- UNC Health Care (Goldsboro, NC)
- …the health and well-being of the unique communities we serve. Summary: The Medicaid Eligibility Specialist screens, coordinates and facilitates the Medicaid ... In some cases, may act as the authorized patient's representative for the purpose of initiating an application for...appeals. 7. Gathers and provides necessary verification to establish Medicaid eligibility via direct contact with patient… 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 ... reviews to ensure compliance with applicable criteria, medical policy, and member eligibility , benefits, and contracts. + Ensures member access to medical necessary,… 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
- Tufts Medicine (Boston, MA)
- …PM to 11:30 PM. All recognized Tufts Medicine Holidays required. **Location:** Onsite at Tufts Medical Center in Boston - Patient Admitting Department ... is also responsible for verifying patient insurance, confirming benefits eligibility , performing pre-authorization, pre-certification, and/or notification as required by… more
- ManpowerGroup (Austin, TX)
- …write and speak Spanish proficiently. This role provides unbiased assistance to Medicaid clients with questions regarding eligibility , medical claims status, and ... Bilingual Onsite Call Center in Austin, TX (Spanish) Two...type 30 wpm. Must be effective at multi-tasking. Prior Medicaid experience preferred. Prior Call Center experience required. Why… 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 ... payer requirements including the following are met: Verify and document insurance eligibility ; confirm and document benefits Notification is made to the insurance… 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 ... Job Description: + The CSR will respond to phone inquiries regarding healthcare eligibility and coverage questions. + Must be able to decipher complex eligibility… 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...Our competitive benefits package includes the following - Immediate eligibility for health and welfare benefits - 401(k) savings… more
- Integrative Emergency Services (Ave Maria, FL)
- …bank deposits for Time of Service collections. + Maintains compliance with Medicare, Medicaid , OSHA, HIPAA, OIG, and any other legal or contracted obligations. + ... phones. + Assisting patients with billing questions. + Processing insurance for eligibility . + Collecting patients. + Demographics input. + Processing payments. +… more
- Elevance Health (ID)
- …for large scale, multi-faceted negotiations. + Serves as business unit representative on enterprise initiatives around network management and leads projects with ... to negotiate rates with providers strongly preferred. + Commercial, Medicare and Medicaid contracting experience preferred. + Travels to worksite and other locations… more
- Guidehouse (Ventura, CA)
- **Job Family** **:** Admitting Representative **Travel Required** **:** None **Clearance Required** **:** None **What You Will Do** **:** **The** **Pre-Admitting ... customers' authorization requirements and identify any financial issues.** **Verifies patient's eligibility from resources provided by third party payers and portals… more
- NorthWest Senior & Disability Services (Salem, OR)
- …and process EBT card orders + Processing Prior Authorization forms in Medicaid Management Information System (MMIS) including Emergency Response Systems (ERS) and ... data entry errors, and updating personal user data, both remotely and onsite using agency-provided computer + Answer questions regarding PTC entries + Educate… more