Healthcare Navigator

3 weeks ago


Brooklyn, New York, United States Med-Metrix Full time
Job Title: Healthcare Navigator

We are seeking a highly skilled Healthcare Navigator to join our team at Med-Metrix. As a key member of our team, you will be responsible for guiding patients through the complex process of applying for Medicaid and ensuring that they receive the necessary benefits.

Duties and Responsibilities:

  • Meet with patients and screen for Medicaid eligibility on cases referred by client hospitals
  • 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

Requirements:

  • High School Diploma or equivalent required
  • Notary Public
  • Valid Driver's License required
  • Must be bilingual - English/Spanish
  • 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

Estimated Salary: $23.50 per hour


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