Medicaid Enroll&Outrch Spc I

001 University of Rochester; United States; On-site; USD 32,000 - 44,000; Full time

Job summary

University of Rochester seeks a Medicaid Enrollment Specialist to counsel and assist patients in securing Medicaid eligibility. You will work with Physicians, Social Workers, and staff to guide clients through the enrollment process and coordinate outreach for discharged patients needing documentation.

This full-time, on-site role requires knowledge of Medicaid rules, NYS social services, and strong outreach skills. A NYS driver’s license and clinical collaboration are essential to succeed.

Qualifications

• Specialized knowledge of Medicaid rules and regulations and New York State Social Service laws preferred

Responsibilities

• Counsels, guides, advises, and provides outreach services to Medicaid eligible patients for the purpose of securing Medicaid eligibility.
• Provides consultation to Physicians, Social Workers and hospital staff who request assistance in obtaining Medicaid coverage for their patients.
• Provides outreach via telephone contact and home visitation for discharged patients or inpatients who need help with documentation for Medicaid eligibility.
• Assesses referrals to determine patient’s potential for Medicaid approval and advises on the action plan.
• Prepares status reports for management and attends weekly Medicaid-related meetings to report status.
• Maintains good working relationships with hospital staff, Social Services representatives, and community agencies to facilitate Medicaid processes.
• Operates a motor vehicle to transport self and client as necessary and follows safety precautions.

Skills

Medicaid rules knowledge

NYS Social Service laws knowledge

Experience in Medicaid enrollment

Education

Bachelor's degree

Job description

As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive.

Job Location (Full Address): 601 Elmwood Ave, Rochester, New York, United States of America, 14642 Opening: Worker Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 500169 Medicaid Enrollment Work Shift: UR - Day (United States of America) Range: UR URCA 207 H Compensation Range: $23.51 - $31.74 The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations.

Responsibilities:

Counsels, guides, advises, and provides outreach services to elderly, chronically ill, and high risk self pay acute care patients for the purpose of securing Medicaid eligibility. Shares Medicaid knowledge by providing consultation to Physicians, Social Workers and other hospital staff who request assistance in obtaining Medicaid coverage for their patients. ESSENTIAL FUNCTIONS Provides outreach service to patients referred by other hospital staff via telephone contact and home visitation for discharged SMH patients or SMH inpatients who are unable or unwilling to comply with requirements to secure appropriate documentation for Medicaid Eligibility Examiners, which may also include accompanying or representing the patient at Department of Social Services eligibility interviews, case conferences or fair hearings. Assesses Medicaid referrals to determine patient's potential for Medicaid approval and advises all parties involved of appropriate plan of action. Prepares status reports for department management, including counseling documentation notes for individual patients. Attends weekly meeting with Social Work Discharge Consultation Team to advise team of Medicaid issues and report status of Medicaid cases for SMH patients awaiting discharge with home services or placement in a sub-acute care facility. Maintains good working relationships with professional staff at SMH, Department of Social Services representatives, and staff in various community agencies who can help in the Medicaid process. Exercises judgement to determine if a home visit is a serious safety risk. Keeps co-workers advised of planned visits and takes appropriate safety precautions. Attends Medicaid seminars and reviews New York State Department of Social Services literature to maintain expert knowledge of the Medicaid program. Operates a motor vehicle to transport self and client as necessary. Ensures all safety precautions are taken during operation of vehicle. Other duties as assigned.

MINIMUM EDUCATION & EXPERIENCE

Bachelor's degree and 1 year of relevant experience required Or equivalent combination of education and experience

KNOWLEDGE, SKILLS AND ABILITIES

Specialized knowledge of Medicaid rules and regulations and New York State Social Service laws preferred

LICENSES AND CERTIFICATIONS

NY State of Health Certified Application Counselor upon hire (or obtained within 30 days of hire) Must provide and maintain a valid NYS Class 5 Driver’s License

The University of Rochester is committed to fostering, cultivating, and preserving an inclusive and welcoming culture to advance the University’s Mission to Learn, Discover, Heal, Create – and Make the World Ever Better.

In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion, creed, sex, sexual orientation, citizenship status, or any other characteristic protected by federal, state, or local law (Protected Characteristics). This commitment extends to non-discrimination in the administration of our policies, admissions, employment, access, and recruitment of candidates, for all persons consistent with our values and based on applicable law.

Learn. Discover. Heal. Create.

Located in western New York, Rochester is our namesake and our home.

One of the world’s leading research universities, Rochester has a long tradition of breaking boundaries—always pushing and questioning, learning and unlearning.

We transform ideas into enterprises that create value and make the world ever better.

If you’re looking for a career in higher education or health care, the University of Rochester may offer the perfect opportunity for your background and goals.

At the University of Rochester, we are committed to fostering, cultivating, and preserving an inclusive and welcoming culture and are united by a strong commitment to be ever better—Meliora.

It is an ideal that informs our shared mission to ensure all members of our community feel safe, respected, included, and valued.