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 Purpose
The 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 Firm's database
- Send various automated letters to patients from the Firm's 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 Driver's 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 verbal communication skills required
- Gracious and welcoming personality for customer service interaction
Working Conditions
- Travel to various client sites and other local areas will be required
- Must possess a smart-phone or electronic device capable of downloading applications, for multifactor authentication and security purposes.
- Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear.
- Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress.
- Work Environment: The noise level in the work environment is usually minimal.
Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.
