Medicaid Eligibility Specialist – Bilingual

Med-Metrix; New York (NY); On-site; USD 45,000 - 60,000; Full time

Job summary

Med-Metrix is seeking a Medicaid Coordinator to join a team that processes Medicaid applications for hospital clients, including in-house and discharged patients. The role focuses on gathering and validating information, pursuing Medicaid enrollment, and ensuring timely submission to support prompt payments to our clients.

Key duties include screening eligibility by phone, enrolling through Marketplace or by paper forms, verifying data, and maintaining PHI per HIPAA.

Qualifications

• High School Diploma or equivalent required.
• Bilingual English/Spanish required.
• Experience with ePACES and LexisNexis is a plus.
• Healthcare or insurance experience a plus.
• Strong investigative and researching skills.
• Administrative experience required.
• Proficiency with Microsoft Office.
• Ability to use the internet and learn databases.
• Strong interpersonal and communication skills.
• Strong problem solving and decision making.
• High integrity and dependability with urgency and results orientation.
• Excellent written and verbal communication skills.

Responsibilities

• Call patients to screen Medicaid eligibility.
• Enroll patients in Marketplace or by completing paper applications.
• Review, validate and process confidential information.
• Research and verify patient contact information.
• Research and resolve Medicaid-related issues.
• Update the Firm’s internal database with work done on accounts.
• Track application status via Marketplace and LDSS/HRA.
• Prepare and review reports on open accounts using Excel.

Skills

Bilingual English/Spanish

Investigative skills

Microsoft Office

Communication skills

Research skills

Internet databases

Education

High School Diploma

Tools

ePACES

LexisNexis

Job description

Med-Metrix is seeking a Medicaid Coordinator to join a team that processes Medicaid applications for hospital clients, including in-house and discharged patients. The role focuses on gathering and validating information, pursuing Medicaid enrollment, and ensuring timely submission to support prompt payments to our clients.

Key duties include screening eligibility by phone, enrolling through Marketplace or by paper forms, verifying data, and maintaining PHI per HIPAA.