- State of Georgia (Fulton County, GA)
- SHBP Member Services Specialist (00185884) Georgia - Fulton - Atlanta (https://careers.georgia.gov/jobs/68872/other-jobs-matching/location-only) Administrative & ... job posting and apply: If interested, please apply to: https://www.governmentjobs.com/careers/dchga/jobs/4959777/shbp-member-services- specialist -00185884 Applicants who do not apply using the DCH… more
- The Arc Erie County NY (Williamsville, NY)
- …Job Duties and Responsibilities: + Assess individual's entitlements and benefits, ensures eligibility for Medicaid and Home and Community Based (HCBS) Waiver ... comprehensive services for over 65 years. NOW HIRING INTAKE SPECIALIST ! Responsibilities: + Acts as the first point of...continuum and how to access it. + Evaluates service eligibility and secures appropriate documentation. + Links and refers… more
- Trinity Health (Wilmington, DE)
- **Employment Type:** Full time **Shift:** **Description:** **Job Title: Enrollment Specialist ** **Ministry: Trinity Health PACE** **Location: St Francis** **Position ... Purpose:** As an Enrollment Specialist , you will serve as the first point of...introducing the PACE model of care and evaluating initial eligibility . You'll play a critical role in managing the… more
- University of Texas Rio Grande Valley (Mcallen, TX)
- Position Information Posting NumberSRGV8268 Working TitlePRIOR AUTHORIZATION AND REFERRAL SPECIALIST (UT Health RGV Cancer and Surgery Center-Rehabilitation Center) ... plans related to services for patient visits and procedures. + Verifies member eligibility and benefits via the health plan provider online portals or health plan… more
- ChenMed (Miami, FL)
- …people to join our team. The RCM (Revenue Cycle Management) Optimization Specialist supports operational enhancement of the revenue cycle by ensuring accurate ... payers focusing on reducing attribution leakage and identifying process gaps. The specialist also serves as a super-user of revenue systems and membership validation… more
- AdventHealth (La Grange, IL)
- …follows deferral procedure as required + Connects patients with financial counseling or Medicaid eligibility vendor as appropriate + Contacts patient to advise ... Verifies medical necessity in accordance with Centers for Medicare & Medicaid Services (CMS) standards and communicates relevant coverage/ eligibility information… more
- WelbeHealth (San Jose, CA)
- …eligibility for state and federal benefits they are entitled to such as SSI, Medicaid , and Medicare. The Eligibility & Coverage Advocate will support the ... as both a care provider and care plan to those we serve. The Eligibility & Coverage Advocate is the liaison between participants and the WelbeHealth center team,… more
- Community Health Systems (Franklin, TN)
- …with billing software, electronic claims management systems (eg, SSI, DDE), and eligibility tools. + Knowledge of CMS, Medicaid , Medicare, and commercial ... **Job Summary** The Payment Compliance Billing Specialist I is responsible for processing, auditing, and...and resolve billing errors, denials, and rejections. The Billing Specialist I collaborates with internal teams, facility liaisons, and… more
- Trinity Health (Philadelphia, PA)
- **Employment Type:** Full time **Shift:** **Description:** **Enrollment Specialist ** Trinity Health PACE Broad Street Hours- Monday through Friday Sign on - $7,500 ... Position Purpose: The Enrollment Specialist plays a key role in introducing prospective participants and their families to the PACE (Program of All-Inclusive Care… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, ... purpose. Job Summary The Customer Solution Center Appeals and Grievances (A&G) Specialist II will receive, investigate and resolve member and provider complaints and… more