Medicaid Coordinator - Brooklyn, NY - Bilingual English/Spanish

Med-Metrix•New York, NY

3d•Onsite

About The Position

The 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.

Requirements

High School Diploma or equivalent is required
Bilingual English/Spanish is required
Proficient in Microsoft Office applications (Excel, Word and Outlook)
Effectively communicate with third parties
Ability to use the internet and learn databases
Strong investigatory and researching skills
Excellent written and verbal skills
Must have had administrative experience
Ability to efficiently multitask
Organizational 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

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

Responsibilities

Call patients and screen for Medicaid eligibility on cases referred by client hospital over the phone
Enroll patients in health insurance coverage via Marketplace or by completing the paper application package to submit to HRA/Local Department of Services
Review, validate and process confidential information
Research and verify patient contact information using search engines and hospital computer systems
Research and resolve Medicaid-related issues
Send various automated letters to patients from the Firm’s database
Retrieve information from hospital databases
Send the Medicaid Clerk a request for third party information and review upon receipt
Verify insurance
Update 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 status
Keep track of the status of denied applications throughout the Fair Hearing process
Prepare and review reports on open accounts using Microsoft Excel
Schedule and coordinate meetings with patients
Manage calendars
Respond to requests for additional documents from Market Place/Department of Social Services
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