Medicaid Coordinator Bilingual English/Spanish Brooklyn, NY

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 Coordinator assists in gathering and processing information from patients and follows through expeditiously to help patients obtain Medicaid, ensuring prompt payment to our client hospitals.

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 communicate 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 Marketplace/Department of Social Services.
• Other duties as assigned.
• Use, protect, and disclose patients’ protected health information (PHI) only in accordance with HIPAA standards.
• Understand and comply with Information Security and HIPAA policies and procedures at all times.
• Limit viewing of PHI to the absolute minimum necessary to perform assigned duties.

Qualifications

• 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, with 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 mindset.
• Excellent written and verbal communication skills required.

Schedule

Hours: M‑F 7 a.m. – 3:30 p.m. for 2 weeks, then Tues‑Sat 7 a.m. – 3:30 p.m. for the next 2 weeks.

Working Conditions

• Must possess a smart‑phone or electronic device capable of downloading applications for multifactor authentication and security purposes.
• Physical Demands: Occasionally required to move around the work area; sit; perform manual tasks; operate tools and office equipment such as computer, peripherals, and telephones; extend arms; kneel; talk and hear.
• Mental Demands: Must be able to follow directions, collaborate with others, and handle stress.
• Work Environment: Noise level is usually minimal.