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Collaborates with the Business Office Manager and onsite eligibility worker, where patients require such assistance. Utilization review procedures include those stated for discharge planning in addition to knowledge of criteria for Medicare, Medicaid coverage and that of HMO or private insurers.
Full-timeExpandApply NowActive JobUpdated 23 days ago - UpvoteDownvoteShare Job
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We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Note: Eligibility for benefits may vary by location.
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Experience Must have 3 years’ experience as one of the following: 1) Skilled Nursing Medicaid billing & eligibility screening or 2) Social Worker with Skilled Nursing Medicaid eligibility processing experience or 3) Other role serving as a Skilled Nursing Medicaid eligibility liaison with Skilled Nursing Medicaid eligibility processing experience.
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The UAI is a tool used to determine medical eligibility of vulnerable members of our population for Medicaid funded Long-term Services and Supports (LTSS). This position serves as a collaborative partner working with the Department of Social Services (DSS) to conduct joint home visits to assess/screen individuals for Medicaid-funded nursing home placement and other referral services; pediatric LTSS screenings are completed independent of DSS. This requires completing a nursing assessment and completion of the Universal Assessment Instruments (UAI.
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Completes any certification program and continuing education that may be required by state law to accurately perform the duties of the birth certificate clerk completion and works under the guidelines and process as defined by the state.
ExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
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The Eligibility Review Section is responsible for conducting federally required Medicaid Eligibility Quality Control (MEQC) and Express Lane Eligibility (ELE) program reviews and eligibility site quality assurance reviews for the Department to ensure eligibility determinations are accurate and timely according to state and federal policy and guidance.
Full-timeExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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Prior experience determining eligibility for a State or County Department of Social Services program, (Medicaid, Food and Nutrition Services, Work First, Child Care Subsidy, Child Support, WIC or Energy Assistance Program.
Full-timeExpandApply NowActive JobUpdated 24 days ago - UpvoteDownvoteShare Job
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Additionally, the Eligibility Specialist is responsible for handling inbound calls from Medicaid, SNAP, and TANF applicants, recipients, and other members of the community. The Eligibility Specialist is responsible for processing applications and completing case maintenance activities such as changes to cases in the State eligibility system and ensuring that client service issues are resolved in a timely manner and in accordance with FSSA policies and procedures.
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HCA Healthcare Co-Founder. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing.
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If pre-certification/authorization/notification of admission is required and has not been obtained, initiate via Passport, on-line or phone call. Verify insurance benefits and determine pre-certification/authorization status via online or other resources.
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The Pre-Authorization Specialist is a member of the Pre-Authorization Department who is responsible for verifying eligibility, obtaining insurance benefits, and ensuring pre-certification, authorization, and referral requirements are met prior to the delivery of inpatient, outpatient, and ancillary services.
ExpandApply NowActive JobUpdated 12 days ago - UpvoteDownvoteShare Job
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Participate in regular after-hours crisis coverage rotationCarry cases as primary or assisting clinician as assignedUtilization trackingTrack and record Verification of Medicaid eligibility for all children/youth referred.
$36.51 an hourExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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All Samaritan Health Services labs are licensed by the U. S. Centers for Medicare and Medicaid Services - the Clinical Laboratory Improvement Amendments Act (CLIA), and accredited by the College of American Pathologists (CAP.
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In conjunction with the Medicaid Eligibility Staff visit all uninsured patients in-house. Assist patients with payment arrangements and in co-ordination with the Medicaid Eligibility Staff assists patient with financial applications.
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The Enrollment Coordinator must ensure that all assignments are completed accurately and in a timely manner in accordance with NYSDOH Medicaid guidelines, MLTC provider regulations, and agency policies and procedures.
$38,545.53 - $48,181.92 a yearPart-timeExpandApply NowActive JobUpdated Today
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