Medicaid Enrollment & Benefits Coordinator - Eldercare

Mount Sinai Medical Center; Town of Florida (NY); On-site; USD 42,000 - 60,000; Full time

Benefits offered by this job

Health benefits

Life insurance

Long-term disability coverage

Healthcare spending accounts

Retirement plan

Paid time off

Tuition reimbursement

Employee assistance program

Wellness program

On-site housing for select positions

Job summary

Mount Sinai Medical Center in Florida is seeking a Medicaid enrollment coordinator to manage annual recertifications, enrollments, and related benefits administration. The role includes direct interaction with prospects, participants, and families to explain Medicaid benefits and coordinate with eligibility workers to meet timelines.

Ideal candidates bring 2+ years in healthcare business offices or state agencies dealing with Medicaid, plus familiarity with Florida Medicaid processes and

Qualifications

• Bachelor's degree preferred; certifications in medical billing, coding, or medical records helpful.
• At least 2 years prior experience in a health care business office or state agency focusing on Medicaid coverage and benefits.
• Experience with Florida Medicaid including applying for benefits, enrollment and ongoing requirements.
• Health plan experience in claims, contracting and credentialing is helpful.
• General business office experience is preferred.

Responsibilities

• Handle Medicaid enrollment activities including annual recertification and maintaining Medicare and Medicaid benefits with Eldercare.
• Provide face-to-face and phone support to prospects, participants and their families on Medicaid benefits.
• Collaborate with Medicaid Eligibility Determination Workers to ensure timely processing.
• Manage daily 834 and Gentran reports to avoid enrollment disruptions.
• Oversee monthly enrollment and disenrollment activities per established processes.
• Ensure data accuracy for enrollment/disenrollment and required external reports.
• Coordinate with enrollment team to enroll prospects in target month.
• Assist Executive Director and enrollment with reporting measures and KPIs for enrollment, benefits and recertifications.
• Provide IDT and leadership with enrollment/disenrollment reports and maintain open communication.
• Serve as liaison between Eldercare and AHCA PACE Medicaid office.

Education

Bachelor's degree preferable

Certifications in medical billing/coding/medical records helpful

Job description

Mount Sinai Medical Center in Florida is seeking a Medicaid enrollment coordinator to manage annual recertifications, enrollments, and related benefits administration. The role includes direct interaction with prospects, participants, and families to explain Medicaid benefits and coordinate with eligibility workers to meet timelines.

Ideal candidates bring 2+ years in healthcare business offices or state agencies dealing with Medicaid, plus familiarity with Florida Medicaid processes and