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The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life on their own terms.
Coordinates all Medicaid and Social Service Program benefits for plan members. Assures program eligibility criteria are met; required documentation is collected, reviewed, assessed, and submitted. Eligibility determinations, fair hearing and grievance options are explained to the member/designated representative. Monitors application recertification to ensure timely processing, and resolves all financial billing discrepancies to ensure the reduction of the capitation receivable. Assists members by coordinating Medicaid and Social Service-related benefits for active HomeFirst, FIDA and MAP members. Updates Market Prominence, Payor and other systems with member's documentationand changes. Provides answers to inquiries and follow-up information to the Member Services Department.
Full Time
$73k-91k (estimate)
05/26/2024
06/11/2024
ceomjhs.org
Brooklyn, NY
<25
Skilled Nursing Services & Residential Care
The following is the career advancement route for Medicaid Coordinator positions, which can be used as a reference in future career path planning. As a Medicaid Coordinator, it can be promoted into senior positions as a Managed Care Supervisor that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Medicaid Coordinator. You can explore the career advancement for a Medicaid Coordinator below and select your interested title to get hiring information.