- Molina Healthcare (San Bernardino, CA)
- …**Job Summary** Responsible for achieving established goals improving Molina's enrollment growth objectives, with primary responsibility for Medicaid . ... Medicaid membership. Effectively moves these relationships through the " enrollment " pipeline. + Schedules, coordinates & participates in ...events and align media components. + Trains all new Specialist team members and serve as a mentor and… more
- Molina Healthcare (Henderson, NV)
- …Statewide Advocacy Program for Managed Care, working with the State External Advocate, Enrollment Specialist , and Ombudsmen on issues of access to medical care, ... 50% +/- with 1-2 days/week in the field. This role will support the Medicaid LOB in a Care Management Department working alongside other Care Management associates.… more
- AmeriHealth Caritas (Harrisburg, PA)
- …the Office of Mental Health & Substance Abuse Services (OMHSAS), supporting Medicaid enrollment and documentation processes. + Coordinate with internal ... supplemental packets, maintains detailed records, and supports providers through complex enrollment and documentation processes. The Specialist liaises between… more
- NTT DATA North America (Pittsburgh, PA)
- …for Medicare/ Medicaid Services (CMS) guidelines for Medicare Part D enrollment processes or previous work experience in regulatory environment **Preferred Job ... overall sourcing strategy. NTT DATA Services currently seeks a **Associate Eligibility Specialist ** to join our team in **Pittsburgh, PA** . Associate Eligibility … more
- Hunterdon Health Care System (Flemington, NJ)
- …or oustanding documents, self file audits when applicaiton is completed. 3. Provider Enrollment - Follow processes for PECOS, CAQH, Medicaid , and NPPES ... if needed; maintains critical and confidential credentialing, privileging, provider enrollment and peer review information; executive correspondence; ongoing- professional,… more
- Corewell Health (Grand Rapids, MI)
- …OPL compliance for government business across the corporation. + Improve membership and enrollment aspects of OPL, using best practices as a guide. + Implement new ... coding, healthcare revenue cycle, or regulatory (ie, CMS & Medicaid ) experience + 5 years of in-depth understanding of...Management Association Upon Hire or + CRT - Coding Specialist (CCS) - AHIMA American Health Information Management Association… more
- University of Colorado (Aurora, CO)
- …policies and procedures for the sliding fee discount program. Conducts quarterly enrollment audits and provides feedback to the ED, Operations Manager, and O/E ... leadership and the board. + Coordinates and submits annual Medicare and Medicaid cost reports, quarterly audit and reporting requirements, and specialized FQHC… more
- Somatus (Greenwood, IN)
- …designated geographic area to introduce the Somatus program and encourage enrollment to build their patient caseload. + Conduct door-to-door engagement outreach ... from an accredited college preferred. + Experience working with Medicare, Medicaid or Special Needs populations. + Medical Assistant, Licensed Practical Nurse,… more
- Marshfield Clinic (Marshfield, WI)
- …at all times. **JOB QUALIFICATIONS** **EDUCATION** **Minimum Required:** Enrollment in ICATAP MA Apprenticeship Program **Preferred/Optional:** Completion of ... a vocational technical Health Unit Coordinator Program, Medical Office Specialist , or Medical Secretary. **EXPERIENCE** **Minimum Required:** Excellent written and… more
- Prime Healthcare (Fort Gratiot, MI)
- …Safety Excellence Award, rated four stars by the Centers for Medicare & Medicaid Services and earned The Joint Commission's Gold Seal of Approval(R) for Hospital ... by providing guidance and problem/issue resolution for credentialing and payer enrollment issues. Qualifications Education and Work Experience 1. Associates degree… more