Medicaid Eligibility & Enrollment Specialist

Med--metrix; New York (NY); On-site; USD 52,000 - 75,000; Full time

Job summary

Med-Metrix is seeking a Medicaid Coordinator to join our team in New York. The role involves contacting patients to determine Medicaid eligibility, enrolling them in Marketplace coverage or processing applications for HRA/LDSS, and maintaining accurate records in internal databases.

The position requires a High School Diploma, bilingual English/Spanish, and strong problem-solving and communication skills. HIPAA compliance and data security are essential, with duties across cross-functional

Qualifications

• High School Diploma or equivalent is required.
• Bilingual English/Spanish is required.
• Experience with healthcare or insurance plans is a plus.
• Strong investigatory and researching skills.
• Must have had administrative experience.
• Proficiency in Microsoft Office Suite.

Responsibilities

• Call patients and screen for Medicaid eligibility on cases referred by client hospital over the phone.
• Enroll patients in health insurance coverage via Marketplace or by completing the paper application package to submit to HRA/Local Department of Services.
• Review, validate and process confidential information.
• Research and verify patient contact information using search engines and hospital computer systems.
• Research and resolve Medicaid-related issues.
• Send various automated letters to patients from the Firm's database.
• Retrieve information from hospital databases.
• Verify insurance.
• Update the Firm's internal database with all work done on an account.
• Track application status via the Marketplace and/or call LDSS/HRA for status.
• Prepare and review reports on open accounts using Microsoft Excel.

Skills

Bilingual English/Spanish

Interpersonal skills

Education

High School Diploma or equivalent

Tools

Microsoft Office Suite

Job description

Med-Metrix is seeking a Medicaid Coordinator to join our team in New York. The role involves contacting patients to determine Medicaid eligibility, enrolling them in Marketplace coverage or processing applications for HRA/LDSS, and maintaining accurate records in internal databases.

The position requires a High School Diploma, bilingual English/Spanish, and strong problem-solving and communication skills. HIPAA compliance and data security are essential, with duties across cross-functional