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Eligibility Determination Specialist Jobs

4,664Jobs

  • 4.1
    Blue Cross and Blue Shield of Nebraska – United States
    $57k-$72k(Glassdoor est.)
    Today 9hr
    endorsements and medical policy. Responsible for determining member eligibility prior to medical review. Responsible for fostering… Responsible for completion of special projects. Responsible for determining availability of benefits according to company contracts,…
  • 3.5
    CSC – Roseville, MN
    $26k-$38k(Glassdoor est.)
    NEW
    Apply Now Customer Service Specialist (Document Processor) As a Customer Service Specialist (Document Processor), you will… Customer Service Specialist (Document Processor) Job Posting Location Roseville, MN Job Code 5108…
  • 3.3
    GWC Warranty – Wilkes-Barre, PA
    $32k-$51k(Glassdoor est.)
    NEW
    Claims Specialist Location Wilkes-Barre, PA Employment duration Full time Apply Now… paid holidays, paid time off and more. Position: Claims Specialist Reports to: Claims Manager FLSA Status: Non-Exempt…
  • 3.5
    CSC – Sacramento, CA
    $33k-$48k(Glassdoor est.)
    7 days ago 7d
    Apply Now Administrative Specialist (Document Processor) As an Administrative Specialist, you will be responsible for opening… Administrative Specialist (Document Processor) Job Posting Location Sacramento, CA Job Code 5100…
  • 3.7
    NSA – Fort Meade, MD
    NEW
    Job Title Mission Assurance Continuity Specialist - Experienced Level Agency NSA JET Job Family Communication… national security information. Mission Assurance Continuity Specialists manage, plan, exercise, and administer Continuity of Government…
  • 3.4
    Spot – Indianapolis, IN
    $40k-$51k(Glassdoor est.)
    NEW
    medical, dental, and vision insurance eligible after 60 days; 401K with employer match eligible after 90 days; paid holidays; PTO… Screen resumes and conduct phone and onsite interviews to determine candidate fit Develop and continuously improve interview…
  • 3.9
    Koorsen Fire & Security – Columbus, OH
    EASY APPLY
    $22k-$38k(Glassdoor est.)
    HOT
    security services companies, is in search of an Collections Specialist at our Columbus, OH branch. It is preferred that candidates… or testing appropriate to the position. Employment Eligibility - New hires must complete the I-9 Verification form with…
  • 3.4
    Sanford Health – Sioux Falls, SD
    $47k-$60k(Glassdoor est.)
    NEW
    Job Title: RN Clinical Quality Specialist | Care Management | Sioux Falls City: Sioux Falls State: South Dakota Department… Nursing. POSITION RESPONSIBILITIES Clinical Quality Specialist will incorporate responsibilities related to the quality risk…
  • 3.5
    Scott & White Healthcare – Temple, TX
    5 days ago 5d
    The Contact Center Specialist I ensures accurate, compliant and timely registration of new patients to ensure optimal service.… service. The Contact Center Specialist I is responsible for professionally and enthusiastically answering incoming calls and electronic…
  • 3.7
    HCM Staffing – Scottsdale, AZ
    EASY APPLY
    $36k-$57k(Glassdoor est.)
    20 days ago 20d
    federal agencies and private institutions to determine services. DeterminingEligibility for Disability or other Healthcare Benefits… process - Working through work flow and process to determineeligibility. This position is a great fit for anyone that loves…
  • 3.6
    Texas Dow Employees Credit Union – Lake Jackson, TX
    $35k-$49k(Glassdoor est.)
    12 days ago 12d
    imminent default. Provide guidance in aiding to determine if a member is eligible for assistance in the Home Affordable Unemployment… IT MEANS TO BE A TDECU LOAN RESOLUTIONS Specialist– Loan Resolutions Specialists live their TDECU-aligned values everyday…
  • 3.0
    Tradebe – Columbia, SC
    $45k-$73k(Glassdoor est.)
    6 days ago 6d
    Drug Free Work Environment. , Technical Services Specialist Location US-SC-Columbia… service our clients’ diverse transport requirements. For eligible employees we offer health and wellness benefits, including…
  • 4.3
    University of Texas at Austin – Austin, TX
    4 days ago 4d
    government handles the investigation as to the requirement for eligibility for access to classified information. Factors considered… subject to a government security investigation and must meet eligibility requirements for access to classified information at the…
  • 2.9
    Northwest FCU – Herndon, VA
    28 days ago 28d
    Obtaining any loan with Northwest Federal requires membership eligibility and becoming a member by opening a primary savings account… researching any exception items from the ACH Incoming Files and determine if they can be posted or returned. Prepare vouchers for posting…
  • 3.0
    SCI Solutions – Seattle, WA
    NEW
    and procedures by checking patient medical eligibility and determine if the specialist location is in network with a particular… communicate with insurance payers via fax, telephone, or online to determine if authorization is required for specific medical procedures…
  • 4.5
    New American Funding – Austin, TX
    $24k-$41k(Glassdoor est.)
    23 days ago 23d
    Position: Home Retention Specialist Location: Austin, TX. Position Summary: The Home Retention Specialist is the front-line in… impacting their ability to retain their home. The Home Retention Specialist assists borrowers with finding solutions for maintaining home…
  • 3.7
    Scripps Health – Encinitas, CA
    $32k-$47k(Glassdoor est.)
    Today 11hr
    verifying coverage including benefits, authorization, pre-determination, payer specific policy exclusions or limitations to coverage… payment reconciliation as needed. Assisting patients with HPE eligibility, discussing payment arrangement options including financial…
  • 5.0
    Community Mental Health of Central Michigan – Big Rapids, MI
    23 days ago 23d
    techniques for consumers requesting crisis services to determineeligibility for program services and/or to recommend the most appropriate… vehicle on agency business. , Crisis Stabilization Specialist Job Location US-MI-Big Rapids (Mecosta County)…
  • 4.0
    Equian LLC – Louisville, KY
    19 days ago 19d
    all states. 3. Discuss, if necessary with the client to determine the right approach relative to filing an arbitration that… manager. 7. Supervision of others: None Bonus Plan Eligibility: Standard Examiner Bonus Plan Prepared by: Heather…
  • 3.1
    World Relief – Memphis, TN
    $19k-$27k(Glassdoor est.)
    NEW
    Responsibilities: -Determineeligibility of refugee or refugee family for RCA and RMA. -Enroll eligible refugees and refugee… Post Date 9/27/2017 Title EligibilitySpecialist Employee Type Full Time City Memphis State TN Description…
  • 3.2
    State of Louisiana – Baton Rouge, LA
    5 days ago 5d
    JOB DISTINCTIONS: Differs from Disability DeterminationsSpecialist by the presence of direct supervisory responsibility… Disability Determination Service (DDS) will go through a complete federal background investigation. A suitability determination by the…
  • 3.9
    LHC Group. Inc – Lafayette, LA
    $56k-$71k(Glassdoor est.)
    23 days ago 23d
    The Clinical Support Specialist is responsible for the overall supervision and coordination of clinical services. Coordinates… of care (SOC) visits in assigned locations Coordinates determination of patient home health benefits, medical necessity, and…
  • 4.0
    Republic Services – Chandler, AZ
    $39k-$52k(Glassdoor est.)
    9 days ago 9d
    processes and procedures. Within a pre-determined limit of approval, the Customer Credit Specialist decides to release or hold accounts… working within established guidelines, the Customer Credit Specialist is primarily responsible for the credit evaluation and assessment…
  • 3.8
    Central Health – Austin, TX
    $29k-$40k(Glassdoor est.)
    NEW
    complaints regarding services. Applies performance standards to determine the accuracy of simple to complex program decisions. Performs… etiquette Conflict resolution techniques Skill in: Determining what needs to be recorded and accurately and completely recording…
  • 2.8
    Mount Carmel Health System – Columbus, OH
    $32k-$48k(Glassdoor est.)
    21 days ago 21d
    opportunities to keep you working at yours. The Patient Financial Specialist II obtains demographic, clinical, financial and insurance… and support coverage of other intradepartmental functions. Determines proper scheduling requirements and/or limitations according…
  • 3.6
    Oasis Outsourcing – West Palm Beach, FL
    HOT
    salary surveys, etc. Determines FMLA and other state-specific medical leave requirements/eligibility and prepares notices and… Contributions: The output generated by the Human Resources Specialist (Fulfillment) is client satisfaction and allowing clients…
  • 3.2
    Foothill-De Anza Community College District – Los Altos Hills, CA
    HOT
    Community College District Allied Health and Nursing Specialist Posting #: 17-061 Campus: De Anza College Number… Proper techniques involved in evaluating transcripts and determining equivalencies. Program operations, policies, and objectives…
  • 3.4
    Sanford Health – Bismarck, ND
    NEW
    Job Title: RN Utilization Management Specialist | Patient Access | Multi-City City: Bismarck State: Multi-State Department… requiring employers to verify new employees' U.S. employment eligibility, Sanford participates in E-Verify. To learn more click here…
  • 3.6
    Broadspire – Sunrise, FL
    $31k-$48k(Glassdoor est.)
    24 days ago 24d
    as directed on claims and eligibility requirements and determines if claimant meets the eligibility requirements After… as directed on claims and eligibility requirements and determines if claimant meets the eligibility requirements After initial…
  • 3.6
    Broadspire – Fort Lauderdale, FL
    $33k-$51k(Glassdoor est.)
    24 days ago 24d
    Disability Benefit Specialist will be relied upon to obtain and evaluate information in order to determineeligibility of benefits.… Disability Benefit Specialist will be relied upon to obtain and evaluate information in order to determineeligibility of benefits.…
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