Description

Job Purpose

The Intake Coordinator works to complete the Medicaid application process for patients of our hospital clients. The Intake Coordinator assists in gathering and processing information for both in-house and discharged patients. They follow through expeditiously to assist patients in obtaining Medicaid, which ensures prompt payment to our client hospitals.

Duties and Responsibilities

• Contact patients and screen for Medicaid eligibility on cases referred by client hospital, either over the phone or in person
• Enroll patients in health insurance coverage via Marketplace or by completing the paper application package to submit to HRA/Local Department of Social Services 
• Review, validate and process confidential information
• Research and verify patient contact information using search engines and hospital computer systems
• Research and resolve Medicaid-related issues
• Retrieve information from hospital databases
• Send the Clerk a request for third party information and upon receipt, review to ensure information received is what was requested
• Prepare reports on open accounts for review by management
• Verify insurance coverage by using various websites or by calling insurance companies
• Update the Firm’s internal database with all work that is completed on accounts (actions taken to comminicate with patients, code account)
• Track application status via the Marketplace and/or call LDSS/HRA
• Keep track of the statuses 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

Qualifications

• High School Diploma or equivalent required
• Fully bilingual in Spanish (spoken and written skills) required
• Must be proficient in Microsoft Office applications (Excel, Word and Outlook)
• Ability to work onsite at client location
• Experience in the field of healthcare or insurance plans is a plus
• Experience with ePACES and LexisNexis is a plus
• Ability to use the internet and learn databases
• Strong investigatory and researching skills
• Ability to effectively communicate with patients
• Excellent written and verbal skills
• Administrative experience such as communicating over the phone, researching information, scheduling appointments, directing patients and filing paperwork
• Ability to efficiently multitask
• Possess a high level of organization skills
• Strict adherence to the policies and protocols of the client while conducting themselves professionally at all times

Working Conditions

• Will be required to travel to and work onsite at various client locations
• Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear.
• Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress.
• Work Environment: The noise level in the work environment is usually minimal.

Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.