Medicaid Enrollment & Benefits Specialist

Mount Sinai Medical Center; Florida; On-site; USD 42,000 - 64,000; Full time

Benefits offered by this job

Health benefits

Life insurance

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 Miami-Dade seeks a Medicaid Enrollment Coordinator to manage annual recertification and benefits maintenance for Eldercare programs, coordinating with Medicaid Eligibility Determination Workers.

This role requires a Bachelor's degree and at least 2 years in healthcare administration; Florida Medicaid experience is required. The position offers comprehensive benefits and opportunities within a large, not-for-profit hospital system.

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 with a focus on Medicaid coverage and benefits.
• Health Plan experience in claims, contracting and credentialing is helpful.

Responsibilities

• Responsible for all activities related to Medicaid enrollment including annual recertification and maintaining Medicare and Medicare benefits.
• Provides face to face and phone support to prospects, participants and their families on all aspects pertaining to the Medicaid benefit.
• Works directly with the Medicaid Eligibility Determination Worker(s) to ensure Medicaid application processing timelines are within expected parameters.
• Receives and follows up on the daily 834 and Gentran reports to ensure there is not a disruption in enrollment and or loss of Medicare or Medicaid benefits.
• Responsible for the monthly enrollment and disenrollment activities for the organization per established processes.
• Ensures the accuracy of all data related to enrollment and disenrollment including all required reports to external vendors.
• Communicates and coordinates with the enrollment team to assist prospects are enrolled in their target month.
• Assists Executive Director and enrollment with required reporting measures and tracks key performance measures pertaining to enrollment, benefits and recertifications.
• Provides IDT and leadership with reports pertaining to enrollment and disenrollment ensuring open communication at all time

Skills

Medicaid enrollment

Healthcare administration

Data reporting

Customer support

Education

Bachelor's Degree

Job description

Mount Sinai Medical Center in Miami-Dade seeks a Medicaid Enrollment Coordinator to manage annual recertification and benefits maintenance for Eldercare programs, coordinating with Medicaid Eligibility Determination Workers.

This role requires a Bachelor's degree and at least 2 years in healthcare administration; Florida Medicaid experience is required. The position offers comprehensive benefits and opportunities within a large, not-for-profit hospital system.