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Medicaid Managed Care Liaison

1 month ago

Bronx, New York, United States Abbott House Full time
Job Summary

The Medicaid Managed Care Liaison is a critical role at Abbott House, serving as the primary contact person for Medicaid Managed Care Plans (MMCP). This position requires expertise in the child welfare system, foster care healthcare requirements, and Medicaid Managed Care policies and procedures.

Duties and Responsibilities
  • Coordinate with MCO Foster Care Liaison
  • Inform and coordinate PCP changes
  • Assist with plan enrollment, disenrollment, and transitions
  • Issue plan Welcome letters
  • Secure plan ID showing effective date
  • Assist in ID card replacement
  • Assist with foster care placement changes, including access to healthcare and facilitating single case agreements
  • Interact with clinical and billing staff
  • Refer children for needed services and assist in provider selection
  • Coordinate with healthcare providers, including schools and community-based services
  • Maintain eligibility for public or private health insurance
  • Assist with consent and/or confidentiality issues
  • Obtain authorizations from all MCO
  • Update the AccuMedic system with authorization information for proper billing
Requirements
  • Minimum 3 years experience in a medical or social services office environment
  • Knowledge and use of computers
  • Experience with Electronic Health Records a plus
  • Excellent typing and data entry skills
  • Familiarity with NYS Child Welfare protocols
  • Organizational and communication skills
Benefits
  • Dental insurance
  • Employee assistance program
  • Employee discount
  • Flexible spending account
  • Health insurance
  • Health savings account
  • Life insurance
  • Paid time off
  • Retirement plan
  • Tuition reimbursement
  • Vision insurance