Medicaid Enroll&Outrch Spc I Position Available In Monroe, New York

Medicaid Enroll&Outrch Spc I
Rochester, NY
As amunity, the University of Rochester is defined by a deepmitment to Meliora – Ever Better. Embedded in that ideal are the values we : equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure ourmunity is weing to all and is a place w all can thrive. Job Location (Full Address): 601 Elmwood Ave, Rochester, New York, United States of America, 14642

Opening:

Worker Subtype:

Regular Time Type:

Full time

Scheduled Weekly Hours:

40

Department:

500169

Medicaid Enrollment Work Shift:

UR – Day (United States of America)

Range:

UR URCA 207 H

Compensation Range:

$23.51 – $30.16 The referenced pay range represents the minimum and maximumpensation for this job. Individual annual salaries/hourly rates will be set within the job’spensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations.

Responsibilities:

GENERAL PURPOSE

Counsels, guides, advises and provides outreach services to patients requiring public benefits including Medicaid, Child Health Plus, NYS Marketplace Exchange or other public entitlements. Accountable for coordinating all activities and necessary documentation needed to secure appropriate benefits. Resolvesplex problems related to this process. s expert public benefits knowledge by providing consultation to physicians, social workers and other Health System staff whose patients require benefit assistance for payment and discharge planning. Demonstrates ICARE values. This role may have the option to work a Hybrid-remote schedule andmunicates daily through virtual meetings.

ESSENTIAL FUNCTIONS SUPERVISION AND DIRECTION EXERCISED

Self-directed:

must makeplex decisions independently. Seeks assistance from

MEOS II, MEOS

Supervisor, or Department Manager. Responsible to prioritize, monitor and resolve caseload in a timely fashion. Provides information and direction regarding public benefits to other areas of the University of Rochester Health Systems.

MACHINES AND EQUIPMENT USED

Standard office equipment, including but not limited to telephone, pneumatic tube system, personalputer, er, photo copier, fax machine, hospital financial system, electronic third-party payer systems, page system, document scanner, automobile and gas pump.

TYPICAL DUTIES

Benefit Management:

Provides outreach services to patients referred by University of Rochester Health System staff through face-to-face interaction, telephone contact and home visitation for patients requiring assistance with benefit application. MEOS I for benefits viaputer systems and/or paper application and may apany or represent the patient at eligibility interviews, case conferences or fair hearings (25%) essential.

Referral Coordination:

Responsible for assessing referrals to determine eligibility for potential benefits and develops a plan of action to secure each. Communicates, coordinates and develops professional relationships with internal departments: Health Insurance Counseling, Social Work, Patient Financial Services, Financial Assistance Program, RIM, Office of Counsel and Clinicians. External coordination includes families,munity physicians, Department of Social Services, NY State of Health, Social Security, Veterans’ Administration, Homeland Security, advocacy groups and other agencies. (25%) essential

Problem Resolution:

Identifies barriers to securing public benefits which may impact hospital reimbursement and timely discharge. Consults with

MEOS II, MEOS

Supervisor or Manager to develop, coordinate and implement plans to successfully resolve barriers. (20%) essential Monitoring Caseload, Documentation and s: MEOS I monitor caseload and is responsible for accurate and timely documentation in requisite systems: Financial Assistance Module (FAM), EPIC, NY State of Health (NYSOH) on-line Portal and OnBase scanning. MEOS I review productivity reports and prepares status updates as required by management. (25%) essential

Continuing Education:

Attends seminars and reviews Federal and N.Y. State regulations, UR Medicine mandatory training requirements, NYSOH Marketplace Certified Application Counselor Seminars and literature to maintain expert knowledge of public benefit programs. (3%) essential

Safety Precautions:

Exercises professional judgment to determine whether or not a home visit is a safety risk. Keeps direct supervisor advised of planned visits and takes appropriate safety precautions. Operates a motor vehicle for outreach purposes. Ensures all safety precautions are taken during vehicle operation. Ads to safety precautions involving mask, gown and glove usage (2%) essential

QUALIFICATIONS

Bachelor’s degree in psychology, Sociology, Social Work or Business Administration and 1 – 2 years related experience such as a Medicaid Eligibility Examiner or Medicaid Eligibility Supervisor; or an equivalentbination of education and experience. Knowledge of public benefit rules and regulations preferred. Requires a high degree of professionalism; must be motivated, an excellentmunicator and writer, possesses customer service skills and the ability to work independently in an interdisciplinary team environment. Must provide and maintain a valid NYS Class 5 driver’s license.

NYSOH CAC

certification preferred but not required.

NOTE:

This document describes typical duties and responsibilities and is not intended to limit management from assigning other work as required. The University of Rochester ismitted to fostering, cultivating, and preserving an inclusive and weing culture to advance the University’s Mission to Learn, Discover, Heal, Create – and Make the World Ever Better. In support of our values and those of our society, the University ismitted to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion, creed, sex, sexual orientation, citizenship status, or any other characteristic protected by federal, state, or local law (Protected Characteristics). Thismitment extends to non-discrimination in the administration of our policies, admissions, employment, access, and recruitment of candidates, for all persons consistent with our values and based on applicable law.

Notice:

If you are a Current Employee, please log into myURHR to search for and to jobs using the Jobs Hub. Your application, if submitted using this portal, cannot be moved forward. Learn. Discover. Heal. Create. Located in western New York, Rochester is our namesake and our home. One of the world’s leading research universities, Rochester has a long tradition of breaking boundaries—always pushing and questioning, learning and unlearning. We transform ideas into enterprises that create value and make the world ever better. If you’re looking for a career in higher education or health care, the University of Rochester may offer the perfect opportunity for your background and goals At the University of Rochester, we aremitted to fostering, cultivating, and preserving an inclusive and weing culture and are united by a strongmitment to be ever better—Meliora. It is an ideal that informs our d mission to ensure all members of ourmunity feel safe, respected, included, and valued.