Medicaid Program Coordinator

hace 1 mes


San Juan, San Juan, Puerto Rico Hc&N Healthcare Solutions A tiempo completo
Medicaid Coordinator Job Description

We are seeking a highly organized and detail-oriented Medicaid Coordinator to join our team at Hc&N Healthcare Solutions.

Key Responsibilities:
  • Conduct financial interviews with patients and families to determine Medicaid eligibility
  • Obtain necessary authorizations and documents for Medicaid applications
  • Coordinate with financial institutions to obtain required documents
  • File Medicaid applications and conversions, and follow up with case workers as needed
  • Prepare and file fair hearing requests, and attend hearings if necessary
  • Correct budget errors and ensure timely Medicaid recertification
  • Enroll patients in mandatory MLTC plans and educate families on income payments and signature requirements
  • Discuss financial options with private patients and prepare guardianship petitions when necessary
  • Process HMO disenrollments and MLTC enrollments, and prepare requests for comprehensive payer sources
Requirements:
  • Experience in long-term care is preferred, but not required
  • Strong organizational and communication skills
  • Ability to work independently and as part of a team
  • Proficiency in Microsoft Office and other software applications
What We Offer:
  • A competitive salary based on experience
  • A comprehensive benefits package
  • A dynamic and supportive work environment


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