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Eligibility Specialist 1
2 weeks ago
Maryland Institute College of Art Baltimore, United StatesHere at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services ...
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Eligibility Specialist
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Financial Eligibility Specialist
2 weeks ago
Chase Brexton Health Care Glen Burnie, United StatesJOB SUMMARY: The Financial Eligibility Specialist determines applicant eligibility for third party reimbursement, processes data necessary for admission of new patients into health services, ensures proper coding for insurance billing, and handles inquiries from prospective appli ...
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Financial Eligibility Specialist
3 weeks ago
Chase Brexton Health Care Glen Burnie, United StatesJOB SUMMARY: · The Financial Eligibility Specialist determines applicant eligibility for third party reimbursement, processes data necessary for admission of new patients into health services, ensures proper coding for insurance billing, and handles inquiries from prospective ap ...
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Insurance Eligibility Specialist
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Insurance Eligibility Specialist
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TEKsystems Towson, United StatesJob Description · Job DescriptionInsurance Eligibility Specialist · A top medical center is urgently hiring · Description: The Eligibility Specialist/Authorization Coordinator will perform all routine verification functions in addition to other duties for authorizations and refer ...
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Retirement Benefits Specialist I
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Remote Team Leader
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Team Leader Patient Accounting
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Realty Specialist
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Agency Budget Specialist I
2 weeks ago
State of Maryland Baltimore, United States**Introduction**: · The Maryland Department of the Environment is charged with protecting and preserving the State's air, water, and land resources and safeguarding the environmental health of all Maryland's citizens. The Agency's mission is to protect and restore the environment ...
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Medical Case Manager
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David's Loft Clinical Programs Baltimore, United States**Status**: Non-Exempt · **Responsibilities**: · - Assess client's or family's needs and eligibility for services · - Works with clients, family and appropriate community agencies to coordinate and facilitate services for the client · - Participate in planning treatment programs ...
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Badging Operator
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Exelon Corporation Baltimore, United States**Description** · We're powering a cleaner, brighter future. · Exelon is leading the energy transformation, and we're calling all problem solvers, innovators, community builders and change makers. Work with us to deliver solutions that make our diverse cities and communities stro ...
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Environmental Compliance Specialist Ii
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State of Maryland Baltimore, United States**Introduction**: · The Maryland Department of the Environment is charged with protecting and preserving the State's air, water, and land resources and safeguarding the environmental health of all Maryland's citizens. The Agency's mission is to protect and restore the environment ...
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Mobile Device Helpdesk Specialist
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DK Consulting, LLC Baltimore, United States**Position**: Mobile Device Helpdesk Specialist · **Client**: Maryland Transit Administration · **Location**: 6 Saint Paul Street, Baltimore, MD 21202 · **Duration**: Until February 2026 · **Interview mode**: Virtual · **DK Consulting Overview**: Founded in May 2003, DK Consultin ...
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Veteran Employment Specialist
2 weeks ago
Veteran Staffing Network Baltimore, United States**About us** · The Veteran Staffing Network (VSN) at Easterseals is a nonprofit staffing agency that connects employers with top-tier military talent and helps veterans and their spouses find meaningful jobs. · Easterseals DC MD VA is seeking a highly organized and thoughtful per ...
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Property Manager
2 weeks ago
Washington Hill Mutual Homes Baltimore, United States**RESIDENTIAL PROPERTY MANAGER** · **JOB DESCRIPTION** · **Scope and Purpose** · Overall management of a 150 mixed HUD-subsidized affordable cooperative and market rate Housing. · Office location will based at the Washington Hill Mutual Homes · 40 Hours work week · **Duties and R ...
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E-zpass Account Specialist
2 weeks ago
Maryland Department of Transportation Baltimore, United StatesThe Maryland Transportation Authority (MDTA) owns, operates, and maintains eight major toll facilities comprised of four bridges, two tunnels, and two turnpikes, across the State of Maryland. For over 50 years, the MDTA has provided Maryland's citizens and visitors with safe, sec ...
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Resolution Specialist
2 weeks ago
S3 Shared Services Baltimore, United StatesThis is a remote position. · We are excited to share S3 was named a Top Workplace of 2022 through the Baltimore Sun. Our commitment to teamwork and a positive attitude enables us to deliver service that generates quality results for our partners. If you join our team, we'll inves ...
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Forensic Evidence Specialist, Grant Service
2 weeks ago
City of Baltimore, MD Baltimore, United StatesTHIS IS A NON-CIVIL SERVICE POSITION · - POSTING DATE: 04/18/2024 · - CLOSING DATE: 06/18/2024 AT 12:00 MIDNIGHT · - SALARY: $62, $107,530.00 Annually · - CLASS DESCRIPTION · - The Baltimore Police Department (BPD) is the 8th largest municipal police force in the United States, s ...
Financial Eligibility Specialist - Baltimore, United States - StaffPad Ltd
Description
Job Title:
Financial Eligibility Specialist
Job Summary:
The Financial Eligibility Specialist determines applicant eligibility for third-party reimbursement, processes data for admission of new patients into health services, ensures proper insurance billing coding, and handles inquiries from prospective applicants and patients.
Responsibilities include conducting fee scale and insurance eligibility assessments, implementing the Ryan White Cap, linking patients to eligible insurance and assistance programs, and applying fee scales to other payer sources.
The specialist also refers clients to medical case managers for additional assistance, ensures compliance with Maryland insurance programs and Chase Brexton policies, and maintains up-to-date eligibility files.
They provide comprehensive monthly patient statistics and metrics and respond to billing inquiries related to Sliding Fee charges.Education and/or Experience:
High School Diploma or GED.
Certified Application Counselor designation required within three (3) months of hire.
Minimum three (3) years of experience with insurance verification and/or sliding fee scale determination.
Training or background in ICD-A/CPT codes preferred.
Knowledge of insurance and billing practices preferred.
Major Duties and Responsibilities:
Analytical and Critical Thinking:
Conduct fee scale and insurance eligibility assessments following program-specific procedures and guidelines.
Calculate and implement the Ryan White Cap.
Review relevant reports and link patients to eligible insurance and assistance programs.
Problem Solving and Decision Making:
Apply client fee scales appropriately to other payer sources such as Medicare, Medicaid, and third-party insurance.
Refer clients to medical case managers for additional assistance as needed.
Compliance, Policy, and Procedure:
Demonstrate working knowledge of Maryland insurance programs, Chase Brexton policies, and procedures.
Meet quality and productivity standards set by the site Director of Operations or their designee.
Workplace Computers and Equipment:
Register clients into CPS and complete Case Management visit notes.
Checking, Examining, and Recording:
Complete all necessary paperwork accurately.
Maintain orderly eligibility files.
Provide comprehensive monthly reporting of patient statistics and metrics.
Planning and Organizing:
Conduct renewal eligibility assessments as required.
Participate in workgroups and special projects as assigned.
Patient Focus:
Confirm eligibility appointments with clients.
Schedule initial service appointments post-eligibility determination.
Provide clients with a list of required eligibility documentation.
Refer patients to new Chase Brexton services based on treatment needs.
Skills and Abilities:
Ability to become a Certified Application Counselor and complete enrollments through the Maryland Health Benefits Exchange within three (3) months of hire.
Proficiency in operating computers and other office machines.
Cultural competence and ability to provide individualized care to patients of diverse backgrounds.
Bilingualism preferred.
Ability to work under pressure and take responsibility.
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