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About the Role

The Medicaid/Insurance Specialist is responsible for working with patients and families referred to or admitted to Hospice Buffalo who are deemed potentially eligible for Medicaid or other financial assistance. This role provides oversight of all admissions to the program for Medicaid and Insurance eligibility for Department of Health reporting and billing purposes.

Responsibilities

• Coordinates with team social workers in regard to the completion of financial assessments for all patients in need of Medicaid Assistance.
• Coordinates the process from submission to approval for all patients seeking Medicaid.
• Monitors all patients within program for Medicaid eligibility to be added to patient's chart for DOH reporting requirements.
• Works with clinical teams to review Medicaid eligibility and submit necessary communication to outside agencies for non-covered services per Department of Health.
• Ensures all levels of compliance with programs and all regulatory agencies (Medicare, Medicaid, third party payers, state and federal regulators).
• Effectively communicates Hospice philosophy to internal and external customers and participates in Agency professional development activities.
• Prepares reports and documentation as required.
• Communicates with employees, management, and outside contacts in a professional manner.
• Conforms with and abides by all policies and procedures.

Requirements

• Minimum of Associates degree from an accredited university or college. Experience can be in lieu of degree.
• Current Notary Public Certification a plus OR willing to obtain.
• Experience in case management.
• Working knowledge of the Medicaid and Insurance eligibility requirements and process.
• Experience working with social services agencies.
• Medical Coding experience a plus.
• Must be able to handle diverse work problems on a daily basis with the ability to resolve problems and handle conflict as part of a team.

Skills

• Possess critical thinking skills.
• Proficiency in organizing resources and establishing priorities.
• Strong interpersonal and communication skills.
• Ability to plan and meet both short and long term goals.
• Working knowledge of Microsoft Office such as Word, Excel, PowerPoint, Outlook, and Navigation of internet.
• Working knowledge of eMedNY.
• Excellent oral and written communication skills.
• Excellent analytical and decision making skills.
• Ability to use independent judgment and work effectively with little or no direction.
• Ability and eagerness to promote a team environment by working in a cooperative and collegial manner with others to accomplish organizational goals and objectives.

Location

• Onsite

Work Type

• Full-time

Experience Level

• Depending on experience

Education Level

• Associate's degree or equivalent experience
• Notary Public Certification

Salary/Compensations

• $23.15 - $30.86/hr

Benefits

• Employer 401k contribution regardless of employee participation, and match on employee contributions thereafter
• Health Insurance with vision component copayment plan, or high deductible plan (FT status)
• HSA with high deductible health plan twice annual Employer contribution (FT status)
• Dental Insurance (FT status)
• Flexible Spending Account (FT status)
• Paid Time Off PTO & NYS Sick Leave
• Tuition Assistance Program

About the Company

• Hospice Buffalo