- Healthfirst (NY)
- …of current members using the Uniform Assessment System (UAS); make enrollment and continued eligibility determinations by utilizing clinical expertise and critical ... members and significant others/responsible parties understand and are in agreement with enrollment in a managed long-term care plan Additional duties as assigned… more
- Houston Methodist (Houston, TX)
- …ESSENTIAL FUNCTIONS** + Assisting financial analyst in development of calendar and Medicare Cost Analysis. standard of care procedures vs. research and approving ... consents clinical research subjects for participation in approved clinical trials; monitors enrollment goals and modifies enrollment strategies, as necessary. +… more
- HUB International (Baton Rouge, LA)
- …brought up by HUB International clients and their employees, including resolving enrollment and termination issues, acting as liaison with insurance carriers, and ... clients to resolve claims (including assistance in the appeals process), enrollment , termination, and billing issues. + Provides knowledgeable answers regarding… more
- CVS Health (West Orange, NJ)
- …nursing facility custodial requests, personal preference program and MLTSS program enrollment . Successful completion of company sponsored NJ Choice Certification is ... nursing facility custodial requests, personal preference program and MLTSS program enrollment . Successful completion of company sponsored NJ Choice Certification is… more
- Alight (Salt Lake City, UT)
- …communications/calls with employees + Completing employee benefit verification forms (eg, Medicare forms, life insurance forms / retiree death claims, LTD employer ... conversion forms, etc.) + Documenting benefits Annual Enrollment (BAE) /communications (review of communications and distribution lists). + Coordinating with legal… more
- City of New York (New York, NY)
- …and outgoing mail inquiries regarding the following: -Retiree health benefits enrollment /change applications -Inquiries regarding payments under the Medicare ... partners of both active employees and retirees -The resolution of health plan enrollment issues for retirees and their dependents as well as retiree health benefits… more
- Albany Medical Center (Albany, NY)
- …RN staff, administrative oversight of the infusion treatment program, including patient enrollment and ongoing monitoring as well as tracking of all ancillary ... testing for initial enrollment and ongoing surveillance. + Develop and implement all...as needed. + Counsel and refer families regarding SSD, Medicare , Medicaid, Managed Long Term Care Programs, TBI programs,… more
- Healthfirst (FL)
- …of healthcare Operations processes and supporting systems such as Claims Processing, Enrollment & Billing, and Member Services. + Knowledge of at least two ... or more lines of business such as Medicare NY/NJ, Medicaid, Family Health Plus, Child Health Plus,...Operations processes and supporting systems such as Claims Processing, Enrollment & Billing, and Member Services. WE ARE AN… more
- Conduent (Hamilton, NJ)
- …performance through technology-enabled services and platforms. Our solutions support Medicaid, Medicare , and other public health initiatives with a focus on program ... experience in account management, compliance management, and Eligibility and Enrollment . + **Industry Knowledge:** Demonstrated professional experience and knowledge… more
- State of Georgia (Fulton County, GA)
- …Develop and implement federal compliance reporting processes, including collating enrollment metrics, performance monitoring data, financial reports, and accounting ... relevant division staff to prepare annual and ad hoc reports, including enrollment metrics, financial reports, and accounting records. Coordinate with division staff… more