- Molina Healthcare (Layton, UT)
- …of benefits, subrogation, and eligibility criteria. + Familiarity with Medicaid and Medicare claims denials and appeals processing, and knowledge ... and requirements established by the Centers for Medicare and Medicaid **KNOWLEDGE/SKILLS/ABILITIES** + Responsible for the comprehensive research and resolution… more
- Ascension Health (Austin, TX)
- …required. + Expertise in the Facets platform preferred. + Experience working with Texas Medicaid claims and Medicaid regulatory requirements is preferred. + ... to give back to your community _Benefit options and eligibility vary by position. Compensation varies based on factors...Human Services Commission. Perform routine and/or targeted audit of claims to ensure payment accuracy and adherence to state… more
- TEKsystems (Louisville, KY)
- …SIDE of Louisville, KY Job Description - Prepare & process various insurance claims , verifies data by conferring with appropriate agencies on a daily basis. -Create ... & process electronic claims submission for various payers on a daily basis...experience working with all payers - including Medicare and Medicaid + Experience working with rejections through a clearinghouse… more
- El Paso County (Colorado Springs, CO)
- …the families we serve. Don't wait - Apply Today! Associate Benefits & Eligibility Specialist Salary Range: $40,550.00 - $58,940.00 Annually Hiring Range: ... - $46,000.00 Annually Anticipated Hiring Rate: $43,992.00 Annually Benefits & Eligibility Specialist Salary Range: $44,910.00 - $65,130.00 Annually Hiring… more
- Cognizant (Malvern, PA)
- …of claim processing is required. **Travel:** None required **About the role:** As Claims Adjudication Specialist , you will be responsible for timely and accurate ... * Experience making payments with UB/institutional (CMS-1450) and/or professional (CMS 1500) claims * Knowledge of Medicare/ Medicaid payment and coverage… more
- State of Colorado (Denver, CO)
- …applicant resources of the same or a comparable complexity to determine Medicaid eligibility (eg annuity contracts, partnership or corporation agreements, etc.). ... applicant resources of the same or a comparable complexity to determine Medicaid eligibility (eg annuity contracts, partnership or corporation agreements, etc.).… more
- Ventura County (Ventura, CA)
- Medical Billing Specialist III/IV - Behavioral Health Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5037514) Apply Medical Billing ... Specialist III/IV - Behavioral Health Salary $52,216.65 - $73,565.49...IV), performs and is responsible for billing and processing claims appropriately for timeliness in reimbursement and billing compliance… more
- Constructive Partnerships Unlimited (Manhattan, NY)
- Eligibility Specialist Type of Position Full time Search Location(s) Manhattan, NY Apply Now ... (https://phe.tbe.taleo.net/phe03/ats/careers/v2/applyRequisition?org=CPOFNYS&cws=37&rid=6455) Job Brief Responsible for preparing Medicaid and Social Security Administration (SSA) recertifications; completing representative… more
- MyFlorida (Orlando, FL)
- … Medicaid , and Refugee Assistance) as a result of pre- eligibility and eligibility investigations for Public Assistance applicants/recipients, community ... INVESTIGATION SPECIALIST I - 60060474 Date: Oct 1, 2025...to promote strong and economically self-sufficient communities by determining eligibility for food, cash and medical assistance for individuals… more
- City of New York (New York, NY)
- …is recruiting one (1) Principal Administrative Associate II to function as an Eligibility Verification Specialist in its Eligibility Verification Division, ... of Revenue Management and Development (ORMD)/The Bureau of Case Integrity & Eligibility Verification's (BCIEV) mission is to identify system enhancements to improve… more
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