• Case Manager

    City of New York (New York, NY)
    …capacity. Under the supervisory direction of the Associate Benefits Opportunity Specialist I, with some latitude for independent judgment and decision making, ... the Benefit Opportunity Specialist (BOS) is responsible... (BOS) is responsible for providing various functions of eligibility determination, financial planning, case monitoring and other related… more
    City of New York (08/13/25)
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  • Medical Consultant

    City of New York (New York, NY)
    …with essential benefits such as Cash, Food and Rental Assistance as well as Medicaid . The Office of the Medical Director aims to improve the health and well-being ... to the Department of Social Services Chief Medical Officer, the City Medical Specialist will assist with oversight of health services, inclusive of medical and… more
    City of New York (08/13/25)
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  • Health Services Representative

    MyFlorida (Fort Pierce, FL)
    …Your Specific Responsibilities: The Linkage to Care Coordinator (LTC)/Disease intervention Specialist (DIS) representative is a regional position within the Area 15 ... non-compliant HIV positive clients. As well as acting as a Disease Intervention Specialist to provide partner services to infected individuals. The incumbent is also… more
    MyFlorida (09/02/25)
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  • Revenue Cycle Coordinator

    The Institute for Family Health (New Paltz, NY)
    …FQHC/Article 28, Article 31, and Dental Rules and Regulations around the Medicaid and Medicare RESPONSIBILITIES: + Compile and maintain records, statistics and ... dates of service are billed and/or rebilled to appropriate responsible party (ie Medicaid , Insurance Carrier or Self Pay). This review process would include but… more
    The Institute for Family Health (09/03/25)
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  • Clinical Care Manager

    WellSense (Manchester, NH)
    …across Massachusetts and New Hampshire through Medicare, Individual and Family, and Medicaid plans. Founded 25 years ago as Boston Medical Center HealthNet Plan, ... and follow-up to ensure appointment is made with the PCP or Specialist ; assessing for home health services, DME needs, and transportation issues; performing… more
    WellSense (08/22/25)
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  • Quality Assurance Nurse LTC

    Centene Corporation (Queens, NY)
    …Teams and / or activities / clinical documentation submitted by the Intake Specialist . The Clinical Quality Assurance RN will review for to confirm accuracy and ... Department of Social Services and Center for Medicare & Medicaid Services (CMS). The Clinical Quality Assurance RN will...will spend time in the field while reviewing Intake Specialist work and will actively coach and develop staff… more
    Centene Corporation (08/27/25)
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  • Hourly Recreation Therapist (Stutzman ATC)

    New York State Civil Service (Buffalo, NY)
    …and maintain eligibility for full and unconditional participation in the Medicaid and Medicare programs. Failure to maintain Medicaid /Medicare eligibility ... chemical dependency;Or 3. current credentials as a Certified Therapeutic Recreation Specialist (CTRS) issued by the National Council For Therapeutic Recreation… more
    New York State Civil Service (09/05/25)
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  • Financial Counselor / PA Self Pay

    Hartford HealthCare (Farmington, CT)
    …plans and transfers. 3. Performs pre bad debt screening (reviews accounts for Medicaid Eligibility and/or bad debt vs. charity care). 4. Updates insurance ... of experience in a multi-entity system with EPIC. Experience with Medicaid Eligibility and Financial Assistance Programs. _*Licensure, Certification,… more
    Hartford HealthCare (08/08/25)
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  • Provider Relations Rep - Hybrid - 1 day/EO week…

    Fallon Health (Worcester, MA)
    …be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid , and PACE (Program of All-Inclusive Care for the Elderly)- in ... of providers' contracted services. + Orient and educate primary care, specialist , hospital, and ancillary providers by conducting physician and office staff… more
    Fallon Health (08/08/25)
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  • Insurance Verification Specialists

    Adecco US, Inc. (Minneapolis, MN)
    …by Federal, State, or local law; and Holiday pay upon meeting eligibility criteria. **IMPORTANT:** This **Insurance Verification Specialist ** job is being ... **Pay:** $19.00 an hour **Responsibilities of the Insurance Verification Specialist :** * Demonstrate strong knowledge of insurance requirements including processing… more
    Adecco US, Inc. (09/13/25)
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