Business Office Coordinator Eldercare Enrollment

Mount Sinai Medical Center · Hialeah, FL · 2 mo ago

AdministrativeFull-time

Position Responsibilities:

Responsible for all activities related to Medicaid enrollment including annual recertification and maintaining Medicare and Medicare benefits while enrolled with Eldercare.
Provides face to face and phone support to prospects, participants and their families on all aspects pertaining to the Medicaid benefit.
Works directly with the Medicaid Eligibility Determination Worker(s) to ensure Medicaid application processing timelines are within expected parameters.
Receives and follows up on the daily 834 and Gentran reports to ensure there is not a disruption in enrollment and or loss of Medicare or Medicaid benefits.
Responsible for the monthly enrollment and disenrollment activities for the organization per established processes.
Ensures the accuracy of all data related to enrollment and disenrollment including all required reports to external vendors.
Communicates and coordinates with the enrollment team to assist prospects are enrolled in their target month.
Aids Executive Director and enrollment with required reporting measures and tracks key performance measures pertaining to enrollment, benefits and recertifications.
Serves as the liaison between Eldercare and AHCA PACE Medicaid office.

N/A
Bachelor’s Degree is preferred.
Certifications in medical billing, coding or medical records helpful.
At least 2 years prior experience in a health care business office or state agency with a focus on Medicaid coverage and benefits.
Prior experience with Florida Medicaid including applying for benefits, enrollment and has an understanding of the ongoing requirements to keep Medicaid status is required.
Health Plan experience in claims, contracting and credentialing is helpful.
General business office experience is preferred.

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