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Northwell Health · 2 days ago

Medicaid Investigator

New Hyde Park, NY

Full-time

Onsite

Entry Level

$29/hr - $31/hr

2+ years exp

Northwell Health is seeking a Medicaid Investigator to assist patients and families in completing Medicaid applications and assessing eligibility. The role involves coordinating with various agencies, providing information on medical coverage, and maintaining departmental files and records.

ConsultingHealth CareHealth DiagnosticsMedicalPublishing

Responsibilities

Provides information regarding Medical Center regulations and policies pertaining to medical coverage

Contacts patient/family and conducts interviews for the purpose of assessing Medicaid eligibility

Meets with and assists patient/family in completing Medicaid applications in order to ensure coverage for Hospital, Nursing Facility, Home Care services and community Medicaid

Checks patient account for previous balances and advises patient of all financial obligations

Informs patient of Medical Center's collection policy

Contacts physicians, nurses, social workers, employers, banks, etc to obtain appropriate medical, legal and financial information to complete Medicaid application.Notifies appropriate hospital staff regarding Medicaid eligibility status and determination

Coordinates with various city and county agencies to resolve individual cases

Answers the telephone and maintains files.Informs Supervisor of activities, issues and problem cases.Accumulates data for performance reports

Maintains departmental files and statistical logs.Enters data into Medical Center's patient registration system, financial management system, as well as, Medical Eligibility Program database

Assists in scheduling patients for clinical visits, pre-admission testing, special tests and consultations via Medicaid screening process

Performs related duties as required

ADA Essential Functions

Qualification

Medicaid eligibility assessmentFinancial planning experienceData entry proficiencyOrganizational skillsInterviewing skillsAdvocacy skillsCustomer service skillsWriting skillsWork under pressure

Required

High School Diploma or equivalent, required

Minimum of two (2) years experience in financial planning and assessment, with regard to Medicaid and third party reimbursement sources

Ability to evaluate, research and document financial histories of patients in relation to Medicaid regulations

Good writing, organizational, interviewing and advocacy skills are essential

Demonstrated ability to operate data entry equipment, required

Ability to work well under pressure

Heavy customer service/telephone contact

Company

Northwell Health

Glassdoor3.9

Northwell Health is New York State’s largest health care provider and private employer, with 28 hospitals, about 1,000+ outpatient facilities and more than 16,000 affiliated physicians.

Founded in 1997

Manhasset, New York, USA

10001+ employees