- Conduent (Guaynabo, PR)
- …calls regarding healthcare benefits. The calls are related to Assisting members with enrollment into the Medicare plan, Disenrolling them from their plan, ... processing claims regarding their plan etc. **There are plenty of growth opportunities within the healthcare team.** Starting pay is $13.67 an hour. Hours of Operation: Monday-Sunday 8:00AM - 8:00PM EST Training is paid. Training Duration: 6 Weeks in a… more
- Molina Healthcare (Las Cruces, NM)
- …is primarily in the Medicaid space, however, will cross over to Marketplace and Medicare . This role will lead by example, working alongside their team. There may be ... **KNOWLEDGE/SKILLS/ABILITIES** + Responsible for achieving established goals improving Molina's enrollment growth objectives encompassing all lines of business. Works… more
- GMHC (New York, NY)
- …connects individuals and families to affordable health care coverage by providing enrollment assistance, education, and outreach through the New York State of Health ... range of health benefit options such as ADAP, Medicaid, Medicare , COBRA, and Marketplace plans, all with a focus...and stakeholders about the NYOH marketplace, plan selection, and enrollment support. + Represent GMHC at public events, meetings,… more
- Sharp HealthCare (La Mesa, CA)
- …coverage through MCA for SRS/SCMG and MPV (or Portal) for potential Medicare or Medi-Cal.Use Coordination of Benefits (COB) standards to prioritize billing order ... of insurance plans. Medicare patients - Medicare Secondary Payer (MSP)...established guidelines such as scripting and picture identification for enrollment and authentication.In absence of Patient Secure workstation, use… more
- UTMB Health (Galveston, TX)
- …calculations and estimates and ensures UTMB compliance with Medicare and Medicaid regulations. **Scope:** Institutional **Responsibilities:** + Responsible ... for technical aspects, calculations and analyses of multiple areas of Medicare and Medicaid reimbursement components including, but not limited to, cost report… more
- WellSense (Boston, MA)
- …health insurance company serving members across Massachusetts and New Hampshire through Medicare , Individual and Family, and Medicaid plans. Founded 25 years ago as ... responsible for the thorough and accurate review of adjudicated claims and Enrollment entry against established corporate guidelines and protocols specific to claim… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …guidance and plans they need for healthy living. Outreach and Retention Associate (ORA)- Medicare Advantage CPHL is a Medicare Advantage Prescription Drug plan ... Conduct daily surveys to members who have submitted a dis- enrollment request and document the reasons. + Conduct weekly...eligible for, + Answer inquiries related to all CPHL Medicare products *Licensed Agents Only. + Educate potential members… more
- Molina Healthcare (East Moline, IL)
- …The Sr Specialist will collaborate with internal teams (Quality, Provider Relations, Medicare , and Marketplace) to align activities and ensure a cohesive approach. ... **KNOWLEDGE/SKILLS/ABILITIES** + Under limited supervision, responsible for carrying out enrollment events and achieving assigned membership growth targets through a… more
- MVP Health Care (North Coventry, PA)
- …(EP), HARP, On-Exchange Qualified Health Plans (QHP), Off-Exchange Plans, and Medicare Advantage plans to individuals at Federally Qualified Health Centers (FQHCs), ... for the Retail Outreach team. Track and interpret membership enrollment and engagement data in CRM (Dynamics 365) for...365) to ensure the integrity and quality of the enrollment process. Communicate with Leader, Field Operations to identify… more
- MetroLink (Los Angeles, CA)
- …provide proof. Once you waive coverage, you will only be allowed to enroll during Open Enrollment or within 60 days from the date on which your other coverage is no ... exceeds $50,000, be added to your Federal, State, and Medicare taxable earnings for W-2 reporting. This amount is...a maximum of $100,000 without evidence of insurability (initial enrollment period only) and up to 5 times your… more