Medicaid Coordinator

Stony Brook University•Town of Brookhaven, NY

9d•Onsite

About The Position

At the Long Island State Veterans Home, the Medicaid Coordinator is responsible for assisting with the admissions process and continued Medicaid coverage for all eligible residents through their stay at the Home. This role involves interviewing applicants, analyzing financial documents, preparing applications, and maintaining continuous communication with various agencies and families to ensure Medicaid eligibility and recertification.

Requirements

Associate's Degree or higher plus a minimum of three (3) or more years preparing Chronic Care Medicaid applications and recertifications.
In lieu of Associate's Degree or higher, High School Diploma plus a minimum of five (5) years preparing Chronic Care Medicaid applications and recertifications.
Experience submitting cases with Suffolk County, Nassau County, and NYC HRA.
Proficiency in various PC software, including Word and Excel.
Excellent communication, writing, and customer service skills.
Must successfully clear a background investigation.
Successfully complete pre-employment physical examination and obtain medical clearance.
Complete electronic reference check with a minimum of three (3) professional references.
Provide a copy of required license(s)/certificate(s).

Nice To Haves

Nursing Home experience.

Responsibilities

Assist with the admissions process and continued Medicaid coverage for eligible residents.
Interview applicants and analyze financial documents to establish eligibility for Chronic Care Medicaid.
Identify and evaluate critical issues within the five-year look-back period.
Review Medicaid Checklist and counsel applicants on accessing required documents pursuant to Medicaid deadlines.
Prepare Medicaid applications and conduct face-to-face interviews in satisfaction of New York State Department of Social Services regulations.
Submit applications and maintain continuous communications with DSS caseworker.
Process annual Medicaid recertification for residents.
Process Medicaid conversions from community coverage to institutional coverage.
Maintain continuous communication with families, attorneys, geriatric care managers, and county DSS agencies regarding Medicaid eligibility processes.
Prepare and maintain pending Medicaid tracking reports required by senior management.
Maintain collegial relationships with Suffolk County DSS, Nassau County DSS, NYC HRA, and other county DSS offices.
Attend Medicaid training or update seminars to stay current in Medicaid laws.
Explain Medicaid Chronic Care eligibility and document requirements to applicants inquiring about nursing home placement.
Maintain a working relationship with the Business Office to expedite the processing of all Medicaid budgets, NAMI, budget corrections, and MLTC enrollments.
Prepare reports identifying critical cases for scheduled meetings.
Comply with all federal and state regulations and documents as required by department standards and facility policies.
Assist the Admissions Director with admission eligibility issues.
Perform other tasks as assigned by the Chief Financial Officer and Director of Admissions.