Eldercare Enrollment Coordinator

CMP01 Mount Sinai Medical Center of Florida, Inc.; Town of Florida (NY); On-site; USD 45,000 - 65,000; Full time

Benefits offered by this job

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

Job summary

Mount Sinai Medical Center of Florida, Inc. seeks a Medicaid enrollment coordinator to manage annual recertification and benefits for Eldercare participants. You will interact with prospects and families to explain Medicaid benefits and coordinate with Eligibility Determination Workers to keep timelines.

You will generate enrollment reports, oversee monthly enrollment and disenrollment, and collaborate closely with the enrollment team and leadership to ensure accurate data and smooth operations.

Qualifications

• Bachelor's degree preferred.
• Certifications in medical billing, coding or medical records helpful.
• License/Registration/Certification: N/A.

Responsibilities

• Responsible for Medicaid enrollment including annual recertification and benefits maintenance.
• Provide face-to-face and phone support to prospects, participants and families on Medicaid.
• Collaborate with Medicaid Eligibility Determination Workers to meet processing timelines.
• Monitor daily 834 and Gentran reports to prevent enrollment disruption.
• Handle monthly enrollment and disenrollment activities and related reporting.
• Prepare reports for external vendors and share with leadership.

Skills

Medicaid enrollment

Customer support

Data reporting

Enrollment coordination

Education

Bachelor's degree

Job description

About Mount Sinai

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.

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

We believe in the physical and mental well-being of our employees and are committed to offering comprehensive benefits that fit their personal needs: 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.