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The Eligibility Specialist is responsible for assisting hospital patients with the completion of the application process for Medicaid. Emerus leading national health system partners include Allegheny Health Network, Ascension, Baptist Health System, Baylor, Scott & White Health, Dignity Health St. Rose Dominican, The Hospitals of Providence, INTEGRIS and MultiCare.
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Qualifications:Associates DegreeExperience in Medicaid Eligibility and/or Skilled Nursing Facility Medicaid billing. Reports all Medicaid application issues to the PFS Manager, Director of Finance and VP of Finance on a routine basis.
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Reporting to the Senior Manager of Medicaid Risk Adjustment, the Market Manager of Medicaid Risk Adjustment will work closely with cross-functional leadership across the Medicaid business to establish and champion a local market culture committed to revenue integrity excellence.
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We have an outstanding opportunity for an enthusiastic team player to lead a suite of market focused Risk Adjustment Programsfor a portfolio of Aetna Better Health Medicaid Plans. - 2+ years of experience in the health care industry, Medicaid operations, risk adjustment, or medical coding and documentation preferred.
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Maintain continuous communication with the resident, responsible party, outside attorney, facility attorney or outside provider if the application was completed with someone other than the Medicaid Coordinator, in conjunction with the Business Office Manager.
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CMMI was established by Congress in 2010 to identify ways to improve healthcare quality and reduce costs in the Medicare, Medicaid, and Childrens Health Insurance Program (CHIP) programs. ORAU is seeking a Fully Remote, Senior Advisor on Medicaid to work with CMMI as an ORAU employee.
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Community Health Choice (HMO D-SNP), a Medicare Advantage Dual Special Needs plan for people with both Medicare and Medicaid that combines Medicare Part A and Part B benefits, Medicare Part D prescription drug coverage, and Medicaid benefits with additional health benefits like dental, vision, transportation, and more.
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This is an expert level position that is responsible for planning, coordinating and conducting the digital forensics portion of primarily highly complex civil and criminal investigations of healthcare providers who may be committing Medicaid Fraud or engaged in criminal mistreatment and or abuse and neglect of Vulnerable Adults.
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We are looking for compassionate and caring Medicaid Eligibility Specialist to join our LIFE New Jersey team. Medicaid Eligibility Specialist. Work with families and participants in a timely manner to assist them in completing the paperwork needed for Medicaid eligibility.
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Serves as the 'Senior Business Architect' for Medicaid, with a strong understanding of how the industry's standard processes are executed in Humana's environment, from end to end. The Medicaid Lead, Technology Solutions builds strategic partnerships and manages relationships between IT and the aligned business group(s.
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The CIO is dedicated full-time to the Virginia Medicaid product lines and must reside in the state of Virginia. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
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Knowledge of Medicaid eligibility and enrollment. Knowledge of Medicaid eligibility and enrollment. Project Manager - Medicaid \u2013 Chicago. Insurance, Information Technology, Software Development, Computer Software, Information Technology and Services, Healthcare, Management Consulting, Government, Government Administration.
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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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Reporting to the Provider Engagement Lead Director of Medicaid Risk Adjustment Provider Engagement , the Manager will work closely with cross-functional leadership across the Medicaid business to establish and champion local market culture committed to revenue integrity excellence.
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Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management.
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Title: medicaid Company: Childrens Behavior Therapy
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