Medicaid/Insurance Specialist

3 weeks ago

Buffalo, United States Hospice Buffalo Full time

What's in it for you? Hospice offers a Robust Total Rewards Package

  • Employer 401k contribution regardless of employee participation, and match on employee contributions there after
  • 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
  • And Much More

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. Oversight of all admissions to program for Medicaid eligibility for Department of Health reporting purposes.

Essential Duties and 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 who is eligible for Medicaid 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.

Qualifications:

  • Education/Certification
  • Associate's degree required.
  • Current Notary Public Certification OR willing to obtain
  • Experience
  • Experience in case management.
  • Working knowledge of the Medicaid eligibility requirements and process.
  • Experience working with social services agencies.


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