- Stony Brook University (Stony Brook, NY)
- …Representative assigned to an offsite hospital outpatient** location is a key member of the Patient Access Services team, responsible for courteously greeting and ... responsibilities. Provide self-pay patients with information on qualifications for Medicaid or financial assistance. Engages financial counselors as appropriate. +… more
- RiseBoro Homecare Inc. (Brooklyn, NY)
- …requires a strong understanding of homecare regulations related to Medicare, Medicaid , and other insurance programs. The Intake Specialist will collaborate closely ... Home Health Aide Program (CHHA) and Managed Long-Term Care (MLTC), Medicaid , insurance verification, Maximus procedures, and MLTC enrollment. . Collaborate and… more
- Molina Healthcare (Rochester, NY)
- …for promoting and increasing member enrollments into plan programs (ie; Member portal, Rewards Program, etc.) * Assists Medicaid Members in contacting ... and maintaining healthcare coverage, and accurate information for eligibility for Medicaid , CHP and Essential Plan. Provide non-clinical reminders (ie; product… more
- Healthfirst (NY)
- …complete outbound calls according to approved scripts.** + **Searches ePACEs for Medicaid eligibility, exclusion, and exemption codes.** + **Searches in Marx (CMS) ... appointments for SHP and HF Complete Care prospective members with a Medicaid coverage issue or restriction.** + **Schedules Clinical Assessors to complete Community… more
- Humana (Albany, NY)
- … Bilingual English/Creole + Experience working with Medicare and Medicaid **Additional Information** **Work-At-Home Requirements:** To ensure Home or Hybrid ... Social Worker** who functions as a Support Social Services associate (Support SS) in our Special Needs Plan (SNP)...and serves as part of an interdisciplinary care team member working with other disciplines, such as nurse care… more
- Humana (Albany, NY)
- …a variety of strategies, approaches and techniques to manage a member 's physical, environmental and psycho-social health issues. Identifies and resolves barriers ... Environment is fast paced and requires ability to engage quickly with member while concurrently navigating multiple computer applications. Due to the auto dialer… more
- Elderwood (Buffalo, NY)
- …within the insurance field preferred + E xperience with geriatric or Medicaid populations preferred + Bilingual English/Spanish speaking preferred EOE Statement ... up appointments. + Answering incoming calls and assisting with member questions and identifying when the call needs to...the needs of the business. Qualifications + Minimum of associate degree or equivalent work experience + Demonstrated knowledge… more
- Humana (Albany, NY)
- …Previous experience with pharmacy benefits management + Previous Commercial, Medicare and/or Medicaid experience + 3 or more years clinical experience in managed ... SQL and Excel + Lean, 6 sigma experience and/or certification + Bilingual (English/Spanish) **Additional Information** WAH requirements: + Must have the ability to… more
- Graham Windham (New York, NY)
- …the client based on the needs of the individual client. We also offer bilingual services in Spanish to better support the needs of our communities. Job ... documentation according to the standards and time frames established by OMH, Medicaid regulations and Graham policies and procedures. + Maintain expected levels of… more
- Humana (Albany, NY)
- …offer a remote opportunity for this job. Our Fortune 100 Company values associate engagement & your well-being. We also provide excellent professional development & ... capacity to manage and prioritize multiple tasks based on business needs. + Bilingual fluency in English and Spanish **Preferred Qualifications** + Associate or… more
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