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The Eligibility Specialist is responsible for assisting hospital patients with the completion of the application process for Medicaid. Emerus’ distinctive level of care earned the Guardian of Excellence Award for Superior Patient Experience in six of the past seven years.
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Jump-start your career as a Medicaid Eligibility Advocate today with Grand Strand Medical Center. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country.
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Provide direct representation, advocacy, education, and counseling to consumers and/or their caregivers or advocates, concerning eligibility for Medicaid, problems with enrollment and disenrollment in managed care plans, benefits coverage and access rules and procedures, member rights and responsibilities, and appeals.
$51,289 - $55,449 a yearFull-timeExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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Additional recent significant cases include the indictment of a Long Island physician for defrauding Medicaid and subjecting patients to invasive and unnecessary testing, conviction of former fugitive dentist for Medicaid Fraud and prosecution and convictions of persons involved in a homicide and cover up at a nursing home in Suffolk County.
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Experience working in the areas of Probate, Estate & Trust Administration, and Medicaid planning is a plus. We also advise clients on elder law issues and Medicaid planning. Regina Kiperman, RK Law PC is a boutique Law firm located in the New York City Metropolitan Area that specializes in Probate, Estate & Trust Administration, Estate Planning, Contested and Uncontested Guardianship matters, Will Contests, Fiduciary Removal, Contested Accountings, and Special Needs Planning.
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Track trends and events impacting the market access landscape, particularly Medicaid channel and translate into meaningful insights to provide to franchise area teams. Identifies and delivers a deep understanding of landscape, changes, and trends in the Commercial, Medicare, Medicaid, Health Insurance Exchange (HIX) channels across all NNI therapeutic areas, with a focus on the Medicaid channel.
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This position is responsible for directing, managing, and coordinating all activities of: Medicaid Eligibility Quality Control, Payment Error Rate Measurement, Medicaid Eligibility Quality Assurance Monitoring, Investigations into suspected Medicaid Member Fraud, Waste, and Abuse, and confirming the Wyoming Medicaid and KidCare Childrens Health Insurance Program (CHIP) are administered in compliance with all federal and state eligibility rules, regulations, policies, and procedures.
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Be an expert in and remain up-to-date on ever-changing oversight agencies policy, procedure and regulations including New York State, the Office of Refugee Resettlement (ORR), Council on Accreditation (COA), Medicaid and other relevant municipal, state and federal agencies.
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The Centers for Medicare and Medicaid Services (CMS) rated Stamford Hospital as a five-star hospital for Overall Quality and The Leapfrog Group awarded Stamford Hospital an "A" for patient safety.
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You should have an understanding of regulations impacting digital products such as FCC (TCPA, CANSPAM), FTC, State Unfair Competition Laws; familiarity with EEOC/ADA/GINA, ERISA, HIPAA, Medicare/Medicaid a plus.
$180,000 - $210,000 a yearFull-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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PSU staff will also coordinate with various internal HHSC departments such as Managed Care Compliance and Operations (MCCO) and Medicaid for the Elderly and People with Disabilities (MEPD.
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The QMHA provides direct and indirect services according to individual service plans and Medicaid standards. The QMHA provides care that responds to the physical and psychological needs of members served.
$17.3 - $20.86 an hourPart-timeExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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MetroPlus Health provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc.
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Five of Mission Hospital McDowell's primary care practices have been recognized by the Centers for Medicare & Medicaid Services as Rural Health Clinics. Located in Marion, North Carolina, we offer many specialties, including family medicine, internal medicine, pediatrics, orthopedics, urology, obstetrics and gynecology, and walk-in, non-emergency care at Mission My Care Now McDowell.
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Care Lync was founded on the belief that success can be achieved through providing exceptional levels of quality care to participants receiving services and supports from Medicaid Waiver programs.
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medicaid job Title: primary care physician Company: Ima Medical Group
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