Medicaid Access & Outreach Specialist I

001 University of Rochester; United States; On-site; USD 32,000 - 44,000; Full time

Job summary

University of Rochester seeks a Medicaid Enrollment Specialist to counsel and assist patients in securing Medicaid eligibility. You will work with Physicians, Social Workers, and staff to guide clients through the enrollment process and coordinate outreach for discharged patients needing documentation.

This full-time, on-site role requires knowledge of Medicaid rules, NYS social services, and strong outreach skills. A NYS driver’s license and clinical collaboration are essential to succeed.

Qualifications

• Specialized knowledge of Medicaid rules and regulations and New York State Social Service laws preferred

Responsibilities

• Counsels, guides, advises, and provides outreach services to Medicaid eligible patients for the purpose of securing Medicaid eligibility.
• Provides consultation to Physicians, Social Workers and hospital staff who request assistance in obtaining Medicaid coverage for their patients.
• Provides outreach via telephone contact and home visitation for discharged patients or inpatients who need help with documentation for Medicaid eligibility.
• Assesses referrals to determine patient’s potential for Medicaid approval and advises on the action plan.
• Prepares status reports for management and attends weekly Medicaid-related meetings to report status.
• Maintains good working relationships with hospital staff, Social Services representatives, and community agencies to facilitate Medicaid processes.
• Operates a motor vehicle to transport self and client as necessary and follows safety precautions.

Skills

Medicaid rules knowledge

NYS Social Service laws knowledge

Experience in Medicaid enrollment

Education

Bachelor's degree

Job description

University of Rochester seeks a Medicaid Enrollment Specialist to counsel and assist patients in securing Medicaid eligibility. You will work with Physicians, Social Workers, and staff to guide clients through the enrollment process and coordinate outreach for discharged patients needing documentation.

This full-time, on-site role requires knowledge of Medicaid rules, NYS social services, and strong outreach skills. A NYS driver’s license and clinical collaboration are essential to succeed.