- TEKsystems (Menasha, WI)
- Member Experience Representative - Healthcare Customer Service Remote (First 90 Days) → Hybrid in Brookfield or Menasha, WI Are you passionate about helping others ... you thrive in a fast-paced, service-driven environment? What You'll Do As a Member Experience Representative, you'll be the first point of contact for members,… more
- The Wesley Community (Saratoga Springs, NY)
- …NY 12866, USA | Hourly | 20-25 per hour | Part Time / Full Time Medicaid Application Specialist for Skilled Nursing Facility Full Time or Part Time | Days ... weeks, recognition events, and opportunities for staff involvement + Member of The National Association of Health Care Assistants...a difference, we invite you to apply for the Medicaid Application Specialist position at Wesley Health… more
- Genesis Healthcare (NM)
- …complexities of Medicaid eligibility? Then join us as a Regional Floating Medicaid Application Specialist . In an assigned geography, you will improve the ... in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference. Whether you're an… more
- Commonwealth Care Alliance (Boston, MA)
- …that the applicable edits are compliant with applicable Medicare and Massachusetts Medicaid regulations. The role will also be responsible for timely review and ... as necessary on all new and revised coding logic, related Medicare/ Medicaid policies for review/approval through the Payment Integrity governance process.… more
- Genesis Healthcare (NM)
- …in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference. Whether you're an ... savvy to our team in this remote position as a Revenue Cycle Specialist where you will manage and maintain your assigned nursing centers' Clinical Eligibility… more
- Staffing Solutions Organization (Albany, NY)
- …is a reflection of our clients and the people they serve. **Healthcare Data Specialist (Level 1 or 2) - Albany, NY** **Division of Eligibility & Marketplace ... Onsite 50% Remote** **Duties:** + Review reports related to Medicaid eligibility. + Utilize electronic databases to verify information....detail oriented + Ability to work as a team member and maintain positive attitude + Experience with Microsoft… more
- Commonwealth Care Alliance (Boston, MA)
- …The Claims Sr. Analyst serves as a subject matter expert on Medicaid (MassHealth), Medicare, and commercial payment methodologies and supports audit, compliance, and ... - AAPC + Certified Claims Professional (CCP) + Other AHIMA or Medicaid billing-related certifications **Required Experience (must have):** + 3+ years in healthcare… more
- MyFlorida (Orlando, FL)
- …AGENCY FOR PERSONS WITH DISABILITIES POSITION: Human Services Program Specialist - Career Service WORKING TITLE: Medicaid Waiver ... MEDICAID WAIVER LIAISON - 67007492 Date: Jul 24,...includes character of service (for example, DD Form 214 Member Copy #4) along with any other documentation as… more
- Molina Healthcare (NE)
- **Job Description** **Job Summary** The Sr Specialist , Member & Community Interventions oversees and implements new and existing clinical quality member ... intervention initiatives including all lines of business (Medicare, Marketplace, Medicaid ). Executes health plan's member and community quality focused… more
- Trinity Health (Columbus, OH)
- …financial analysis, audit, provider relations and more. **About the job:** Member Service Representative responds to all consumer inquiries received by phone, ... **What you'll do:** + Complies with internal policies, Center for Medicare and Medicaid Services (CMS), Ohio Department of Insurance (ODI), NCQA and all applicable… more
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