Medicaid Field CoordinatorSchedule: 2 weekdays 9:00AM-5:30PM, 2 evenings 11:30AM-8:00PM and every Saturday 8:00AM-4:30PM. Must be Bilingual in English/Spanish and must have access to reliable transportation!Job PurposeThe Medicaid Field 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. They will meet with patients at hospital bedside, in their home or other locations to assist in the completion of the Medicaid application.
The Medicaid Field Coordinator assists in gathering and processing information from patients. They follow through expeditiously to assist patients in obtaining Medicaid, which ensures prompt payment to our client hospitals.Duties and ResponsibilitiesMeet with patients and screen for Medicaid eligibility on cases referred by client hospitalEnroll patients in health insurance coverage via Marketplace or by completing the paper application package to submit to HRA/local Department of ServicesReview, validate and process confidential informationResearch and verify patient contact information using search engines and hospital computer systemsTravel to hospitals to retrieve patient documentationVisit patients' homes to screen for Medicaid eligibility and complete the Medicaid application processTravel to local Department of Social Services to process Medicaid application paperworkResearch and resolve Medicaid-related issuesEnter and scan new account information into the Firm's databaseSend various automated letters to patients from the Firm's databaseRetrieve information from hospital databasesRequest third party information to complete Medicaid applicationPrepare reports on open accounts for review by managementVerify insuranceContact local Department of Social Services to obtain patient informationSend various reports to the clientTrack application status via the Marketplace and/or call LDSS/HRA for statusKeep track of the status of denied applications throughout the Fair Hearing processPrepare and review reports on open accounts using Microsoft ExcelSchedule and coordinate meetings with patientsManage calendarsRespond to requests for additional documents from Market Place/Department of Social ServicesOther duties as assignedUse, protect and disclose patients' protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standardsUnderstand and comply with Information Security and HIPAA policies and procedures at all timesLimit viewing of PHI to the absolute minimum as necessary to perform assigned dutiesQualificationsHigh School Diploma or equivalent requiredNotary Public Certification is preferredMust have access to reliable transportation; Valid Driver's License is preferredMust be bilingual – English/SpanishExperience working in a hospital environment is a plus, but not requiredExperience with ePACES and LexisNexis is a plusExperience in the field of healthcare or insurance plans is a plusAdministrative experience preferredProficient in Microsoft Office applications (Excel, Word and Outlook)Ability to use the internet and learn databasesStrong investigatory and researching skillsEffectively communicate with third partiesExcellent written and verbal skillsAbility to efficiently multitaskOrganizational skillsStrong interpersonal skills, ability to communicate well at all levels of the organizationStrong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analysesHigh level of integrity and dependability with a strong sense of urgency and results orientedExcellent written and verbal communication skills requiredGracious and welcoming personality for customer service interactionWorking ConditionsTravel to various client sites and other local areas will be requiredMust possess a smart-phone or electronic device capable of downloading applications, for multifactor authentication and security purposes.Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear.Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress.Work Environment: The noise level in the work environment is usually minimal.Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.
Medicaid Field Coordinator - Bilingual English/Spanish in brooklyn at Unknown Company
This position is listed as full time and onsite.