Medicaid Enrollment Specialist

agilegrid solutions • United State
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AI Summary

Facilitate hospital patient enrollment into the Third Party Health Insurance Premium Payment Program (HIPP). Assist high-cost, medically complex Medicaid beneficiaries in accessing employer-sponsored health insurance. Requires healthcare/hospital experience, strong customer service, and patient advocacy skills.

Key Highlights
Facilitate patient enrollment into the HIPP program.
Serve as a dedicated patient advocate for Medicaid beneficiaries.
Requires healthcare/hospital experience and strong customer service skills.
Key Responsibilities
Create and maintain positive relationships with patients, hospital personnel, and community partners to facilitate enrollment processes.
Serve as the primary onsite contact for patients, providing clear information about the HIPP program and assisting with application procedures.
Assess patient eligibility, gather necessary documentation, and guide patients through the enrollment process efficiently.
Act as a patient advocate, addressing concerns, answering questions, and ensuring patients understand their benefits and responsibilities.
Collaborate with hospital staff to identify eligible patients and streamline enrollment workflows.
Maintain accurate records of patient interactions, enrollment status, and follow-up activities in organizational databases.
Stay informed about updates to Medicaid policies, hospital procedures, and community resources to provide current and accurate information.
Participate in training sessions and team meetings to continually improve service delivery and program effectiveness.
Benefits & Perks
Competitive salary of $65,000 per year
Hybrid work environment
Comprehensive health benefits
401(k) plan with matching contributions
Relocation assistance
Flexible schedule
Nice to Have
Master's degree
Proficiency in Spanish
Experience with NY Medicaid programs
Familiarity with hospital credentialing processes, including vaccines and drug testing

Job Description


About The Company

New Healthcare Finance Organization is a rapidly emerging, private equity-backed healthcare entity committed to delivering high-quality, accessible care to underserved communities. With a focus on innovative financial solutions and patient advocacy, the organization aims to bridge gaps in healthcare coverage and improve health outcomes. Recognized for its collaborative culture and dedication to community service, the organization strives to create a supportive environment where employees can grow professionally while making a meaningful difference in patients' lives.

About The Role

The Medicaid Enrollment Specialist plays a vital role within our organization by facilitating the enrollment of eligible hospital patients into the Third Party Health Insurance Premium Payment Program (HIPP). This position is based at our partner hospital in Manhattan and involves direct interaction with patients, hospital staff, and community partners. The primary responsibility is to clearly communicate program requirements, assist patients in navigating the enrollment process, and serve as a dedicated patient advocate. The role requires a compassionate, proactive individual who is eager to support high-cost and medically complex Medicaid beneficiaries in accessing employer-sponsored health insurance benefits. The ideal candidate will have healthcare or hospital experience, a strong customer service orientation, and the ability to work effectively in a dynamic, fast-paced environment.

Qualifications

Candidates should possess a bachelor's degree in Business, Marketing, Nursing, Education, Psychology, or a related field; a master's degree is preferred. A minimum of five years of internal hospital or patient-related experience is highly desirable. Fluency in English is required, and proficiency in Spanish is a significant advantage, as it enhances communication with diverse patient populations. The ideal candidate will demonstrate a positive attitude, enthusiasm, and a strong can-do spirit, with a proven track record of success in healthcare sales or patient advocacy. Experience with NY Medicaid programs and familiarity with hospital credentialing processes, including vaccines and drug testing, are preferred. Additionally, candidates should be adaptable, able to work onsite most days, and possess excellent interpersonal skills to develop and maintain relationships with patients and hospital staff.

Responsibilities

  • Create and maintain positive relationships with patients, hospital personnel, and community partners to facilitate enrollment processes.
  • Serve as the primary onsite contact for patients, providing clear information about the HIPP program and assisting with application procedures.
  • Assess patient eligibility, gather necessary documentation, and guide patients through the enrollment process efficiently.
  • Act as a patient advocate, addressing concerns, answering questions, and ensuring patients understand their benefits and responsibilities.
  • Collaborate with hospital staff to identify eligible patients and streamline enrollment workflows.
  • Maintain accurate records of patient interactions, enrollment status, and follow-up activities in organizational databases.
  • Stay informed about updates to Medicaid policies, hospital procedures, and community resources to provide current and accurate information.
  • Participate in training sessions and team meetings to continually improve service delivery and program effectiveness.

Benefits

Joining our organization offers numerous benefits, including a competitive salary of $65,000 per year, a hybrid work environment that balances onsite and remote work, and comprehensive health benefits. Employees are eligible for a 401(k) plan with matching contributions, fostering long-term financial security. The organization promotes a collaborative, family-like culture where everyone’s contributions are valued. Additional perks include relocation assistance, unlimited growth opportunities, and a supportive environment that encourages professional development. We believe in work-life balance and provide a flexible schedule to accommodate patient needs and personal commitments.

Equal Opportunity

Jobot is an Equal Opportunity Employer committed to fostering an inclusive workplace. We celebrate diversity and are dedicated to providing equal employment opportunities to all qualified candidates regardless of race, color, sex, sexual orientation, gender identity, religion, national origin, age, disability, military status, genetic information, or any other protected characteristic. We prohibit discrimination and harassment of any kind and ensure compliance with all applicable federal, state, and local laws. We also perform background checks as necessary and consider qualified candidates with criminal histories in accordance with relevant laws. By applying, you consent to the collection and processing of your personal information as described in our Privacy Policy.


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