• Mental Hygiene Program Evaluation Specialist 3

    New York State Civil Service (Rochester, NY)
    …State NY Zip Code 14620 Duties Description Supervise and oversee Health Information Management and Medicaid Compliance. Duties include but are not limited to:* ... the Medicare and Medicaid programs. Continued employment will depend on maintaining eligibility .* If you are employed by state government you may be able to… more
    New York State Civil Service (09/18/25)
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  • Member Services Lead

    Humana (Springfield, IL)
    …Services Lead who is dedicated full-time to member services for the Illinois Medicaid Market. This Lead leverages the voice of the customer, root cause, telling ... of member grievance and appeal trends, working closely with cross-departmental management . + Partners across consumer services areas ensuring excellence with… more
    Humana (09/10/25)
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  • Licensed Clinical Social Worker - EOA#25-570jh

    New York State Civil Service (West Seneca, NY)
    …Participate in 1st & 2nd Step Reviews, as assigned.* Provide backup support for eligibility Medicaid Fair Hearings * Provide assistance with triage of ... using NYS Mental Hygiene Law and OPWDD guidelines.* Participate in the Medicaid Fair Hearing process regarding Eligibility ; this includes preparing, reviewing,… more
    New York State Civil Service (09/18/25)
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  • Conference Officer

    City of New York (New York, NY)
    …for clients and their representatives to address problems or complaints related to Medicaid eligibility decisions, with the goal of reducing the number of ... - York State Department of Social Service regulation. - Review determinations on Medicaid eligibility made by lower-level supervisors in Hoepita1 eligibility more
    City of New York (09/04/25)
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  • Medical Specialist 2

    New York State Civil Service (NY)
    …the Medicare and Medicaid programs. Continued employment will depend on maintaining eligibility .* If you are employed by state government you may be able to ... or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any...to verify your identity. Name Finger Lakes Human Resources Management Office - Posting Department Telephone ### Fax ###… more
    New York State Civil Service (09/18/25)
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  • Medical Specialist 1

    New York State Civil Service (Rochester, NY)
    …the Medicare and Medicaid programs. Continued employment will depend on maintaining eligibility .* If you are employed by state government you may be able to ... or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any...to verify your identity. Name Finger Lakes Human Resources Management Office - Posting Department Telephone ### Fax ###… more
    New York State Civil Service (09/18/25)
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  • Insurance Coordinator

    Fresenius Medical Center (San German, PR)
    …+ Educates on the availability of alternative insurance options (ie, Medicare, Medicaid , Medicare Supplement, State Renal programs, and COBRA). + Ensures patients ... options when insurance contracts are terminated. + Responsibilities involving Medicare and Medicaid include but are not limited to: + Determining Medicare … more
    Fresenius Medical Center (09/08/25)
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  • Onco. Patient Financial Counselor

    Premier Health (Dayton, OH)
    …includes establishing payment plans and other financial arrangements, evaluating patient's eligibility for Medicaid , state and hospital-sponsored charity care ... is preferred. Courses/workshops in compliance, medical self-pay accounts receivable management , Medicaid , medical billing preferred Familiarity with statutes… more
    Premier Health (09/05/25)
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  • Reimbursement Analyst (Remote)

    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
    CareFirst (09/12/25)
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  • Patient Financial Counselor

    HCA Healthcare (Hermitage, TN)
    …full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility , for external clients across the country. Parallon has over ... the patient + Demonstrates excellent customer service + In conjunction with the Medicaid Eligibility Staff visit all uninsured patients in-house + Provide… more
    HCA Healthcare (09/11/25)
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