Medicaid Eligibility Specialist

2 weeks ago


Jamaica, United States The Goodkind Group Full time
Job DescriptionJob Description

Medicaid Eligibility Investigator (Certified Application Counselor) Bilingual Spanish. Certified Application Counselors are assistors that help apply for health insurance, understands coverage options, and can assist patients enroll in a plan that is right for them. This position will be working in Queens, NY, will include some travel within the boroughs.

Responsibilities:

·        To assist in the screening of self-pay patients to secure potential third party benefits and/or coverage. Represents and assist patients and/or families in applying for benefits under NYS Marketplace, Medicaid applications for Hospital Financial Assistance Program.

·        Review all self-pay admissions daily for financial coverage; investigate for third party coverage.

·        Ensures patient demographic and insurance information is correct in the system.

·        Ensure timely and quality processing of applications of the workload as assigned.

·        Visit inpatients designated as Self-Pay daily, screening for insurance coverage and possible Medicaid, as required following Department of Social Services, New York State and Hospital Policies.

·        Interview with patients at designated office location within Hospital facility, bedside, Emergency Room and scheduled appointments.

·        Complete and mail all Medicaid applications following the Department of Social Services guidelines.

·        Participation in all educational activities, seminars and webinars.

·        Make phone call to patients as required based on documentation or phone call received from Department of Social Services in request for additional documents. 

·        Compile a Pending application trial balance on a monthly bases in order to follow-up on open accounts. 

 

Qualifications:

·        Minimum Associate Degree (preferred)

·        Bilingual Spanish 

·        Certified Application Counselor Certification 

·        Excellent customer service skills

·        Minimum of 2 year experience in processing Medicaid applications and Third party verification

·        Preferred experience in Hospital Business Office



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