- AmeriHealth Caritas (Robbinsville, NJ)
- …maximize efficiency, and integrate services. For more;information, visit www.performcare.org **Summary:** The Claims Eligibility Specialist is the point of ... internal associates and staff from various Provider agencies on Medicaid eligibility and claims issues....in coverage, eligibility , enrollment, and billing, the Claims Eligibility Specialist reviews, researches,… more
- Wellpath (Louisville, KY)
- …issues to departmental leadership as needed. + Communicate changes related Medicaid eligibility and enrollment requirements or organizational policy changes ... care support. **How you make a difference** As a Medicaid Support Specialist , you will conduct QA...work experience Experience + 1-2 years of experience with Medicaid / Private insurance billing/ claims or enrollments +… more
- Whitney Young Health Center (Albany, NY)
- Claims Coding Specialist (Req 100825) Albany, NY (http://maps.google.com/maps?q=526+Central+Ave+Albany+NY+USA+12206) Apply Description GENERAL RESPONSIBILITIES: ... Responsible for reviewing medical claims prior to submission and following up on more...billing; Local Medical Review Policies (LMRP) for Medicare and Medicaid services; Medical terminology and abbreviations; Medicare and … more
- Hackensack Meridian Health (Eatontown, NJ)
- …Customer Pre-Admission Price Quotes. 11. Check Medicaid eligibility on Medicaid Pending LTC residents and rebill claims 12. Other duties as assigned. ... claims . **Responsibilities** A day in the life of a Pharmacy Claims Specialist at Hackensack Meridian _Health_ includes: 1. Submit daily prescription… more
- State of Montana (Helena, MT)
- …program benefit levels. Provides fiscal impact analysis based on utilization and claims data as appropriate for programmatic or legislative changes and updates. The ... and Budget Analyst on development, tracking and projecting the divisions Medicaid budget expenditures. The Operations Research Section Supervisor assists the… more
- El Paso County (Colorado Springs, CO)
- …team who values teamwork and great work ethics. Associate Benefits & Eligibility Specialist Salary Range: $19.495 - $28.337 Hourly Hiring Range: ... $19.712 - $22.115 Hourly Anticipate Hiring Rate: $21.150 Hourly Benefits & Eligibility Specialist Salary Range: $21.591 - $31.313 Hourly Hiring Range: $22.115 -… more
- Ventura County (Ventura, CA)
- Medical Billing Specialist III/IV Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4539404) Apply Medical Billing Specialist III/IV Salary ... (III, IV), performs and is responsible for billing and processing claims appropriately for timeliness in reimbursement and billing compliance with Medi-Cal,… more
- TEKsystems (Woods Cross, UT)
- …needed with healthcare organization, SLC - Utah Job Description As an Insurance Specialist , you will conduct insurance verification and eligibility for services, ... Medicare, Medicaid , and insurance regulations, assist with problem resolution on claims , billing, and eligibility issues with carriers, and answer incoming… more
- State of Montana (Helena, MT)
- …Division seeks to provide health care for low-income and disabled Montanans through Medicaid , the Health and Economic Livelihood Partnership (HELP Aka Medicaid ... include working with the administrative rules, statutes, and policies concerning the claims payment system and coding; working with members and providers concerning… more
- New York State Civil Service (Albany, NY)
- …the Medicare and Medicaid programs. Continued employment will depend on maintaining eligibility .* If you are employed by state government you may be able to ... Agency People With Developmental Disabilities, Office for Title Contract Management Specialist 1 Occupational Category Other Professional Careers Salary Grade 18… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …systems, determines eligibility , benefits, and prior activity related to the claims payment or service denial issues related to appeal requests. Completes cases ... Specialist or equivalent experience in Medicare health insurance claims , customer service, billing or related operations preferred. **Professional… more
- Trinity Health (Chelsea, MI)
- …for the purpose of establishing the patient and service specific record for claims processing and maintenance of an accurate electronic medical record. Registers and ... information system(s), to ensure accurate and timely submission of claims . Determines visit-specific co-payments and collects out-of-pocket liabilities. Assists… more
- HCA Healthcare (Hendersonville, TN)
- …provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility , for external clients across the country. Parallon has ... **Description** **Introduction** Do you have the career opportunities as a Medicare Specialist you want with your current employer? We have an exciting opportunity… more
- HCA Healthcare (Miramar, FL)
- **Description** **Introduction** Do you have the career opportunities as a Collections Specialist you want with your current employer? We have an exciting ... on income. Learn more about Employee Benefits (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards) **_Note: Eligibility for benefits may vary by location._** Our teams… more
- HCA Healthcare (Las Vegas, NV)
- …diversity and inclusion thrive? Submit your application for our Medical Insurance Collections Specialist opening with HCA Healthcare today and find out what it truly ... on income. Learn more about Employee Benefits (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards) **_Note: Eligibility for benefits may vary by location._** We are… more
- Fairview Health Services (Minneapolis, MN)
- …claim issues. Maintain accurate billing and collections for home infusion claims , performing collection tasks and analyzing accounts for necessary documentation. ... according to established procedures to support day-to-day operations Process home infusion claims accurately and timely. + Review accounts for all needed information… more
- State of Montana (Helena, MT)
- …experience. *Qualifications for this Career Opportunity * * * Knowledge of Medicaid rules, medical claims processing, medical terminology and coding principles ... position identifies and investigates potential provider fraud, abuse and waste of Montana Medicaid and Healthy Montana Kids (HMK) programs. * * *Why Join DPHHS* *… more
- State of Montana (Helena, MT)
- …include the management of contracts and budgets as well as invoice and claims processing, policy development, and ensuring compliance with regulations. The role will ... paid vacation, sick leave, and holidays, work/life balance, and eligibility to participate in the Public Service Loan Forgiveness...* Knowledge of federal and state laws related to Medicaid programs and contracts. * Meet minimum qualifications: o… more
- HCA Healthcare (Sarasota, FL)
- …integrity. We care like family! Jump-start your career as a(an) Collections Specialist today with Surgery Ventures. **Benefits** Surgery Ventures, offers a total ... on income. Learn more about Employee Benefits (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards) **_Note: Eligibility for benefits may vary by location._** Come join… more
- Sanofi Group (Bridgewater, NJ)
- **Job Title:** Specialist , Managed Care Operations **Location** : Bridgewater, NJ **About the Job** The Managed Care Specialist is responsible for contract ... various markets including Commercial Contracts, Medicare Part D and Managed Medicaid . This position will support National Pharmaceutical Benefit Manager (PBM)… more