Medicaid Field Coordinator

About the role

The 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.

Responsibilities

• Meet with patients and screen for Medicaid eligibility on cases referred by client hospital
• 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
• Travel to hospitals to retrieve patient documentation
• Visit patients' homes to screen for Medicaid eligibility and complete the Medicaid application process
• Travel to local Department of Social Services to process Medicaid application paperwork
• Research and resolve Medicaid-related issues
• Enter and scan new account information into the Firm's database
• Send various automated letters to patients from the Firm's database
• Retrieve information from hospital databases
• Request third party information to complete Medicaid application
• Prepare reports on open accounts for review by management
• Verify insurance
• Contact local Department of Social Services to obtain patient information
• Send various reports to the client
• 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 Market Place/Department of Social Services
• Other duties as assigned
• Use, protect and disclose patients' protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards

Qualifications

• High School Diploma or equivalent required
• Notary Public Certification is preferred
• Must have access to reliable transportation; Valid Driver's License is preferred
• Must be bilingual English/Spanish
• Experience working in a hospital environment is a plus, but not required
• Experience with ePACES and LexisNexis is a plus
• Experience in the field of healthcare or insurance plans is a plus
• Administrative experience preferred
• Proficient in Microsoft Office applications (Excel, Word and Outlook)
• Ability to use the internet and learn databases
• Strong investigatory and researching skills
• Effectively communicate with third parties
• Excellent written and verbal skills
• Ability to efficiently multitask
• Organizational skills
• 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

Schedule

The schedule for this role is 2 weekdays 9:00AM-5:30PM, 2 evenings 11:30AM-8:00PM and every Saturday 8:00AM-4:30PM.