Medicaid Coordinator Bilingual English/Spanish

Duties and 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 Firms database
• Retrieve information from hospital databases
• Send the Medicaid Clerk a request for third party information and review upon receipt
• Verify insurance
• Update the Firms internal database with all work done on an account (actions taken to communicate with patients, code, account)
• Track application status via the Marketplace and/or call LDSS/HRA for status
• Track 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
• Respond to requests for additional documents from Market Place/Department of Social Services
• Other duties as assigned

Qualifications

• A High School Diploma or equivalent is required
• Bilingual English/Spanish is required
• Experience with ePACES and LexisNexis is a plus
• Experience in the field of healthcare or insurance plans is a plus
• Strong investigatory and researching skills
• Must have had administrative experience
• Proficiency in Microsoft Office Suite
• Ability to use the internet and learn databases
• 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