Bilingual (Spanish) Medicaid Eligibility Specialist

Are you a patient advocate and want to use your RN experience to help the self-pay and indigent patients?

Chamberlin Edmonds is a privately held health care firm. We currently have an opportunity for a Medicaid Eligibility Specialist to assist the self-pay and indigent patients in applying for and obtaining government medical benefits by using extensive knowledge of state and federal programs.

This exciting position is in a Miami area hospital and the ideal candidate will be an RN or Eligibility Specialist. Below is a brief outline of the job responsibilities:

•Interviewing clients in a hospital setting and/or home visits to assist them in obtaining maximum benefit coverage.
•Completing applications for state and federal programs, reviewing medical records and taking all actions necessary to expedite benefit approval.
•Maintain ongoing communications with government agencies regarding the status of claims.
•Provide updates and assistance to hospital personnel and other Chamberlin Edmonds staff as needed.
•Maintain documentation of status of claims and client contact on Chamberlin Edmonds computer system.
•Assisting and assessing needs of patients and hospitals, and other duties as needed to ensure that all referrals are resolved timely and appropriately.
REQUIREMENTS
REQUIREMENTS:

-Associates Degree
-Previous Nursing or RN experience
-Knowledge of state Medicaid programs (EMA, MN, KidCare) and/or SSA/SSI disability application processes
-Ability to read and apply the information contained in medical records to appropriate program
-Computer skills, including word processing and data entry
-Demonstrated experience working with people of various educational and socioeconomic backgrounds (Health care setting preferred)
-Demonstrated experience working with government case workers (DCF, SSA) and/or hospital personnel
-Ability to apply knowledge of federal/state programs to benefit coverage for the patient
-Understanding of and ability to apply the medical definition of disability as it relates to body systems and functions of daily living
-Reliable Transportation
-Demonstrated strong written and verbal communication skills
-Ability to speak English and Spanish fluently

PREFERRED:

-4 Year College degree
-Previous experience in Social Work
-Previous case management experience
-Previous hospital experience; Financial Counseling, Admissions preferred
-Previous experience from DCF or SSA