- Trinity Health (Pennsauken, NJ)
- …disenrollment forms for HMOs to be disenrolled and communicate progress to the enrollment specialist and department leader. + Maintain the confidentiality of all ... **Employment Type:** Part time **Shift:** **Description:** ** Medicaid Eligibility Specialist ** Shift: Monday - Friday Status: On Call Location: LIFE New Jersey,… more
- US Tech Solutions (Linthicum, MD)
- …* Understand, and assure compliance to and adherence with, the Medicaid enrollment regulations, and related Maryland HealthChoice program policies ... program operations, business requirement development, or systems * Experience working with Medicaid eligibility requirements, as well as enrollment , renewal and… more
- Trinity Health (Philadelphia, PA)
- …LIFE Broad Street** a member of Trinity Health PACE, is seeking a full-time ** Enrollment Specialist ** for its location in Broad Street PA. The primary purpose ... of the Enrollment Specialist position is to serve as...computer programs for tracking and reporting purposes. Assist with Medicaid financial application process. Reviews Medicaid eligibility… more
- MyFlorida (Tallahassee, FL)
- WAIVER ENROLLMENT SPECIALIST - 67014933 Date: Oct 28, 2024 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... No: 840235 Agency: Agency for Persons with Disabilities Working Title: WAIVER ENROLLMENT SPECIALIST - 67014933 Pay Plan: Career Service Position Number:… more
- Trinity Health (Langhorne, PA)
- …Type:** Full time **Shift:** Day Shift **Description:** The primary purpose of the Enrollment Specialist position is to serve as the contact for newly ... and obtaining initial information relating to clinical and financial eligibility. The Enrollment Specialist is required to promptly follow-up on all qualified… more
- Integrative Emergency Services (Dallas, TX)
- Integrative Emergency Services, LLC ("IES") is looking for a Provider Enrollment Specialist to support the division in facilitating the enrollment ... managed care contracting plans, and third-party billing entities that require provider enrollment . This position will support operations in states including, but not… more
- Beth Israel Lahey Health (Wakefield, MA)
- …participation with over 25 affiliated health plans/ products, including Medicare and Medicaid . **Job Description:** + Facilitates timely enrollment of new ... confidential data . Maintains knowledge of NCQA standards and health plan enrollment and credentialing guidelines (including Medicare and Medicaid ). (essential)… more
- ManpowerGroup (Austin, TX)
- …has partnered with a leading organization in the **A** **ustin TX** for a **Provider Enrollment Specialist ** role to assist their team. This is an on-site role. ... **Title:** **Provider Enrollment Specialist ** **Pay Rate: $19/hr on W2**...and timely response to inquiries and concerns regarding provider enrollment and file maintenance for Medicaid programs… more
- Apex Health Solutions (Houston, TX)
- Summary: The Commercial Health Plan Enrollment Specialist is responsible for maintenance of eligibility data, resolving all issues or requests regarding ... eligibility, facilitating enrollment of potential members, and rendering any needed system...HIPAA, Texas Department of Insurance, Centers for Medicare and Medicaid Services, etc.) Strong knowledge of provider network arrangements… more
- Peak Vista (Colorado Springs, CO)
- Enrollment Services Specialist Summary Title: Enrollment Services Specialist ID:1028-Multiple Department Location:Multiple locations ... and empathetic customer service to our patients. Performs a variety of enrollment and insurance screening functions with the objective of determining eligibility for… more
- UCLA Health (Los Angeles, CA)
- …all this and more at UCLA Health. In this role, you'll facilitate the enrollment of physicians and practitioners. This will include new and existing enrollment ... physicians and monitor expiring CLIAs, revalidations, and terminations. You'll also maintain enrollment in the ECHO One App database. You will: + Facilitate… more
- The Salvation Army (Syracuse, NY)
- Overview Navigator/Outreach and Enrollment Specialist The Salvation Army, Syracuse Area Services Navigator/NYS of Health Full-Time, 35 Hour Work Week Opportunity ... $22.50/hour with access to our comprehensive Medical Benefits Program The Specialist will coordinate, organize and develop community outreach and partnerships… more
- TEKsystems (Greenwood Village, CO)
- Description: JOB SUMMARY The Enrollment Specialist Associate is responsible for completing all enrollment forms and activities related to enrolling and ... maintaining status for all Ground Operations with Medicare, Medicaid , and other entities. They ensure records are accurate and on-going compliance is maintained in… more
- UT Health (Houston, TX)
- Provider Services Specialist - Credentialing & Provider Enrollment **Location:** Texas Medical Center-Houston, Texas **Category:** Healthcare Support Services ... Plus many more! **Position Summary:** Coordinates, monitors and completes the enrollment process for all providers. **Position Key Accountabilities:** 1. Responsible… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …of Health and Hospitals, Medical Vendor Administration. Job Distinctions: Differs from Medicaid Program Specialist 2 by the presence of advanced research, ... Medicaid Program Monitor ( Medicaid Fee Schedule...supervisory responsibility. Examples of Work Conducts audits of eligibility enrollment applications; prepares reports on results of each audit.… more
- Conduent (Topeka, KS)
- …Description:** As part of the KanCare Clearinghouse Program, the Eligibility Professional Specialist will perform a variety of duties. The position is responsible ... knowledge of State eligibility processes, policies, and procedures governing managed care enrollment to communicate with consumers regarding a variety of issues. +… more
- Charles B. Wang Community Health Center (NY)
- …Queens/Lower Manhattan New York United States Responsibilities : + Review each Medicaid application completed by facilitated enrollers, in a timely manner to ensure ... Department of Social Services (DSS) + Verify the information provided in the Medicaid application is accurate according to the document provided by the consumer. If… more
- Essentia Health (Fargo, ND)
- …not required **Licensure/Certification Qualifications:** **Certification/Licensure Requirements:** + Provider Enrollment Specialist Certificate (PESC) or ability ... with all contracted insurance networks and subnetworks. Understands CMS Medicare, Medicaid , and managed care billing, credentialing and enrollment requirements… more
- Molina Healthcare (Los Angeles, CA)
- …+ Responsible for achieving established goals improving Molina's enrollment growth objectives encompassing Medicaid programs. Works ... Experience:** + Solid understanding of Health Care Markets, primarily Medicaid . + Previous healthcare marketing, enrollment and/or grassroots/community… more
- VNS Health (Manhattan, NY)
- …Membership and Eligibility Department in order to ensure internal controls of enrollment , disenrollment, and billing processes for all VNS Health Plans product ... and oversees the Third Party Administrator's (TPA) processing methods of enrollment application receipts and membership and revenue reconciliation. Works under… more