- MyFlorida (Alachua, FL)
- …Reviews existing policies and plans related to the processes of eligibility determination, enrollment, budget management, and data collection and analysis. Develops ... Entities and their lead agency Behavioral Health Network contractors on eligibility determination and enrollment, budget management, and data collection and… more
- State of Colorado (Denver, CO)
- …Policy & Financing (HCPF) oversees and operates Health First Colorado (Colorado's Medicaid Program), Child Health Plan Plus (CHP+), and other state public health ... all eligible State Employees + Credit Union of Colorado (https://www.cuofco.org/credit-union-colorado-membership- eligibility ) Membership Eligibility + Some positions may… more
- National Health Care Associates (Bloomfield, CT)
- …accounts receivable. Assist with submission and tracking through approval of Medicaid Pending applications. Accurate reporting of billing and cash collection ... leadership skills are required. 3. Must have thorough knowledge of Medicare, Medicaid , Pending, Applied Income, and Managed Care reimbursement regulations. 4. The… more
- City of New York (New York, NY)
- …cash assistance (CA) clients with case characteristics requiring Bureau of Eligibility Verification (BEV) referral, overseeing BEV client referral process, designing ... and operating an analytics process to monitor Fair Fares program eligibility . Additionally, designing and operating analytics processes to identify Medicaid … more
- New York State Civil Service (Tarrytown, NY)
- …in the Medicare and Medicaid programs. Continued employment will depend on maintaining eligibility . * If you are employed by state government you may be able to ... from appointment.You are responsible for payment of all required fees. Medicaid and Medicare: In order to be eligible for...or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any… more
- Helio Health Inc. (Utica, NY)
- …produce cash receipts. + Review other methods of payment such as third-party and Medicaid . + Assist patients with Medicaid applications, obtain patient ID, rent ... all relevant data as needed. + Works with patients, third party payers, Medicaid , State and Federal agencies to collect payment, address questions and resolve… more
- CareFirst (Baltimore, MD)
- …preparing and maintaining fee schedules for plans that utilize the DC Medicaid reimbursement schedules and methodologies. This position may request to extend that ... knowledge across other Commercial, Medicare and Medicaid plans as needed. This may also include assistance with financial analyses used in the development of… more
- Teresian House (Albany, NY)
- …billing of all services rendered to residents in compliance with NYS Medicaid , Medicare, Mafae Care Organizations (MCO's) and private insurance. + Preparing and ... third-party payers to ensure proper reimbursement. + Verifying resident insurance eligibility and insurance coverage using Availity, Epaces and other electronic… more
- Dartmouth Health (Bennington, VT)
- …medical necessity checks/verification in accordance to Centers for Medicare & Medicaid services, verifies insurance, benefits, coverage & eligibility , completes ... assigned registration financial clearance work lists activities, obtains insurance authorizations for scheduled & unscheduled Hospital services, and secures inpatient visit notification to payors ·Uses proper negotiation techniques to professionally collect… more
- CareFirst (Baltimore, MD)
- …and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements). **Department** Leadership - Medicaid & Medical ... **Equal Employment Opportunity** CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual… more