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Job description
Medicaid CoordinatorThe Medicaid Coordinator is part of a team that works to complete the Medicaid application process for patients of our hospital clients for both in-house and discharged patients. The Medicaid Coordinator assists in gathering and processing information from patients. They will follow through expeditiously to assist patients in obtaining Medicaid, which ensures prompt payment to our client hospitals.Duties and ResponsibilitiesCall patients and screen for Medicaid eligibility on cases referred by client hospital over the phoneEnroll patients in health insurance coverage via Marketplace or by completing the paper application package to submit to HRA/Local Department of ServicesReview, validate and process confidential informationResearch and verify patient contact information using search engines and hospital computer systemsResearch and resolve Medicaid-related issuesSend various automated letters to patients from the Firm's databaseRetrieve information from hospital databasesSend the Medicaid Clerk a request for third party information and review upon receiptVerify insuranceUpdate the Firm's internal database with all work done on an account (actions taken to comminicate with patients, code, account)Track application status via the Marketplace and/or call LDSS/HRA for statusKeep track of the status of denied applications throughout the Fair Hearing processPrepare and review reports on open accounts using Microsoft ExcelSchedule and coordinate meetings with patientsManage calendarsRespond to requests for additional documents from Market Place/Department of Social ServicesOther duties as assignedUse, protect and disclose patients' protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standardsUnderstand and comply with Information Security and HIPAA policies and procedures at all timesLimit viewing of PHI to the absolute minimum as necessary to perform assigned dutiesM-F 7a-330p for 2 weeks & Tues-Sat 7a-330p for 2 weeksQualificationsHigh School Diploma or equivalent is requiredBilingual English/Spanish is requiredExperience with ePACES and LexisNexis is a plusExperience in the field of healthcare or insurance plans is a plusStrong investigatory and researching skillsMust have administrative experienceProficiency in Microsoft Office SuiteAbility to use the internet and learn databasesStrong interpersonal skills, ability to communicate well at all levels of the organizationStrong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analysesHigh level of integrity and dependability with a strong sense of urgency and results orientedExcellent written and verbal communication skills requiredWorking ConditionsMust possess a smart-phone or electronic device capable of downloading applications, for multifactor authentication and security purposes.Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear.Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress.Work Environment: The noise level in the work environment is usually minimal.Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.
Worksite address
brooklyn, NY, 11201, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.