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Outpatient Medicaid Eligibility Representative 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 ...

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
Wfh Medicaid Customer Service Representative
By HDIS At , Olivette
If you're thinking "That sounds great! What are the requirements?", we are glad you asked:
experience with these Third Party payers
but it is not a requirement
Affordable medical, dental, and vision insurance after 60 days of employment
An annual PTO "Caring Day" to volunteer for a cause that is important to you
9 paid holidays a year
Patient Service Representative - Outpatient Eligibility / Procedural Authorization
By Duke Health At , Durham, 27710

Duke University Health System - Patient Revenue Management Office (PRMO)

Eligibility Lead Representative - Accredo - Remote, Mo
By The Cigna Group At United States
2+ years of experience with Prescription Benefit Programs, Pharmacy Coverage, Prior Authorization, Eligibility or Insurance processes required
Manage constant inbound and outbound calls exemplifying the highest customer service standards to meet quality and production metrics
Use your advanced technical skills to navigate through multiple systems, applications and screens simultaneously all while speaking on the phone.
2+ years of experience in healthcare, medical terminology, CPT and ICD codes required
Pharmacy Technician experience or license preferred
1st day benefits; Medical Dental & Vision and more
Eligibility Representative - Remote
By The Cigna Group At Bloomfield, CT, United States
Understand and be able to use CMS Guidance
Understanding of the rules and regulations within CMS Guidance
Ability to deal with multiple issues at one time
Ability to learn and adapt quickly
Review, investigate and resolve issues quickly - via email, phone and call trackers
Proficient in Microsoft office - Word and Excel
Medicaid Eligibility Processor Jobs
By Broward Health Corporate At , Fort Lauderdale, Fl

FULL-TIME – MONDAY – FRIDAY – DAYS – WEEKEND REQUIREMENTS: AS NEEDED

Eligibility Representative - Remote
By The Cigna Group At , Hartford, 06152, Ct $17 - $22 an hour

Must be a current contractor with Cigna Healthcare, Evernorth Health Services, or one of their subsidiaries. Delivers straightforward administrative and/or other basic business services in ...

Senior Provider Education & Outreach Representative (Medicaid)
By Humana At Indianapolis, IN, United States
Four (4) or more years of health care or managed care experience working with providers (e.g., provider relations, claims education).
Ensures compliance with Indiana managed care contractual requirements for provider relations, such as claims dispute resolution within specified timeframes.
Exceptional time management and ability to manage multiple priorities in a fast-paced environment.
Assists other Provider Education & Outreach Representatives in the market to address or resolve issues of significant complexity.
Creates and/or delivers trainings and educational materials for LTSS and HCBS providers to serve as resources on Humana processes and procedures.
Experience working with LTSS and/or HCBS providers.
Benefits And Eligibility Representative
By EO of HHS PayRoll/Gen Admin At , Tewksbury, Ma $55,037 - $74,952 a year
Assist individuals and families, individuals with disabilities, and others to determine initial and continued eligibility for MassHealth benefits.
Process applications and administer case management via phone or in-person.
Information Management: Evaluating information against standards and obtaining information from relevant sources.
Proven experience working with individuals from diverse backgrounds, including those with disabilities, geriatric populations, non-English speakers, and low-income families.
Strong organizational skills and ability to manage multiple tasks simultaneously.
Education, licensure and certifications will be verified in accordance with the Human Resources Division’s Hiring Guidelines.
Medicaid Eligibility Specialist Jobs
By NYC Careers At , Brooklyn, 11238, Ny $37,748 - $57,043 a year
Determine whether additional documentations are required or referrals to an outside agency is necessary, to make an eligibility decision.
9 am – 5 pm (FLEX)
470 Vanderbilt Ave, Brooklyn, NY, 11238
Medicaid Eligibility Specialist Jobs
By State of Alabama Personnel Department At , , Al $33,382 - $58,692 a year
An evaluation of Training and Experience as shown on the application will comprise 100% of the final score for the open-competitive
The term “regionally accredited school” refers to an institution of higher education accredited by one of the six
Apply on-line, by mail, or by fax. Applications will be accepted until further notice. The State Personnel Department is not responsible
Individuals currently on the register do not need to reapply to remain eligible for employment.
State of Alabama Personnel Department
MEDICAID ELIGIBILITY SPECIALIST – 50419

Are you looking for a rewarding career in healthcare? We are currently seeking an Outpatient Medicaid Eligibility Representative to join our team! As an Outpatient Medicaid Eligibility Representative, you will be responsible for verifying patient eligibility for Medicaid services, processing applications, and providing customer service to patients. If you have excellent communication and organizational skills, we want to hear from you!

Overview:

The Outpatient Medicaid Eligibility Representative is responsible for determining eligibility for Medicaid services for individuals and families. They must be knowledgeable of state and federal regulations, and must be able to accurately assess and document eligibility.

Detailed Job Description:

The Outpatient Medicaid Eligibility Representative is responsible for determining eligibility for Medicaid services for individuals and families. They must be knowledgeable of state and federal regulations, and must be able to accurately assess and document eligibility. They must be able to accurately interpret and apply Medicaid rules and regulations to determine eligibility. They must be able to accurately assess and document eligibility for services, and must be able to accurately interpret and apply Medicaid rules and regulations to determine eligibility. They must be able to communicate effectively with clients, providers, and other stakeholders. They must be able to accurately enter and maintain client information in the Medicaid system.

What is Outpatient Medicaid Eligibility Representative Job Skills Required?

• Knowledge of state and federal regulations related to Medicaid eligibility
• Ability to accurately assess and document eligibility for services
• Ability to accurately interpret and apply Medicaid rules and regulations
• Ability to communicate effectively with clients, providers, and other stakeholders
• Ability to accurately enter and maintain client information in the Medicaid system
• Knowledge of computer systems and software
• Ability to work independently and as part of a team

What is Outpatient Medicaid Eligibility Representative Job Qualifications?

• High school diploma or equivalent
• Previous experience in a customer service or healthcare setting
• Knowledge of Medicaid eligibility requirements
• Knowledge of computer systems and software
• Ability to work independently and as part of a team

What is Outpatient Medicaid Eligibility Representative Job Knowledge?

• Knowledge of state and federal regulations related to Medicaid eligibility
• Knowledge of Medicaid eligibility requirements
• Knowledge of computer systems and software

What is Outpatient Medicaid Eligibility Representative Job Experience?

• Previous experience in a customer service or healthcare setting

What is Outpatient Medicaid Eligibility Representative Job Responsibilities?

• Determine eligibility for Medicaid services for individuals and families
• Accurately assess and document eligibility for services
• Accurately interpret and apply Medicaid rules and regulations
• Communicate effectively with clients, providers, and other stakeholders
• Accurately enter and maintain client information in the Medicaid system
• Work independently and as part of a team