Medicaid Specialist

Description

The Medicaid Specialist organizes and completes required forms for Medical Assistance enrollment and redeterminations for children committed to the Baltimore City Department of Social Services (BCDSS) foster care.

The primary responsibilities for this position are:

• Utilize the Maryland Medicaid and Eligibility systems to verify coverage of current foster care children
• Troubleshoot problems with Medicaid enrollment including identifying reasons for deactivation or problems completing enrollment
• Enter medical assistance case information required for BCDSS reporting into MATCH program database and BCDSS database according to program practice guidelines
• Coordinate and track Medicaid enrollment by working with Family Investment Administration (FIA), and Maryland Department of Health (MDH).
• Complete forms to assign/change the Managed Care Organization (MCO) and Primary Care Physician (PCP) for foster care children
• Track and distribute MA cards, MCO cards, and dental cards to caregivers and/or BCDSS staff
• Upload copies of MA cards, MCO cards, and dental cards in MATCH database and BCDSS database.

Additional duties and responsibilities:

• Prepare monthly report for dental card requests and organize distribution of dental cards in the absence of the Medicaid Supervisor
• Provide daily MA department numbers to the Medicaid Supervisor
• Receive and distribute mail for the MA Department
• Troubleshoot medical bills received for foster care children
• Provide other administrative support for MATCH as needed

Qualifications

Requirements & Experience:

• High School Diploma or GED 
• Candidate must have a minimum of 2 years administrative experience
• Experience in the health field preferred
• Knowledge of Medicaid preferred
• Self-motivated individual with critical thinking abilities
• Proven ability to meet deadlines
• Strong customer service skills
• Ability to thrive in a team environment
• Good planning and organization skills

Physical Requirements:

• Ambulate 3 blocks or more
• Key data
• Sit for extended periods
• Lift at least 15 lbs.

SAFETY & HEALTH RESPONSIBILITIES

HCAM is committed to providing and maintaining a safe, secure and healthy work environment for all employees, clients served, volunteers and visitors. As part of this commitment, HCAM has developed safety, security and occupational health policies, practices, and standards.

With this understanding, all employees are required to: Adhere to all local, state and federal safety and environmental codes, ordinances, standards and laws; adhere to all HCAM and local safety plans, policies, practices and standards; be aware of and follow all safety rules of your work site; report any unsafe conditions or accidents to your supervisor; practice standard precautions (formerly universal precautions) at all times, and; participate in mandatory or available safety training.

WORK ENVIRONMENT

While performing the duties of this job, the employee is exposed to both indoor and outdoor conditions. The employee will be subject to noise

OUR CULTURE 

HCAM is dedicated to fostering diversity, equity, and inclusion in our commitment to support our employees and the Marylanders we serve.

HCAM's DEI Vision Statement: “To be regarded as a leader in equitable access to health care through policy and practices, and a workplace whose culture promotes diversity, values its team, and fosters inclusion.”

Effective November 15^th, 2021, all HCAM employees are required to be fully vaccinated. Staff may request a medical or religious exemption and if approved, will be required to weekly test indefinitely unless their vaccination status changes. Please submit a copy of your vaccination card to human resources prior to your start date and this will be uploaded into your permanent Paycom file. If you are unvaccinated and have a medical or religious reason for this, please request an exemption form from HR.