The Medicaid Coordinator plays a critical role in supporting organizational operations and patient access to care by managing Medicaid eligibility, enrollment, and reimbursement processes. This position serves as a subject matter expert in New York State Medicaid programs, ensuring accurate eligibility determinations, coordination with internal teams and external partners, and compliance with Medicaid regulations. The Medicaid Coordinator works closely with the HMO Director and billing teams to support Medicaid Fee-for-Service (FFS) and EPS billing processes, optimize reimbursement, and facilitate continuity of coverage for patients.
Requirements:
High School Diploma; Baccalaureate degree
Prior experience in healthcare administration, Medicaid coordination, or billing.
Familiarity with Medicaid managed care plans and conversion processes.
Experience working with eligibility reporting systems and billing platforms.
Knowledge of New York State healthcare regulatory requirements.
Experience with Medicaid billing structures, reimbursement models, EPS, and Fee-for-Service (FFS) Medicaid.
Strong organizational skills with the ability to manage multiple cases and deadlines.
Excellent written and verbal communication skills.
Ability to collaborate effectively with internal teams and external partners.
Benefits:
Comprehensive benefits including, medical, dental, and vision
401K plan with company match
Robust time off including sick, vacation, personal days, cultural heritage day and your birthday off
Opportunity for advancement
Employee discount program on events, movie tickets, mobile phone plan discounts and more.
Americare is committed to a policy of Equal Employment Opportunity and will not discriminate against an applicant or employee based on race, color, sex, gender, pregnancy, religion, age, creed, marital and partnership status, national origin, ancestry, alienage, past or present physical or mental disability, genetic information, sexual orientation, gender identity, affectional preference, veteran or military status or citizenship status, or any other legally recognized protected basis under federal, state, or local law.