The scheduled hours are Tuesday through Friday, 11:30 AM–8:00 PM, and Saturday from 8:00 AM–4:30 PM. A valid driver’s license and personal vehicle are required. Must be Bilingual 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
Valid Driver’s License required
Must be Bilingual – English/Spanish
Must possess reliable transportation to ensure consistent on-site attendance and punctuality
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
Must have Administrative experience
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.