- CVS Health (Northbrook, IL)
- …Aetna's Medicaid Compliance program, and serve as the compliance representative on national workgroups as necessary. This position is responsible for promoting ... Summary** This position follows a hybrid working schedule of three days onsite per week and two days remote Experienced/career level compliance position that… more
- UNC Health Care (Goldsboro, NC)
- …health and well-being of the unique communities we serve. Summary: The Medicaid Eligibility Specialist screens, coordinates and facilitates the Medicaid ... who meet the eligibility criteria. Obtains eligibility for patients entitled to Medicaid for the purpose of obtaining reimbursement for services provided by Wayne… more
- Northwell Health (Melville, NY)
- …and Workers Compensation. + Performs financial assessment of patients; refers potential Medicaid cases to Medicaid Investigator. + Gathers documentation and ... assists in the completion of the Financial Assistance Program (FAU) application process. + Assists patients and/or families in resolving hospital bills; advises and counsels patients of their payment responsibility due to the hospital. + Establishes patients'… more
- Elevance Health (Tampa, FL)
- RN Utilization Management Nurse Sr. ( Medicaid -InPatient) JR130851 **Location:** Must be within 50 miles / 1 hour commute of Tampa or Miami, FL offices. This is ... to other areas of the business unit or as representative on enterprise initiatives. + Assigns and audits daily...times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring… more
- US Tech Solutions (Orange, CA)
- …**Preferred Qualifications:** + 6 months of health maintenance organization (HMO), Medi-Cal/ Medicaid and health services experience. + Typing speed of 35 words ... per minute (WPM). **Knowledge & Abilities:** + Develop rapport and establish and maintain effective working relationships with Health's leadership and staff and external contacts at all levels and with diverse backgrounds. + Work independently and exercise… more
- R1 RCM (Kyle, TX)
- …AI, intelligent automation, and workflow orchestration. As our Financial Counseling Representative I, you will help the National Financial Counseling Team by ... you will work the clinical staff, case management, and Medicaid offices. To thrive in this role, you must...Please be advised, this is a full-time position. The representative will work of 40 hours per week, Monday… more
- RWJBarnabas Health (Oceanport, NJ)
- Patient Accounts Rep, Fulltime, Onsite , Monmouth Southern Campus (Lakewood, NJ)Req #:0000168803 Category:Billing/Collections/Registration Status:Full-Time Shift:Day ... 2 Crescent Place, Oceanport, NJ 07757 Job Summary: The Patient Accounts Representative position supports the reduction of Accounts Receivables for the Patient… more
- Kepro (Cheyenne, WY)
- …vital partner for health solutions in the public sector. Acentra seeks a Field Representative and Trainer to join our growing team. Job Summary: The Field ... Representative & Trainer plays a pivotal role in fostering...quality improvement initiatives, and ensuring a thorough understanding of Medicaid policies. You will be working with providers and… more
- Elevance Health (Topeka, KS)
- **LTSS Network Education Representative Sr** **Location** : This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles ... is very strongly preferred. + Knowledge in available Kansas Medicaid programs and resources. + Medicaid or...times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring… more
- Elevance Health (Fort Myers, FL)
- …in Medicaid and/or Medicare programs in Florida. **Community Relations Representative II** **Location:** This is a field based position supporting our Naples ... of one of our Elevance Health PulsePoint locations. The **Community Relations Representative II** is responsible for developing and maintaining new contacts and/or… more
- ManpowerGroup (Austin, TX)
- Bilingual Onsite Call Center in Austin, TX (Spanish) Two plus years of Call Center experience needed. Must be available for any 8-hour shift from 7 am to 7 pm, ... 30 miles from Austin, TX and able to work onsite each day at customer location. Must be bilingual...speak Spanish proficiently. This role provides unbiased assistance to Medicaid clients with questions regarding eligibility, medical claims status,… more
- Catholic Health Services (Melville, NY)
- …was named Long Island's Top Workplace! Job Details The Financial Clearance Representative works with the various components of the insurance verification, insurance ... is initiated within 24 hours of admission / arrival. Coordinate with onsite Case Management and Utilization Management to guarantee payer requirements are met… more
- TEKsystems (Elkridge, MD)
- Healthcare Open Enrollment CSR 100% Onsite - Elkridge, MD Pay: $22/hr Contract TEKsystems is currently seeking candidates to assist with our customers Open ... Call center, Health care, Customer service skills, Customer support, Insurance, Medicaid Top Skills Details: Customer Care, CSR, Healthcare, Customer Service, Call… more
- University of Rochester (Rochester, NY)
- …Tech Park (RTP), Gates, NY - Remote options available after in-person training. Occasional onsite meetings / work at RTP are required. Remote location must be within ... status on appropriate payer systems or contact an insurance representative to obtain information as to why claims are...+ 2 nd insurance level report + Medicare and Medicaid credit balance report + Over $10,000 report +… more
- University of Rochester (Rochester, NY)
- …Tech Park (RTP), Gates, NY - Remote options available after in-person training. Occasional onsite meetings / work at RTP are required. Remote location must be within ... Flowcast billing application, Microsoft Word, Excel, Access, Email, Emdeon (Fidelis Medicaid Managed Care and Medicare Part B) clearinghouse software, third party… more
- Lancaster General Health (Lancaster, PA)
- …and on-call coverage provided by the LGHP Hospitalists at LRH, serving as representative of the LGHP Hospitalists practice. The Associate director will report to ... guidance published by CMS and the applicable State health department and Medicaid agency + Assist in developing, coordinating, and participating in Continuing… more
- Elevance Health (Woodbridge, NJ)
- …ensuring coordination of Housing Services with all other services provided to NJ Medicaid members. This associate will work with the LTSS (Long-Term Services and ... in the Healthy Homes. Wellpoint NJ will be placing Medicaid members in Healthy Homes program units according to...leads projects with cross-functional teams or serves as a representative on enterprise initiatives. Requirements: + MS (at a… more
- Highmark Health (Harrisburg, PA)
- …**Job Description :** **JOB SUMMARY** This is a hybrid role with 3 days onsite in our DE office. Must reside in the Southeastern PA/DE Highmark footprint.** This ... Management, utilization management, immunizations, specialty pharmacy, Medicare Stars, and Medicaid HEDIS to strategies designed to promote the Organization's value… more
- Baylor Scott & White Health (Temple, TX)
- …Managed Care, Commercial, Workers Compensation and Champus/Tricare. **WORK MODEL** This billing representative position is 100% onsite at our West Campus ... **JOB SUMMARY** The Billing Representative is responsible for the timely submission of hospital or professional claims to Payers including but not limited to… more
- Peak Vista (Colorado Springs, CO)
- …basic level understanding of excel. + Determining and processing private insurance, Medicaid , CHP+, and other state programs. + Verifying all health insurances on ... review patient information within the Practice Management (PM) system. + This is an onsite position that requires the employee to report onsite to the… more