- Mount Sinai Health System (New York, NY)
- …as necessary. 3. Functions as liaison to insurance companies and the Medicaid Eligibility Office, including screening requests for medical necessity, obtaining ... prior authorizations when required, pre-certifying admissions, and assisting in document collection. 4. Maintains census and charge data, updating all prevailing systems and compiling information for charge capture. 5. Schedules appropriate tests and medical… more
- Capital Region BOCES (Albany, NY)
- …services rendered. + Depending on the requirements of the department, may verify Medicaid eligibility of clients requesting services. + Enters statistical data ... on manual or computerized forms. + Sorts and files correspondence, checks, vouchers, index cards or other materials in accordance with office procedures. + Makes simple arithmetic calculations, computes data from requisitions, statistical reports, time reports… more
- Rochester Regional Health (Rochester, NY)
- …and ability to work various software applications. + Experience in the Medicaid eligibility determination and enrollment process. + Five years' experience ... in healthcare, social work or related position, with supervisory experience preferred. EDUCATION: MS (Required) LICENSES / CERTIFICATIONS: LCSW - Licensed Clinical Social Worker - New York State Education Department (NYSED) PHYSICAL REQUIREMENTS: S - Sedentary… more
- HCA Healthcare (Riverside, CA)
- …needs including patient advocacy, appointment scheduling, patient account balance resolution, Medicaid eligibility and more. Physician Service Center Track ... (fully remote*) For those interested in learning the financial side of healthcare through the lens of physician care, the Physician Service Center track is a great option. PSC Associates will support patient account balance resolution specific to physician… more
- City of New York (New York, NY)
- …to the Third-Party Health Insurance coverage, cost effective review and Medicaid reimbursement, assuring that eligibility determination cases are completed ... The Medical Assistance Program (MAP) administers public health insurance programs, including Medicaid , for the City of New York. Applying individuals and families… more
- CVS Health (Richmond, VA)
- …with state healthcare regulatory agencies with an emphasis on the Virginia Medicaid Agency and is responsible for the identification, development, and management of ... and deliverables. + Track implementation of laws and regulations relevant to Medicaid managed care operations and support efforts to ensure that regulations align… more
- Bear Mountain Health Care (MA)
- Are you a Nursing Home Medicaid EXPERT? Bear Mountain Healthcare is currently seeking a full time Medicaid Pending Specialist to assist in the completion of ... Medicaid applications, conversions, and reviews in various facilities in... applications and re-determinations in order to ensure financial eligibility . . Processing of all appropriate forms applicable to… more
- City of New York (New York, NY)
- … program and services. The Office of Constituent Services is recruiting for an Eligibility Specialist II to function as a Medicaid Helpline Agent in the ... Infoline/Helpline call center. OCS is recruiting for fifteen (15) Eligibility Specialist II to function as Infoline/ Medicaid ...(15) Eligibility Specialist II to function as Infoline/ Medicaid Helpline Agents who will: - Respond to telephone… more
- CVS Health (Springfield, IL)
- …do it all with heart, each and every day. **Position Summary** The Medicaid Network Provider Relations Manager oversees our Medicaid Provider Experience programs ... others at all levels * Minimum of 2 years' experience with Medicaid Regulatory Standards for Network Access, Credentialing, Claims Processing, Provider Appeals &… 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 ...health care providers, including school and community-based services Maintain eligibility for public or private health insurance Assist with… more