Enrollment Eligibility Coordinator

Metropolitan Jewish Health System
United States, New York, New York
Dec 19, 2024
The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life on their own terms. Under the direct supervision of the Support Services Supervisor, this position is responsible for disenrollment and withdrawal request processing through the utilization of Maximus834Benefit Enrollment System and LDSS disenrollment referral process. The Enrollment Coordinator is expected to: utilize various automated systems, such as: MCO, MP, ePACES, and the Response File Reader. Additional job responsibilities include: data entry, faxing, filing, scanning, maintaining spreadsheets, and distributing weekly and monthly reports. The Enrollment Coordinator must ensure that all assignments are completed accurately and in a timely manner in accordance with NYSDOH Medicaid guidelines, MLTC provider regulations, and agency policies and procedures. Some latitude for independent initiative and judgment is given to the Enrollment Coordinator to plan, prioritize, and organize the daily workload. HS Diploma 1 Year experience in Health Care Environment Knowledge Microsoft Office 2007 and up, Word, Excel, PowerPoint, MCO & Market Prominence Excellent phone & communication skills, able to work independently, strong organization skills with little supervision, ability to meet deadlines & set priorities, ability to use own judgment.