Medicaid Eligibility Specialist
State of New York
State of New York - Health, Department of seeks a Medicaid Eligibility Examiner 1/Trainee (NY HELPS) to support eligibility determinations for the NYS program. This position offers entry-level development within a state agency and exposure to policy-driven processes. Location in Albany, NY, with on-site duties and a pathway to progression as a trainee. The role emphasizes attention to detail, data accuracy, and compliance with state guidelines during the intake and verification steps. #J-18808-Ljbffr
- ...A healthcare solutions company is seeking a Claims Recovery Specialist in Albany, NY. This role involves managing a high-volume caseload related to Medicaid beneficiaries, ensuring compliance with HIPAA standards, and engaging with stakeholders to negotiate settlements...SuggestedWork at officeRemote work
- A healthcare solutions company in Albany is looking for a Subrogation Specialist to manage subrogation cases for Medicaid beneficiaries. The role involves ensuring compliance with HIPAA and engaging with various stakeholders. Candidates should have a HS Diploma, 2 years...SuggestedRemote jobWork at officeFlexible hours
- ...Worcester County Food Bank Inc is seeking a Billing & Invoicing Specialist to support Medicaid-funded Food as Medicine programs. This role involves submitting claims, tracking service delivery, and collaborating with program staff to ensure accurate billing. The ideal...SuggestedRemote workWork from home
$101.18k - $120.46k
...Inc. Job Description Business Title(s): Senior Shared Services Specialist Employment Type: Full-Time FLSA Status: Exempt Location:... ...in that location. In addition to base salary, this position is eligible for an annual bonus based on company and individual performance...SuggestedFull timeWork experience placementLocal area$72.1k - $133.9k
...candidate’s relevant experience, skills, knowledge, and work location. For information about our comprehensive US benefits programs and eligibility, please review our Benefits-at-a-Glance document. Benefits at a glance ( The #TeamGBT Experience Flexible benefits are tailored...SuggestedWork at officeImmediate startFlexible hours$22.5 per hour
...each week Job Summary Workit Health is seeking a full-time RCM Specialist to work rejections and denials as they come in and elevate... ...and EHR systems (Elation or Candid preferred) Verify patient eligibility and benefits including coordination of benefits Identify and...Full timeWork at officeLocal areaRemote work- ...contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion. This job is not eligible for employment sponsorship. Datavant is committed to a work environment free from job discrimination. We are proud to be an...Full timeWork experience placementWork at officeMonday to Friday
- ...Job Description The IAP Program Specialist will work closely with the Coordinator of the Internships in Aging Project (IAP) within the... ...future to maintain employment authorization, you do not meet eligibility requirements. Additionally, please note that UAlbany is not...Full timePart timeInternshipWork at office
$27.02 per hour
...terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation... ...Coder (CPC) Certified Risk Coder (CRC) Certified Coding Specialist (CCS) Registered Health Information Technician (RHIT)...For contractorsWork at officeLocal areaRemote workFlexible hours- ...Temporary Posted On: Tue May 12 2026 Job Description The IAP Program Specialist works closely with the Coordinator of the Internships in... ...sponsorship or who will need it in the future do not meet eligibility requirements. Additionally, UAlbany is not an E‑Verify employer...Full timeTemporary workPart timeInternshipWork at office
- ...Albany Med Health System is seeking a Pre-Service Specialist I in Albany, NY. You will be the first contact for patients, assisting... ...for hospital and practice settings and processing insurance eligibility using the eligibility tool. Ideal candidates have a high school...Full time
$65k - $80k
...experienced Financial Management Service provider is to assist those eligible Medicaid recipients to choose and pay for their own support workers... ...we serve. (learn more at Job Summary The Learning Specialist is responsible for delivering engaging, learner-centered training...TraineeshipWork at officeLocal area$103.95k - $180.53k
...demonstration of our service standards. Full-time and part-time employees working at least 20 hours a week on a regular basis are eligible to participate in our benefit programs. Other offerings may be provided for employees not within this category. We encourage you to...Full timeContract workPart timeWork at officeLocal areaRemote workWorldwideShift work$23 - $23.6 per hour
...Overview The Housing Specialist is responsible for the oversight of clients enrolled in the Supported Housing portion of the SP SRO housing... ...in accessing and keeping all financial entitlements they are eligible for. Maintain accurate, up-to-date records. Assists the other...Permanent employmentWork at officeMonday to Friday$78.25k - $92.25k
...Description Summary: We are looking for a highly capable Subrogation Specialist to join our team and work from our Chicago office.... ...that location. In addition to base salary, all employees are eligible for an annual bonus based on company and individual performance...Local area$22 - $23 per hour
...Vanderheyden, Inc. is seeking a Habilitation Specialist in Troy, NY. The role involves creating and monitoring Staff Action Plans to comply with OPWDD and Medicaid Waiver regulations. Ideal candidates will have a Bachelor’s degree in human services, at least one year...Hourly pay$20 - $25 per hour
...Associates! We are looking for a full-time Prior Authorization Specialist to join our dynamic team. In this role, you will be the key... ...requests for outpatient services and admissions, focusing on eligibility and benefits. You will also work to resolve issues and provide...Hourly payFull timeLocal areaMonday to Friday$60.93 per hour
...a difference and change the world. Job Description ~ The Disaster Program Delivery Specialist: • Collects, coordinates and/or reviews applicant data to determine eligibility and priority of assignments to include but not limited to: audits for completeness, reviews...Work experience placementH1bImmediate startFlexible hours$16 - $22 per hour
...products to stores and/or distribution center. Must have legal required state driver's license and meet company mandated driving eligibility requirements. Pick up and sign for stock transfers at each stop on set route, deliver to appropriate store. Maintain daily city...Hourly payMinimum wageLocal areaImmediate startFlexible hours$60k - $65k
...Description Job Description Outreach Specialist (CHHA) Location: Saratoga County, NY... ...providers and community partners on home care eligibility, services, and benefits Identify new... ...network Knowledge of Medicare/Medicaid home care eligibility Experience...Full timeFlexible hoursWeekend workAfternoon shift- ...weekends Preferred qualifications Prior experience serving as a specialist in premium, luxury or complex technology solutions One year... ...(LOA) and potential pay sources to employees based on eligibility. The length of your LOA depends on your situation, where you...Hourly payFull timePart timeWork from homeFlexible hoursNight shift
- ...Overview Duties Description and responsibilities for the Medicaid Redesign Analyst 2 include assisting the Office of Health Services Quality... ...-permanent, competitive, status in a title SG21 or higher and eligible to transfer under Section 70.1 or Section 52.6 of the NYS Civil...Permanent employmentContract workWork at officeRemote workVisa sponsorshipShift workNight shift
$66.95k - $85.14k
...must be reachable for appointment on the current Civil Service Eligible List or the Professional Career Opportunities (PCO) Eligible List... ...for full and unconditional participation in the Medicare and Medicaid programs. Continued employment will depend on maintaining eligibility...Permanent employmentFull timeTraineeshipWork at officeLocal area$25 - $29 per hour
Come join our amazing team and work from home! The Bankruptcy Team Lead will be responsible for monitoring residential mortgage loans in the Bankruptcy process to minimize potential losses and preserve the lien-holder's interests. Responsible for assigned team's performance...Extra incomeWork experience placementWork from home- ...ensure efficient management of health plan operations, benefits, eligibility, authorizations, claims adjudication, and reimbursement... ...live activities. Ensure compliance with HIPAA, CMS, Medicare, Medicaid, and healthcare payer regulations. Required Qualifications...
$24 - $34 per hour
...Come join our amazing team and work remote from home! The National Title Examination Specialist will be responsible for conducting thorough reviews of national title searches, title clearance, and underwriting to help produce clear property titles and enable the efficient...Hourly payWork experience placementRemote workWork from home- A full-service title agent is seeking a National Title Examination Specialist to conduct thorough reviews of title searches, ensuring accurate property titles for real estate transactions. The ideal candidate should have a high school diploma, 2-5 years of experience in...Remote work
$106.9k - $147k
...certifications, etc. $106,900 - $147,000 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based... ...to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities...Full timeContract workTemporary workApprenticeshipWork at officeRemote workWork from homeHome office$60k - $72k
...Job Description Job Description Information Technology Specialist I - Construction Design a Plus US-NY-Albany Job ID: 2026-3354 # of Openings: 1 Category: Information Technology LiRo-Hill Overview Looking for an IT Specialist Level 1 Business...Work at officeFlexible hours- ...processes crucial to the implementation and function of the Gainwell Medicaid Fiscal Agent services product. Serves as a data analyst... ...data focusing on medical claim and financial processing member eligibility processing, provider networks and MCO contract details,...Contract workRemote work
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