Business Office Coordinator Eldercare Enrollment

Mount Sinai Medical Center•Hialeah, FL

24d

About The Position

As Mount Sinai grows, so does our legacy in high-quality health care. Since 1949, Mount Sinai Medical Center has remained committed to providing access to its diverse community. In delivering an unmatched level of clinical expertise, our medical center is committed to recruiting and training top healthcare workers from across the country. We offer the latest in advanced medicine, technology, and comfort in 12 facilities across Miami-Dade (including our 674-bed main campus facility) and Monroe Counties, with 38 medical services, including cancer care, 24/7 emergency care, orthopedics, cardiovascular care, and more. Mount Sinai takes pride in being South Florida's largest private independent not-for-profit hospital, dedicated to continuing the training of the next generation of medical pioneers. Culture of Caring: The Sinai Way Our hardworking, tight-knit community of more than 4,000 dedicated employees fosters an environment of care and compassion. Each member plays a vital role in our collective mission to deliver excellent healthcare through innovation, education, and research. At Mount Sinai, we take pride in our achievements, aiming to be a beacon of quality healthcare in South Florida. We welcome all healthcare professionals to join our thriving community and contribute to our pursuit for clinical excellence. Department: CC219355 Administration Job Description Summary: Responsible for Medicare Part D, required compliance plan activities, claims processing, plan payments, provider/vendor health plan network, track current contracted and employed staff assignments and credentials and health plan enrollment and disenrollment activities.

Requirements

At least 2 years prior experience in a health care business office or state agency with a focus on Medicaid coverage and benefits.
Prior experience with Florida Medicaid including applying for benefits, enrollment and has an understanding of the ongoing requirements to keep Medicaid status is required.

Nice To Haves

Bachelors Degree is preferred.
Certifications in medical billing, coding or medical records helpful.
Health Plan experience in claims, contracting and credentialing is helpful.
General business office experience is preferred.

Responsibilities

Responsible for all activities related to Medicaid enrollment including annual recertification and maintaining Medicare and Medicare benefits while enrolled with Eldercare
Provides face to face and phone support to prospects, participants and their families on all aspects pertaining to the Medicaid benefit.
Works directly with the Medicaid Eligibility Determination Worker(s) to ensure Medicaid application processing timelines are within expected parameters
Receives and follows up on the daily 834 and Gentran reports to ensure there is not a disruption in enrollment and or loss of Medicare or Medicaid benefits
Responsible for the monthly enrollment and disenrollment activities for the organization per established processes.
Ensures the accuracy of all data related to enrollment and disenrollment including all required reports to external vendors.
Communicates and coordinates with the enrollment team to assist prospects are enrolled in their target month.
Assists Executive Director and enrollment with required reporting measures and tracks key performance measures pertaining to enrollment, benefits and recertifications.
Provides IDT and leadership with reports pertaining to enrollment and disenrollment ensuring open communication at all time
Serves as the liaison between Eldercare and AHCA PACE Medicaid office