Medicaid Eligibility Specialist
C2Q Health Solutions
C2Q Health Solutions is seeking an Eligibility Support Specialist in New York to assist PACE participants with Medicaid applications and renewals. You will ensure accuracy, educate participants on renewal timelines, and collaborate with Eligibility, Enrollment, and other departments to support a smooth renewal process. The role focuses on QA, education, tracking, and cross-functional coordination to improve submission timeliness and compliance with federal, state, and organizational requirements. #J-18808-Ljbffr
- ...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...SuggestedRemote work
$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... ...clients. You will play a key part in ensuring eligibility, gather required documentation from clients,...Suggested- ...Entitlement Medicaid Specialist (FT) Reports To: Director of Entitlements Location: 219 East 121st St. New York, NY 10035 Our Mission: Since... ...comprehensive review of consumers' interviews to determine eligible for Entitlements benefits, Medicaid Eligibility, Medicaid Managed...SuggestedTemporary workWork at officeFlexible hours
- ...Medicaid Eligibility Verification Specialist The Department of Social Services (DSS) is comprised of the administrative units of the New York City Human Resources Administration (HRA) and the Department of Homeless Services (DHS). HRA is dedicated to fighting poverty...SuggestedFull timeWork at office
- ...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...SuggestedRemote work
- ...sus.com is seeking a Revenue Cycle Specialist in New York to join the Finance team. The role reports to the Revenue Cycle Manager and... ...Operations, and payers to maximize revenues. You will manage Medicaid/Medicare/MCO claims, submit vouchers, upload remittance, reconcile...
- ...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 work
$55k - $65k
...communities we serve. 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 improve the quality of all revenue cycle management...Temporary workWork at officeImmediate start- ...level II facilities and maintain monthly worksheet of SNAP redemption in the Billing/Entitlements shared drive. Complete NYC & NYS Medicaid recertification packets for all service recipients within congregate care level II and intermediate care facilities. Submit...
- 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...Casual workRemote work
- ...Medicaid Specialist / Collections Specialist Macon Rehabilitation and Healthcare Macon, GA Employment: Full-Time and Part-Time Shift: 2nd Shift GeneralPurpose: The MedicaidSpecialist acts as a liaison between patients, skilled nursing facility, andgovernment agencies,...Full timePart timeWork at officeShift workAfternoon shift
- ...Job Title: A/R Specialist Department: Revenue Cycle Management Reports to: A/R Manager FLSA... ...knowledge of CDT codes. Knowledge of PPO, and Medicaid plans. Detail-oriented, independent... ...benefits for Full Time Benefits Eligible Positions (35+ hours per week) and Part...Full timeContract workTemporary workPart timeWork at officeRemote workFlexible hours
- ...transportation that helps individuals access care and wellness. Full‑time, benefit eligible position. The schedule is Monday - Friday 8:00am-5:00pm. The Fleet Support/Medicaid Transportation Specialist plays a vital role in supporting Compass Health’s Medicaid Transportation...Full timeMonday to Friday
- ...officeQUALIFICATIONS:H.S. diploma/ GED and Certified Peer Specialist (CRPA) Certificate. Knowledge of OASAS... ...Substance Abuse Services and funded by Medicaid and the NYC Department of Health and... ...our employees seriously. Employees are eligible for health insurance and paid sick time...Daily paidFull timePart timeWork at officeImmediate startFlexible hours
- ...hiring an experienced Prior Authorization Specialist to help build the future of... ...authorization workflows across Medicare Advantage, Medicaid, managed Medicaid, commercial payers,... ...payer portals Strong understanding of eligibility verification, authorization documentation...
$53.76k
...must be reachable for appointment on the current Civil Service Eligible List for this title. Open Competitive Qualifications: A Bachelor... ...for full and unconditional participation in the Medicare and Medicaid programs. Continued employment will depend on maintaining eligibility...Permanent employmentFull timeLocal area$65k - $80k
...most effective website possible.# Career OpportunitiesLearning Specialist page is loaded## Learning SpecialistApplyremote type: On-... ...experienced Financial Management Service provider is to assist those eligible Medicaid recipients to choose and pay for their own support workers...TraineeshipWork at officeLocal area$29 - $34.25 per hour
...healthcare recovery team as a Payment Accuracy Specialist 2. This role is a member of the greater... ...of Centers for Medicare and Medicaid Services (CMS) and National Association... ...and other business needs. This role is eligible for discretionary bonus consideration. Nonexempt...Hourly payContract workWork at officeImmediate startRemote work$24.52 - $28.32 per hour
...Boulder Care is hiring a Peer Recovery Specialist for a 100% remote, full-time position. We... ...have but not required Familiarity with medicaid billing in Oregon Work environment This... ..., commensurate with experience, and is eligible for our comprehensive benefits package below...Full timeContract workTemporary workFor contractorsFor subcontractorCurrently hiringWork at officeLocal areaRemote workMonday to Friday$21.1 - $40.9 per hour
...care team, the telephonic Care Manager Specialist (CMS) plays a key role in coordinating the... ...of care management within Medicare and Medicaid managed care. Community Resources: Familiarity... ...relevant factors. This position is eligible for a CVS Health bonus, commission or...Hourly payFull timeTemporary workWork at officeLocal area$40k - $42k
...Overview POSITION TITLE: Entitlement Specialist POSITION SUMMARY : The Entitlements Specialist is responsible for Medicaid/Intake applications, follow-up for Human Resources... ...filing system for storage. Verify the eligibility status of clients Medicaid through scanning...Temporary work- ...Payment Processing Specialist The Office of Fiscal Operations is DSS/HRA/DHS's primary payments... ...credit card transactions for the Medicaid Pay-in program using a POS terminal. Review... ...making surplus payments for Medicaid eligibility. Uses multiple systems such as MS Excel...Work at officeRemote workShift work
$63.65k
...Job Title: Housing Specialist Job Summary The Housing Specialist is a Bachelor’s level clinician... ...’s (DOHMH) licensing guidelines, NYS Medicaid billing guidelines as well as per CASES... ...with housing resources for ACT-eligible population A team player, highly organized...Full timeSummer workWork at officeMonday to FridayFlexible hoursShift work$20.19 - $25.96 per hour
...The Telephonic Outreach Specialist is responsible for virtually connecting with members who are eligible for Cityblock services, and engaging with them around their needs... ...our solutions are designed specifically for Medicaid and lower-income Medicare beneficiaries, and...Hourly payWork experience placementSelf employmentLocal areaWork from home$50k - $55k
...Description Reporting Relationships: Employment Specialist/Case Manager report to Assistant... ..., re-determination for SSI, SSDI, Medicaid, Medicare, HRA, SNAP, and other services... ...package which includes the following (eligibility requirements apply): Health and Welfare...Full timeLocal areaImmediate start- The Ali Forney Center (AFC) seeks a Billing Specialist to prepare, review, and submit monthly SCN billing for Medicaid 1115 Waiver HSNS services in New York. You will ensure documentation is complete, compliant, and entered into the SCN IT Platform to support reimbursements...
- ...location, job-related knowledge, skills, and experience. Base salary is only part of the total rewards package, which may include eligibility for an annual discretionary incentive award. Subject to the terms and conditions of the applicable plans then in effect, eligible...Work experience placementWork at officeWorldwideFlexible hours
- .... We are seeking a Prior Authorization Specialist (Contract) to support high-volume authorizations... ...efficiently Verify insurance eligibility and benefits prior to submission... ...Strongly Preferred Experience with Medicaid plans, including AHCCCS CPC-A or other...Contract work
- ...consider a career in Advisory.KPMG is currently seeking a Lead Specialist, Oracle SCM to join our Managed Services practice.... ...family, and your lifestyle. Available benefits are based on eligibility. Our Total Rewards package includes a variety of medical and...H1bLocal area
$114.1k - $268.18k
...consider a career in Advisory.KPMG is currently seeking a Lead Specialist, Cloud Security to join our Managed Services practice.... ...family, and your lifestyle. Available benefits are based on eligibility. Our Total Rewards package includes a variety of medical and...H1bLocal area
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