Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Medicaid Eligibility & Payment Reconciliation Specialist

Access Healthcare

Access Healthcare is seeking a Membership Eligibility Specialist to verify Medicaid eligibility and reconcile payments for Medicare Advantage members. This role demands meticulous attention to detail, strong analytical skills, and the ability to navigate multiple systems. You will collaborate with internal teams to ensure compliance with state and federal regulations and contracts, perform monthly revalidations, investigate discrepancies, and document findings for audit trails. #J-18808-Ljbffr Access Healthcare

Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Medicaid Eligibility & Payment Reconciliation Specialist in New York, NY vacancy
  •  ...Medicaid Eligibility Verification Specialist The Department of Social Services (DSS) is comprised of the administrative units of the New York City Human...  ...for DSS/HRA/DHS and outside Agencies, ensure payments are categorically eligible for their respective funding... 
    Suggested
    Full time
    Work at office

    New York City | Administration & Human Resources

    New York, NY
    1 day ago
  • Med-Metrix is seeking a Medicaid Coordinator to support hospital clients by gathering and...  ...and discharged patients. You will screen eligibility by phone, enroll patients, verify...  ...on accuracy and urgency to ensure prompt payment to hospitals. #J-18808-Ljbffr Med-Metrix
    Suggested

    Med-Metrix

    New York, NY
    12 hours ago
  • $43.87k - $50.45k

    APPLICANTS MUST BE PERMANENT IN THE ELIGIBILITY SPECIALIST CIVIL SERVICE TITLE.IF YOU ARE HIRED PROVISIONALLY IN THIS TITLE, YOU MUST TAKE AND...  ...as possible. The Home Care Services Program (HCSP) is a Medicaid funded program that provides long term care to medically fragile... 
    Suggested
    Permanent employment
    Full time
    Work experience placement
    Work at office

    HRA/DEPT OF SOCIAL SERVICES

    New York, NY
    1 day ago
  •  ...Medicaid Eligibility Specialist The Home Care Services Program Medicaid Eligibility Unit is recruiting six (6) Medicaid Eligibility Specialists who will: Review Medicaid applications and renewals for consumers applying for, or in receipt of Home Care Services.... 
    Suggested
    Full time
    Work experience placement
    Work at office

    New York City | Administration & Human Resources

    New York, NY
    12 hours ago
  •  ...Service Unit team supporting Cash Clearing Services (GTPS/BAN) and Payments & Cash Management for corporates (GTPS/PCM). This role...  ...items, returned checks, exception handling, suspense items, reconciliation follow-up, and client inquiries related to check processing.... 
    Suggested
    Permanent employment

    LevelUP HCS

    New York, NY
    1 day ago
  •  ...seeking a Corporate Lease Administration Specialist to oversee rent-related obligations, data accuracy, and timely payments at our Brooklyn, NY headquarters. The role...  ...maintaining lease data, processing payments, CAM reconciliations, and ensuring compliance with leases. #J-... 

    Rainbow Apparel Co

    New York, NY
    2 days ago
  • Centauri Health Solutions in the United States is seeking a Remote Member Advocate to support Medicaid, MSP, and LIS enrollment by phone. You will verify sensitive personal and financial details and ensure 100% accurate enrollment while maintaining HIPAA compliance. The... 
    Remote job

    Centauri

    New York, NY
    4 days ago
  • Senior Specialist, Digital Asset OperationsAt BNY, our culture allows...  ..., custody, settlements, reconciliations, risk and control, or...  ...package, which may include eligibility for an annual discretionary...  ...as any other discretionary payments or compensation programs) at... 
    Work at office
    Worldwide
    Flexible hours
    Afternoon shift

    The Bank of New York Mellon

    New York, NY
    1 day ago
  •  ...team member for the role of Specialist Fund operations to join...  ...related to cash and asset reconciliations for complex accounts or transactions...  ...package, which may include eligibility for an annual discretionary...  ...as any other discretionary payments or compensation programs)... 
    Work experience placement
    Work at office
    Flexible hours

    The Bank of New York Mellon

    New York, NY
    1 day ago
  •  ...Recognition program, this role is eligible for our Ventra performance-...  ...Job Summary The Access Specialist is responsible for managing...  ...Perform access audits and reconciliation activities. Support process...  ...resumes. Solicitation of Payment Ventra Health does not solicit... 
    Full time
    Private practice
    Work at office
    Monday to Friday
    Shift work

    globalcareers-ventrahealth

    New York, NY
    2 days ago
  • $118.98k - $195.47k

     ...individual to join our team as a Lead Specialist, Tax Accounting & Reporting.This role...  ...tax compliance and handle related payments & reconciliations, accounting, and internal and external...  ...addition to salary, this role may also be eligible for annual, sales, or other incentive... 
    Full time
    H1b
    Work at office
    Local area
    Work from home
    Visa sponsorship
    Work visa
    Flexible hours

    Guardian Life Insurance

    New York, NY
    2 days ago
  • $25 - $28 per hour

     ...Job Brief The Eligibility Specialist supports the review and coordination of eligibility determinations for individuals applying for services...  ...# Verify that eligibility criteria are met, including: # Medicaid Exceptions Codes # CCO Enrollment when applicable... 
    Temporary work
    Work at office
    Shift work

    Constructive Partnerships Unlimited

    New York, NY
    3 days ago
  •  ...We are seeking a detail-oriented professional to support payment operations, transaction investigations, and related financial processing...  ...items are addressed within required timelines. • Perform reconciliation of suspense, exception, and other payment-related accounts.... 
    Full time
    Work at office

    Madison-Davis, LLC

    New York, NY
    2 days ago
  • Georgia Department of Human Services is seeking an Eligibility Specialist 1 for the Customer Contact Center. The role focuses on answering calls about SNAP, Medicaid, TANF, and related programs, determining eligibility, and processing applications using Georgia Gateway... 
    Remote work

    Choosecolumbusga

    New York, NY
    4 days ago
  • TITLE : Entitlement Medicaid Specialist (Part-Time) REPORTS TO : Director of Entitlements LOCATION : Manor: 219 East 121st St. New York, NY...  ...comprehensive review of consumers’ interviews to determine eligible for Entitlements benefits, Medicaid Eligibility, Medicaid Managed... 
    Temporary work
    Part time
    Work at office
    Local area
    Flexible hours

    Odyssey House Inc

    New York, NY
    1 day ago
  • General Purpose The Regional Medicaid Application Specialist manages Medicaid applications and recertification's for residents across multiple skilled...  ...serves as the primary expert and liaison for Medicaid eligibility, collaborating with residents, families, facility staff,... 
    Work at office
    Local area

    (PACS) Providence Administrative Consulting Services, Inc.

    New York, NY
    4 days ago
  • $38.36k

    Eligibility Specialist 1 - Customer Contact Center Explore a World of Opportunity with the State of Georgia! We are the force that drives Georgia...  ...the Food Stamp, Medical Assistance, (PCK, P4HB, Family Medicaid, ABD) and TANF programs. - ( Customer Contact Center Unit )... 
    Temporary work
    Work at office
    Immediate start
    Remote work
    Flexible hours
    Shift work

    Choosecolumbusga

    New York, NY
    4 days ago
  • Medicaid Specialist - Full Time This is a Full Time position with a primary schedule of 8:30am-5:00pm, Monday-Friday Parker Jewish Institute...  .... The position duties include determining residents' eligibility for Medicaid approval, provide eligibility requirements and... 
    Full time
    Temporary work
    Monday to Friday

    Parker Jewish Institute for Health Care and Rehabilitation

    New York, NY
    12 hours ago
  • $85k - $95k

    Position Title: Specialist, Retirement & Savings Programs Come Build...  ...), including plan setup, eligibility rules, payroll integration,...  ...activities, including contribution reconciliation, share purchases, and...  ...service provider invoices for payment. Support special projects as... 
    Temporary work
    Work experience placement

    Aecon Concessions

    New York, NY
    4 days ago
  • $57.52k

    Job Title Eligibility Specialist Supervisor - Statewide Renewal Team Agency Family and Children Services, Division of Job Requisition ID: JR0...  ...benefits (Food Stamps) and specific class of assistance Adult Medicaid. Roles and Responsibilities Provides direct supervision and... 
    Temporary work
    Remote work
    Shift work

    Family and Children Services, Division of

    New York, NY
    1 day ago
  • $90k - $110k

     ...vendor setup and banking changes Prepare ACH, wire, and check payment batches for separate management review and release,...  ...of Workday Close, Controls & Improvement Assist with reconciliation of AP and billing subledgers to the general ledger and investigate... 
    Full time
    For subcontractor
    Work at office
    Local area
    Flexible hours

    Galaxy

    New York, NY
    more than 2 months ago
  • $100k - $130k

     ...highly motivated Margin and Collateral Specialist to join our PostTrade team. Our global...  ...around margin data management, margin reconciliation and handling disputesPartner with internal...  ...and experience. This role will also be eligible for discretionary performance-based... 
    Work at office
    Local area
    Immediate start

    Hudson River Trading

    New York, NY
    3 days ago
  • $93k - $115k

     ...SpecialistJob DescriptionSenior Events Specialist Join Rabobank as a Senior Events Specialist...  ...discipline and supporting financial reconciliation.Analyze attendance, engagement, and...  ...also contributes an additional 3% of your eligible pay in Safe Harbor contribution and up... 
    Full time
    Work at office
    Remote work
    Worldwide
    Work visa
    Flexible hours

    Rabobank Group

    New York, NY
    4 days ago
  • $93k - $116.2k

     ...incredible career. Your Role as Payroll, Specialist:A Payroll Specialist under the Pandora...  ...Process off-cycle payrolls and manual payments upon approval. Payroll Processing: Administer...  ..., and assist with quarter-end/year-end reconciliation. Employee Support: Serve as a subject... 
    Work at office
    Local area
    Worldwide

    Pandora

    New York, NY
    3 days ago
  • $30 - $35 per hour

    DescriptionKforce's client in NYC is seeking a detail-oriented Accounts Payable Specialist to support high-volume invoice processing, vendor management, payment processing, and reconciliation activities. This role is responsible for ensuring accurate and timely... 
    Work at office

    KForce

    New York, NY
    4 days ago
  • $85k - $95k

     ...Manhattan. Key Responsibilities Process and post rent payments, checks, ACH, and wire transfers Apply payments accurately...  ...adjustments Track and manage security deposits, refunds, and reconciliations Qualifications ~2+ years of accounts receivable... 
    Local area

    LHH Recruitment Solutions

    New York, NY
    2 days ago
  •  ...oriented and experienced Accounts Receivable Specialist to join the accounting team of a well-...  ...accounts Process and post customer payments accurately and in a timely manner...  ...up on past-due accounts Perform account reconciliations and research discrepancies Investigate... 
    Work at office

    Roessel Joy

    New York, NY
    4 days ago
  • $80k - $100k

     ...Workplace Solutions, the Lease Administration Specialist is responsible for the administration,...  ...operating expense and real estate tax reconciliations with landlords and auditors....  ...capital projects. Oversee monthly rent payments for domestic and international offices.... 
    Work at office
    Relocation

    Proskauer

    New York, NY
    2 days ago
  •  ...support they need to make a meaningful impact every day. The Refund Specialist will be responsible for researching credit balances,...  ...determine whether a refund is appropriate. Research account activity, payments, adjustments, contractual allowances, and insurance... 
    Work at office

    Specialty Dental Brands

    New York, NY
    2 days ago
  •  ...Responsibilities: Vendor setup and maintenance Invoice processing and payments AR and customer billing Cash application and aging analysis AP/AR reconciliations Month-end accounting support Controls and documentation Requirements:... 

    RIT Solutions, Inc.

    New York, NY
    2 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Medicaid Eligibility & Payment Reconciliation Specialist. Be the first to apply!