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. 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
Qualifications
- Valid Driver's License and access to an insured vehicle
- Must be bilingual - English/Spanish
- High School Diploma or equivalent required
- Notary Public
- 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
Working Conditions
- Travel to various client sites and other local areas will be required
- 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.