Medicaid Coordinator

M2 HEALTHCARE LTD; Town of Hempstead (NY); On-site; USD 52,000 - 76,000; Full time

Job summary

M2 HealthCare Ltd. in New York is seeking a Medicaid eligibility coordinator to manage financial interviews, applications, and recertifications for residents.

You will file Medicaid applications via the MEDS system, coordinate with HRA, and communicate with residents and families about payments and NAMI processes. The role also involves attending department, aging, and committee meetings, handling rejected or deferred applications, and assisting with enrollments and Representative Payee as

Qualifications

• Experience with Medicaid applications and the MEDS system.
• Familiarity with HRA processes and Fair Hearing procedures.
• Ability to educate residents and families about income payments/NAMI.

Responsibilities

• Financial interview for Medicaid application process.
• Attend weekly department meetings to identify potential Medicaid recipients.
• Discuss with Private Pay residents' financial options in a timely manner.
• Attend Monthly Aging meetings.
• Educate residents and families about income payments/NAMI in a timely manner.
• Having resident/family/POA sign authorization and order all documents related to the Medicaid application.
• Filing Medicaid application/conversion through MEDS system.
• Yearly Medicaid re-certifications.
• Follow up and correspond with local HRA.
• Handle all rejected, deferred applications in a timely manner.
• File Fair Hearing and attend if necessary.
• Identify budget discrepancies and correct when necessary.
• Assist with enrollments/dis enrollments HMO/MLTC.
• Collect private/NAMI payments as necessary.
• Apply for Representative Payee as necessary.
• Submit Social Security Annual report.
• Guardianship petitions when necessary.
• Other duties as needed to ensure department operates at its maximum.

Job description

RESPONSIBILITIES: Include but are not limited to:

• Financial Interview for Medicaid application process
• Attend weekly department meetings to identify potential Medicaid application recipients
• Discuss with Private Pay residents' financial option in a timely manner
• Attend Monthly Aging meetings
• Educate residents and families about income payments/NAMI in a timely manner
• Having resident/family/POA sign authorization and order all documents related to the Medicaid application
• Filing Medicaid application/conversion through MEDS system
• Yearly Medicaid re-certifications
• Follow up and correspond with local HRA
• Handle all rejected, deferred applications in a timely manner
• File Fair Hearing and attend if necessary
• Identify budget discrepancies and correct when necessary
• Assist with enrollments/dis enrollments HMO/MLTC
• Collect private/NAMI payments as necessary
• Apply for Representative Payee as necessary
• Submit Social Security Annual report
• Guardianship petitions when necessary
• Other duties as needed to ensure department operates at its maximum