- Elevance Health (Winston Salem, NC)
- …member of Elevance Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services ... judgment and experience. + May perform Part A provider enrollment responsibilities as needed. + Associates in this role...a minimum of 5 years of audit/reimbursement or related Medicare experience; or any combination of education and experience,… more
- Marshfield Clinic (Weston, WI)
- …federal and pharmaceutical programs and Foundation grants, and assists with outreach and enrollment to bridge patients with these resources. This position is on site ... months of hire. + Certified Application Counselor designation through the Centers for Medicare and Medicaid Services within three months from the first fall training… more
- Humana (Miramar, FL)
- …discrepancies between company records and those maintained by the Centers for Medicare and Medicaid Services. This role encompasses a range of moderately complex ... of account status updates. Responsibilities include correcting discrepancies related to enrollment and cash posting within the billing process and preparing… more
- Humana (Frankfort, KY)
- …implementation, client support, client services, client administration, customer service, enrollment and eligibility, claims processing, and call center operations. ... working in healthcare industry + **2+ years experience with Employer/Group Medicare plans** + Extensive experience in a corporate service operations environment… more
- Staffing Solutions Organization (Augusta, ME)
- …and technicians representing various coverage plans + Educate MaineCare Members regarding various Medicare Part D plans and how to choose a plan, how the plan ... pays benefits, etc. + Educate MaineCare Members on Medicare Savings Program/ Medicare buy-in plans and how...plan pays benefits, etc. + Assist MaineCare Members with enrollment processes. + Review insurance coverage for pharmacies, doctor's… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …compliance to regulatory and health plan requirements for authorization, including Medicare Inpatient Only List and communicates to provider to obtain accurate ... ensure patient class determinations * Serves as expert resource for all Medicare Notification Letters and ensures appropriate distribution of all letters (IMM, MOON,… more
- Robert Half Office Team (Greenwood Village, CO)
- Description Credentialing Specialist ( Enrollment Specialist) Position Overview: We are seeking a detail-oriented and organized Credentialing Specialist ( ... Enrollment Specialist) to join our team. In this role,...the healthcare industry is strongly preferred. + Familiarity with Medicare and Medicaid processes. + Minimum of one year… more
- Molina Healthcare (Hartford, CT)
- …position plans, organizes, staffs, and coordinates the operations of state Medicaid, Medicare and Marketplace Health Plan operations. * Works with staff and senior ... for MHI Service Operations, including: Claims, Configuration Information Management, Enrollment , Contact Center Operations, IT, Provider Configuration Management, Program… more
- Fallon Health (Worcester, MA)
- …integrated care for our members with a special focus on those who qualify for Medicare and Medicaid. We also serve as a provider of care through our Program of ... limited to filing, photocopying, mailing of correspondence, research, batching enrollment applications and computer look-up. Ensures that services provided… more
- Convey Health Solutions (Fort Lauderdale, FL)
- …+ Daily OHI/COB Rejections + Monthly review and preparation of the CMS Enrollment Data Validation file and submissions + Working understanding of Centers for ... Medicare & Medicaid Services (CMS) guidance + Conform with...or other entities as permitted to complete processing of enrollment , disenrollment, billing and or reconciliation transactions + Make… more