- U of C NORC (Chicago, IL)
- …a range of policy issues facing public health insurance programs such as Medicaid , Medicare, and Marketplace coverage.Our subject matter experts employ a variety of ... required.Some understanding of public health insurance programs such as Medicaid and Medicare.Understanding of routine sampling procedures and working knowledge… more
- U of C NORC (Bethesda, MD)
- …knowledge of Traditional Medicare, Medicare Parts C & D, and Medicaid policy including ongoing value-based care initiatives.Monitor and oversee the financial ... relevant administrative data sets such as Medicare Advantage, Medicare Part D, Medicaid dataExpertise in data mining and application of oversight and monitoring of… more
- Wider Circle (Gloucester City, NJ)
- …are encouraged to apply!* Responsibilities You will lead the Wider Circle Medicaid program in your assigned area, using the Wider Circle-developed curriculum to ... You will enroll prospective members into the Wider Circle Medicaid program and hold yourself accountable for achieving membership...individualized plans for their success in the Wider Circle Medicaid program. You will serve as a liaison between… more
- Wider Circle (Midlothian, VA)
- …first 90 days. Requirements A genuine interest in working with Medicaid /Medicare/DSNP populations and a commitment to building strong, supportive communities. Strong ... verbal and written communication skills to effectively engage with diverse community members. Team Player: Ability to collaborate with team members and contribute to a positive team environment. As well as be seen by others as a leader and support when the… more
- US Tech Solutions, Inc. (Linthicum Heights, MD)
- Duration: 03 Months Job Summary: looking for a Medicaid Eligibility Retention Specialist to work with and assist members to retain or renew their Medicaid ... the disenrollment of members due to loss of their Maryland Medicaid eligibility. Responsibilities: Understand, and assure compliance to and adherence with,… more
- Accounting Now (Pinellas Park, FL)
- …documenting related account activities, posting adjustments and collections of Medicare, Medicaid , Medicaid Managed Care, and commercial insurance payers. The ... specialist must possess critical thinking skills and understanding of Medicare, Medicaid eligibility requirements as well as commercial insurance payer payment… more
- HHS Technology Group, Inc. (Atlanta, GA)
- …for Call center activities and support; focus is on healthcare providers Medicaid enrollment activity and on processing new applications and re-validation procedures ... are hard to understand. Responsibilities: Process large amounts of Medicaid provider enrollment applications. Assess provider's requirements, clarify information,… more
- HHS Technology Group, Inc. (Atlanta, GA)
- …quality, change management and project financials. 4+ years of Medicaid , MMIS, Decision Support Systems (DSS), eligibility/enrollment systems, claims process ... ALM tools, Jira, CA Rally. 2+ years of experience with Medicaid Enterprise Certification Toolkit (MECT), Outcomes Based Certification, Streamlined Modular… more
- Creative Financial Staffing (Huntington, IN)
- …detail-oriented and experienced Billing Specialist with extensive knowledge of Medicare and Medicaid billing procedures to join our team. As a Billing Specialist, ... the Medical Billing Specialist: Prepare and submit claims to Medicare and Medicaid in compliance with their billing guidelines and regulations. Verify patient… more
- Rose International (Jeffersonville, IN)
- …Written Communication Nice To Have Skills/Attributes: Call Center, Case Management, Medicaid Systems Job Description **Only those lawfully authorized to work in ... for receiving high volume, often back-to-back, inbound calls about Medicaid , Supplemental Nutrition Assistance Program (SNAP) and Temporary Assistance for… more
- HHS Technology Group, Inc. (Atlanta, GA)
- …support, including reporting and optimizing metrics; focus is on healthcare providers Medicaid enrollment activities. What you will do The Provider Analyst Lead will ... are hard to understand. Responsibilities: Process large amounts of Medicaid enrollment updates and applications. Assess provider's requirements, clarify information,… more
- Rotech Healthcare Inc. (Gahanna, OH)
- …equipment requests Provides technical assistance to customers Verifies Medicare, Medicaid , and private insurance coverage information Works with outside agencies ... to resolve customer issues May be required to cover on call, drive a company vehicle and make deliveries to patient's homes Performs other duties as assigned Qualifications Employment is contingent on Background investigation (company-wide) Drug screen (when… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …Knowledge, Skills and AbilitiesExperienced enrolling providers in the Medicare and Medicaid programsStrong written and verbal communication skills and the ability to ... and ResponsibilitiesOn an on-going basis prepares and submits Medicare and Medicaid provider enrollment and revalidation applications for NGPG physicians and… more
- Accounting Now (Sarasota, FL)
- …performing all necessary follow-up to ensure collection of payments from Medicare/ Medicaid and Insurance providers. * Completes billing audits to ensure accuracy ... billing. * Coordinates the compilation and submission of information needed for Medicaid and Medicaid managed care providers, including obtaining authorizations.… more
- Wider Circle (Metairie, LA)
- …are encouraged to apply!* Responsibilities: You will lead the Wider Circle Medicaid program in your assigned area, using the Wider Circle-developed curriculum to ... You will enroll prospective members into the Wider Circle Medicaid program. Additionally, you will hold yourself accountable to...individualized plans for their success in the Wider Circle Medicaid program. You will serve as a liaison between… more
- US Tech Solutions, Inc. (Hamilton Township, NJ)
- …can resolve customer issues in the areas of claims manually as required by Medicaid rules and system limitations as defined by policy and departmental procedures and ... payment of claims. * Resolves pending claims based on Medicaid rules and regulation established for final processing. *...by providers. * Prices claims manually as required by Medicaid rules and system limitations as defined by policy… more
- North Highland (Columbia, SC)
- …Client as it prepares for the resumption of eligibility requirements for the Medicaid population. IDEALLY, WE'D LIKE: Analyst with an understanding of Medicaid ... Eligibility Rules; Experience using a Medicaid Eligibility System(s); Experience reviewing/analyzing applications in a high volume/high productivity environment; High attention to detail including precise and effective customer communications and proven… more
- HHS Technology Group, Inc. (Atlanta, GA)
- …Agile experience, applied Scrum Master experience Expertise in some/all the following: Medicaid - MMIS - Health care Experience managing projects of similar size ... and scope, preferably in Medicaid or the healthcare industry. This experience must include...(3) years. 4+ years of State government experience in Medicaid , MMIS, eligibility/enrollment systems, claims process or related experience… more
- University of New Mexico (Albuquerque, NM)
- …options including UNMH or other UNM Health Systems financial assistance, NM Medicaid , or other State and Federal Programs; perform intake applications for State ... of NM Medicaid ; Ensure adherence to Hospitals and departmental policies and...- Determine and process eligibility for financial assistance (Including Medicaid , SCI, UNM Care, Commercial, Medicare, PHS/Indian Health Service,… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …coding and billing regulations.Prepares, monitors, and files Medicare and Medicaid Cost Reports assuring maximization of reimbursement from third-party ... payors.Responds to surveys affecting Medicare and Medicaid rate revisions, interim payments, and hospital-based physician arrangements.Monitors changes and proposed… more
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