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Benefit Eligibility Specialist Jobs in Clayton, Iowa

Dhs/Dfcs - Economic Support Cons 2 (Revenue Maximization Djj Eligibility Specialist) 00164920
By State of Georgia At , Clayton
TO APPLY PLEASE VISIT THE LINK BELOW
Applicants who do not apply using the dhsjobs link provided will NOT be considered.
For other DHS career opportunities, please visit: http://dhsjobs.dhs.ga.gov
Claim Benefit Specialist Jobs
By CVS Health At , Tampa, Fl $17.00 - $27.90 an hour

Analyzes and approves routine claims that cannot be auto adjudicated. Applies medical necessity guidelines, determine coverage, complete eligibility verification, identify discrepancies, and applies ...

Claim Benefit Specialist Ops
By CVS Health At , , Sc $17.00 - $27.90 an hour
Identify claim cost management opportunities and refer claims for follow up
Determine and understand the coverage provided under a member's health plan
Efficiently use multiple systems and screens to obtain and record claim information
Review claims information to determine the nature of a member's illness or injury
Process claims accurately to enhance customer satisfaction and retention
Process claims within quality and production standards
Cost-Benefit Analysis Specialist Jobs
By FAO At , Remote
Qualified female applicants, qualified nationals of non-and under-represented Members and person with disabilities are encouraged to apply
Develop data gathering instruments or survey forms necessary to collect information required to conduct a cost-benefit analysis on the EPAHP program;
Working knowledge (Level C) of English
Knowledge Sharing and Continuous Improvement
The Cost-Benefit Analysis Specialist directly reports to the Assistant FAO Representative (Programme) and MIS Specialist
The Cost Benefit Analysis Specialist will carry out the following tasks:
Unit Eligibility Specialist Jobs
By Washington County, OR At , Hillsboro, 97124, Or $4,486 - $5,451 a month
Three (3) years of work experience in building inspection, property management, building maintenance, or residential construction.
Accommodation under the Americans with Disabilities Act
Part-time regular, variable hour, and temporary positions are not eligible for medical, dental, and vision benefits.
Check Out Our Award-Winning Benefits & Wellness Program!
Possession of a high school diploma or equivalent; AND
Must possess a driver's license valid in the State of Oregon and have an acceptable driving record.
Claim Benefit Specialist Jobs
By CVS Health At , , Sc $17.00 - $27.90 an hour

Analyzes and approves routine claims that cannot be auto adjudicated. Applies medical necessity guidelines, determine coverage, complete eligibility verification, identify discrepancies, and applies ...

Eligibility Specialist Jobs
By Avesis, Incorporated At , Remote
Strong Data Entry skills .
Obtaining a vast knowledge of policies and procedures as it relates to insurance coverage we provide.
Minimum two (2) years’ experience in enrollment processing or related experience with Electronic Data Interchange and eligibility related issues.
Skill in Microsoft Office applications and windows-based computer platforms
Knowledge in SQL queries and database procedures preferred.
Effective oral and written communication skills required.
Defense Enrollment & Eligibility Specialist
By State of Colorado Job Opportunities At , Grand Junction, Co $3,744 a month
Two of these years included professional management of an office unit,
two of these years included professional management of an office unit,
Becoming a subject matter expert on necessary documentation and requirements for a variety of individuals' eligibility for an identification card;
Minimum Qualifications, Substitutions, Conditions of Employment & Appeal Rights
Three years of general clerical experience of which at least:
Receiving and maintaining a federal security clearance at all times to allow continued access and use of federal database;
Defined Benefit Calculation Specialist Ii
By Principal Financial Group At , Des Moines, 50392, Ia $18.39 - $39.81 an hour
Provide support as needed in problem resolution, transaction processing and data management.
Associates Degree or equivalent experience required.
Mathematic, Statistics, Finance or Accounting degree major is preferred.
Strong mathematical, technical and analytical skills along with keen attention to detail.
Strong decision making and organizational, mentoring, interpersonal and listening skills.
Defined Benefit Calculation Specialist II
Eligibility Specialist Ii (Magi) / 61100319
By State of South Carolina At , , Sc $29,061 a year
A bachelor's degree may be substituted for the required program experience.
Health, Dental, Vision, Long Term Disability, and Life Insurance for Employee, Spouse, and Children.
15 days annual (vacation) leave per year.
15 days sick leave per year.
State Retirement Plan and Deferred Compensation Programs.
Overtime and/or weekend work with Deputy approval.
Eligibility Specialist 1 Jobs
By Savista At , Remote $13.13 - $20.63 an hour
At least six months of experience in a customer service role, interacting directly with customers either in-person or over the phone.
Experience working in a role that requires prioritization of multiple critical priorities while ensuring quality and achievements of performance metrics.
Demonstrated experience communicating effectively with a customer and simplifying complex information.
Experience with customer interactions that require live, accurate documentation of the encounter.
Maintain acceptable attendance and schedule requirements.
Handle high volume of inbound/outbound calls for customers that need to be screened financially and medically for Financial assistance.
Eligibility Specialist - Trainee
By Placer County At , Auburn, Ca $21.22 an hour
Placer County offers a comprehensive benefits package to employees, including:
Education allowance: up to $1,200 per year
Bilingual incentive: incumbents may be eligible for bilingual incentive pay depending upon operational needs and certification of proficiency.
Six (6) months of clerical experience that includes substantial public contact.
Holidays: 14 paid holidays per year, 2 of which are floating holidays*
Vacation leave: 10 days/year with ability to accrue 25 days/year
Remote Pharmacy Benefit Specialist ($18.75 / Hour)
By Talentify.io At United States
Handle incoming calls regarding members' prescription benefits, including copay inquiries, medication coverage, and authorization processes
Educate members on how to effectively utilize their benefits
Troubleshoot pharmacy claims in real-time, verifying information, comparing claim results to benefit rules, and entering overrides when necessary
3+ years of prior medical customer service experience
Excellent phone etiquette and typing skills (40wpm, 500kph)
Basic knowledge of Microsoft Office and internet usage
Eligibility Specialist Jobs
By Texas Children's Hospital At , Houston, 77001
2 years previous experience working at or with an HMO or MCO organization required
A bachelor's degree may substitute for the years of required work experience
Being fully vaccinated against COVID-19 is required for all employees unless approved for a medical or religious exemption
High school diploma or GED required
Manually update member eligibility data in the claims processing system using multiple sources for reference, including applications, databases, and reports
Research and resolve member eligibility issues thoroughly, timely, and accurately
Eligibility Specialist Jobs
By Maximus At , Jeffersonville, 47130 Up to $18 an hour
Perform managed care enrollment activities on the Welfare Management System (WMS).
Evaluate State of Health managed care issues and make next step determinations.
Review enrollment issues using WMS, eMedNY and other State Medicaid Data systems.
Interact with local district, SDOH, eMedNY and Enrollment Broker staff to resolve MC issues.
Meets all standards established for this position as outlined in the corresponding annual performance criteria and bonus template for this position.
Eligibility Specialist - Remote ($17.00 - $17.45 / Hour)
By Talentify.io At United States
Upload scanned images into the document management system.
1+ year of Call Center Experience
Provide 2-3 professional references if requested (managers/supervisors/leadership)
Receive and screen applications, and follow-up with customers to gather any missing information.
Verify income, calculate income, determine eligibility, and process case referrals.
Index and scan returned forms.
Eligibility Recertification Specialist Jobs
By District of Columbia Housing Authority At , Washington $26.70 - $34.84 an hour
Determines priority of eligible applicants for housing selection and coordinates applicant placement with housing managers.
Prepares and mails application for continued occupancy to residents with reasonable written notice of actions needed to complete their recertification timely;
Prepares recommendations for improvement or correction of deficient recertification activities;
Review, approve and reject applications for housing based on federal and agency regulations;
Counsels' prospective tenants on the policies and procedures relative to obtaining and maintaining a unit.
Determines residents who qualify for Earned Income Disregard (EID) exclusions;
Eligibility Specialist Jobs
By Sherburne County, MN At , Elk River, 55330 $49,067 - $68,702 a year
Desirable Knowledge, Skills, and Abilities
Sherburne County offers a comprehensive benefits package, including:
Knowledge of Federal and State structure, rules and policies governing Income Maintenance Programs.
Performs job responsibilities in a manner consistent with the County's vision, mission, and values.
Informs immediate supervisor of all-important matters pertaining to assigned job responsibilities.
The primary responsibilities for this position will be performed approximately 100% of the time indoors.
Remote - Patient Eligibility Specialist
By One Medical At United States
1+ year experience in complex health insurance verification, medical billing, or patient eligibility determination
1+ year experience working in a high volume call role
Experience using salesforce.com or similar CRM tools, preferred but not required
Calling existing patients to help them change their provider to One Medical with their insurance plan.
Communicating with insurance company call center representatives to resolve issues with patient eligibility
Following communication "scripts" when handling different topics
Eligibility Specialist Jobs
By Housing Counseling Services At , Washington $60,000 - $70,000 a year
Respond to emergency needs of clients along in collaboration with program social worker and case manager;
Experience working with special needs populations;
Strong oral and written communication skills;
Knowledge of housing law or capacity to learn;
Complete applications and eligibility determinations for consumers and/or households applying to HCS for financial and/or housing assistance;
Apply federal, state, and local regulation towards determining eligibility for housing and support services programs;
Eligibility Specialist I Jobs
By The State of Florida At , Largo, 33770 $32,760 a year
Computer Skills (CLIK) – A basic computer literacy test, assessing knowledge of internet browsers, email, chat, and word processing.
Basic Competency (CBST) – A test of basic math, verbal, and communication skills, designed to assess job readiness and trainability.
If you experience problems applying online, please call the People First Service Center at (877) 562-7287.
Benefits of Working for the State of Florida:
For a more complete list of benefits, visit www.mybenefits.myflorida.com.
Interviewing applicants to obtain and verify information needed to determine eligibility for Food Assistance, Medicaid, and Cash Assistance.
Benefit And Eligibility Worker (Human Services Specialist 3) – Store Front Office
By Department of Human Services At , The Dalles, 97058 $3,265 - $4,913 a month
Conduct interviews by phone and in-person to gather information to assess and determine need for services and benefits.
Experience high volume of computer work, using various computer programs in a fast-paced environment.
Position Title: Benefit and Eligibility Worker (Human Services Specialist 3) – store front office
Minimum qualifications / What you need to qualify:
As a Benefit and Eligibility Worker, you will...
Managing high volume of work: Ability to complete tasks, duties, projects, and obligations with deadlines that produce high-quality results.
Benefit & Eligibility Worker. (Human Services Specialist 3)
By Department of Human Services At , White City $3,265 - $4,913 a month
Experience interviewing customers in person & by phone to obtain information to determine eligibility.
Experience writing notices, reports, and narrations of eligibility determinations.
Ability to complete tasks, duties, projects, and obligations with deadlines, that produce high-quality results. Experience prioritizing a high-volume workload.
Experience daily with confidential and sensitive information.
While this position is not remote, teleworking may be approved.
We are seeking a Benefit & Eligibility Worker to join our White City Self Sufficiency team.
Eligibility Specialist Jobs
By NorthWest Senior and Disability Services At , Dallas $3,982 a month
Qualifications - Education and Experience
Meet the needs of consumers, follow through, meeting deadlines, and maintain skills and knowledge to perform the job.
Apply the required knowledge and skills and exhibit critical thinking and problem solving.
Exhibit good work habits, including organizational skills, regular attendance, working independently, seeking and offering assistance when needed.
Work or volunteer experience working directly with consumers in social service type settings. Experience can be substituted for education.
Any combination of related education and relevant work experience equaling at least 4 years.
Eligibility Appeals Specialist Jobs
By Arizona Healthcare At , $46,000 a year
Knowledge, Skills & Abilities (KSAs):
Use logic, problem solving techniques, and analytical skills
Must have a high school diploma or General Equivalency Diploma (G.E.D) and 3 years of customer service experience.
A top-ranked retirement program with lifetime pension benefits
Participation eligibility in the Public Service Loan Forgiveness Program (must meet qualifications)
Defined benefit plan that provides for life-long income upon retirement.
Patient Benefit Specialist Jobs
By Kinney Drugs At Syracuse, NY, United States
Preferred Pharmacy technician or related certification
Past experience in a customer service related field
6-12 months experience as a pharmacy technician
Any and all additional eligibility requirements based on the specific position
Broad knowledge of medications, physician orders, and pharmacy systems
Excellent computer and keyboarding skills
Financial Eligibility Specialist (Human Services Specialist 3) Medford
By Department of Human Services At , Medford $3,265 - $4,913 a month
Initiate contact with ongoing long term care recipients as required to complete their annual financial recertification.
Redetermine ongoing financial eligibility for benefits by reviewing application packets and other supplemental data as required by current policy.
Experience working in a team environment.
THIS IS WHAT YOU NEED TO QUALIFY/MINIMUM QUALIFICATIONS (MQ's):
Provide choice counseling and facilitate referrals to SHIBA, Medicare and community programs as appropriate.
Write case notes in all circumstances as required by program or policy rules.
Benefit Verification Specialist Jobs
By CVS Health At , $17.00 - $27.90 an hour
Analytical and problem solving skills
Experience working in Microsoft Office, specifically Excel, Outlook and Word
Knowledge of Medicare, Medicaid, and third party vendors
Eligibility Verification Specialist Jobs
By NYC HRA/DEPT OF SOCIAL SERVICES At , Manhattan, 10048 $53,057 - $61,015 a year
Knowledge of Welfare Management System (WMS), Paperless Office System (POS), HRA One Viewer, and Electronic Medicaid of New York (eMedNY).
Perform quality assurance for Enterprise Data Warehouse (EDW) queries, and Welfare Management System (WMS) lookups.
Review Duplicate Client Identification Number (CIN) cases to determine which CIN should be disenrolled.
Process invalid Social Security Numbers files produced by Family Independence Administration (FIA) to assist in reducing fraud.
9:00 am to 5:00 pm
Remote Benefit Specialist ($21.00 - $23.00 / Hour)
By Talentify.io At United States
Must have knowledge of employee benefits, COBRA, and other federal/regulatory requirements
Processes benefit-related changes such as life-status changes, address changes, etc.
Resolves benefit administration service issues with internal staff and outside vendors
Counsels employees regarding benefit programs including plan features, procedures, eligibility, and premium information
2 years of related experience and/or training
Proficient PC skills (Microsoft Office, Outlook, HRIS, etc.)
Eligibility Verification Specialist Jobs
By White River Health At , Batesville, 72501

Location: White River Health · *WRMC-Clinic Billing (002.6240) Schedule: Full-time, Days, M-F 8:00-4:30