Medicaid Field Coordinator Bilingual English/Spanish

The scheduled hours are Tuesday through Friday, 11:30 AM to 8:00 PM, and Saturday from 8:00 AM to 4:30 PM. A valid driver’s license and personal vehicle are required. Must be bilingual in English and Spanish. Job Purpose The Medicaid Field Coordinator is part of a team that completes the Medicaid application process for patients of our hospital clients, both in‑house and discharged. They meet with patients at the hospital bedside, in their homes or other locations to assist in completing the Medicaid application and to gather and process required information. Their work expedites Medicaid approval, ensuring prompt payment to client hospitals. Duties and Responsibilities Meet with patients and screen for Medicaid eligibility on cases referred by client hospitals. Enroll patients in health insurance coverage via the Marketplace or by completing the paper application package to submit to HRA or 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 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 automated letters to patients via the firm’s database. Retrieve information from hospital databases. Request third‑party information to complete Medicaid applications. Prepare reports on open accounts for management review. Verify insurance. Contact local Department of Social Services for patient information. Send various reports to clients. Track application status through the Marketplace and/or call LDSS/HRA. Monitor 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 Marketplace or Department of Social Services. Other duties as assigned. Use, protect, and disclose patients’ protected health information (PHI) only in accordance with HIPAA standards. Understand and comply with information security and HIPAA policies at all times. Limit viewing of PHI to the absolute minimum necessary to perform assigned duties. Qualifications High school diploma or equivalent required. Notary public. Valid driver’s license required. Must possess reliable transportation to ensure consistent on‑site attendance and punctuality. Experience working in a hospital environment is a plus but not required. Experience with ePACES and LexisNexis is a plus. Experience in 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 research skills. Effective communication with third parties. Excellent written and verbal skills. Ability to efficiently multitask. Organizational skills. Strong interpersonal skills and ability to communicate well at all levels of the organization. Strong problem‑solving and creative skills, sound judgment, and sound decision‑making based on accurate in‑time analyses. High level of integrity and dependability, with a strong sense of urgency and results orientation. #J-18808-Ljbffr Med-Metrix