- New York State Civil Service (Schenectady, NY)
- …employment services opportunities in Region 3 and facilitate actions to increase the enrollment in the full spectrum of HCBS waiver services. These duties will ... and maintain eligibility for full and unconditional participation in the Medicare and Medicaid programs. Continued employment will depend on maintaining eligibility.… more
- Marshfield Clinic (Lake Hallie, WI)
- …QUALIFICATIONS** **EDUCATION** Minimum Required: High School diploma or equivalent. Enrollment in ICATAP MA Apprenticeship Program Preferred/Optional: Completion of ... been or be excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment. Employee must immediately… more
- NorthWest Senior & Disability Services (Salem, OR)
- …for benefits and enrolling consumers, and ongoing maintaining of consumer enrollment in various medical assistance programs. NOTE: Eligibility Specialist positions ... Organizations, attorneys, behavioral health partners, pharmacies, Social Security Administration, Medicare , medical providers, etc. + Process forms and documents. +… more
- Walmart (Bentonville, AR)
- …Health & Wellness stakeholder teams - including Legal, Operations, Clinical, Enrollment , Billing and Analytics - to operationalize payer programs, secure favorable ... medical benefit and physician agreements across multiple lines of business ( Medicare , Medicaid, Commercial, and Exchange). + Ability to independently manage payer… more
- CareFirst (Baltimore, MD)
- …or GED. **Experience:** 3 years experience in a Billing, membership enrollment , member services, claims operations or Finance role. **Preferred Qualifications:** + ... programs/plans (all benefits/incentives are subject to eligibility requirements). **Department** Medicare /Medicaid Administration **Equal Employment Opportunity** CareFirst BlueCross BlueShield is… more
- Humana (Wisconsin Rapids, WI)
- …members' evolving needs. + Conduct face-to-face social assessments with members upon enrollment and at minimum, every six months, typically at the member's ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more
- Molina Healthcare (Iowa City, IA)
- …Needs * Reviews documentation regarding updates/changes to member enrollment , provider contract, provider demographic information, claim processing guidelines ... CMS rules and/or State regulations with different line of business as: Medicare , Medicaid, Marketplace, Dual coverages/COB. + Knowledge of validating and confirming… more
- Trinity Health (Westerville, OH)
- …payments & ensures that patients meet financial requirements including Medicare medical necessity, payer pre-certifications & referrals. Provides general information ... assistance (geographic and position restrictions apply). + Discounted tuition and enrollment opportunities at the Mount Carmel College of Nursing. + Employee… more
- Houston Methodist (Houston, TX)
- …the Sponsor. + Identifies and recruits clinical research subjects and monitors enrollment goals. + May conduct in-services to floor nurses/physicians; assists in ... **FINANCE ESSENTIAL FUNCTIONS** + Assists with the budget development and Medicare coverage analysis. + Utilizes resources effectively and efficiently, demonstrating… more
- Trinity Health (Columbus, OH)
- …, a college of nursing (https://www.mccn.edu/) , a Medicare Advantage plan (https://www.medigold.com/) , and extensive outreach and ... + Relocation assistance (geographic restrictions apply) + Discounted tuition and enrollment opportunities' at the Mount Carmel College of Nursing + Mount… more