Medicaid Eligibility Specialist
2 weeks ago
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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