Medicaid Coordinator - Brooklyn, NY - Bilingual English/Spanish

Med Metrix • Brooklyn, NY

3d

About The Position

Job Purpose 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

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED