of third party payors identifying issues and cases for ... Provides ongoing support for the tracking and trending of the Reimbursement Specialist charge recovery activities. + Assists with special projects including but not… more