Medicaid Coordinator

Position Summary

• Sign Admission Agreement with new residents/or responsible parties
• Explain Insurance coverage to new residents eg: Co-pays/Deductibles/Out of Pocket Expenses

• Screen, interview, and assess potential residents/current residents and family members to determine Nursing Home Medicaid eligibility
• Attend UR Meeting with Social Work, MDS and Rehab Team to determine which residents needs to be picked up on Medicaid
• Have weekly/Bi-weekly meeting with biller/tracker
• Attend quarterly Aging meeting with Administration/Board
• Work with Social Security Office to obtain income information and submit Rep Payee Information
• Request, Collect and Prepare all the necessary documents to apply for Nursing Home Medicaid

• Upload documents to be sent electronically to HRA
• Go over NAMI information with Resident and Family
• Collect NAMI (Social Security & Pension income)
• Process Re-certifications on time to maintain Medicaid Roster

• Correspond with HRA Case Workers on Ongoing Medicaid applications to determine status, and answer all reconsiderations

• Follow up to ensure that all applications are approved

• Secure and complete appropriate MAP forms in accordance with request from Medicaid eg: MAP 2159I, MAP 2159W etc.
• Promptly Send Discharge Form to Medicaid when residents are discharged home in the community MAP 259F
• Assist Admission Director/Assistant Director with processing Admissions from the hospital eg: set up resident in Sigma for admission

• Perform other job-related duties as assigned by Director of Admissions

Medicaid Coordinator Requirements

• 3-5 year experience with New York City Nursing Home Medicaid applications
• High School Diploma or Equivalent

Prefers

• Bachelor's Degree in Business, Accounting/Finance, Marketing, Social Work, or a related field

• Previous experience in a Skilled Nursing Facility