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About the Role

The Medicaid Field Coordinator assists hospital clients by completing the Medicaid application process for patients. This role involves meeting with patients in various locations to gather information, ensure they obtain Medicaid, and facilitate prompt payment to client hospitals.

Responsibilities

• Meet with patients and screen for Medicaid eligibility.
• Enroll patients in health insurance coverage via Marketplace or by completing paper applications.
• 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.
• Use, protect, and disclose patients’ protected health information (PHI) in accordance with HIPAA standards.
• Comply with Information Security and HIPAA policies and procedures.
• Limit viewing of PHI to the absolute minimum necessary.

Requirements

• High School Diploma or equivalent required.
• Must have access to reliable transportation.
• Must be bilingual – English/Spanish.
• 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.
• Ability to exercise sound judgment and make decisions based on accurate and timely analyses.
• High level of integrity and dependability.
• Strong sense of urgency and results oriented.
• Excellent written and verbal communication skills required.
• Gracious and welcoming personality for customer service interaction.
• Must possess a smart-phone or electronic device capable of downloading applications, for multifactor authentication and security purposes.

Skills

• Microsoft Office (Excel, Word, Outlook)
• Internet navigation
• Database learning
• Investigatory skills
• Researching skills
• Communication (written and verbal)
• Multitasking
• Organization
• Interpersonal skills
• Problem solving
• Creative skills
• Judgment and decision making
• Integrity
• Dependability
• Urgency
• Results oriented
• Customer service

Location

• Various client sites
• Other local areas

Work Type

• Hybrid
• Full-time

Experience Level

• Administrative experience preferred
• Experience working in a hospital environment is a plus
• Experience with ePACES and LexisNexis is a plus
• Experience in the field of healthcare or insurance plans is a plus

Education Level

• High School Diploma or equivalent
• Notary Public Certification is preferred

About the Company

• 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.

Equal Opportunity

• 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.