- LittleStar ABA Therapy (Newburgh, IN)
- …motivated and energetic Music Therapist to provide services to families on the Medicaid Waiver and private pay music therapy services in surrounding areas. About Us ... continued education, and instruments + Public Service Loan Forgiveness (PSLF) program eligibility GREAT BENEFITS + Free health and wellness clinics for eligible… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- …and facilitating prior authorizations. The associate will also assess patient eligibility for admission based on benefit verification results and triage ... therapy initiation. DUTIES/RESPONSIBILITIES: . Verify pharmacy benefits including coverage, eligibility , copay, coinsurance, deductibles, and network status. . Determine… more
- Commonwealth of Pennsylvania (PA)
- …THE POSITION Take advantage of your experience in nursing as a professional representative of the Department of Health. We are seeking a dedicated and ... evaluate the quality of services provided and determine the eligibility for licensure for these facilities. Apply today to...Test (SMQT) provided by the Centers for Medicare and Medicaid Services or an equivalent certifying body for the… more
- LIFEPlan CCO NY (Poughkeepsie, NY)
- …disabilities. The Care Manager works with the member, their family and/or representative , and providers to develop, implement, and monitor an integrated and ... the submission of any billable service documentation. + Maintain the member's continued eligibility for care management through the completion of an annual Level of… more
- Albany Medical Center (Albany, NY)
- …visits, and assess progress towards their care plan goals.* Determine patient eligibility for Medicaid , PrEP-AP, Gilead Advancing Access program and/or any ... The Case Manager will conduct screenings and intakes to determine program eligibility , in addition to developing individualized care plans. In addition, the PrEP… more
- Avera (Sioux Falls, SD)
- …where you matter.** **A Brief Overview** Responsible for ensuring insurance eligibility , benefit verification, and the authorization processes are complete in the ... government regulatory forms accurately with the patient or patient's representative . Specialists must maintain compliance with government regulations (ie EMTALA… more
- Trinity Health (Philadelphia, PA)
- …system + Medical terminology and insurance knowledge + Experience with insurance eligibility systems including Medicaid , Medicare, and other commercial and ... Health, Mid-Atlantic, is looking for a Lead Patient Access Representative to join our ED team! **Schedule:** Full Time,...at least one (1) year as a Patient Service Representative in the Emergency Room + Lead experience highly… more
- Priority Health Care (Gretna, LA)
- …and clarify coordination of benefits on every referral. + Check patient eligibility and insurance plan benefits via online payer portals and/or outgoing calls ... of healthcare carriers and payer requirements. + Knowledge of Medicare, Medicaid , compliance, insurance, liability, and tertiary payment methods. + Intermediate… more
- TEKsystems (Morrisville, NC)
- …of the different types of major payers including private/commercial and government (Medicare, Medicaid , VA and DOD). Act as an assigned liaison to client contacts ... service while serving as a brand advocate and program representative ; understands the importance of achieving quality outcomes and...pay range for this position is $23.00 - $23.00/hr. Eligibility requirements apply to some benefits and may depend… more
- CVS Health (Belleville, NJ)
- …manager is responsible for coordinating and collaborating care with the member/authorized representative , PCP, and any other care team participants. The case manager ... manager is responsible for coordinating and collaborating care with the member/authorized representative , PCP, and any other care team participants. The case manager… more