Talent.com
Ryan White Insurance Coordinator - Public Health

Ryan White Insurance Coordinator - Public Health

Nebraska GovernmentLincoln, NE, US
job_description.job_card.variable_hours_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

Ryan White Insurance Coordinator - Public Health (Open)

The Ryan White Insurance Coordinator will serve as the subject matter expert to provide oversight medical and dental insurance policy selection, and enrollment for the Ryan White Part B Program clients. Six hundred clients are presently enrolled in Ryan White Part B managed health or dental insurance. The Coordinator is also responsible for assisting with the development of grant activities and leading implementation to assure all program goals and objectives are met. Funding for this position is through a federal grants from the Health Resources and Service Administration (HRSA).

The Ryan White Insurance Coordinator will :

  • Monitor all existing Insurance enrollments to detect ineligible clients, terminate policies when needed, and monitor premium payments to prevent over or under payment;
  • Develop procedural insurance manuals and protocols, templates, and forms for project sponsors and program staff to use;
  • Assess the Nebraska Health Insurance marketplace plans to determine the cost-effectiveness of insurance plans, with regard to Ryan White specific client requirements, at least annually;
  • Conduct audits and site visits and prepare reports;
  • Review and interpret laws, regulations and statutory accounting principles as they apply to the insurance aspect of the Ryan White Part B program;
  • Review sub-recipient and contractor invoices and perform compliance testing to ensure compliance and mitigate risk of future and repeat audit findings;
  • Provide guidance on sub-recipient monitoring and insurance requirements;
  • Assist the Ryan White Part B program with processing client Medical claims;
  • Work with Providers to ensure invoices are processed;
  • Help enroll Ryan White Part B consumers in the Marketplace insurance.

Minimum Qualifications : Bachelor's degree in business or public administration, social / behavioral sciences, health sciences, public health, education, law or related field OR experience in the insurance industry; writing policies and procedures for insurance or healthcare institutions, performing oversight analysis / evaluation of insurance programs; or leading community based health / social care groups. Related coursework, training and / or education may substitute for the Bachelor's degree on a year-for-year basis.

Preferred Qualifications : Experience working with insurance selections and the processing of Medical claims.

Knowledge, Skills, and Abilities :

  • Experience working in the insurance industry, or experience working alongside the insurance industry such as in a medical providers admin office.
  • Working with Insurance Enrollments, Billing, and membership reconciliation is especially valuable.
  • Experience working with federal grants and grant guidance (optional);
  • Proficient in use of Microsoft Suite, especially Word, Outlook, Excel, and WebEx; and experience with virtual meeting platforms such as Zoom, Adobe Connect, and GoToMeeting.
  • Ability to comprehend and follow complex and technical procedures and to communicate effectively.
  • Benefits

    We offer a comprehensive package of pay, benefits, paid time off, retirement and professional development opportunities to help you get the most out of your career and life. Your paycheck is just part of your total compensation. Check out all that the State of Nebraska has to offer! Benefit eligibility may vary by position, agency and employment status. For more information on benefits, please visit : https : / / statejobs.nebraska.gov / index.html#benefits

    Equal Opportunity Statement

    The State of Nebraska values our teammates as well as a supportive environment that strives to promote diversity, inclusion, and belonging. We recruit, hire, train, and promote in all job classifications and at all levels without regard to race, color, religion, sex, age, national origin, disability, marital status or genetics.

    serp_jobs.job_alerts.create_a_job

    Insurance Coordinator • Lincoln, NE, US

    Job_description.internal_linking.related_jobs
    • serp_jobs.job_card.promoted
    Patient Account Services Coordinator

    Patient Account Services Coordinator

    VirtualVocationsLincoln, Nebraska, United States
    serp_jobs.job_card.full_time
    A company is looking for an Inbound Patient Account Services Coordinator (Remote).Key Responsibilities Develop a deep understanding of specialty processes and assist patients with billing and rei...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Remote Care Coordinator

    Remote Care Coordinator

    VirtualVocationsLincoln, Nebraska, United States
    serp_jobs.filters.remote
    serp_jobs.job_card.full_time
    A company is looking for a Case Management Care Coordinator.Key Responsibilities Provide accurate information to callers and triage telephone calls for clinical consultation and case managers En...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Regional Director

    Regional Director

    NRC HealthLincoln, NE, US
    serp_jobs.job_card.full_time
    At NRC Health, we promise to help our customers bring Human Understanding to healthcare for their patients and communities. Our associates are at the heart of delivering that promise, so we promise ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Licensed Behavioral Health Clinician

    Licensed Behavioral Health Clinician

    VirtualVocationsLincoln, Nebraska, United States
    serp_jobs.job_card.full_time
    A company is looking for a Utilization Review Clinician - Behavioral Health.Key Responsibilities Evaluates treatment for mental health and substance abuse to ensure medical appropriateness Perfo...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Registration Coordinator

    Registration Coordinator

    VirtualVocationsLincoln, Nebraska, United States
    serp_jobs.job_card.full_time
    A company is looking for a Registration Coordinator who will gather client requirements and manage online registration site development. Key Responsibilities Manage client registration services an...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Community Connector - North East Ohio

    Community Connector - North East Ohio

    Molina HealthcareLincoln, NE, United States
    serp_jobs.job_card.full_time
    Candidates must be located in North East Ohio (Cuyahoga, Geauga, Lake, Lorain, Medina, Cleveland) and would require 80 -90% travel. Provides support for community-based member advocacy activities.Se...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Ohio Licensed Care Manager

    Ohio Licensed Care Manager

    VirtualVocationsLincoln, Nebraska, United States
    serp_jobs.job_card.full_time
    A company is looking for a Care Manager Transition of Care.Key Responsibilities Evaluate member needs through post-discharge assessments and medication reconciliation Develop care / service plans ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Revenue Agent Senior

    Revenue Agent Senior

    Nebraska GovernmentLincoln, NE, US
    serp_jobs.job_card.full_time
    The work we do matters! Hiring Agency : Revenue - Agency 16 Location : Lincoln, NE, Omaha, NE Hiring Rate : $22.Job Description : The Department does not sponsor STEM or non-immigrant work visas for th...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Care Coordinator - Wisconsin Licensed

    Care Coordinator - Wisconsin Licensed

    VirtualVocationsLincoln, Nebraska, United States
    serp_jobs.job_card.full_time
    A company is looking for a Care Coordinator to serve as a patient advocate and point of contact for care recommendations. Key Responsibilities Support patient experience preadmission and throughou...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
    • serp_jobs.job_card.promoted
    Patient Access Coordinator

    Patient Access Coordinator

    VirtualVocationsLincoln, Nebraska, United States
    serp_jobs.job_card.full_time
    A company is looking for a Patient Access Coordinator Full Time.Key Responsibilities : Answer a high volume of calls daily using a multi-line phone Schedule appointments for multiple clinical sit...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Credentialing Manager

    Credentialing Manager

    VirtualVocationsLincoln, Nebraska, United States
    serp_jobs.job_card.full_time
    A company is looking for a Credentialing Manager - REMOTE.Key Responsibilities Directs daily activities of the credentialing department and ensures compliance with medical staff bylaws Maintains...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Licensed Care Coordinator

    Licensed Care Coordinator

    VirtualVocationsLincoln, Nebraska, United States
    serp_jobs.job_card.full_time
    A company is looking for a Care Coordinator (Contractor).Key Responsibilities Conduct monthly chronic care management phone calls with patients and healthcare providers Create and revise persona...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
    • serp_jobs.job_card.promoted
    Licensed Behavioral Health Supervisor

    Licensed Behavioral Health Supervisor

    VirtualVocationsLincoln, Nebraska, United States
    serp_jobs.job_card.full_time
    A company is looking for a Supervisor Behavioral Health Utilization Management Review.Key Responsibilities Oversee daily operations and staff assignments within the Utilization Management Review ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Texas Licensed Program Coordinator

    Texas Licensed Program Coordinator

    VirtualVocationsLincoln, Nebraska, United States
    serp_jobs.job_card.full_time
    A company is looking for a Program Coordinator to support a traffic safety program in Texas.Key Responsibilities Prepare and submit monthly grant claims and ensure compliance with state requireme...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
    • serp_jobs.job_card.promoted
    Kentucky Licensed Care Manager

    Kentucky Licensed Care Manager

    VirtualVocationsLincoln, Nebraska, United States
    serp_jobs.job_card.full_time
    A company is looking for a Care Manager Transition of Care.Key Responsibilities Evaluate member needs through post-discharge assessments and medication reconciliation Develop care / service plans ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
    • serp_jobs.job_card.promoted
    Licensed Bereavement Coordinator

    Licensed Bereavement Coordinator

    VirtualVocationsLincoln, Nebraska, United States
    serp_jobs.job_card.full_time
    A company is looking for a Regional HSP Bereavement Coordinator.Key Responsibilities Meet with care center leadership to assess and develop bereavement services for patients and families Conduct...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
    • serp_jobs.job_card.promoted
    Associate Client Manager - Employee Health & Benefits

    Associate Client Manager - Employee Health & Benefits

    Marsh McLennanLincoln, NE, US
    serp_jobs.job_card.full_time
    Associate Client Manager Employee Health & Benefits.Award-winning, inclusive, top workplace culture doesn't happen overnight. It's a result of hard work by extraordinary people.More than 9,000 of t...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Treatment Center Director / Program Manager

    Treatment Center Director / Program Manager

    BayMark Health Services CareersLincoln, Nebraska, US
    serp_jobs.job_card.full_time
    Treatment Center Director / Program Director.A great Treatment Center Director leads a diverse team of nurses, counselors, and auxiliary staff to. Essential Duties & Responsibilities : .Responsible for ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    Active Public Health Nurse

    Active Public Health Nurse

    United States ArmyCrete, NE, United States
    serp_jobs.job_card.full_time
    THE ARMY HEALTH CARE ADVANTAGE As a member of the Army health care team, you’ll receive benefits that you won’t be able to get in a civilian career. Challenging Work Feel inspired with great case di...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    University of Nebraska Medical Center

    University of Nebraska Medical Center

    University of Nebraska-LincolnLincoln, NE, US
    serp_jobs.job_card.full_time
    Quality Assurance, Risk Management, and Administrative Support.To function as the Quality Assurance, Risk Management, and Administrative support for the Executive Associate Dean for the College of ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days