Patient Medicaid Associate

Overview

Screens and interviews uninsured patients for the purpose of completing a Medicaid application, which will generate payment for the services provided.

Responsibilities

• Receives referrals, prepares and submits transmittal through MEDE with 4A (2985 & 2921) to Medical Assistance Program (MAP) for clock-in
• Conducts face-to-face interviews with In-house patients or family members in order to procure documents necessary to complete a Medicaid application.
• Completes Medicaid application as per guidelines mandated by the Medical Assistance Program (MAP)
• Accurately collect, verify and record demographic and insurance data.
• Procure and document all pre-approvals and authorizations received from Managed Care Companies, HMO’s and other Health Care plans.
• Prepares transmittal attaching completed Medicaid application for MAP copies to Patient Accounting.
• Updates computer system with submission and decision data received from MAP.
• Refer all incomplete cases to supervisor or manager for review and disposition.
• Refer cases without adequate financial coverage to supervisor or manager for disposition.
• Performs other related duties as requested or assigned that are essential to the overall operation of the department/hospital.

Qualifications

Position Requirements

• High School Diploma/GED
• Knowledge of Medicaid Application Process
• Computer Literate
• Minimum of Two (2) years clerical experience within a hospital or healthcare environment

Language Skills:

• Ability to read and communicate effectively in English

 Skills:

• Excellent verbal/written/communication skills.
• Computer Knowledge with word processing and Excel skills.

Physical Demands:

• Involves walking, sitting, talking, hearing, stretching, reaching and bending.
• May include some repetitive motions.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions without compromising patient

care.

The statements herein are intended to describe the general nature and level of work being performed by employees, and are not to be construed

as an exhaustive list of responsibilities, duties, and skills required of personnel so classified. Furthermore, they do not establish a contract for

employment and are subject to change at the discretion of One Brooklyn Health System (OBHS), and Interfaith Medical Center (IMC).

One Brooklyn Health System (OBHS), and Interfaith Medical Center are an equal opportunity employer, it is our policy to provide equal opportunity

to all employees and applicants for employment without regard to race, color, religion, national origin, marital status, military status, age, gender,

sexual orientation, disability or handicap or other characteristics protected by applicable federal, state, or local laws.