- Northeast Georgia Health System, Inc (Gainesville, GA)
- …with various payer groups as directed to include initial enrollment and re-credentialing to ensure continued participation. Minimum Job QualificationsLicensure ... Health Partners by reviewing applications for compliance with the established eligibility criteria and for completeness and accuracy. Follows departmental process to… more
- HHS Technology Group, Inc. (Atlanta, GA)
- …Professional Expertise: 4+ years of Medicaid, MMIS, Decision Support Systems (DSS), eligibility / enrollment systems, claims process or related experience with a ... PTO policy Join us! WHO WE ARE HIRING: PROJECT MANAGER - PMP - Remote POSITION DESCRIPTION: HHS Technology...human services programs (such as Medicaid, MMIS, claims processing, eligibility , HHS analytics, data warehouse, etc.) Proven track record… more
- HHS Technology Group, Inc. (Atlanta, GA)
- …(3) years. 4+ years of State government experience in Medicaid, MMIS, eligibility / enrollment systems, claims process or related experience Proven track record ... PTO policy Join us! WHO WE ARE HIRING: PROJECT MANAGER (PMP CERTIFIED) POSITION DESCRIPTION: HHS Technology Group is...Group is excited about expanding and adding a Project Manager to our Professional Services team. This key member… more
- Globe Life Inc. (Mckinney, TX)
- Group Insurance Implementation Manager - Remote Primary Duties & Responsibilities Support operations team of Group Supplemental insurance carrier by managing complex ... bill). Primary Duties & Responsibilities: Collaborate with GLGB Business Development Manager to develop seek understanding and provide accurate responses to RFPs… more
- Atrium Health Charlotte (Charlotte, NC)
- Atrium Health Charlotte is seeking a Registered Nurse (RN) Manager , Pediatrics for a nursing job in Charlotte, North Carolina.Job Description & ... (MSN) preferred. Must have or complete MSN if undergraduate degree is not BSN. Enrollment in MSN program within 1 year of hire/transfer date and graduation of MSN… more
- Spectraforce Technologies Inc (Atlanta, GA)
- …timings: 8:00 am - 8:00 pm EST Job Details: Complete data entry from the enrollment form into the CRM. Complete electronic eligibility checks for payer and ... collect information needed to evaluate for services. Evaluate patient records against eligibility criteria to determine if they can continue free drug assistance.… more
- Spectraforce Technologies Inc (Atlanta, GA)
- …timings: 8:00 am - 8:00 pm EST Job Details: Complete data entry from the enrollment form into the CRM. Complete electronic eligibility checks for payer and ... collect information needed to evaluate for services. Evaluate patient records against eligibility criteria to determine if they can continue free drug assistance.… more
- Blanchard Valley Health System (Findlay, OH)
- …for the patients, including but not limited to, verifying insurance eligibility and benefits, pre-screening and enrolling self-pay (uninsured and underinsured) ... insurance program qualifications. If patient potentially qualifies, assists in the enrollment of these programs. Follows up with all self-pay patients admitted… more
- Robert Half Finance & Accounting (Trevose, PA)
- Description Job Summary: The Manager of Eligibility 's primary functions include processing enrollment additions, terminations, and changes for our members. ... eligibility maintenance, including enrollments/terminations, etc. Required Skills/Abilities: * Manager a team and handle all escalated customer calls. *… more
- Trinity Health (Gaithersburg, MD)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** **Sales and Enrollment Manager ** **Location: PACE Montgomery County MD** **Status:** Full ... to Medicaid Offices, Offices of Aging and other financial eligibility agencies, key hospital contacts and other referral sources....sales plan. Evidence of achieving sales goals. Sales and Enrollment Manager . + Must be action-oriented, have… more
- Baystate Health (Springfield, MA)
- …of provider-centric reports and dashboards, and net revenue modeling. The Manager , Provider Enrollment and Business Intelligence also oversees provider ... Medical Practices' providers. Included in this endeavor is the analysis of eligibility and registration of providers in numerous incentive programs, including the… more
- College of Lake County (Grayslake, IL)
- …Type Staff Job Family Classified Job Summary Under general direction of the Manager , Welcome and One Stop Center the Enrollment Services Generalist provides ... Enrollment Services Generalist Bookmark this Posting Print Preview...testing, and other programs. This includes specific information about eligibility criteria, application process, procedures and appropriate deadlines, specific… more
- Molina Healthcare (Georgetown, KY)
- …data to internal and external auditors. + Assist with complex enrollment issues concerning member eligibility . **Job Qualifications** **Required Education** ... Summary** Responsible for preparation, processing and maintenance of new members and re- enrollment . Processes and maintains health plan's member and enrollment … more
- North Shore Community Health (Gloucester, MA)
- … /SCO Coordinator for our Gloucester Family Health Centers. The Outreach and Enrollment /SCO Coordinator, reporting to the Manager of Patient Services, will ... Enrollment / SCO Coordinator will work with the Manager of Patient Services to develop a detailed work...with NSCH Patient Service Representatives to ensure that the eligibility and enrollment needs of NSCH's patients… more
- University of Virginia (Charlottesville, VA)
- …in complying with all UPG and UVACHMG delegated credentialing and enrollment processes to maintain provider eligibility to bill Medicare/Medicaid/Department ... payors for the provision of professional health care services. Such functions include enrollment of all new physicians with government and managed care payors. In… more
- Syracuse University (Syracuse, NY)
- …readiness to commit in order to recommend IVMF program application and facilitate enrollment in accordance with program eligibility and availability, It is the ... eligibility and reporting, hosting virtual information sessions and assisting the Manager of Enrollment Services and program stakeholders by working closely… more
- Charles B. Wang Community Health Center (NY)
- …to DSS + Ensure all Medicaid applications are submitted to DSS for eligibility determination adhering to submission timeline + Responsible for pickup of applications ... reports of findings from Medicaid application reviews and submit it to the Program Manager + Work with the Program Manager to identify improvement areas and… more
- Person Centered Services (Silver Creek, NY)
- …caseload, while tailoring services to individual needs. Similar responsibilities as a Care Manager . + Completes enrollment and eligibility documentation. + ... responsibilities as a **Care Manager ** . + Completes enrollment and eligibility documentation. + Meets with individuals in their homes, physician/provider… more
- Centene Corporation (Trenton, NJ)
- …health care providers, member and caregiver. + Collect information concerning eligibility , provider status, benefit coverage, and coordination of benefits. + Input ... HIPPA standards and confidentiality requirements. + Transition member to assigned care manager as indicated via verbal communication. + Performs other duties as… more
- Person Centered Services (Mount Morris, NY)
- …needs. Similar responsibilities as a **Care Manager ** . + Completes enrollment and eligibility documentation. + Meets with individuals in their homes, ... also reaching your own career goals: **Similar career paths include Care Manager , Social Worker, and Direct Support Professional** **.** **Benefits for full-time… more
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