Medicaid Eligibility & Appeals Specialist
University of New Orleans
LSU New Orleans seeks a Medicaid eligibility specialist to manage appeals and determine eligibility, ensuring timely reversals and notices within deadlines. You will review data in LaMEDS and related Medicaid systems to support applications and renewals. The role requires a Bachelor’s degree or 6 years of equivalent experience, strong analytical and communication skills, and the ability to interpret federal and state policies. Training and reporting duties are included. #J-18808-Ljbffr University of New Orleans
$56.39k - $63k
Overview The Cuyahoga County Board of Developmental Disabilities (Cuyahoga DD) is seeking a Medicaid Eligibility Specialist to expedite the process of establishing Medicaid eligibility in order to enroll individuals in Home and Community-Based Services (HCBS) waivers; assists...SuggestedTemporary workWork experience placementWork at officeFlexible hours3 days per week- Job Summary Timely complete appeal actions to re-open and/or close cases in accordance with appeal status.... ...are completed within required deadlines. Document eligibility research electronically in the required Medicaid system applications. Prepare eligibility decision...SuggestedSummer workLocal area
$57.25k
...package designed for every stage of your career! Job Title: Eligibility Specialist Supervisor Explore a World of Opportunity with the State... ...benefits (Food Stamps) and specific class of assistance Adult Medicaid. Roles and Responsibilities: Provides direct supervision...SuggestedTemporary workWork at officeRemote workShift work- Savista, LLC in Kentucky is seeking a medical billing specialist with 2-3 years of experience in medical collections, denials, and appeals to help secure payments and resolve claims. You will verify eligibility, update demographics, research unpaid or denied claims, and...Suggested
$25.11 per hour
...day. Job DetailsJob Location: Entitlements - Eligibility Services - Elmont, NY 11003Education Level:... ...track the stages of benefit applications and appeals processes that will provide concrete statistical data. The EES Specialist must be resourceful by providing consumers...SuggestedHourly payWork experience placementWork at office- Department of Children and Families in Florida is hiring an Eligibility Specialist I to determine eligibility for Food Assistance, Medicaid, and Cash Assistance. This role processes data from various sources and manages a large, deadline-driven caseload to ensure timely...
- Eligibility Specialist 1 - Fulton & DeKalb Counties Explore a World of Opportunity with the State of Georgia! We are the force that drives Georgia... ...Nutrition Assistance Program (SNAP/Food Stamps), Medicaid, and Temporary Assistance to Needy Families (TANF). Processes...Temporary workWork at officeImmediate startRemote workFlexible hours
- ...Join Our Team as a Medicaid Billing Specialist! Behind every successful Medicaid claim is someone who cares about accuracy, problem-solving,... ...guidelines. Verify billing information, including client eligibility, authorizations, coding, and supporting documentation. Monitor...Work from home
- ...highly organized Revenue Cycle Specialist to support our billing... ...: Process assigned Medicare, Medicaid, and/or Commercial claims and... ...steps in payment posting or appeals. About You Skills and Qualifications... ...minimum requirements to be eligible for benefits Where applicable...Daily paidFull timePart timeWork at officeLocal areaFlexible hours
$20 - $36 per hour
...Access & Reimbursement Pharmacy Specialist will be responsible for the... ...on prior authorizations and appeals. The role also includes... ...comprehensive knowledge of Medicare, Medicaid and commercial plan... ...current with the requirements and eligibility criteria for copay...Hourly payMinimum wageFull timeTemporary workWork experience placementLocal areaRemote workMonday to FridayShift work- Lucas Metropolitan Housing Authority seeks an Eligibility Assistant to process HCVP applications and determine housing eligibility. You will verify information, interview applicants, and communicate decisions to residents and landlords, while maintaining accurate electronic...
- CareSource is seeking a Revenue Cycle Coordinator III in Kentucky to oversee research and resolution of member eligibility and billing complaints. You will support specialists, serve as an SME for processes, and ensure timely regulatory responses while maintaining thorough...
$21 per hour
...and Tuesday–Saturday, 7:00 AM–3:30 PM. Job Purpose The Medicaid Coordinator is part of a team that works to complete the Medicaid... ...and Responsibilities Call patients and screen for Medicaid eligibility on cases referred by client hospital over the phone Enroll...Hourly payWork at officeLocal areaMonday to Friday- ...0000024665Carolina Oncology Specialists has been providing compassionate... ...issues or denials* Submit appeals and provide supporting... ...coverage limitations, and patient eligibility as needed* Ensure compliance... ...plans, including Medicare, Medicaid, and commercial payers*...Work at officeRemote work
- GRO Community in Chicago is seeking a Revenue Cycle Biller to manage Medicaid and third-party claims for Illinois and Ohio operations. The role focuses on accurate coding, timely submissions, reimbursement tracking, and resolving discrepancies while ensuring compliance...
- ...assigned. You will monitor funding levels, support all phases of the budget cycle, and provide analytical reporting for program oversight. A BA/BS in Finance or Accounting and eligibility for a Secret clearance (upgradable to TS) are required. #J-18808-Ljbffr RPMGlobal
- Job Details Job Location: 435 Washington Street - Columbus, IN 47201 Job Category: Insurance Job Title: Eligibility Specialist Reports To: Manager, Eligibility This is a non-exempt position with primary responsibility for handling enrollment and eligibility for SIHO customers...
- ...dedicated Revenue Integrity PB Specialist to join the team. This role... ...Inova matches the first 5% of eligible contributions - starting on... ...communications, applicable Centers for Medicaid & Medicare Services... ...cause, corrects, or provides appeal support for claims as necessary...Full timeLocal areaMonday to FridayDay shift
- The Department of Human Services (State of Arkansas) seeks an entry-level Program Eligibility Specialist I to review applications, verify information, and determine eligibility for state programs. Strong attention to detail and good communication are essential for timely...
- ZECDC Eligibility/Case Management Worker is needed to provide comprehensive case management for cash assistance participants and Zuni community members. You will conduct eligibility interviews, determine program eligibility, and coordinate referrals to employment, training...
$26.75 - $29.75 per hour
...Coordination of Benefits (COB) Specialist 2, is a member of the greater... ...for quality checks, exports, appeals, comp intel, etc., to enhance... ...of Centers for Medicare and Medicaid Services (CMS) and National... ...business needs. This role is eligible for discretionary bonus consideration...Hourly payWork at officeImmediate startRemote work- Molina Healthcare in Kentucky is seeking a Claims Support Specialist to review and resolve member and provider complaints and communicate... ...in line with CMS standards. The role involves researching appeals and grievances, requesting and reviewing medical records and bills...Contract work
- Kelsey-Seybold Clinic, part of the Optum family, seeks a Department Support Specialist II to assist managing physicians and department chiefs. This clerical role supports eligibility analysis, billing tasks, and reporting with strong accuracy and teamwork. You’ll join...
$37.54k
...for an accommodation or an alternative application process. Eligibility Coordinator Full Time Regular role West Palm Beach, FL, US 12... ...timely case closures. Verify funding sources (Title IV-E and Medicaid) to meet compliance, accuracy, and completeness standards. Update...Full timeWork at office$65.4k - $95.2k
Revenue Cycle Analyst - Denials & Appeals US Remote POSITION SUMMARY The Revenue Cycle Analyst - Denials & Appeals (Unresponded) supports... ...medical, dental, vision, life and disability plans for eligible employees and their dependents. Additionally, Natera employees...Remote jobWork at officeImmediate startWorldwide$21.25 - $31.92 per hour
Lead Payments and Refund Specialist (Chesapeake Specialty Care) Requisition Number : LEADP0... ...medical insurance plans including Medicare, Medicaid, Tricare, and commercial payers.... ...this position.Some candidates will not be eligible for the upper end of the salary range. Exact...Hourly payDaily paidFull timeWork experience placementRemote work$10k
...Labor Relations Specialist ONLY PERMANENT EMPLOYEES IN THE TITLE AND THOSE THAT ARE REACHABLE... ...ANALYST CIVIL SERVICE LIST ARE ELIGIBLE TO APPLY. Division/Program Summary: The... ...agency grievance review and disciplinary appeals proceedings and assist in the case preparation...Permanent employmentFull timeWork at officeWork from home2 days per week- Wycliffe Bible Translators is seeking a Workforce Specialist to support staff relations and HR processes for a diverse global workforce. You will assist with employment touchpoints, confidentiality, and cross-functional initiatives while upholding biblical values and ministry...Remote job
- ...seeking a dependable and caring Culinary Specialist / Food Service Tech to join our dietary... ...candidate takes pride in preparing appealing, nutritious meals while helping maintain... ...responsibilities as needed. Benefits and eligibility may vary based on position, employment...Daily paidFull time
- Commonwealth of Pennsylvania seeks a Drug and Alcohol Treatment Specialist 2 to guide inmates through structured treatment programs, counseling, assessments, and supportive services aimed at recovery and rehabilitation. The role emphasizes program facilitation, case management...Remote work
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