- UNC Health Care (Goldsboro, NC)
- **Description** Summary: The Medicaid Eligibility Specialist screens, coordinates and facilitates the Medicaid application process across ... up to State appeals. 7. Gathers and provides necessary verification to establish Medicaid eligibility via direct contact with patient and/or patient's family,… more
- CVS Health (Raleigh, NC)
- …into applicable systems. **Required Qualifications** - 1-3 years' of Medicaid claims experience. - 1-3 years' Network background. **Preferred Qualifications** ... retiree medical access and many other benefits depending on eligibility . For more information, visit https://jobs.cvshealth.com/us/en/benefits We anticipate the… more
- CenterWell (Raleigh, NC)
- …- 5:30pm ET** + **Available to work 1-3 holidays a year** As a **Home Health Eligibility Specialist ** , you will: + Verify patient eligibility and payor ... a potential loss of revenue. + Prepare, submit and follow up on eligibility requests according to applicable state and commercial payor guidelines. + Coordinate,… more
- Cognizant (Raleigh, NC)
- **Job Title:** **Sr. Product Specialist - QNXT Configuration (Remote)** **Job ID:** **66246221** **About the role** As a **Sr. Product Specialist ** , you will ... with stakeholders to design solutions, troubleshoot issues, and ensure compliance with Medicaid and Medicare requirements. **In this role, you will:** + Analyze,… more
- Sumitomo Pharma (Raleigh, NC)
- …highly motivated individual for the position of **Multi-Specialty Portfolio Specialist .** In this field-based role, the **Multi-Specialty Portfolio Specialist ... tactical, energetic and thrive in a nimble organization. The **Multi-Specialty Portfolio Specialist ** will demonstrate a sense of urgency to prepare and successfully… more
- HCA Healthcare (Marion, NC)
- **Description** **Introduction** Do you have the career opportunities as a(an) Practice Specialist II you want with your current employer? We have an exciting ... on income. Learn more about Employee Benefits (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards) **_Note: Eligibility for benefits may vary by location._** Our teams… more
- UNC Health Care (Goldsboro, NC)
- …Work Queue assignments provided by supervisor. 12. Completes basic screening for Medicaid eligibility and financial assistance. 13. Abides by the Wayne ... **Description** Summary: The Patient Access Specialist ensures each registered patient has a complete...unable to pay liabilities. 10. Re-runs RTE (real time eligibility ) to ensure the coverage is active and the… more
- TEKsystems (Raleigh, NC)
- Program Specialist - Remote Contract Role Contract Duration: 4 Months (January 26, 2026 - April 26, 2026) Start Date: January 26, 2026 Training Period: 8 Weeks ... in insurance verification, prior authorization, patient access. + Knowledge of Medicare/ Medicaid processes. Additional Details No PTO during training (January 26,… more
- Novant Health (Salisbury, NC)
- …Health Surgical Institute is seeking a Board Certified/Board Eligible ENT & Allergy specialist to join Novant Health Pinnacle Ear, Nose, Throat & Allergy, a busy ... community benefit (including financial assistance and unpaid cost of Medicare and Medicaid ). In 2022, Novant Health community engagement contributed more than $1.9… more
- CVS Health (Raleigh, NC)
- …submit ICD codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, ... auditing. + CPC (Certified Professional Coder) or CCS-P (Certified Coding Specialist -Physician) required. + CRC (Certified Risk Adjustment Coder) + Computer… more