What are the responsibilities and job description for the Medicaid Service Coordinator position at Niagara Falls Memorial Medical Center?
Job description
Niagara Falls Memorial Medical Center is currently hiring a Medicaid Service Coordinator.
MAIN FUNCTION:
This position is responsible for coordinating and arranging for medical benefits for uninsured inpatients to allow them to meet their financial obligations to the hospital. The Medicaid service Coordinator will interview patients and assist in the completion of Medicaid, Family Health Plus, Medicaid Managed Care Lines of business and Charity Care applications (as applicable). The Medicaid Service Coordinator acts as the patient's representative and presents the application to the DSS (Department of Social Services), ensuring all requirements requested by DSS are obtained. The Medicaid Service Coordinator will work collaborate on difficult cases with an outside agency.
NATURE AND SCOPE:
This position has the responsibility of interviewing patients to ensure collectability of patient accounts and enrollment of the uninsured population. Responsibilities also include interacting with other departments and outside agencies in an effort to identify resources available for financial aid. This position is required to work with all patients in the hospital who need assistance, including Behavioral Health.
ESSENTIAL FUNCTIONS:
1. Interviews patients or responsible individuals to determine Medicaid/Government funded insurance program / financial (charity care) assistance eligibility.
2. Ensures all appropriate documentation for each patient is maintained. Keeps copies of approval /denial Letters / Medicaid applications/ insurance applications and financial assistance applications.
3. Represents the patient with DSS (Department of Social Services)
4. Maintains a close working relationship with DSS, ensuring follow through on a continual basis until all pertinent information is obtained.
5. Ensures follow through with patient on a continual basis until all pertinent information is obtained, this could include house calls.
6. Contacts patient in the department where services are being rendered. This includes in-patients at the bedside and Emergency Room, Heart Center and all ancillary areas as needed.
7. Contacts the County the patient resides in to set up an appointment to present the case for approval of Medicaid coverage. Presents case to the county on behalf of the patient.
9. Meets bi-weekly with the Director of Patient Financial Services to provide information for all high risk accounts.
PROFESSIONAL BEHAVIOR:
This individual possesses attitudes and behaviors which are consistent with total quality management and the mission statement of Niagara Falls Memorial Medical Center. This individual possesses an ongoing up-to-date knowledge base to ensure ongoing competency in performing his/her level and scope of responsibilities. Acts as an advocate of the "Patient Bill of Rights" and assures patient and family understanding. Understands and demonstrates knowledge of the codes of the New York State Department of Health and HFAP standards.
Benefits Include:
Generous Paid Time Off (PTO) Program
Extended Illness Bank
Competitive hourly rates
Group Life Insurance
Supplemental Short-Term Disability
Medical Insurance, Dental Insurance
Employee Assistance Program
403(b) Retirement & Savings Plan
Job-related Tuition Reimbursement Program
Who We Are:
Niagara Falls Memorial Medical Center is the only full-service hospital in Niagara County. The facility offers a 171-bed regional medical center with extensive inpatient and outpatient services, including a full-service Medical & Psychiatric Emergency Room, The Heart Center of Niagara featuring an on-site Cath Lab, Niagara Wellness Connection Center, The Wound Center of Niagara, OB/GYN Center and UBMD Orthopedics & Sports Medicine. We also offer a comprehensive range of surgical services.
The first hospital in Niagara to be designated a stroke center by the New York State Department of Health, we operate several satellite facilities, including the Summit Healthplex, Tuscarora Health Center, primary care offices in Niagara Falls, Wheatfield, and the Town of Niagara. Schoellkopf Health Center, a 120-bed skilled nursing facility that specializes in short-term rehabilitation and elder care. Like the medical center itself, Schoellkopf features 100-percent private room accommodation.
Niagara Falls Memorial's Child Advocacy Center of Niagara enjoys national accreditation. Our community health advocacy efforts coupled with extensive and productive community partnerships make us one of Western New York's most consistently innovative providers of community-based health outreach.
As one of the Greater Niagara region's largest employers, we pride ourselves on playing an active role as an economic engine and a catalyst for community growth.
Through growth and change, we remain faithful to our core mission: Improving the health of the Greater Niagara Region with a passion for excellence.
Job Type: Full-time
Pay: $22.54.00 - $27.41 per hour
Expected hours: 37.5 per week
Benefits:
- 401(k)
- Dental insurance
- Employee assistance program
- Flexible spending account
- Health insurance
- Life insurance
- Paid time off
- Tuition reimbursement
- Vision insurance
Schedule:
- 8 hour shift
- Day shift
Education:
- Associate (Preferred)
Experience:
- Three years prior experience with the Medicaid application process.
- Data entry, Microsoft Word and Excel experience.
- Excellent communication skills.
Ability to Commute:
- Niagara Falls, NY 14301 (Required)
Work Location: In person
Job Type: Full-time
Pay: $22.54 - $27.41 per hour
Expected hours: 37.5 per week
Schedule:
- 8 hour shift
- Day shift
- Monday to Friday
Work Location: In person
Salary : $23 - $27
