Medicaid Eligibility Investigator - Bilingual Spanish

Medicaid Eligibility Investigator - Bilingual Spanish

Medicaid Eligibility Investigator (Certified Application Counselor) Bilingual Spanish. Certified Application Counselors are assistors that help apply for health insurance, understands coverage options, and can assist patients enroll in a plan that is right for them. This position will be working in Queens, NY, will include some travel within the boroughs.
Responsibilities:
• To assist in the screening of self-pay patients to secure potential third party benefits and/or coverage. Represents and assist patients and/or families in applying for benefits under NYS Marketplace, Medicaid applications for Hospital Financial Assistance Program.
• Review all self-pay admissions daily for financial coverage; investigate for third party coverage.
• Ensures patient demographic and insurance information is correct in the system.
• Ensure timely and quality processing of applications of the workload as assigned.
• Visit inpatients designated as Self-Pay daily, screening for insurance coverage and possible Medicaid, as required following Department of Social Services, New York State and Hospital Policies.
• Interview with patients at designated office location within Hospital facility, bedside, Emergency Room and scheduled appointments.
• Complete and mail all Medicaid applications following the Department of Social Services guidelines.
• Participation in all educational activities, seminars and webinars.
• Make phone call to patients as required based on documentation or phone call received from Department of Social Services in request for additional documents.
• Compile a Pending application trial balance on a monthly bases in order to follow-up on open accounts.