Bilingual Medicaid Field Navigator

Med-Metrix; New York (NY); On-site; USD 25,000 - 41,000; Part time

Job summary

Med-Metrix is seeking a bilingual Medicaid Field Coordinator to join our hospital client teams in New York. The role involves meeting patients at hospitals or in their homes to assist with Medicaid applications, gathering information, and expediting processing to ensure timely hospital payments.

Responsibilities include screening eligibility, enrolling patients via Marketplace or paper forms, verifying data, traveling to sites, and maintaining accurate records with HIPAA compliance.

Qualifications

• High School Diploma or equivalent required.
• Notary Public Certification preferred.
• Must have access to reliable transportation; Valid Drivers License is preferred.
• Must be bilingual.
• Experience working in a hospital environment is a plus, but not required.
• Experience with ePACES and LexisNexis is a plus.
• Experience in 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.
• Excellent written and verbal skills.
• Ability to multitask, organizational, interpersonal, etc.

Responsibilities

• Meet with patients to screen Medicaid eligibility.
• Enroll patients in health insurance via Marketplace or by completing the paper application package to submit to HRA/local Department of Services.
• Review, validate and process confidential information.
• 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 Firms database.
• Send various automated letters to patients from the Firms 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
• Understand 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 Qualifications

Skills

Bilingual English/Spanish

Microsoft Office proficiency

Communication

Organizational skills

Problem solving

Education

High School Diploma or equivalent

Tools

ePACES

LexisNexis

Job description

Med-Metrix is seeking a bilingual Medicaid Field Coordinator to join our hospital client teams in New York. The role involves meeting patients at hospitals or in their homes to assist with Medicaid applications, gathering information, and expediting processing to ensure timely hospital payments.

Responsibilities include screening eligibility, enrolling patients via Marketplace or paper forms, verifying data, traveling to sites, and maintaining accurate records with HIPAA compliance.