VNS Health
Senior Medicaid Recertification Assistant
VNS Health, New York, New York, us, 10261
Overview
Contacts and assists VNS Health Plans members with Medicaid applications and recertification. Enters and updates member demographic information into the Recertification Tracking Tool. Identifies and investigates problematic recertification cases and presents for resolution. Works under general supervision.Compensation:
$20.98 - $26.23 HourlyWhat We Provide
Referral bonus opportunitiesGenerous paid time off (PTO), starting at 20 days of paid time off and 9 company holidaysHealth insurance plan for you and your loved ones, Medical, Dental, Vision, Life and DisabilityEmployer-matched retirement saving fundsPersonal and financial wellness programsPre-tax flexible spending accounts (FSAs) for healthcare and dependent careGenerous tuition reimbursement for qualifying degreesOpportunities for professional growth and career advancementInternal mobility, generous tuition reimbursement, CEU credits, and advancement opportunitiesInterdisciplinary network of colleagues through the VNS Health Social Services Community of Professionals.What You Will Do
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 regarding 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.Qualifications
Education:
Associate's Degree in health, human services, or other related discipline or equivalent work experience required.Work Experience:
Minimum two years experience in health care, insurance, or social services processing bills and Medicaid applications required. Effective oral, written, verbal communication and customer service skills required. Personal Computer skills including Microsoft Word and Excel required. Analytical skills, including compilation and analysis of data, report creation and recommendations based on findings preferred.
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Contacts and assists VNS Health Plans members with Medicaid applications and recertification. Enters and updates member demographic information into the Recertification Tracking Tool. Identifies and investigates problematic recertification cases and presents for resolution. Works under general supervision.Compensation:
$20.98 - $26.23 HourlyWhat We Provide
Referral bonus opportunitiesGenerous paid time off (PTO), starting at 20 days of paid time off and 9 company holidaysHealth insurance plan for you and your loved ones, Medical, Dental, Vision, Life and DisabilityEmployer-matched retirement saving fundsPersonal and financial wellness programsPre-tax flexible spending accounts (FSAs) for healthcare and dependent careGenerous tuition reimbursement for qualifying degreesOpportunities for professional growth and career advancementInternal mobility, generous tuition reimbursement, CEU credits, and advancement opportunitiesInterdisciplinary network of colleagues through the VNS Health Social Services Community of Professionals.What You Will Do
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 regarding 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.Qualifications
Education:
Associate's Degree in health, human services, or other related discipline or equivalent work experience required.Work Experience:
Minimum two years experience in health care, insurance, or social services processing bills and Medicaid applications required. Effective oral, written, verbal communication and customer service skills required. Personal Computer skills including Microsoft Word and Excel required. Analytical skills, including compilation and analysis of data, report creation and recommendations based on findings preferred.
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