- Conduent (Topeka, KS)
- …training as assigned to develop and enhance current understanding of Kansas Medicaid eligibility programs. Through training and experience, begin to develop ... part of a culture where individuality is noticed and valued every day. **Position is onsite in Topeka, KS** Tentative Start Date 1/12/2026 **Hours:** 8 - 4:30 pm CST… more
- UNC Health Care (Goldsboro, NC)
- **Description** Summary: The Medicaid Eligibility Specialist screens, coordinates and facilitates the Medicaid application process across ... appeals. 7. Gathers and provides necessary verification to establish Medicaid eligibility via direct contact with patient...Time Standard Hours Per Week: 40.00 Work Assignment Type: Onsite Work Schedule: Day Job Location of Job: WAYNE… more
- DATAMAXIS (Springfield, IL)
- …like the following: CMS Federal Reporting, quality measures, claims processing, Medicaid program eligibility , provider enrollment, third-party liability. * ... Provide direction, guidance and recommendations supporting decision making for large Medicaid data warehouse implementation and operations. * With the specialized… more
- Wellpath (West Palm Beach, FL)
- …* Preferred banking partnership and discounted rates for home and auto loans * Eligibility for perks and benefits varies based on employee type and length of ... agency knowledge including The Joint Commission, DHSS, Centers for Medicaid /Medicare Services is preferred. Licenses/Certifications + Current licensure as a… more
- Public Consulting Group (VT)
- …policies, evaluating client needs, and determining appropriate courses of action. The specialist is empowered to make decisions that directly impact client ... eligibility outcomes and service access. **Duties and Responsibilities:** +...collaboratively in a remote team environment. + Familiarity with Medicaid regulations and relevant state and federal laws. +… more
- Helio Health Inc. (Gloversville, NY)
- …mental health disorders, and other behavioral healthcare issues. The Patient Access Specialist (PAS)are the gatekeepers for all the billable Helio Health programs. ... produce cash receipts. + Review other methods of payment such as third-party and Medicaid . + Assist patients with Medicaid applications, obtain patient ID, rent… more
- Elevance Health (Sacramento, CA)
- **Outreach Specialist ** **Location : We are seeking candidates that reside in the Sacramento, CA area.** This **field-based role** enables associates to primarily ... accommodation is granted as required by law. The **Outreach Specialist ** is responsible for serving as the initial and...Comprehends the various cultural and linguistic needs of the Medicaid and SCHIP population, knowledge of the various health… more
- MyFlorida (Miami, FL)
- OPS CMS COMPLIANCE SPECIALIST - 67965508 Date: Nov 19, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... Agency: Agency for Persons with Disabilities Working Title: OPS CMS COMPLIANCE SPECIALIST - 67965508 Pay Plan: Temp Position Number: 67965508 Salary: $25.00 Hourly… more
- Louisiana Department of State Civil Service (LA)
- Medical Certification Specialist 1 - 2 (Field Office 2) Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/5060163) Apply Medical Certification ... Specialist 1 - 2 (Field Office 2) Salary $6,337.07...compliance with state and federal regulations, including Medicare and Medicaid standards. + Review facility records, policies, and procedures… more
- Truecare Homecare Agency (Brooklyn, NY)
- …insurance eligibility on contract websites and portals + Routinely verify Medicaid eligibility on ePACES + Follow processes and notify appropriate teams ... patients and caregivers experience the most excellent care. Position Title: Authorizations Specialist Location: Full-time Monday-Friday 9 am-5 pm onsite in… more
- University of Washington (Seattle, WA)
- …insurance coverage and/or Financial Assistance + Refer uninsured patients for Medicaid /Financial eligibility screening + Prepare estimates of fees upon ... **Job Description** **UW Medicine Insurance Eligibility and Financial Counseling Services Team (IECS)** has...- Friday; 8:00am - 5:00pm + Day Shift + Onsite at Harborview Medical Center / Ground West Lobby… more
- NorthWest Senior & Disability Services (Dallas, OR)
- …+ Maintains reception area and office supplies + Facilitates confidence in Office Specialist 2, and therefore the Agency and programs + Protects consumers and ... and process EBT card orders + Processing Prior Authorization forms in Medicaid Management Information System (MMIS) including Emergency Response Systems (ERS) and… more
- Baylor Scott & White Health (Dallas, TX)
- …weekend shifts required_ We are currently hiring for **multiple** Customer Service Specialist roles and will be conducting ** onsite ** interviews from October ... on your journey. For full details on coverage and eligibility , visit the Baylor Scott & White Benefits Hub...position type and/or level._ **Job Summary** The Customer Service Specialist acts as a business analyst in a complex… more
- TEKsystems (Lakewood, CO)
- …claims, batch files, transmit to clearinghouse, and reconcile responses. not doing eligibility or verification of benefits Post payments and resolve rejections or ... Strong understanding of RCM processes (start-to-finish billing cycle). Experience with Medicaid billing, especially Colorado Medicaid ( Medicaid waiver… more
- TEKsystems (Lakewood, CO)
- …batch files, transmit to clearinghouse, and reconcile responses. + not doing eligibility or verification of benefits + Post payments and resolve rejections or ... of RCM processes (start-to-finish billing cycle). + Experience with Medicaid billing, especially Colorado Medicaid ( Medicaid...pay range for this position is $21.00 - $28.00/hr. Eligibility requirements apply to some benefits and may depend… more
- Elevance Health (Washington, DC)
- **Medical Management Specialist I** **Location:** Washington, DC. This role requires associates to be in-office 4 days per week, fostering collaboration and ... law. **Schedule:** Monday-Friday 8:00AM-5:00PM or 8:30AM-5:30PM EST The **Medical Management Specialist I** will be responsible for providing non-clinical support to… more
- Trinity Health (Mobile, AL)
- **Employment Type:** Full time **Shift:** **Description:** **Enrollment Specialist - ONSITE ** Monday through Friday, Full Time **Position Purpose:** The ... Enrollment Specialist plays a key role in introducing prospective participants...supports the entire enrollment process, from initial referral to eligibility assessment, ensuring accurate documentation and seamless communication between… more
- Aston Carter (Marysville, CA)
- Credentialing Specialist Job Description The Credentialing Specialist is responsible for managing the credentialing and re-credentialing process for healthcare ... and payer requirements. + Manage applications and documentation for Medicare, Medicaid , and commercial insurance plans. + Verify provider qualifications, licenses,… more
- UNC Health Care (Goldsboro, NC)
- …Work Queue assignments provided by supervisor. 12. Completes basic screening for Medicaid eligibility and financial assistance. 13. Abides by the Wayne ... **Description** Summary: The Patient Access Specialist ensures each registered patient has a complete...unable to pay liabilities. 10. Re-runs RTE (real time eligibility ) to ensure the coverage is active and the… more
- University of Michigan (Ann Arbor, MI)
- …Varis, Medicaid and other various commercial audits. The Appeals Specialist will communicate and provide education, with information gained from the audits ... Audits & Appeals (HBAA) Department?** The Audit and Appeals Specialist has a strong knowledge of medical appeal and...as necessary prior to release of claims. + Monitor Medicaid retrospective eligibility cases, complete required forms,… more