Medicaid Program Coordinator

2 weeks ago


Spring Valley, New York, United States HC&N Healthcare Solutions Full time
Medicaid Coordinator Job Description

HC&N Healthcare Solutions is seeking a highly skilled Medicaid Coordinator to join our team. As a Medicaid Coordinator, you will play a critical role in ensuring that our patients receive the necessary benefits and services to maintain their health and well-being.

Key Responsibilities:
  • Financial Interviews: Conduct thorough financial interviews with patients and their families to determine eligibility for Medicaid benefits.
  • Document Management: Obtain and manage all necessary documents related to the Medicaid application process, including authorizations and financial information.
  • Application Processing: File Medicaid applications and conversions, and follow up with case workers to ensure timely processing.
  • Benefit Enrollment: Enroll patients in mandatory MLTC plans and educate them on income payments and requesting signatures.
  • Financial Options: Discuss financial options with private patients and provide guidance on budget corrections and yearly Medicaid recertification.
  • Guardianship and Disenrollment: Petition for guardianship when necessary and handle HMO disenrollments and MLTC enrollments.
  • Comprehensive Requests: Prepare requests from comprehensive related to establishment and continuation of payer sources.

Requirements: The ideal candidate will have experience in long-term care and a strong understanding of Medicaid benefits and regulations. A full benefits package is offered, and we are an equal opportunity employer.



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