MEMedicaid Field Coordinator - Remote and Field Work
Med-Metrix is a leader in Revenue Cycle Management (RCM), providing healthcare organizations with cutting-edge technology and personalized service to enhance patient experiences and maximize revenue collections.
Responsibilities
• Meet with patients and screen for Medicaid eligibility on cases referred by client hospital
• Enroll patients in health insurance coverage via Marketplace or by completing the paper application package to submit to HRA/local Department of Services
• Review, validate and process confidential information
• Research and verify patient contact information using search engines and hospital computer systems
• Travel to hospitals to retrieve patient documentation
• Visit patients’ homes to screen for Medicaid eligibility and complete the Medicaid application process
• Travel to local Department of Social Services to process Medicaid application paperwork
• Research and resolve Medicaid-related issues
• Enter and scan new account information into the Firm’s database
• Send various automated letters to patients from the Firm’s database
• Retrieve information from hospital databases
• Request third party information to complete Medicaid application
• Prepare reports on open accounts for review by management
• Verify insurance
• Contact local Department of Social Services to obtain patient information
• Send various reports to the client
• Track application status via the Marketplace and/or call LDSS/HRA for status
• Keep track of the status 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
Qualifications
• Valid Driver’s License and access to an insured vehicle
• Must be bilingual – English/Spanish
• High School Diploma or equivalent required
• Notary Public
• Experience working in a hospital environment is a plus, but not required
• Experience with ePACES and LexisNexis is a plus
• Experience in the field of healthcare or insurance plans is a plus
• Must have Administrative experience
• Proficient in Microsoft Office applications (Excel, Word and Outlook)
• Ability to use the internet and learn databases
• Strong investigatory and researching skills
• Effectively communicate with third parties
• Excellent written and verbal skills
• Ability to efficiently multitask
• Organizational skills
Working Conditions
• Travel to various client sites and other local areas will be required
• 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.
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About the job
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Posted on
Job type
Full Time
Experience level
Mid-level
Location requirements
Hiring timezones
United States +/- 0 hoursAbout Med-Metrix
Learn more about Med-Metrix and their company culture.
Med-Metrix delivers innovative solutions that transform the landscape of Revenue Cycle Management (RCM) in the healthcare sector. Founded in 2010, the company has achieved substantial growth by acquiring multiple brands, showcasing its commitment to comprehensive end-to-end RCM services. As operators and industry leaders, Med-Metrix prioritizes collaboration, striving to co-own the revenue challenges, goals, and outcomes of its clients. The company emphasizes a unique hands-on approach, ensuring that each engagement leads to improved results and high accountability.
With a focus on cutting-edge technology and a highly trained workforce, Med-Metrix utilizes advanced analytics, artificial intelligence, and robotic process automation to enhance its service offerings. The company integrates its systems seamlessly with existing EMRs to provide tailored solutions that maximize revenue for healthcare providers—be they hospital systems or physician groups. Known for overturning 60-70% of denials on average through effective Denials Management, Med-Metrix's results-oriented approach enables clients to collect 2-5% more on average for their end-to-end RCM needs. Through initiatives like Med-Metrix University, the company ensures that its professionals are equipped with industry-leading skills, delivering exceptional value and fostering growth in the healthcare industry.
MEMed-Metrix
Company size
1001-5000 employees
Founded in
2010
Chief executive officer
Joseph H. Davi
Markets
Employees live in
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