- Elevance Health (NC)
- …_We are partnering with North Carolina DHHS to operationalize a statewide Medicaid Plan designed to support Medicaid -enrolled infants, children, youth, young ... adults, and families served by the child welfare system so that they receive seamless, integrated, and coordinated health care. Within the Children and Families Specialty Plan (CFSP), and regardless of where a member lives, they will have access to the same… more
- Robert Half Accountemps (St. Louis Park, MN)
- …Prepare and submit claims to various insurance payers, including Medicare, Medicaid , and commercial providers, ensuring accuracy and compliance. * Investigate ... accounts receivable billing. + Proven expertise in working with Medicare, Medicaid , and commercial insurance providers. + Experience handling billing processes in… more
- Molina Healthcare (Syracuse, NY)
- …and maintaining healthcare coverage, and accurate information for eligibility for Medicaid , CHP and Essential Plan. Provide non-clinical reminders (ie; product ... into plan programs (ie; Member portal, Rewards Program, etc.) * Assists Medicaid Members in contacting their social worker regarding eligibility issues and follow-up… more
- Outreach Development Corporation (Brentwood, NY)
- …due diligence in the delivery of quality care in line with agency Medicaid Compliance Plan and systems of accountability. + Insures communication through the ... and/or the supervisory structure of any violation of non-compliance with the agency's Medicaid compliance plan and personnel policy and procedure. Who You Are: +… more
- Arkansas Children's (Little Rock, AR)
- …authorizations and insurance verification for all clinics, Medicare patients, out-of-state Medicaid , SDC and for specialty drugs. 4. Obtains the appropriate prior ... are received for each account with a financial class of insurance and/or Medicaid . 9. Appropriately refers all high dollar or self-pay accounts to Financial… more
- Queen's Health System (Honolulu, HI)
- …packages as required by hospitals, surgery centers, commercial payors, Medicare and Medicaid . * Performs credentialing in accordance with policies and procedures of ... in provider credentialing, preferably in a comparable organization. * Knowledge of Medicaid , Medicare, Third Party payer requirements, SNF/ICF, ICD-10 and DRG's. *… more
- Centene Corporation (Indianapolis, IN)
- …access to competitive benefits including a fresh perspective on workplace flexibility. **Indiana Medicaid and Managed Care** **Must be authorized to work in the US ... provider enrollment specifications and demographic changes + Update delegated provider Medicare and Medicaid documents on a monthly and ad hoc basis and ensure state… more
- Mount Sinai Health System (Elmhurst, NY)
- …1. Under the supervision of the Administrative Manager assists with the Medicaid enrollment and maintains files . 2. Assist with Medicare enrollment and ... projects for Claim Edit holds are placed for providers pending certification with Medicaid for electronic billing, and Follow Up work queues are monitored for… more
- Molina Healthcare (Oshkosh, WI)
- …sales and marketing of Molina Medicare products to dual eligible, Medicare- Medicaid recipients within approved market areas to achieve stated revenue, profitability, ... Degree **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:** 2+ years Medicare, Medicaid , managed care or other health/insurance related sales experience To… more
- CaroMont Health (Gastonia, NC)
- …and/or customer service experience preferred. Knowledge of insurance, Medicare, Medicaid , collections, and other business office related duties is preferred. ... Excellent communication, customer service and decision making skills. Ability to multi-task and work both independently and in a team environment. Ability to type 45 wpm preferred. EOE AA M/F/VET/Disability more