Medicaid Eligibility Coordinator | Hybrid

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

Benefits offered by this job

Referral bonus opportunities

Generous PTO

Health insurance plan for you and your

Employer-matched 401k

Tuition reimbursement

Job summary

VNS Health seeks a Medicaid Eligibility Coordinator to support prospective members and families, linking them to MLTC and entitlements. The role includes outreach, eligibility assessment, and coordination with care teams in a hybrid work setting.

Responsibilities include screening financial records, connecting clients to resources, and maintaining accurate documentation. Travel between regions may be required as part of outreach and enrollment activities.

Qualifications

• Associate's Degree or equivalent combination of education and work experience required.
• Minimum 2 years of health care or human services experience.
• Knowledge of Medicaid eligibility and Medicaid Managed Care preferred.
• Bilingual skills may be required.
• Position may require travel between regions.

Responsibilities

• Performs outreach to community agencies to establish relationships and provides access to other services.
• 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 access to benefits.
• Maintains records and statistics in accordance with program requirements; documents services and communications.
• Participates in clinical team meetings; collaborates to ensure eligibility and MLTC services.
• Arranges transportation and/or appointments for members to relevant offices/sites.
• Attends in-service education programs and training; pursues professional growth.
• Performs other duties as assigned.

Skills

Bilingual skills

Education

Associate's Degree

Job description

Medicaid Eligibility Coordinator | Hybrid

paid time off, tuition reimbursement, 401(k)

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.