Apply on Employer Site

VNS Health · 22 hours ago

Senior Medicaid Recertification Assistant

New York, NY

Full-time

Onsite

Mid, Senior Level

$20.98/hr - $26.23/hr

2+ years exp

VNS Health is one of the nation’s largest nonprofit home and community-based health care organizations, dedicated to innovating in health care for over 130 years. They are seeking a Senior Medicaid Recertification Assistant to assist members with Medicaid applications and recertification, ensuring proper documentation and managing problematic cases under general supervision.

CharityHealth CareHome Health CareNon Profit

Responsibilities

Reviews patient referrals and determines eligibility for Medicaid. Processes Medicaid applications. Conducts follow up contact with members when additional information is needed. Ensures proper documentation is recorded in the Recertification Tracking Tool

Submits Medicaid applications to Human Resources Administration (HRA) office

Assists members with any inquiries in regards to surplus payments and fee assessments when member claims hardship

Submits Stensen, Milestone, and PA applications to HRA for SSI members who have lost coverage

Prepares problem/escalated cases for management to review and resolve

Prepares weekly and monthly productivity reports for Management to review

Analyzes and investigates recurring issues; takes appropriate action including escalation to Senior Medicaid Recertification Coordinator or Supervisor

Sends out Medicaid Recert packets to members in preparation for their Medicaid recertification

Develops and sends lists of members that need to be disenrolled to the Member Eligibility Unit (MEU) (non recertified, expired, non-compliant, or ineligible members)

Scans, files into document repository; retrieves files as requested

Monitors members in the recertification process to ensure resolution

Participates in special projects and performs other duties as assigned