Intake Navigator (Medicare and Medicaid eligibility) Temp Contract

Northwell Health•Lake Success, NY
•Onsite

About The Position

FlexStaff is seeking an Intake Navigator III to support Medicare and Medicaid eligibility, enrollment, and entitlement processes for our client, a non-profit organization that provides home healthcare services to the elderly, disabled and chronically ill in the New York metropolitan area. This role will handle paperwork, resolve eligibility issues, assist with reporting, and ensure compliance with state and federal regulations.

Requirements

  • 2–3 years of experience with Medicaid, Medicare, MLTC, MAP, D-SNP, PACE, or related social services/government work
  • Strong knowledge of eligibility and entitlement rules
  • Excellent communication, organization, and computer skills

Nice To Haves

  • Experience with Care Compass, E-Paces, MARX, or Tableau preferred

Responsibilities

  • Manage Medicare/Medicaid eligibility and entitlement issues
  • Review and upload enrollment paperwork
  • Work with Social Work, Finance, and other departments
  • Verify eligibility in systems such as E-Paces and MARX
  • Resolve disenrollment, denials, appeals, and Medicaid loss issues
  • Prepare reports and support compliance efforts
  • Liaise with agencies such as HRA, LDSS, NYSDOH, and CMS
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