Medicaid Service Coordinator (MSC)

Cherokee Indian Hospital Authority • Cherokee, NC

395d • $35,651 - $53,082 • Onsite

About The Position

The Medicaid Service Coordinator (MSC) at Cherokee Indian Hospital Authority is responsible for assisting clients in navigating and accessing Medicaid and other health-related services. This role involves providing comprehensive support, guidance, and advocacy to ensure eligible individuals receive the benefits and services they need. The coordinator will work closely with clients, healthcare providers, and governmental agencies to streamline the application process, resolve issues, and facilitate a better understanding of the Medicaid program. The position also includes maintaining tracking and enrollment records, providing education on the program, and supporting the overall revenue cycle of the hospital.

Requirements

• Completion of high school or equivalent is required.
• Four-year degree from an accredited college or university in a human services degree area and/or administration and three years' experience in a benefit program, OR an Associate's degree from an accredited college or university and five years' experience as an income maintenance specialist in a benefit program, OR a high school diploma and seven years' experience as an income maintenance specialist in a benefit program.
• 5 years of experience in Medicaid eligibility determinations and a strong understanding of Medicaid policies and procedures is required.
• Proficiency with MAGI, and Recipient Eligibility Determination is required.
• Proficiency in computer software programs, including database management.

Nice To Haves

• Progressively responsible analytical, administrative, or clinical management experience is preferred.
• Work must have been performed in an operating health care facility or a higher echelon organization with knowledge and skill in applying analytical and evaluative methods to program operation.

Responsibilities

• Guide clients through the Medicaid application process, ensuring all necessary documentation is submitted accurately and timely.
• Conduct initial screenings to determine clients' eligibility for Medicaid and other assistance programs.
• Act as a liaison between clients, healthcare providers, and government agencies to resolve any issues or concerns related to Medicaid services.
• Provide information and education to clients and community members about Medicaid eligibility, benefits, and how to access services.
• Maintain ongoing communication with clients to ensure their healthcare needs are being met and to assist with re-enrollment or appeal processes as necessary.
• Ensure all activities comply with federal, state, and local regulations related to Medicaid and maintain accurate records for reporting purposes.
• Work collaboratively with other staff and external organizations to improve service delivery and client outcomes.
• Assist with the development and implementation process of the program's policies and procedures.
• Coordinate with staff for the purpose of enhancing client access to comprehensive health care coverage.
• Review system generated reports from the Electronic Health Record (EHR) on patients that have active Medicaid coverage or could be eligible for Medicaid coverage.
• Provide technical assistance to the patients enrolling in the program.
• Develop and maintain a tracking process to ensure accuracy and integrity of enrollment records; review often for determination of coverage.

Benefits

• Competitive salary range of $22.76 to $25.89 per hour.
• Opportunities for professional development and training.

What This Job Offers

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