- Prime Healthcare (Redding, CA)
- …For more information, visit www.shastaregional.com . Responsibilities The Senior Medicare- Medicaid Biller/Collector is responsible for both billing and collections, ... the specific payer guidelines, policies, procedures, and compliance regulations for Medicare- Medicaid . This includes maintaining the deficiency lists used to obtain… more
- Staffing Solutions Organization (Albany, NY)
- …workforce, which is a reflection of our clients and the people they serve. ** Medicaid Program Advisor (Level 2 or 3) - Albany, NY** **Division of Eligibility & ... to the implementation of the new eligibility system for New York's Complex Medicaid population, and the new appeals management system. The individual will act as… more
- Abbott House (Bronx, NY)
- Job Summary: The Medicaid Managed Care Liaison is the primary contact person for the Medicaid Managed Care Plans (MMCP). MMC Liaison must have experience, ... unique complex needs of the foster care population + Medicaid Managed Care policies and procedure + The ...Medicaid Managed Care policies and procedure + The Medicaid Managed Care Liaison is a full-time position. Duties… more
- Humana (Nashville, TN)
- …and/or other Behavioral Health contracts and agreements within the Virginia Medicaid space. The Senior Provider Contracting Professional work assignments involve ... structures, and reimbursement rates to providers in building and maintaining Medicaid Behavioral Health provider networks. Analyzes the financial impact(s) of… more
- MVP Health Care (Schenectady, NY)
- …and continuous improvement. To achieve this, we're looking for a **Social Worker, Medicaid Long Term Support Program** to join #TeamMVP. If you have a passion ... NYS, with demonstrated clinical experience and previous experience working with the Medicaid population. At least two years of case management experience required in… more
- HCA Healthcare (Price, UT)
- …individual is recognized. Submit your application for the opportunity below: Medicaid Eligibility Advocate Parallon **Benefits** Parallon offers a total rewards ... benefits may vary by location._** We are seeking a Medicaid Eligibility Advocate for our team to ensure that...you to apply! **Job Summary and Qualifications** As the Medicaid Eligibility Advocate, you are responsible for conducting eligibility… more
- Cassia (Edina, MN)
- …and services, has a rare and exciting opportunity for an experienced Collections and Medicaid Specialist to join our team at the corporate office in Edina, MN! In ... looking for someone with 3+ years of experience in collections and Medicaid application processing, along with a solid understanding of collections procedures,… more
- Zelis (Plano, TX)
- …the personal interests that shape who you are. Position Overview The Sr. Medicaid Regulatory Pricer Analyst will collaborate with the Zelis Regulatory Pricer Product ... communicating rules, regulations, and procedures pertaining to public and private Medicaid payment systems. This position requires an in-depth knowledge of… more
- Elevance Health (Grand Prairie, TX)
- **Business Information Analyst Senior - Medicaid Encounters Data** The **Business Information Analyst Senior** is responsible for analyzing and validating healthcare ... encounter data submissions to CMS (Centers for Medicare & Medicaid Services). This role involves ensuring the accuracy and completeness of data, identifying trends,… more
- Genesis Healthcare (NM)
- …you will manage and maintain your assigned nursing centers' Clinical Eligibility Medicaid Authorization tracking log to obtain valid authorizations for billing and ... Office (CBO) collectors and CBO supervisor to address denial issues related to Medicaid authorization. *Provide support to the nursing enters when issues arise with… more