Medicaid Coordinator

AMERICARE CERTIFIED SPECIAL SERVICES INC; New York (NY); On-site; USD 50,000 - 70,000; Full time

Benefits offered by this job

Comprehensive medical, dental, and vision benefits

401K plan with company match

Robust time off benefits

Employee discount program

Job summary

AMERICARE CERTIFIED SPECIAL SERVICES INC in New York is seeking a Medicaid Coordinator to support operations and patient access by managing Medicaid eligibility and enrollment processes. The role requires collaboration with internal teams and external partners to ensure compliance with Medicaid regulations.

Qualifications include a High School Diploma or Baccalaureate degree, alongside experience in healthcare administration, Medicaid coordination, and billing practices. Comprehensive benefits such as medical, dental, and 401K plan are offered.

Qualifications

• Prior experience in healthcare administration, Medicaid coordination, or billing.
• Familiarity with Medicaid managed care plans and conversion processes.
• Knowledge of New York State healthcare regulatory requirements.

Responsibilities

• Manage Medicaid eligibility, enrollment, and reimbursement processes.
• Coordinate with internal teams and external partners to ensure compliance.
• Support Medicaid Fee-for-Service (FFS) and EPS billing processes.

Skills

Healthcare administration

Medicaid coordination

Billing experience

Communication skills

Organizational skills

Education

High School Diploma or Baccalaureate degree

Tools

Eligibility reporting systems

Billing platforms

Job description

Job Description

The Medicaid Coordinator plays a critical role in supporting organizational operations and patient access to care by managing Medicaid eligibility, enrollment, and reimbursement processes. This position serves as a subject matter expert in New York State Medicaid programs, ensuring accurate eligibility determinations, coordination with internal teams and external partners, and compliance with Medicaid regulations. The Medicaid Coordinator works closely with the HMO Director and billing teams to support Medicaid Fee‑for‑Service (FFS) and EPS billing processes, optimize reimbursement, and facilitate continuity of coverage for patients.

Requirements

• High School Diploma; Baccalaureate degree
• Prior experience in healthcare administration, Medicaid coordination, or billing.
• Familiarity with Medicaid managed care plans and conversion processes.
• Experience working with eligibility reporting systems and billing platforms.
• Knowledge of New York State healthcare regulatory requirements.
• Experience with Medicaid billing structures, reimbursement models, EPS, and Fee‑for‑Service (FFS) Medicaid.
• Strong organizational skills with the ability to manage multiple cases and deadlines.
• Excellent written and verbal communication skills.
• Ability to collaborate effectively with internal teams and external partners.

Benefits

• Comprehensive benefits including medical, dental, and vision.
• 401K plan with company match.
• Robust time off including sick, vacation, personal days, cultural heritage day and birthday off.
• Opportunity for advancement.
• Employee discount program on events, movie tickets, mobile phone plan discounts and more.

Americare is committed to a policy of Equal Employment Opportunity and will not discriminate against an applicant or employee based on race, color, sex, gender, pregnancy, religion, age, creed, marital and partnership status, national origin, ancestry, alienage, past or present physical or mental disability, genetic information, sexual orientation, gender identity, affectional preference, veteran or military status or citizenship status, or any other legally recognized protected basis under federal, state, or local law.