Business Office Coordinator Eldercare Enrollment

Mount Sinai Medical Center; Florida; On-site; USD 42,000 - 62,000; Full time

Benefits offered by this job

Health benefits

Life insurance

Long-term disability

Healthcare spending accounts

Retirement plan

Paid time off

Tuition reimbursement

Employee assistance program

Wellness program

On-site housing for select positions

Job summary

Mount Sinai Medical Center in Florida seeks a Medicaid Enrollment Specialist to manage enrollment, recertification, and benefits maintenance for beneficiaries. You will support clients and families via in-person and phone interactions, and work with Eligibility Determination staff to meet timelines.

The role includes producing reports on enrollment, disenrollment, and performance, and coordinating with Eldercare and AHCA PACE Medicaid offices to ensure seamless benefits management.

Qualifications

• Bachelor's Degree preferred.
• Certifications in medical billing, coding or medical records helpful.
• At least 2 years experience in a health care business office or state agency focusing on Medicaid benefits.

Responsibilities

• Handle Medicaid enrollment activities including annual recertification and maintaining Medicare benefits.
• Provide face-to-face and phone support to prospects, participants and their families on Medicaid benefits.
• Coordinate with Medicaid Eligibility Determination Workers to ensure enrollment timelines.
• Produce monthly enrollment and disenrollment reports and ensure data accuracy.
• Serve as liaison between Eldercare and AHCA PACE Medicaid office.

Skills

Medicaid enrollment

Data reporting

Healthcare administration

Education

Bachelor's degree

Tools

Medical billing/coding software

Job description

As Mount Sinai grows, so does our legacy in high-quality health care. Since 1949, Mount Sinai Medical Center has remained committed to providing access to its diverse community. In delivering an unmatched level of clinical expertise, our medical center is committed to recruiting and training top healthcare workers from across the country. We offer the latest in advanced medicine, technology, and comfort in 12 facilities across Miami-Dade (including our 674-bed main campus facility) and Monroe Counties, with 38 medical services, including cancer care, 24/7 emergency care, orthopedics, cardiovascular care, and more. Mount Sinai takes pride in being South Florida's largest private independent not-for-profit hospital, dedicated to continuing the training of the next generation of medical pioneers. Culture of Caring: The Sinai Way Our hardworking, tight-knit community of more than 4,000 dedicated employees fosters an environment of care and compassion. Each member plays a vital role in our collective mission to deliver excellent healthcare through innovation, education, and research. At Mount Sinai, we take pride in our achievements, aiming to be a beacon of quality healthcare in South Florida. We welcome all healthcare professionals to join our thriving community and contribute to our pursuit for clinical excellence.

Department

Job Description Summary: Position Responsibilities Responsible for all activities related to Medicaid enrollment including annual recertification and maintaining Medicare and Medicare benefits while enrolled with Eldercare Provides face to face and phone support to prospects, participants and their families on all aspects pertaining to the Medicaid benefit. Works directly with the Medicaid Eligibility Determination Worker(s) to ensure Medicaid application processing timelines are within expected parameters Receives and follows up on the daily 834 and Gentran reports to ensure there is not a disruption in enrollment and or loss of Medicare or Medicaid benefits Responsible for the monthly enrollment and disenrollment activities for the organization per established processes. Ensures the accuracy of all data related to enrollment and disenrollment including all required reports to external vendors. Communicates and coordinates with the enrollment team to assist prospects are enrolled in their target month. Assists Executive Director and enrollment with required reporting measures and tracks key performance measures pertaining to enrollment, benefits and recertifications. Provides IDT and leadership with reports pertaining to enrollment and disenrollment ensuring open communication at all time Serves as the liaison between Eldercare and AHCA PACE Medicaid office.

Qualifications

License/Registration/Certification N/A Education Bachelors Degree is preferred. Certifications in medical billing, coding or medical records helpful.

Experience

At least 2 years prior experience in a health care business office or state agency with a focus on Medicaid coverage and benefits. Prior experience with Florida Medicaid including applying for benefits, enrollment and has an understanding of the ongoing requirements to keep Medicaid status is required. Health Plan experience in claims, contracting and credentialing is helpful. General business office experience is preferred.

Benefits

• Health benefits
• Life insurance
• Long-term disability coverage
• Healthcare spending accounts
• Retirement plan
• Paid time off
• Pet Insurance
• Tuition reimbursement
• Employee assistance program
• Wellness program
• On-site housing for select positions and more!

Degree Requirements

Certification: More than 4,000 people work at Mount Sinai Medical Center at more than a dozen locations throughout sunny South Florida, including our flagship, 672-bed hospital on Biscayne Bay at the gateway to Miami Beach. We’re the largest, independent, not-for-profit hospital in South Florida, and we’re the only hospital Healthgrades recognized for four years running as one of the top 5% in the nation. Clearly, clinical excellence is at our core.