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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 at various locations to gather and process information, ensuring prompt payment to hospitals.

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
• 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
• Other duties as assigned

Requirements

• Must have access to reliable transportation
• Must be bilingual – English/Spanish
• Must possess a smart-phone or electronic device capable of downloading applications, for multifactor authentication and security purposes.

Skills

• 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

Location

• Various client sites
• Local areas

Work Type

• Full-time
• Travel required

Experience Level

• Administrative experience preferred
• 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

Education Level

• High School Diploma or equivalent required
• Notary Public Certification is preferred
• Valid Driver’s License 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.