- Northwell Health (New York, NY)
- …setting (preferred) + Claims adjudication experience + Knowledge of MLTC/ Medicaid / Medicaid benefit + Knowledge of Member (Subscriber) enrollment & billing + ... **Req Number** 166205 Flexstaff is hiring a CLAIMS SPECIALIST on a fulltime Temporary basis. (Coding/Claims experience needed, Data Analysis a plus) The Claims … more
- Staffing Solutions Organization (Albany, NY)
- …a reflection of our clients and the people they serve. **Senior Healthcare Program Specialist (Level 2 or 3) - Albany, NY** **Division of Eligibility & Marketplace ... is seeking a highly motivated individual to ensure consumer eligibility and enrollment practices for New York State's health insurance programs are performed in… more
- Staffing Solutions Organization (Albany, NY)
- …a reflection of our clients and the people they serve. **Senior Healthcare Program Specialist (Level 2 or 3) - Albany, NY** **Division of Eligibility & Marketplace ... members and reviewing and resolving NY State of Health eligibility and enrollment complaints and referrals sent to the Bureau of Exchange Application Support.… more
- Staffing Solutions Organization (Albany, NY)
- …is a reflection of our clients and the people they serve. **Program Support Specialist ** **Location - Albany, NY** **(50% in Office & 50% Remote)** **Duties:** This ... position will work within the Bureau of Community Enrollment and Eligibility Processing to provide support to expand insurance to New York's neediest and most… more
- Staffing Solutions Organization (Albany, NY)
- …is a reflection of our clients and the people they serve. **Healthcare Data Specialist (Levels 1 & 2) - Albany, NY** **Division of Eligibility & Marketplace ... Integration (DEMI)** **Bureau of Community Enrollment and Eligibility Processing** **Telecommuting Option:** This position is eligible for 50-100% telecommuting.… more
- Cardinal Health (Albany, NY)
- …needs, and handles accordingly + Creates and completes accurate applications for enrollment with a sense of urgency + Scrutinizes forms and supporting documentation ... + Cell/Gene therapy and/or Oncology experience, preferred + Knowledge of Medicare, Medicaid and Commercially insured payer common practices and policies, preferred +… more
- Lutheran (Jamestown, NY)
- …and engagement activities to assess client needs and to promote Health Home enrollment . Initial contact occurs within five days of assignment. + Determine client ... for Health Homes and secure supporting documentation + Complete the client enrollment process and obtain all required consents from the medical consenter. In… more
- University of Rochester (Albany, NY)
- …including but not limited to, The Joint Commission TJC, Center for Medicaid and Medicare Services (CMS), National Committee for Quality Assurance (NCQA), State ... regarding quality of care. In collaboration with the Payer Enrollment Manager, coordinates the functions related to Delegated Credentialing/Commercial Payer… more
- Molina Healthcare (Syracuse, NY)
- …dental services, assist members with locating a general or specialist dentist, accessing appointments, translation services, and transportation assistance. ... to members who may need dental coordination assistance + Verify eligibility, enrollment history, demographic data, primary care physician, and current health status… more
- Somatus (Brooklyn, NY)
- …designated geographic area to introduce the Somatus program and encourage enrollment to build their patient caseload. + Conduct door-to-door engagement outreach ... a monthly basis Qualifications _Required_ + Experience working with Medicare, Medicaid or Special Needs populations. + Medical Assistant, Licensed Practical Nurse,… more