Medicaid Coordinator

Queens Blvd Extended Care Facility; New York (NY); On-site; USD 50,000 - 60,000; Full time

Benefits offered by this job

Medical Insurance

Dental & Vision

401K

PTO

Job summary

Queens Boulevard Extended Care Facility seeks a Medicaid Coordinator to help clients apply for and renew Medicaid, manage eligibility recertifications, and coordinate with providers and agencies to ensure continuous coverage. You will handle documentation, stay compliant with NYS/NYC regulations, and educate families on benefits.

The role involves liaising with health plans, social services, and government entities, maintaining records, and resolving issues to ensure access to services.

Qualifications

• Experience with Medicaid/public benefits preferred.
• Knowledge of NYS Medicaid and NYC HRA processes.
• Strong organizational and documentation skills.
• Bilingual abilities are a plus.

Responsibilities

• Assist clients with Medicaid applications, renewals, and changes.
• Determine eligibility based on NYS/NYC guidelines.
• Submit documentation to NYC HRA and NY State of Health.
• Monitor case statuses and follow up as needed.
• Coordinate with providers, plans, and social services agencies.
• Educate clients on benefits and options.
• Maintain accurate records in CMS.
• Resolve coverage issues via appeals or actions.

Skills

Organizational skills

Documentation skills

Verbal and written communication

Microsoft Office

Electronic case management systems

Diversity sensitivity

Bilingual (Spanish, Mandarin, Cantonse

Education

High School diploma or equivalent; associate/bachelor preferred

Tools

Microsoft Word/Excel/Outlook

Electronic case management systems

Job description

Job Description

Pay:$50,000.00 - $60,000.00 per year

Job description:

Job Summary

The Medicaid Coordinator is responsible for assisting clients with Medicaid eligibility enrollment, recertification, and ongoing case management in compliance with New York State and New York City Human Resources Administration (HRA) regulations. This role serves as a liaison between clients, healthcare providers, managed care organizations, and government agencies to ensure uninterrupted Medicaid coverage and access to services.

Key Responsibilities:

• Assist clients with Medicaid applications, renewals, recertifications, and changes in coverage.
• Determine eligibility based on New York State and City guidelines, income, and residency requirements.
• Collect, review, and submit required documentation to NYC HRA and NY State of Health
• Monitor case statuses and follow up on pending applications or required documentation.
• Coordinate with healthcare providers, managed care plans, and social services agencies.
• Educate clients and families on Medicaid benefits, managed care options, and available services.
• Maintain accurate and timely documentation in electronic and paper case management systems.
• Resolve coverage issues, denials, or terminations through appeals or corrective action.
• Ensure compliance with HIPPA and confidentiality regulations.
• Stay current on changes to NYS Medicaid policies, HRA procedures, and managed care plans.
• \\*Qualifications\
• High School diploma or equivalent required; associate or bachelor’s degree in social work, healthcare administration, or related field preferred
• 1-3 years of experience working with Medicaid, public benefits, or healthcare eligibility programs (NYC experience strongly preferred)
• Knowledge of NYS Medicaid, NYC HRA processes, and managed care plans
• Strong organizational and documentation skills
• Excellent verbal and written communication skills
• Ability to work with diverse populations in a challenging environment.
• Proficiency in Microsoft Office and electronic case management systems
• Bilingual (Spanish, Mandarin, Cantonese, Russian, or other NYC-relevant languages) a plus

Preferred Skills

• Experience with vulnerable populations (seniors, individuals with disabilities)
• Familiarity with long-term Medicaid, Medicaid Managed Long-Term Care (MLTC), or home care services.
• Strong problem-solving and advocacy skills

Work Environment

• Office, healthcare facility, or community- based setting
• May require interaction with government agencies and external partners.

Job Type: FULL-TIME

Benefits:

• Medical Insurance
• Dental & Vision
• 401K
• PTO

Company Description

Welcome to Queens Boulevard Extended Care Facility. We are a modern, state-of-the-art Nursing Facility with a 280-bed capacity which opened in 1995. Our facility is conveniently located in Western Queens and is easily accessible to all major highways, close to subways and bus routes.

Our Mission is "to provide the highest quality health care in a caring environment", and to meet the needs of the diverse communities that we serve. We offer high quality skilled nursing and medical care as well as comprehensive services in physical, occupational and speech therapy. We specialize in sub-acute short-term rehabilitation. Recreational programs are scheduled everyday and special events are designed to meet the interest of each individual. Nutritional services are carefully monitored by our dietitians and special consideration is given to meet each resident's nutritional needs.