Regional Medicaid Specialist: Eligibility & Reimbursement
Woodmont Health Campus
Woodmont Health Campus in Kentucky is seeking a Regional Medicaid Specialist. This role involves managing Medicaid eligibility and applications for residents in a Skilled Nursing Facility organization. The successful candidate will work closely with facility teams and state agencies to ensure compliance and timely approvals. The ideal candidate should have 5-8 years of experience, strong organizational skills, and the ability to communicate effectively. Benefits include competitive salaries, 401(k) match, and health insurance starting on the first of the month. #J-18808-Ljbffr Woodmont Health Campus
- Position Overview The Regional Medicaid Specialist manages Medicaid eligibility, applications, and pending accounts for residents across a multi‑facility Skilled... ...to ensure timely approvals, compliance, and reimbursement support. Roles and Responsibilities Manages Medicaid...ReimbursementWeekly payWork at officeLocal area
$56.39k - $63k
...of Developmental Disabilities (Cuyahoga DD) is seeking a Medicaid Eligibility Specialist to expedite the process of establishing Medicaid... ...Temporary disability Insurance Professional Development Reimbursement each year. Membership dues reimbursement each year. Mileage...ReimbursementTemporary workWork experience placementWork at officeFlexible hours3 days per week- Eligibility Verification Specialist The Department of Social Services (DSS) is comprised of the administrative... ...were deemed not eligible for claim reimbursement through system Enterprise Data... ...POS), HRA One Viewer, and Electronic Medicaid of New York (eMedNY). 55a Program...ReimbursementFull timeWork at office
$24 per hour
...Responsibilities Regularly reviews Medicaid rejections and/or proactively identifies eligibility issues for review and compiles... ...support billing and maximize reimbursement for services including... ...persons supported in assigned region and/or area(s). Completes forms...ReimbursementHourly payWork at officeLocal areaMonday to Friday- Cuyahoga DD is seeking a Medicaid Eligibility Specialist in Kentucky to manage the Medicaid eligibility process and support individuals enrolling... ...service. Benefits include over 40 paid days off, pension plans, and tuition reimbursement. #J-18808-Ljbffr Cuyahoga DDSuggestedWork from home
- Grady Memorial Hospital Corporation in Georgia is seeking a Medicaid Eligibility Specialist to assist residents with applying for and maintaining Medicaid and Social Security benefits. The candidate must be committed to patient-centered care and collaboration in a supportive...
- Medix is seeking an experienced Financial Counselor / Medicaid Eligibility Specialist for a fully remote role. Responsibilities include assisting patients with financial counseling, insurance verification, and Medicaid eligibility processing. Candidates must reside in Connecticut...Remote job
- 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...ReimbursementRemote job
$18 - $35.5 per hour
...contributor to clinical and revenue cycle operations, a Patient Eligibility Specialist plays a pivotal role in managing patient information,... ...and referrals, to ensure eligibility and secure financial reimbursement ahead of service delivery. Appointment Coordination:...ReimbursementWork at office$29 per hour
...engaged to conduct a search for a Medicaid Revenue Cycle & Accounts Payable Specialist on behalf of a mission-driven... ...support to communities throughout the region. This is an onsite, 2-month... ...revenue cycle processes, or related reimbursement programs Compensation and...ReimbursementHourly payContract workPart timeImmediate start- ...Description TITLE: Entitlement Medicaid Specialist (FT) REPORTS TO: Director of Entitlements... ...~ Flexible Spending Account/Health Reimbursement Account ~403(b) Plan ~ Corporate... ...consumers’ interviews to determine eligible for Entitlements benefits, Medicaid...ReimbursementTemporary workWork at officeFlexible hours
- Medicaid Specialist / Collections Specialist Macon Rehabilitation and Healthcare Macon, GA Employment: Full-Time and Part-Time Shift: 2nd... ...trust is accurately recorded. Provide statistics to audit and reimbursement for year-end • processing. Maintain an accurate accounting...ReimbursementFull timePart timeWork at officeShift workAfternoon shift
$25 per hour
...for a Maternal Fetal Medicine Specialist (Perinatologist) at NYC... ...for other hospitals in the region. Remote coverage as needed,... ...Gynecology. Board Certified or Board Eligible in Maternal Fetal Medicine.... ...Medical Education (CME) Reimbursement. Generous Annual Paid Time Off...ReimbursementHourly payDaily paidImmediate startRemote workVisa sponsorshipFlexible hoursNight shiftWeekend work- ...match (fully vested day 1 of eligibility!!), paid referrals Position... ...guarantors to maximize hospital reimbursement. Essential Job Functions... ...relationships The Patient Access Specialist plays a role in protecting... ...(HMO, PPO, POS, Medicare, Medicaid) and payors, required. Basic...ReimbursementReliefFlexible hours
$56.2k - $101k
...conjunction with assigned adjusters and/or regional units for research, analysis and... ...401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible... .... Benefits may be subject to program eligibility. Centene is an equal opportunity employer...ReimbursementFull timeContract workPart timeWork experience placementH1bWork at officeRemote workWork from homeFlexible hours$21.38 - $44.4 per hour
...Experience) The Revenue Cycle Specialist is responsible for billing... ...customer service. Pursue reimbursement from carriers by placing phone... .... Verify patient benefit eligibility/coverage and research ICD-10... ...HMO/PPO, Medicare, and state Medicaid Knowledge of HMO/PPO, Medicare...Reimbursement- ...WITHIN THE TEAM As a Senior Specialist, Global Real Estate - Design... ...platforms Partner with global and regional teams to ensure consistency... ...This role may also be eligible for other elements of discretionary... ...insurance Annual fitness reimbursements #J-18808-Ljbffr Bain &...ReimbursementFull timeWork at officeLocal area2 days per week
$29 - $34.25 per hour
...team as a Payment Accuracy Specialist 2. This role is a member of... ...of Centers for Medicare and Medicaid Services (CMS) and National... ...Duplicate Payment Reviews, Policy & Reimbursement Analysis, and Quality... ...business needs. This role is eligible for discretionary bonus consideration...ReimbursementHourly payContract workWork at office$110k
...Awaits You: The Program Launch Specialist drives rapid referral... ...acts as an extension of the regional commercial team during the first... ...with Marketing and Reimbursement to deploy patient and staff... ...this position may also include eligibility for annual performance bonus...ReimbursementTemporary workWork at officeLocal areaFlexible hours$75.3k - $124.3k
...energy. Job Summary The Generator Specialist Technical Field Advisor (TFA)... ...Generator Product Service and regional generator specialists. Familiarity... ...savings, health and Wellness reimbursement, and a bonus or incentive program. Eligibility for FieldCore benefits is...ReimbursementWeekend work$23 - $31 per hour
Remote Physician Denials Specialist - 248391 Get AI-powered advice... ...payers to ensure appropriate reimbursement. This role requires strong knowledge... ...of payer policies, Medicare/Medicaid rules, and EPIC PB workflows... ...; less than 3 years is not eligible. Strong root cause analysis...ReimbursementRemote jobHourly payFull timeWeekday work$25.65 - $35.93 per hour
...Sherburne County positions. Intake and Eligibility Determinations: Determine initial eligibility... ...**Long Term Care Eligibility Specialist requires other state certifications, as... ...Social Services Information System) MMIS (Medicaid Management Information System) MAXIS (MAXIS...Part timeWork experience placementWork at officeImmediate startWork from homeMonday to FridayFlexible hoursAfternoon shift$60k - $100k
Regional VFR Peer Engagement & Growth Specialist - Pennsylvania Pennsylvania Who we’re looking for: The Regional VFR Peer Engagement & Growth Specialist... ...benefits listed apply to the majority of positions, though eligibility may vary by role, full‑time/part‑time status, and...Full timePart timeLocal area$90k - $94k
...headquartered in Cranford, New Jersey, and manages a network of regional offices in Louisiana, Texas, Hawaii, Guam, Ontario, and Nova... ..., including top‑tier medical, dental and vision plans covering eligible employees and dependents, voluntary wellness and employee assistance...Full timeWork at officeRelocationWeekend work- ## CA Americas Regional Operational Excellence SpecialistBewerbenlocations: Devon, PA - UStime... ...Regional Operational Excellence Specialist you’ll contribute to JM’s mission as a world... ...from suitably qualified and eligible candidates regardless of sex, race, disability...Flexible hoursShift work
$127k - $191k
...Position Overview Working on the Oncology Sales team, the Lead Regional Oncology Specialist (Lead ROS) will develop and implement a plan to maximize... ...by hiring location. In addition, this position is bonus eligible. Exact Sciences is proud to offer an employee experience...Full timeLocal areaNight shift- ...pharmacy/behavioral health/employee assistance), health care reimbursement account, dependent care assistance plan, short-term disability... ...disability insurance, AD&D insurance, life insurance, 401(k), and stock purchase plan to eligible employees. #J-18808-Ljbffr...ReimbursementTemporary work
$59.35k
...emergencies? As an Emergency Management Specialist with the Pennsylvania Emergency... ...invoices, verify submissions, and support reimbursement and close out actions Training Participation... .... Required Experience, Training & Eligibility Minimum Experience and Training...ReimbursementFull timePart timeTraineeshipWork at officeLocal areaRemote workWork from homeMonday to FridayShift workNight shift$24 - $26 per hour
...Hiring a Remote Reimbursement Specialist role! Schedule: M-F 7-4 PM or 8-5 PM Pacific Standard Time Pay Rate: Between $24-$26/hr depending on... ...portals to obtain reimbursement. Benefits: - In order to be eligible for health benefits, you must be employed for 30 days and must...ReimbursementContract workTemporary workRemote work- Overview The Park & Recreation Specialist 1 position will assist the Long Island Region of the New York State Office of Parks, Recreation and Historic Preservation... ...the NYS Employee’s Retirement System and may be eligible for health insurance, dental and vision coverage as...For contractorsWork at office
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