- National Health Care Associates (Marlborough, CT)
- …dedication is valued and appreciated. We invite you to join our team! **-** ** Medicaid Specialist ** **24 Hours Part Time** **Marlborough Health Care Center** The ... for booking and collecting estimated PPA on pending residents. Upon approval Medicaid Specialist will update census and payor tree. Bill all retro PPA changes… more
- The Cigna Group (Bloomfield, CT)
- …working with Medicare Advantage, Medicare- Medicaid . Plan (Dual-Eligible) and/or Medicaid . **Certified Coding Specialist required.** 5+ years of experience ... with auditing. Experience with Risk Adjustment Data Validation Audits required. Strong knowledge of Medicare Risk Adjustment regulations required. Strong knowledge of Risk Adjustment and Hierarchical Condition Category Payment model (ie, v12 and v22) required.… more
- Hartford HealthCare (Newington, CT)
- …to insure optimal revenue cycle performance. The AR Follow Up & Denials Specialist is responsible for resolving unpaid third party balances on $550 million in ... and monitoring of accounts receivables engagements with small balance, out of state Medicaid and credit vendors as needed. *Education* . Minimal: High school diploma… more
- Elevance Health (Wallingford, CT)
- **Medical Mgmt Specialist I** **Location: This is a virtual position. Candidates must reside within 50 miles of an Elevance Health Pulse Point location.** **Hours: ... Monday - Friday 8:00am to 4:30pm EST/CST.** The **Medical Mgmt Specialist I** is responsible for providing non-clinical support to the Medical Management and/or… more
- Brookdale Senior Living (Hartford, CT)
- …as one of America's Greatest Workplaces for Diversity Full Time Traveling Sales Specialist Supporting CT, MA & NH: Hartford, Boston & surrounding markets Brookdale. ... record of generating and closing qualified leads. As our Traveling Sales Specialist you'll partner you will be partnering with community Executive Directors and… more
- Prime Therapeutics (Hartford, CT)
- …drives every decision we make. **Job Posting Title** Clinical Pharmacy Program Specialist - Remote **Job Description Summary** This position is responsible for the ... medications, disease states, pharmacy sig codes, Centers for Medicare and Medicaid technical specifications and regulations, and extensive knowledge of MTM, quality,… more
- The Cigna Group (Bloomfield, CT)
- …**Ideal candidate would have previous case management experience with the Medicare/ Medicaid population specifically focusing on Special Needs Plan. Model of Care ... documentation requirements, care coordination working with hospital settings and Primary Care Physician offices.** **Knowledge of community resources is also helpful.** **Excellent verbal and written communication and interpersonal skills** **Ability to learn… more
- The Cigna Group (Bloomfield, CT)
- …of Cigna Healthcare Policies and Procedures, CMS requirements, State Medicaid requirements, NCQA standards and recommendations impacting care coordination, and ... follow up contact, which may include primary care physician and specialist appointment scheduling. + Provide clinical assessments, health education, and utilization… more
- Elara Caring (Rocky Hill, CT)
- …is looking for a passionate **Registered Nurse** **Authorization & Eligibility Insurance Specialist ** to join our elite team of professionals and make a difference, ... full-time staff. What is Required? + High school diploma or equivalent, with Medicaid /Insurance Experience + Positive attitude + Dedication to quality patient care +… more
- Masonicare (Wallingford, CT)
- …Experience: 3 - 5 years admissions experience with knowledge of Medicare, Medicaid , and insurance verification #joinourteam Job ID: 11395 Share this Job Share ... Fairs + Hospice + Behavioral Health Similar Jobs + Accounts Payable Specialist Wallingford Center, Connecticut + Unit Secretary (Evening Shift) Wallingford Center,… more
- National Health Care Associates (West Hartford, CT)
- …Direct care in a long-term care setting, MDS Coordinator, Clinical Reimbursement Specialist or Nurse Assessment Coordinator experience preferred + Knowledge of state ... federal regulations governing the MDS, Electronic Medical Record (EMR), PDP, MDS 3.0, Medicaid and Medicare requirements helpful + Interest in the nursing needs of… more
- HealthEdge Software Inc (Hartford, CT)
- **Overview** **Position Overview:** We are seeking a Senior Payment Integrity Specialist to play a key role in building and implementing proprietary healthcare edits ... and enterprise level. Our Reimbursement Transformation features Medicare and Medicaid content coupled with flexible contract configuration capabilities for… more
- Humana (Hartford, CT)
- …Master's degree in IT-relevant discipline + Highly preferred any Cloud specialist certification + Familiar with application and workload dependencies, architecture, ... leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal… more
- Somatus (Hartford, CT)
- …a monthly basis Qualifications _Required_ + Experience working with Medicare, Medicaid or Special Needs populations. + Medical Assistant, Licensed Practical Nurse, ... Engagement Specialist or Community Health Worker Experience. + Ability to connect with people and understand the challenges they face. + Ability to use a range of… more
- Somatus (Hartford, CT)
- …Qualifications Required Education and Experience + Experience working with Medicare, Medicaid or Special Needs populations. + Medical Assistant, Licensed Practical ... Nurse, Engagement Specialist or Community Health Worker experience. + Effective written and verbal communication skills demonstrating respect and cultural awareness… more