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Medicaid Eligibility Specialist Jobs

Onsite Medicaid Eligibility Representative
By Revenue Group At Delaware, OH, United States

Full Time Position - $17.50 an hour! Hours : Monday - Friday from 11:00am to 7:30pm Location: Grady Memorial Hospital- Delaware, Ohio No one wakes up in the morning and says, "Today I want to ...

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.
Title Iv-E Medicaid Eligibility Specialist - Salt Lake Valley Region, Dcfs (Telework Eligible)
By State of Utah At , $17.78 - $26.67 an hour
Knowledge, skill and abilities related to this job:
Use MMIS (Medicaid Management Information System)
use MMIS (Medicaid Management Information System)
Consult with Division staff regarding eligibility requirements when necessary.
Excellent computer skills and technologically savvy required
Organization skills, strong oral, written and interpersonal communications skills; and a strong commitment to customer service
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.
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.
Medicaid Specialist Jobs
By Edenbridge Health At Washington, DC, United States
Associate’s degree or equivalent experience in customer service in a human services environment, business, or comparable education and experience required.
Prepares forms from DHCF and tracks the participant’s recertification with DHCF to make sure they are approved year to year.
Supports PACE4DC, LLC (d/b/a Edenbridge PACE) finance department in the validation of Medicaid payments and revenue cycle as needed and requested.
Maintains professional affiliations and any required certifications.
Experience working with DHCF long-term care or with a frail elderly population is preferred but not required.
Extensive knowledge of community resources available to seniors and their families.
Verification Specialist, Medicaid Jobs
By UF Health Shands Hospital At , Gainesville, 32610 $16.55 - $19.18 an hour
Minimum Education and Experience Requirements:
Person should display initiative and have the ability to multitask and manage multiple responsibilities.
Six months of general office or medical practice experience preferred.
Basic knowledge of computers, telephone etiquette, CPT and ICD-10 coding and medical terminology preferred.
Good communication skills, both verbal and written, and the ability to work cooperatively with others are essential skills.
High school diploma or equivalent required.
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.
Insurance Revenue Specialist - Medicaid Specialist
By Smile Doctors At , Remote
Manages denials and follows up on unpaid or improperly paid claims.
Report Monitoring and Analysis (monitor and work AR reports, providing feedback to Team Lead/Manager
Strive for continuous improvement, offer insight, and contribute to resolution when issues arise.
Medical, dental, vision and life insurance
Short and long-term disability coverage
3 weeks paid time off in your first year + paid holidays
A/R Medicaid Specialist
By UofL Health At , Louisville, 40202
Knowledge of general insurance requirements.
(Potential for remote work after completion of training and/or previous experience has been verified)
Follow up on unpaid Medicaid and Managed Medicaid claims in a timely manner.
Responsible for reviewing and understanding explanation of benefits/remittance advice.
1 year of patient registration, billing or equivalent experience
Working knowledge of medical and insurance terms is desirable.
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

Medicaid Program Specialist 1-2 (My Medicaid Email Team Specialist)
By State of Louisiana At , , La $2,978 - $5,843 a month
No Civil Service test score
is required in order to be considered for this vacancy.
is not eligible to receive credit.
For further information about this vacancy contact:
This organization participates in E-verify, and for more information on E-verify, please contact DHS at 1-888-464-4218.
An applicant may be required to possess a valid Louisiana driver's license at time of appointment.
Medicaid Program Specialist 1-2
By Louisiana Department of Health At Monroe, LA, United States

No Civil Service test score

This organization participates in E-verify, and for more information on E-verify, please contact DHS at 1-888-464-4218.

Medicaid Program Specialist 1-2 (My Medicaid Email Team Specialist)
By Louisiana Department of Health At Louisiana, United States

No Civil Service test score is required in order to be considered for this vacancy.

This organization participates in E-verify, and for more information on E-verify, please contact DHS at 1-888-464-4218.

Eligibility Specialist Jobs
By Ascendo Resources At Tampa, FL, United States
Conduct client interviews and collect detailed information on their business and experience
Research governmental mandates and information to supplement ERC eligibility on a case-by-case basis
Research specific orders that caused disruption to client’s business operations
Analyze and interpret data gathered to guide decision making
Create reports to summarize research findings and the implications of the results
Perform compliance reviews to ensure accuracy and completeness
Eligibility Specialist Jobs
By ReviveHealth At United States
Ability to multi-task using multiple computer systems with strong organizational and time management skills
Performs other responsibilities as assigned
One year of enrollment data or other related work experience
Beginner Excel experience required, Intermediate preferred
Demonstrated attention to detail and analytical skills relating to reconciling and problem-solving using data
Previous experience working with health insurance or in a health care environment preferred
Eligibility Specialist Jobs
By Texas Children's Hospital At Greater Houston, United States
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