Medicaid Clerk

Med-Metrix•Garden City, NY

12d

About The Position

The Medicaid Clerk is part of the Medicaid team whose primary function is to complete investigation of hospital terminals to find possible active insurance. The Clerk is responsible for confirming coverage obtained in the investigation process as well as accounts coded by the team. The Clerk also supports other members of the team by requesting third party documents.

Requirements

High School Diploma or equivalent is required
Notary Public
Effectively communicate with third parties
Be proficient in Microsoft Office applications (Excel, Word and Outlook)
Have the ability to use the internet and learn databases
Have strong investigatory and researching skills
Have excellent written and verbal skills
Must have administrative experience
Have the ability to efficiently multitask
Possess a high level of organization skills
Strong interpersonal skills, ability to communicate well at all levels of the organization
Strong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analyses
High level of integrity and dependability with a strong sense of urgency and results oriented
Excellent written and verbal communication skills required
Gracious and welcoming personality for customer service interaction
Must possess a smart-phone or electronic device capable of downloading applications, for multifactor authentication and security purposes.

Nice To Haves

Bilingual Spanish is a plus
Experience with ePACES and LexisNexis a plus
Experience in the field of healthcare or insurance plans is a plus

Responsibilities

Send and follow up with third party requests
Retrieve information from hospital databases
Verify insurance by using insurance websites, other internal systems or calling insurance companies
Enter patient accounts into database(s)
Conduct various search engines such as LexisNexis and USPS searches etc.
Assist with billing
Other duties as assigned
Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
Understand and comply with Information Security and HIPAA policies and procedures at all times
Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties