Medicaid Claims Specialist

About the RoleWe are seeking a highly motivated and detail-oriented Onsite Medicaid Eligibility Specialist to join our team at Revenue Group. As an Onsite Medicaid Eligibility Specialist, you will play a critical role in helping patients navigate the Medicaid process and access necessary healthcare services.Key ResponsibilitiesReview hospital work queues and...

Position OverviewMedicaid Quality Assurance Specialist:We are seeking qualified candidates for a pivotal role in ensuring the integrity and compliance of Medicaid services.Key Responsibilities:Utilize expertise in HHS Eligibility Systems and Policy to assess program effectiveness.Conduct thorough testing with a focus on Medicaid and SNAP/TANF benefits,...

About The Revenue GroupWe are a leading provider of healthcare services, dedicated to helping patients navigate the complex process of accessing medical assistance programs.Job SummaryThe Onsite Medicaid Eligibility Specialist will play a critical role in our team, working closely with patients, hospital staff, and management to ensure seamless access to...

About The Revenue GroupWe are a leading provider of healthcare services, dedicated to helping patients navigate the complex process of accessing medical assistance programs.Job SummaryThe Onsite Medicaid Eligibility Specialist will play a critical role in our team, working directly with patients in the Emergency Room to determine their eligibility for...

About the RoleThe Revenue Group is seeking a highly motivated and detail-oriented Onsite Medicaid Eligibility Specialist to join our team. As a key member of our healthcare services team, you will be responsible for screening and interviewing patients to determine their eligibility for Medicaid and other assistance programs.Key ResponsibilitiesReview...

About The Revenue GroupThe Revenue Group is a leading provider of healthcare services, dedicated to helping patients navigate the complex process of accessing medical assistance programs. Our team of experts is committed to delivering exceptional service and support to those in need.Job SummaryWe are seeking a highly motivated and detail-oriented Onsite...

About the RoleWe are seeking a highly skilled Medicaid Provider Operations Specialist to join our team at CVS. In this role, you will be responsible for designing and implementing enterprise-wide solutions to address business problems.Key ResponsibilitiesDevelop and implement strategic initiatives to improve operational efficiency and...

About Aspirion Health ResourcesAspirion Health Resources has been a leader in revenue cycle management for over twenty years. We excel in securing payments from third-party payers, with a focus on intricate denials, aged receivables, motor vehicle accidents, workers' compensation, Veterans Affairs, and out-of-state Medicaid.Our TeamOur success is driven by...

Position OverviewWe are currently in search of a dedicated Medicaid Billing Specialist to join our esteemed team at Alvis. This role is crucial for managing financial and contractual operations for individuals with intellectual and developmental disabilities.Work Schedule:M-F 8:30am-5:00pmKey Responsibilities:Assist in overseeing financial and contract...

Job SummaryThe Ohio Department of Medicaid is seeking a skilled Clinical Authorization Review Nurse to join our team as a Medicaid Health Systems Specialist - RN. As a key member of our organization, you will be responsible for reviewing and authorizing medical services to ensure compliance with Medicaid regulations.Key ResponsibilitiesConduct thorough...

Position OverviewMedicaid Quality Assurance Specialist / Medicaid QA:We are seeking qualified candidates for a pivotal role focused on ensuring the quality and compliance of Medicaid services.Key Responsibilities:Engage with HHS Eligibility Systems and Policies to ensure adherence to standards.Conduct thorough testing of Medicaid and SNAP/TANF benefits,...

Position OverviewThe role of the WC Claims Support Specialist involves assisting in the management and examination of workers' compensation claims. This position is crucial in ensuring that claims are processed efficiently and accurately.Key ResponsibilitiesConduct thorough analysis of claims to determine eligibility and compliance with...

Position OverviewThe role of the WC Claims Support Specialist involves providing essential assistance in the management of workers' compensation claims. This position is critical in ensuring that claims are processed efficiently and accurately.Key ResponsibilitiesAssist in the examination and evaluation of claims.Collaborate with team members to ensure...

Job Summary: We are seeking a skilled Onsite Medicaid Eligibility Representative to join our team at Revenue Group. As a key member of our team, you will be responsible for ensuring seamless Medicaid enrollment processes for our clients.Key Responsibilities:Conduct thorough Medicaid eligibility assessments to determine client eligibilityCollaborate with...

About the RoleSedgwick is seeking a highly skilled Claims Management Specialist to join our team. As an OSS Coordinator, you will play a critical role in supporting the claims management system for our local office or multiple office locations.Key ResponsibilitiesComplete examiner update reports, claim adjustments, provider requests, and operational expense...

Position Overview As a Senior Claims Specialist at Equifax, you will play a pivotal role in delivering exceptional client support while liaising with state agencies. Key Responsibilities Client Engagement: Build and maintain strong relationships with clients to ensure their needs are met effectively. Claims Management: Receive, assess, and...

Salary and Benefits:The compensation for this position ranges from $53,000 to $96,379.00 annually, complemented by bonuses and comprehensive benefits.This range reflects the salary for this role, with final compensation determined by factors such as location, education, experience, and other relevant criteria. Further details regarding the specific salary...

Position Title: Epic Healthcare Claims SpecialistContract Type: 6-month Contract to HireWork Arrangement: RemoteOverview:Our client operates as a third-party Revenue Cycle Management organization. Upon onboarding new clients, they implement a comprehensive list of enhancements aimed at optimizing operational efficiency. A significant portion of these...

Recognized as a 2024 Top Workplace by the Tennessean, EnableComp stands as the premier provider of revenue cycle management solutions for intricate claims across the United States. We proudly collaborate with over 1000 hospitals nationwide to assist them in optimizing their revenue from complex claims.Our MissionWe partner with healthcare providers to...

Position Overview The Auto Liability Claims Adjuster II role is a pivotal position that entails the thorough investigation, assessment, negotiation, resolution, and settlement of Auto Liability claims. This role is essential in determining legal responsibility, damages, and coverage. The claims assigned may encompass single or multiple vehicle incidents,...