- TEKsystems (Morrisville, NC)
- …is left behind due to non-clinical barriers. Key Responsibilities + Advocate for patients through program enrollment, reimbursement, co-pay assistance, and ... + Strong understanding of reimbursement processes and major payers (Medicare, Medicaid , VA, DOD, commercial) + Experience with prior authorizations, insurance… more
- The Arc Erie County NY (Williamsville, NY)
- …disabilities and their families. + Regulatory Knowledge - Understands OPWDD, Medicaid , and educational compliance requirements. + Leadership - Guides and motivates ... habilitation, residential, vocational, and community services). *Conduct and/or review eligibility screenings, documentation, and assessments to ensure compliance with… more
- City of New York (New York, NY)
- …family self-sufficiency. The Fair Hearing Process Specialist prepares Public Assistance/SNAP/ Medicaid eligibility forms by incorporating all received data and ... and instructions, taking case actions relating to fair hearing issues. Prepare eligibility forms for Public Assistance/ Medicaid /SNAP case actions, by… more
- Fedcap (New York, NY)
- Position Summary: Single Stop seeks a full-time Health Advocate /IPA-Navigator to join its Health Care team. As part of the Affordable Care Act (ACA) implementation, ... Single Stop's Healthcare Advocate /IPA-Navigators provide in-person, competent, individually appropriate and "disability accessible" education, health insurance… more
- New York State Civil Service (Ogdensburg, NY)
- …and maintain eligibility for full and unconditional participation in the Medicaid and Medicare programs. Failure to maintain Medicaid /Medicare eligibility ... as assigned. Minimum Qualifications Current certification as a Certified Recovery Peer Advocate (CRPA) or CRPA-Provisional by the New York Certification Board; and… more
- Corewell Health (Dearborn, MI)
- …up to a $750.00 starting bonus! A Wing is a 58 bed Medicare/ Medicaid unit that has residents with multiple clinical issues including CHF, dehydration, cellulites, ... and personal satisfaction. B Wing is a 40 bed Medicare/ Medicaid /Dementia unit. We provide care to residents with a...retirement options with service contribution and match savings + Eligibility for benefits is determined by employment type and… more
- CVS Health (Lexington, KY)
- …Special Needs Plan (DSNP) members, who are enrolled in both Medicare and Medicaid and face a variety of complex health and social challenges. Through compassionate ... to discuss member status and progress toward goals. + Advocate for members to ensure they receive all necessary...care covered by their benefit plans and available through Medicaid and community resources. + Build relationships with hospital… more
- R1 RCM (Wichita, KS)
- …when appropriate. + Contact insurance carriers or other sources and act as an advocate for the patient. + Initiate process for collecting prepays due and perform ... to meet their financial obligations. + Work with Case Management, Clinical Staff, Medicaid Vendor, and Family Independence Agency to assist patients and families in… more
- Corewell Health (Grand Rapids, MI)
- …also ensures that LTSS operations align with the integration of Medicare and Medicaid benefits under Michigan's HIDE SNP model, meeting CMS and MDHHS expectations ... Ensure continuity of care during provider or service transitions, per Medicare, Medicaid , and Michigan HIDE SNP contract. Stakeholder Engagement: + Engage with LTSS… more
- R1 RCM (Somerset, KY)
- …when appropriate. Contact insurance carriers or other sources and act as an advocate for the patient. Initiate process for collecting prepays due and perform follow ... to meet their financial obligations. Work with Case Management, Clinical Staff, Medicaid Vendor, and Family Independence Agency to assist patients and families in… more