- NorthWest Senior & Disability Services (Woodburn, OR)
- …Organizations, attorneys, behavioral health partners, pharmacies, Social Security Administration, Medicare , medical providers, etc. + Process forms and documents. + ... Apply program rules and policy to determine if individual qualifies...with disabilities to perform the essential functions. Classification: Eligibility Specialist Salary Range: R19 FLSA Status: Non-Exempt Unit: 1911… more
- Highmark Health (Charleston, WV)
- …organizations and leaders. + Build an understanding of SDOH, Managed Care issues, Medicare , Medicaid, Dual Special Needs and delivery of those services to the ... with outside entities regularly to learn of community needs. + Collaborate with Medicare Sales team to identify enrollment opportunities. + Other duties as assigned… more
- New York State Civil Service (Binghamton, NY)
- …People With Developmental Disabilities, Office for Title Adaptive Equipment Specialist Occupational Category Other Professional Careers Salary Grade 14 Bargaining ... and maintain eligibility for full and unconditional participation in the Medicare and Medicaid programs. Continued employment will depend on maintaining… more
- Wider Circle (Newark, NJ)
- …neighbors for better health. Wider Circle's groundbreaking Connect For Life(R) program brings communities and healthcare together in-person and on-line for health, ... Circle is seeking a passionate and dedicated Member Engagement Specialist to play a vital role in our groundbreaking... to play a vital role in our groundbreaking program , which connects neighbors for better health outcomes. The… more
- Marshfield Clinic (Marshfield, WI)
- …any time have been or be excluded from participation in any federally funded program , including Medicare and Medicaid. This is a condition of employment. ... exciting missions in the world!** **Job Title:** Arrhythmia Nurse Specialist **Cost Center:** 301351038 Mfld-Cardiology **Scheduled Weekly Hours:** 40 **Employee… more
- Fairview Health Services (Minneapolis, MN)
- **Job Overview** **Job Summary:** The Pharmacy Operations - Access Specialist will have strong knowledge of insurance, revenue cycle, pharmacy services and health ... State Law (not currently in effect). + Understand all third party and Medicare /Medicaid regulations and billing guidelines as they pertain to pharmacy and medical… more
- Staffing Solutions Organization (Albany, NY)
- …of our clients and the people they serve. **Principal Healthcare Data Specialist 1 - Albany, NY** **Division of Eligibility & Marketplace Integration (DEMI)** ... the MECM implementation; + Apply knowledge and experience of Medicaid regulations, program policy, current system design and integration with other systems to… more
- Integra Partners (Troy, MI)
- JOB OVERVIEW Our Claims Resolution Specialist role is responsible for reviewing Durable Medical Equipment (DME) claims for billing accuracy while maintaining ... cycle objectives + Stay informed on product information, changes in Medicare /State/Contract funding procedures, and updates in policies and procedures + Contribute… more
- TEKsystems (West Des Moines, IA)
- About the Role We are seeking a detail-oriented and dependable Cash Posting Specialist to join our team on a contract basis. This role is responsible for processing ... file exchanges to ensure accurate data posting. + Process Medicare RAC recoupments and interest to support timely appeals....and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this… more
- Texas Health Resources (Arlington, TX)
- Admissions Specialist I _Bring your passion to Texas Health so we are Better + Together_ Work Location: Texas Health Arlington Memorial, 800 West Randol Mill Rd., ... elements are completed correctly, particularly the MSPQ, Important Message from Medicare (IMM) and medical necessity checking (ABN and Letter of Non-Coverage).… more