Medicaid Eligibility Coordinator

VNS Health; New York (NY); On-site; USD 32,000 - 40,000; Full time

Benefits offered by this job

Referral bonus opportunities

PTO 20 days + 9 holidays

Health, dental, vision, life and short

Employer-matched 401k

Wellness programs

FSAs for healthcare and dependent care

Tuition reimbursement

CEU credits

Job summary

VNS Health is seeking a dedicated outreach and enrollment specialist in New York to support prospective members and families with Medicaid enrollment and community resource connections.

The role involves outreach to community organizations, assessing eligibility, and coordinating with MLTC programs while maintaining accurate records and attending trainings. Travel between regions may be required; bilingual candidates are a plus, and a valid driver’s license may be needed.

Qualifications

• Bilingual skills may be required.
• Valid driver’s license may be needed.
• Associate’s degree or equivalent work experience required.

Responsibilities

• Performs outreach to community agencies to establish relationships and provides access to services.
• Assists clients with Medicaid enrollment and connects them to MLTC programs.
• Screens financial records to assess enrollment eligibility.
• Coordinates with program staff to access entitlements and community resources.
• Maintains records per program requirements and documents services provided.
• Participates in team meetings to ensure eligibility and appropriate services.
• Arranges transportation and appointments for members as needed.
• Participates in training and professional development.

Skills

Bilingual

Valid driver's license

Education

Associate's Degree

Job description

Overview

Provides support to prospective members, members and their families including community resource planning, advocacy, skill building, linking patient/families to community resources and providing assistance with entitlements. Works closely with client, support system and/or family to obtain Medicaid and connect client to appropriate MLTC in the community. Works under close supervision.

What We Provide

• Referral bonus opportunities


• Generous paid time off (PTO), starting at 20 days of paid time off and 9 company holidays


• Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life and Disability


• Employer-matched 401k retirement saving program


• Personal and financial wellness programs


• Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care and commuter transit program


• Generous tuition reimbursement for qualifying degrees


• Opportunities for professional growth and career advancement and CEU credits

What You Will Do

• Performs outreach to community agencies in order to establish working relationships and provides access to other services. Advises other agencies of the program and referral process.


• Works closely with client, support system and/or family to obtain Medicaid and connects client to appropriate MLTC in the community. Conducts face-to-face encounters with members to aid assessment process, as needed.


• Screens financial records of clients/families to assist in assessment of enrollment eligibility.


• Contacts the appropriate program staff to recommend third party reimbursement, entitlements and community resources for clients/families to ensure that they have access to the adequate entitlement benefits.


• Maintains records and statistics in accordance with program requirements. Documents services planned and provided; maintains written and verbal communication records according to VNS Health policies.


• Participates in clinical team meetings; works collaboratively with other VNS Health Plans staff to ensure that prospective members/ members have appropriate Medicaid eligibility and receive appropriate MLTC services.


• Arranges transportation and/or appointments for members to relevant offices/ sites, as needed.


• Attends in-service education programs and other training as required by VNS Health and funding sources.


• Assumes responsibility for continued professional growth.


• Participates in special projects and performs other duties as assigned.

Qualifications

Licenses and Certifications:

• Valid driver's license may be required, as determined by operational needs.

Education:

• Associate's Degree in a relevant field, or the equivalent combination of education and work experience Required

Work Experience:

• Minimum of two years' work experience in a health care or human services setting Required


• Knowledge of Medicaid eligibility and Medicaid Managed Care regulations Preferred


• Bilingual skills may be required, as determined by operational needs.


• Position may require travel between regions.

Pay Range

USD $23.17 - USD $28.96 /Hr.

About Us

VNS Health has been committed to meeting the needs of New Yorkers for over 130 years. We're one of the largest nonprofit home- and community-based health care organizations in the country, and today, more than 11,500 team members work together to make a difference in the lives of more than 99,000 patients and members on any given day.