Medicaid Field Coordinator Bilingual English/Spanish

Med-Metrix; New York (NY); Hybrid; USD 47,000 - 68,000; Full time

Job summary

Med-Metrix is seeking a Medicaid Field Coordinator to help patients complete Medicaid applications for hospital clients. You will meet with patients at bedside, in their homes, or other locations to gather information and drive the application process, ensuring prompt payment to hospitals.

The role requires bilingual English/Spanish communication, travel to hospitals and patient homes, and the ability to manage documentation and coordinate with social services.

Qualifications

• High School Diploma or equivalent required.
• Bilingual English/Spanish required.
• Notary Public Certification is preferred.
• Valid driver's license and reliable transportation preferred.
• Experience in hospital or healthcare environment is a plus.

Responsibilities

• Meet patients and screen Medicaid eligibility on cases referred by client hospital.
• Enroll patients in health insurance via Marketplace or by completing paper applications.
• Review, validate and process confidential information.
• Travel to hospitals and patients' homes to screen for Medicaid eligibility and complete applications.
• Coordinate with local social services to obtain patient information and finalize paperwork.
• Enter and scan new account information into the firm’s database and generate reports.
• Maintain HIPAA-compliant handling of PHI and communicate with third parties as needed.

Skills

Bilingual English/Spanish

Investigative research skills

Excellent written and verbal skills

Multitasking & organization

Interpersonal skills

Education

High School Diploma or equivalent

Notary Public Certification (preferred)

Tools

Microsoft Excel

Microsoft Word

Outlook

Job description

The position follows a Tuesday through Saturday hybrid work schedule, consisting of (2) weekday shifts from 9:00 AM-5:30 PM, (2) evening shifts from 11:30 AM-8:00 PM, and (1) Saturday shift from 8:00 AM-4:30 PM. Must be Bilingual in both English & Spanish.

Job PurposeThe Medicaid Field Coordinator is part of a team that works to complete the Medicaid application process for patients of our hospital clients for both in-house and discharged patients. They will meet with patients at hospital bedside, in their home or other locations to assist in the completion of the Medicaid application. The Medicaid Field Coordinator assists in gathering and processing information from patients. They follow through expeditiously to assist patients in obtaining Medicaid, which ensures prompt payment to our client hospitals.

Duties and Responsibilities

• Meet with patients and screen for Medicaid eligibility on cases referred by client hospital


• 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


• Travel to hospitals to retrieve patient documentation


• Visit patients homes to screen for Medicaid eligibility and complete the Medicaid application process


• Travel to local Department of Social Services to process Medicaid application paperwork


• Research and resolve Medicaid-related issues


• Enter and scan new account information into the Firms database


• Send various automated letters to patients from the Firms database


• Retrieve information from hospital databases


• Request third party information to complete Medicaid application


• Prepare reports on open accounts for review by management


• Verify insurance


• Contact local Department of Social Services to obtain patient information


• Send various reports to the client


• Track application status via the Marketplace and/or call LDSS/HRA for status


• Keep track of the status of denied applications throughout the Fair Hearing process


• Prepare and review reports on open accounts using Microsoft Excel


• Schedule and coordinate meetings with patients


• Manage calendars


• Respond to requests for additional documents from Market Place/Department of Social Services


• Other duties as assigned


• Use, protect and disclose patients protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards


• Understand and comply with Information Security and HIPAA policies and procedures at all times


• Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties

Qualifications

• High School Diploma or equivalent required


• Notary Public Certification is preferred


• Must have access to reliable transportation; Valid Drivers License is preferred


• Must be bilingual

English/Spanish

• Experience working in a hospital environment is a plus, but not required


• Experience with ePACES and LexisNexis is a plus


• Experience in the field of healthcare or insurance plans is a plus


• Administrative experience preferred


• Proficient in Microsoft Office applications (Excel, Word and Outlook)


• Ability to use the internet and learn databases


• Strong investigatory and researching skills


• Effectively communicate with third parties


• Excellent written and verbal skills


• Ability to efficiently multitask


• Organizational skills


• Strong interpersonal skills, ability to communicate well at all levels of the organization


• Strong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analyses


• High level of integrity and dependability with a strong sense of urgency and results oriented


• Excellent written and