- Molina Healthcare (Oshkosh, WI)
- … Medicare products accurately and thoroughly complete and submit required enrollment documentation, consistent with Medicare requirements and enrollment ... beneficiaries accurately understand the product choices available to them, the enrollment process (eligibility requirements, Medicare review/approval of their … more
- Caris Life Sciences (Irving, TX)
- …than yourself, Caris is where your impact begins.** **Position Summary** The Senior Enrollment Specialist plays a key role in overseeing the end-to-end payor ... enrollment process. This includes managing applications, ensuring compliance with enrollment requirements, and maintaining accurate records and data. As a Senior… more
- East Boston Neighborhood Health Center (Revere, MA)
- …Under the direction of the NeighborHealth PACE Senior Care Benefits Manager, the Enrollment and Eligibility Specialist will be responsible for the oversight of ... Page (http://careers.ebnhc.org) . Time Type: Full time Department: PACE Enrollment and Eligibility All Locations: 300 Ocean Avenue -...of MassHealth eligibility + Strong knowledge of the overall Medicare eligibility of Part A, B and D +… more
- Beth Israel Lahey Health (Westwood, MA)
- …data . Maintains knowledge of NCQA standards and health plan enrollment and credentialing guidelines (including Medicare and Medicaid). (essential)** ... of Medicare , Medicaid and health plan credentialing, recredentialing and enrollment process; licensure requirements and regulations of various agencies such as… more
- ChenMed (Oak Lawn, IL)
- …talks, etc.) to help reach our ideal patients (ie, medically underserved, Medicare -eligible seniors, age 55 and older). + Start cultivateing strong relationships ... audiences. + Develops distribution channels to support new patient enrollment growth. Uses all sales tools provided to ensure...seniors a plus, as is a general understanding of Medicare Advantage + A minimum of 2 years of… more
- Robert Half Office Team (Kansas City, MO)
- Description We are looking for a dedicated Licensed Medicare Specialist to join an insurance company in Kansas City, Missouri. This is a long-term contract ... * Active health insurance license is mandatory. * Comprehensive knowledge of Medicare products, enrollment timelines, and compliance policies. * Proven ability… more
- Molina Healthcare (East Moline, 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
- Penn Medicine (Lancaster, PA)
- …(3) of professional clinical experience in the area of specialty + Current enrollment in an accredited Clinical Nurse Specialist degree program qualifying them ... or holidays. Penn Medicine Lancaster General Health is seeking a Clinical Nurse Specialist (CNS) **_or_** CNS Fellow with Cardiac and/or Critical Care expertise. The… more
- Independent Health (Cheektowaga, NY)
- …fosters growth, innovation and collaboration. **Overview** The Red Shirt Promotion Specialist will be responsible for sales acquisition and retention strategies for ... Medicare . They will be responsible for identifying, contacting, and...and ensure PHI and security metrics are met. The Specialist will be responsible for compliance/adherence to CMS sales… more
- Growth Ortho (Portland, ME)
- …in a physician practice or multi-specialty group). Strong understanding of Medicare /Medicaid enrollment , commercial payer credentialing, NPI/PECOS, CAQH, and ... Credentialing Specialist Position Summary The Credentialing Specialist ...role manages the complete lifecycle of credentialing and payer enrollment , maintains accurate records, and ensures compliance with regulatory… more
- University of Washington (Seattle, WA)
- …with evolving regulatory requirements. **Position Purpose** **:** Clinical Research Billing Specialist position will enable the Clinical Research Billing Manager and ... changes (eg, CTMS Target 3 rollout). The Clinical Research Billing Specialist will: + Support Billing team through day-to-day problem-solving in collaboration… more
- University of Colorado (Aurora, CO)
- …determinants of health such as issues of housing, transportation, Medicaid and/or Medicare enrollment , food/nutrition, access to health care, provide referrals ... **Peer Recovery Specialist Patient Services** **Description** **University of Colorado Anschutz...enrolling patients for required services such as Medicaid or Medicare , or other resources available to patients. + Possess… more
- RiseBoro Homecare Inc. (Brooklyn, NY)
- …to Medicare , Medicaid, and other insurance programs. The Intake Specialist will collaborate closely with patients, family members, external partners, and ... the general supervision of the Intake & Recruitment Supervisor, the Intake Specialist is responsible for processing referrals received from the RiseBoro marketing… more
- New York State Civil Service (Syracuse, NY)
- …People With Developmental Disabilities, Office for Title Human Resources Specialist 1/Trainee 1/2 Occupational Category Administrative or General Management Salary ... State NY Zip Code 13212 Duties Description Under the direction of a Human Resources Specialist 2, the Human Resources Specialist 1 will perform and support a… more
- New York State Civil Service (Tupper Lake, NY)
- …People With Developmental Disabilities, Office for Title Human Resources Specialist 1 Labor Relations/Trainee 1/2 Occupational Category Administrative or General ... Description PRIMARY DUTIES AND RESPONSIBILITIES: Under the supervision of a Human Resources Specialist 2 (LR), the Human Resources Specialist 1 (LR) in this… more
- TEKsystems (Mountain View, CA)
- Description Prepare and submit enrollment and re- enrollment applications for healthcare providers to Medicare , Medicaid, and commercial insurance plans. ... administration or related field preferred. 2-4 years of experience in provider enrollment or credentialing. Strong understanding of Medicare , Medicaid, and… more
- Robert Half Office Team (Greenwood Village, CO)
- Description Credentialing Specialist ( Enrollment Specialist ) We are looking for a Credentialing Specialist to join our team in Greenwood Village, ... position offers an opportunity to apply your expertise in credentialing and enrollment processes within the detail-oriented services sector. The ideal candidate will… more
- Molina Healthcare (Green Bay, WI)
- …with Appeals and Grievances team members. * Guide and collaborates with enrollment team to resolve eligibility issues affecting premium billing. * Generate billing ... from members, state agencies and CMS. Team member will work closely with enrollment teams and offer guidance where premiums are directly impacted by enrollment… more
- Mount Sinai Health System (Elmhurst, NY)
- …with the Medicaid enrollment and maintains files . 2. Assist with Medicare enrollment and maintenance file requests. 3. Submits updated licenses and deas ... Mount Sinai Elmhurst Faculty Practice Group, assist with the enrollment of physicians with the various payors. Maintains One...of Charge Review workqueues as reviewed to resolve any enrollment related issues that may cause charge lag. 8.… more
- Commonwealth Care Alliance (Boston, MA)
- …appropriateness, efficiency and quality of the services provided. The LTSS Program Specialist will have a wide range of responsibilities including project management ... and (e)assistance to these external partners as necessary. The Specialist is expected to work with managers and staff...ASAPs and LTSC Agencies related to member rosters and enrollment records o Perform data quality checks, and additional… more
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