Medicaid Coordinator - Bilingual

Med-Metrix

Brooklyn, NY

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JOB DETAILS

SALARY

$22–$23 Per Hour

JOB TYPE

Full-time

SKILLS

Administrative Skills, Analysis Skills, Authentication, Calendar Management, Communication Skills, Community and Social Services, Customer Support/Service, English Language, Follow Through, Genetics, HIPAA (Health Insurance Portability and Accountability Act), Health Insurance, Healthcare, Hospital, Information/Data Security (InfoSec), Insurance, Interpersonal Skills, LexisNexis, Medicaid, Medical Records, Microsoft Office, Microsoft Product Family, Military, Multilingual, Office Equipment, Organizational Skills, Peripheral Hardware, Physical Demands, Physical Security, Plan Meetings, Presentation/Verbal Skills, Problem Solving Skills, Request for Information (RFI), Search Engines, Security Compliance, Smartphones, Social Work, Spanish Language, State Laws and Regulations, Time Management, Writing Skills

LOCATION

Brooklyn, NY

POSTED

19 days ago

This is a hybrid role based in Brooklyn, NY. Must be Bilingual English/SpanishScheduled Hours:Tuesday: 11:00 AM – 7:30 PMWednesday: 8:30 AM – 5:00 PMThursday: 11:00 AM – 7:30 PMFriday: 8:30 AM – 5:00 PMSaturday: 8:00 AM – 4:30 PMJob PurposeThe 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 Medicaid Coordinator assists in gathering and processing information from patients. They will follow through expeditiously to assist patients in obtaining Medicaid, which ensures prompt payment to our client hospitals. Duties and ResponsibilitiesCall patients and screen for Medicaid eligibility on cases referred by client hospital over the phoneEnroll 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 informationResearch and verify patient contact information using search engines and hospital computer systemsResearch and resolve Medicaid-related issuesSend various automated letters to patients from the Firm’s databaseRetrieve information from hospital databasesSend the Medicaid Clerk a request for third party information and review upon receiptVerify insuranceUpdate 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 statusKeep track of the status of denied applications throughout the Fair Hearing process Prepare and review reports on open accounts using Microsoft ExcelSchedule 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) standardsUnderstand and comply with Information Security and HIPAA policies and procedures at all times Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties QualificationsHigh School Diploma or equivalent is requiredBilingual English/Spanish is requiredMust possess reliable transportation to ensure consistent on-site attendance and punctualityExperience with ePACES and LexisNexis is a plusExperience in the field of healthcare or insurance plans is a plusStrong investigatory and researching skillsMust have had administrative experienceProficiency in Microsoft Office Suite Ability to use the internet and learn databasesStrong 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 Gracious and welcoming personality for customer service interaction Working ConditionsMust 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.#CB

About the Company

Med-Metrix

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