Job Overview:
Do you want to make a difference in people's lives? Come join our team and help them navigate through the Medicaid/Insurance process.
We are seeking a detail-oriented and organized Bilingual Spanish Medicaid Eligibility Specialist for a Health Care Management company. As an Eligibility Specialist, you will assist patients with the application process for Financial Assistance including NYS Marketplace Insurance coverage or NYS Medicaid applications. This is a vital role in our organization, as you will play a key part in helping individuals access the healthcare services they need.
Responsibilities:
- Interviews with Patients/Patient Representatives/Consumers at designated office location within Hospital facility, Hospital bedside, Emergency Room, and scheduled appointments at the Hospital facility.
- Work Schedule: Monday through Friday with Alternating Weekends; 5 Workdays per week.
- Ensure timely and quality processing of applications of the workload as assigned.
- Review accounts assigned for determination of existing insurance or potential eligibility for NYS Medicaid/Marketplace for Hospital Financial Assistance Program.
- Schedule follow up appointments for the purposes of obtaining documents as necessary to complete applications.
- Update Hospital /Other systems utilized for the transmission of applications in a timely manner.
- Participation in all educational activities, seminars and webinars.
- Performs other duties as required and assigned.
- Communicate with patients to obtain missing information or clarify discrepancies
- Maintain accurate records of patient information and application status
- Collaborate with internal teams to ensure seamless coordination of eligibility processes
Qualifications:
- Bi-lingual Spanish required
- 1-3 years experience of Medicaid process and Third Party Verification
- NYS of Health Certified Application Counselor Certificate
- Familiarity with medical terminology and healthcare insurance programs is a plus
- Strong attention to detail and ability to maintain accuracy while working with complex information
- Excellent communication skills, both written and verbal
- Ability to prioritize tasks and meet deadlines in a fast-paced environment
- Strong problem-solving skills and ability to think critically
Please note that all positions at our company are paid positions. We offer competitive compensation packages and opportunities for professional growth within our organization. If you are passionate about helping others access healthcare services and possess the necessary qualifications, we would love to hear from you.
Job Type: Full-time
Pay: $26.00 per hour
Expected hours: 40 per week
Benefits:
- 401(k)
- Dental insurance
- Gym membership
- Health insurance
- Paid sick time
- Paid time off
- Prescription drug insurance
- Vision insurance
Schedule:
- 8 hour shift
- Monday to Friday
- Rotating weekends
Work setting:
- In-person
- Level I trauma center
Experience:
- Medicaid process and Third Party verification: 1 year (Required)
Language:
License/Certification:
- NYS Certified Application Counselor (Preferred)
Ability to Commute:
Ability to Relocate:
- Jamaica, NY: Relocate before starting work (Required)
Work Location: In person