Medicaid Recertification Specialist & Coverage Navigator
Essen Health Care
NYREACH is seeking a Certified Application Counselor to support Medicaid recertification, enrollment renewals, and coverage continuity for Bronx residents. The role focuses on guiding patients through renewal cycles, educating on plan options, and ensuring compliant documentation within NYSOH and EHR systems. The position requires an associate degree with NYSOH Assistor Certification or equivalent credentials, bilingual Spanish/English, and strong communication skills for outreach and scheduling #J-18808-Ljbffr Essen Health Care
- ...Technologies is seeking a remote customer service specialist to assist Medicaid providers and members with coverage, claims, and benefit inquiries. The ideal... ...Responsibilities include answering calls quickly, navigating multiple systems, and ensuring timely follow-up...SuggestedRemote jobWork from homeHome office
$55k - $65k
...Responsibilities Do you have a knack for navigating the complexities of Medicaid eligibility? Then join us as a Regional Floating Medicaid Application Specialist. In an assigned geography, you will... ...Accident Critical Illness Cancer Coverage Restrictions apply based on...SuggestedTemporary workWork at officeImmediate start- ...Healthfirst is hiring a MarketPlace Facilitated Enroller to educate potential members about Medicaid, Essential Plan, CHP and QHP, and to assist with recertification processes. The role includes enrollment by phone or in person at hospitals, provider offices, and community...SuggestedCasual workRemote work
$61.93k - $86.01k
...Route Coverage Specialist - UniFirst Location: New York, New York Job ID 2603537 At UniFirst , we Always Deliver-for our customers... ...for those who thrive in a fast-paced environment and enjoy navigating different routes, weather conditions, and schedules....SuggestedWork at officeLocal areaMonday to FridayDay shift- ...changes Assist Clients with navigating and obtaining entitlements and benefits such as Medicaid, Medicare; SSD/SSI, SNAP and... ...keep appropriate records of recertifications for all benefits Assist Clients... ...health and dental plans, with coverage is available for your spouse,...SuggestedDaily paidFull timePart timeImmediate startMonday to FridayFlexible hours
- Maximus in the Bronx, NY seeks a Bilingual Customer Service Representative I (English/Spanish) to assist Medicaid recipients with navigating healthcare options and enrolling in services. The role emphasizes face-to-face and phone support, guiding clients through enrollment...Full timeWork at officeLocal area
- ...Medicaid Specialist / Collections Specialist Macon Rehabilitation and Healthcare Macon, GA Employment: Full-Time and Part-Time Shift: 2... ...analyzeeligibility requirements. Contact Medicaidwith problems of recertification and budget determinations. Accumulate and maintain, in an...Full timePart timeWork at officeShift workAfternoon shift
$60k - $70k
Position Title: Recertification Coordinator Specialist Status: Direct Hire Location: Bronx, New York, Zip 10463- On-site Hours: Mon - Fri, 9 am-5 pm Pay: $60,000 - $70,000 Job Summary We are hiring an experienced Recertification Coordinator with at least 2-years’...Work experience placementWork at officeLocal areaFlexible hours- ...A healthcare technology company is seeking a seasoned Revenue Cycle Specialist to manage Medicaid payer accounts and ensure timely reimbursement for healthcare services. This fully remote role involves critical tasks such as claim follow-up and denial resolution, making...Remote work
- Job Description We’re seeking a future team member for the role of Senior Specialist, Client Coverage to join our Wealth Management team. This role is located in Berkeley Heights, NJ. Job Description We’re seeking a future team member for the role of Senior Specialist,...Work experience placementWork at officeWorldwideFlexible hours
- Gainwell Technologies is hiring a Provider Enrollment Specialist for Nevada. This 100% remote position supports provider enrollment into the Nevada Medicaid Program, working within Pacific Time hours. You will review enrollment applications, gather required documentation...Remote job
- ...Medicaid Eligibility Verification SpecialistThe Department of Social Services (DSS) is comprised of the administrative units of the... ...II position to function as a Medicaid Eligibility Verification Specialist in its Bureau of Case Integrity and Eligibility Verification (...Full timeWork at office
$24.52 - $28.32 per hour
...Care is hiring a Peer Recovery Specialist for a 100% remote, full-time... ...role ~1+ years experience navigating adjunctive opioid use... ...required ~ Familiarity with medicaid billing in Oregon Work... ...-time employees ~ Medical coverage through Regence ~ Dental,...Full timeContract workTemporary workFor contractorsFor subcontractorCurrently hiringWork at officeLocal areaRemote workMonday to Friday$62k - $67k
...Description RECERTIFICATION SPECIALIST Location - Bronx Salary range is $62,000 to $67,000 depending on experience and training - position is eligible for year-end discretionary bonus Eligible for a sign-on bonus of $3,000 after a successful 3-month and 6-...Interim roleWork at officeLocal areaWork visaRelocation package- ...Centauri Health Solutions is seeking empathetic Medicare/Medicaid Eligibility Specialists to support members remotely, guiding them through benefits and enrollment with care. You will verify Medicaid, LIS, and MSP eligibility, gather required information, and document...Remote work
- Ascension is seeking a Senior Clinical Documentation Specialist (CDS) to provide cross-coverage CDI support across multiple markets. You will handle complex cases, mentor teams, and assist with onboarding while maintaining CDI quality. The role requires CCDS and RN licensure...Remote jobFull time
$40k - $42k
Vocational Instruction Project is seeking an Entitlement Specialist in New York, NY. This role focuses on Medicaid and intake applications, including the management of client documents and appointment scheduling for new admissions. Candidates should have an Associate Degree...- Genesis Administrative Services LLC is hiring a Regional Floating Medicaid Application Specialist in New Jersey. This role is essential for improving revenue cycle management related to Medicaid eligibility, working closely with nursing center staff and caseworkers. The...Work at office
- Gainwell Technologies is seeking a Remote Prior Authorization Specialist to process Medicaid Prior Authorization requests efficiently and accurately. This role involves reviewing and processing PA requests submitted via fax, portal, phone, or mail, ensuring compliance...Remote jobFlexible hours
- ...to Friday, 8:00 AM to 5:00 PM, with some travel within Delaware as needed. You will work across multiple systems to input data, meet service levels, and navigate healthcare regulations while helping clients improve health outcomes. #J-18808-Ljbffr Gainwell TechnologiesRemote jobHome officeMonday to Friday
$40k - $42k
Vipservices is seeking an Entitlement Specialist based in New York, New York. The role involves managing Medicaid and Intake applications and maintaining an organized filing system for clients. You will play a key part in ensuring eligibility, gather required documentation...$24.76 - $33.17 per hour
...Authorization-Referrals Specialist II The 61st Street Service Corporation... .... Confirm insurance coverage or lack thereof for patient.... ...forms, HMOs, PPOs, Medicare, Medicaid and compliance program regulations... ...ability to understand and navigate the payer adjudication...Hourly payFull timeWork at officeLocal area- Curana Health is seeking a Medicare/Medicaid Enrollment Analyst to oversee and manage all enrollment revalidations for individual providers and provider groups. This role acts as the subject matter expert on government payer enrollment processes, ensuring timely revalidation...
- Jobtailor is seeking a Recertification Specialist to manage LIHTC and HOME recertifications across properties, ensure regulatory compliance, and keep accurate Yardi Affordable data. You will prepare notices, monitor due dates, and support audits and investor reviews. The...
$18 - $20 per hour
...textbooks. Overview The Intake Specialist is responsible for screening... ...clients in exploring coverage options, and registering new... ...well as PrEP, HIV, and Hep C Navigation Services. Issue Good Faith... ...Record (EMR). Enroll clients in Medicaid HMO and assist them with...Work at officeLocal areaImmediate startFlexible hoursWeekend workDay shift- Motorola Solutions is seeking a Senior Coverage Tools Support Specialist to act as a vital liaison for the Coverage Test Center. You will diagnose software anomalies during field coverage testing, manage support channels, and guide new software releases through validation...Remote job
- ...work onsite with sales teams, delivering enrollment support and post-sale service. You will assist customers through health plan navigation, wellness coaching and community referrals, while addressing complex issues using EH systems. The role involves coordinating with...
- twiceasnice Recruiting seeks an Medicare & Medicaid Enrollment Representative to join our client’s mission-driven healthcare team. This fully remote role focuses on Florida enrollments, managing the full enrollment process, ensuring compliance, and resolving issues to...Remote job
$58.9k - $80.07k
...members on all aspects of the plan including new Medicaid, CHP/EP/QHP and answering questions... ...members who are due to recertify their healthcare coverage for Medicaid, EP, QHP and CHP by completing member’s annual recertification application including adding on additional...Temporary workWork experience placementWork at officeRemote workAfternoon shift- A hospital in Pennsylvania is seeking a fellowship‑trained vitreoretinal surgeon for a locum tenens job providing retina coverage in both clinic and call settings. This role requires availability for approximately two weeks per month and focuses on comprehensive retinal...Locum
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