- MVP Health Care (Schenectady, NY)
- …innovative thinking and continuous improvement. To achieve this, we're looking for an Associate , Bilingual Medicaid - Member Service Representative to ... the difference for our customers in every interaction Your key responsibilities: The Associate , Medicaid Member Service Representative is responsible for… more
- MVP Health Care (Schenectady, NY)
- …innovative thinking and continuous improvement. To achieve this, we're looking for an ** Associate , Bilingual Medicaid - Member Service Representative** to ... difference for our customers in every interaction **Your key responsibilities:** + The Associate , Medicaid Member Service Representative is responsible for… more
- RiseBoro Homecare Inc. (Brooklyn, NY)
- …requires a strong understanding of homecare regulations related to Medicare, Medicaid , and other insurance programs. The Intake Specialist will collaborate closely ... Home Health Aide Program (CHHA) and Managed Long-Term Care (MLTC), Medicaid , insurance verification, Maximus procedures, and MLTC enrollment. . Collaborate and… more
- Healthfirst (NY)
- …complete outbound calls according to approved scripts.** + **Searches ePACEs for Medicaid eligibility, exclusion, and exemption codes.** + **Searches in Marx (CMS) ... appointments for SHP and HF Complete Care prospective members with a Medicaid coverage issue or restriction.** + **Schedules Clinical Assessors to complete Community… more
- Molina Healthcare (Rochester, NY)
- …for promoting and increasing member enrollments into plan programs (ie; Member portal, Rewards Program, etc.) * Assists Medicaid Members in contacting ... and maintaining healthcare coverage, and accurate information for eligibility for Medicaid , CHP and Essential Plan. Provide non-clinical reminders (ie; product… more
- Healthfirst (NY)
- …+ **Monitor Medicaid re-certification time frames for each active Medicaid member .** + **Ensure Human Resource Administration and//or Department of ... staff, unit, or department.** + **Assist callers requesting assistance with Medicaid Renewal application, Medicare Savings Program application, and New Medicaid… more
- Humana (Albany, NY)
- … Bilingual English/Creole + Experience working with Medicare and Medicaid **Additional Information** **Work-At-Home Requirements:** To ensure Home or Hybrid ... Social Worker** who functions as a Support Social Services associate (Support SS) in our Special Needs Plan (SNP)...and serves as part of an interdisciplinary care team member working with other disciplines, such as nurse care… more
- CVS Health (Albany, NY)
- …conducting health-related assessments and facilitating the care planning process. + Bilingual skills, especially English-Spanish **Education** + Associate 's of ... **Job Summary:** The Care Manager-Registered Nurse is a key member of our Special Needs Plan (SNP) care team,...learn the role of care management within Medicare and Medicaid managed care. + Familiarity with community resources and… more
- Humana (Albany, NY)
- …a variety of strategies, approaches and techniques to manage a member 's physical, environmental and psycho-social health issues. Identifies and resolves barriers ... Environment is fast paced and requires ability to engage quickly with member while concurrently navigating multiple computer applications. Due to the auto dialer… more
- Elderwood (Buffalo, NY)
- …within the insurance field preferred + E xperience with geriatric or Medicaid populations preferred + Bilingual English/Spanish speaking preferred EOE Statement ... up appointments. + Answering incoming calls and assisting with member questions and identifying when the call needs to...the needs of the business. Qualifications + Minimum of associate degree or equivalent work experience + Demonstrated knowledge… more
- Humana (Albany, NY)
- …Previous experience with pharmacy benefits management + Previous Commercial, Medicare and/or Medicaid experience + 3 or more years clinical experience in managed ... SQL and Excel + Lean, 6 sigma experience and/or certification + Bilingual (English/Spanish) **Additional Information** WAH requirements: + Must have the ability to… more
- Graham Windham (New York, NY)
- …the client based on the needs of the individual client. We also offer bilingual services in Spanish to better support the needs of our communities. Job ... documentation according to the standards and time frames established by OMH, Medicaid regulations and Graham policies and procedures. + Maintain expected levels of… more
- University of Rochester (Rochester, NY)
- …individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE Provides bilingual interpretation services to the target language or to ... equitable communication during interactions with all parties. **Contributes as integral member of clinical and non-clinical healthcare teams, twenty-four hours a… more
- Stony Brook University (Stony Brook, NY)
- …Representative assigned to an offsite hospital outpatient** location is a key member of the Patient Access Services team, responsible for courteously greeting and ... responsibilities. Provide self-pay patients with information on qualifications for Medicaid or financial assistance. Engages financial counselors as appropriate. +… more
- University of Rochester (Rochester, NY)
- …expertise of the individual, and internal equity considerations._ **Responsibilities:** Provides bilingual translation services to the target language or to Limited ... equitable communication during interactions with all parties. Contributes as integral member of clinical and non-clinical healthcare teams, twenty-four hours a day,… more
- Graham Windham (Brooklyn, NY)
- …the client based on the needs of the individual client. We also offer bilingual services in Spanish to better support the needs of our communities. Job ... and documentation according to the standards and timeframes established by OMH, Medicaid regulations and Graham policies and procedures. + Maintain expected levels… more
