- Elara Caring (Springfield, MO)
- …the Right Time, in the Right Place. **Job Description:** Member Engagement Specialist **Monday-Friday, 8am-5pm** **Remote Opportunity** BSW or CCHW required + May ... day, right where they live. As a **Member Engagement Specialist ** , you'll play a key role in leading...on client needs. + Stay current on industry trends, Medicare /Medicaid regulations, and company service offerings. + Maintain compliance… more
- Molina Healthcare (Rockford, IL)
- …Healthcare of Illinois** is seeking a dynamic **Community Engagement & Growth Sr Specialist ** in/near the Rockford or East Moline area **.** This role will help ... community-based organizations and providers to promote Molina's services. The Sr Specialist will collaborate with internal teams (Quality, Provider Relations, … more
- Philips (Malvern, PA)
- …denials and identifying payer issue trends. + Knowledge of insurnace payers, including Medicare , Medicaid, Blue Cross Blue Shield and commercial plans. You have the ... Malvern, PA and Chicago, IL is $23.00 to $37.00 hourly . The actual base pay offered may vary within...addition, other compensation, such as an annual incentive bonus, sales commission or long-term incentives may be offered. Employees… more
- ChenMed (Chicago, IL)
- …Checklist. + Communicates alternative/approvals to Referral Coordinator. + Follows up with MMD/ Specialist /MND if no response after 24hours. + Calls and follows up ... regarding alternatives. + Processes New Patient Referral Exception from Sales Team (if applicable to your market). + Prepares...entered into HITS prospectively. + Works with tier2/tier 3 specialist to make sure our patients are seen working… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …irregularities; determining continuing needs for Tele-Sale Agents, Benefit Navigators and Medicare Support Specialist . + Ensure all Tele-sale Agents, Benefit ... operations. The Training Coordinator will provide oversight of the Tele- sales staff and ensure ongoing compliance, by conducting call...Navigators, and Medicare Support Specialists are conducting activities that are in… more
- ChenMed (Philadelphia, PA)
- …requests- Communicate alternative/approvals to Referral Coordinator. + Follows up with MMD/ Specialist /MND if no response after 24hours. + Calls and Follows up ... may include: + Processes New Patient Referral Exception from Sales Team (if applicable to your market). + Prepares...experience/understanding. + Understanding of cost as it relates to Medicare part A and B. + Skill in oral… more
- CVS Health (Trenton, NJ)
- …needs. Dual Eligible Special Needs Plans (DSNP) members are enrolled in Medicare and Medicaid. The Member Advocate is responsible for direct member outreach ... over the telephone + Act as a Medicaid recertification specialist for the team + Must be able to...of experience preferably in customer service, telemarketing, Medicaid, and/or sales + Call center experience preferred. Familiarity with basic… more
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