Top 113 Medicaid customer service representative Jobs in New York, Ny

Medicaid Enrollment Representative
MetroPlusHealth —Brooklyn, NY
- $60,000 a year
- Weekends as needed
- Public speaking
- HIPAA
- Mid-level
- Health insurance
Quick Apply
PAYMENT PROCESSING SPECIALIST
Agency HRA/DEPT OF SOCIAL SERVICES —Manhattan, NY
- $62,868 - $72,298 a year
- Full-time
- Writing skills
- Mid-level
- Office
- Loan forgiveness
- Food provided
Provider Services Representative
MJHS —New York, NY
- $40,000 - $43,000 a year
- Full-time
- Remote
- Mid-level
- 3 years
- High school diploma or GED
- Health insurance
- Dental insurance
Financial Representative
Montefiore Einstein —Bronx, NY
- $29.94 an hour
- Part-time
- Hospital
- High school diploma or GED
- Math
Patient Access Service Re
Wyckoff Heights Medical Center —New York, NY
- $31.06 - $34.09 an hour
- Part-time
- Hospital
- Mid-level
- High school diploma or GED
3d
Call Center Representative
Help at Home —Brooklyn, NY
- $22 - $24 an hour
- Full-time
- Mid-level
- High school diploma or GED
- Home Health
- Paid holidays
- Health insurance
2d
Patient Access Service Re
Wyckoff Heights Medical Center-WHM —New York, NY
- $31.06 - $34.09 an hour
- Part-time
- Hospital
- Mid-level
- High school diploma or GED
3d
Hospital Care Investigator
NYC Health + Hospitals —New York, NY
- $55,437 a year
- Online Application
- Primary Care
- Mid-level
- Office
- Commuter assistance
- Paid holidays
Patient Access Service Re - TEMP
Wyckoff Heights Medical Center —Brooklyn, NY
- Temporary
- Hospital
- High school diploma or GED
- Typing
ELIGIBILITY AND SUPPORT SERVICES COORDINATOR
HRA/DEPT OF SOCIAL SERVICES —Bronx, NY
- $68,209 - $78,440 a year
- Full-time
- High school
- Mid-level
- Office
- Employee assistance program
- Loan forgiveness
7d
Senior Living Social Worker
Brooklyn Heights —Brooklyn, NY
- $115,000 - $120,000 a year
- Full-time
- Microsoft Word
- Background check
- Microsoft Excel
- Paid training
- Paid holidays
Quick Apply
Hospital Care Investigator (Provisional)
NYC Health + Hospitals —New York, NY
- $55,437 a year
- Online Application
- Hospital
- Mid-level
- Office
- Commuter assistance
- Paid holidays
Field Reimbursement Manager - Long Island, NY ( Includes, Brooklyn, Queens and Long Island)
Amgen —New York, NY
- $145,470.70 - $196,813.30 a year
- Hybrid work
- Clean driving record
- Doctoral degree
- Computer literacy
- Disability insurance
- Health insurance
CENTER DIRECTOR
Agency HRA/DEPT OF SOCIAL SERVICES —Brooklyn, NY
- $68,214 - $127,088 a year
- Full-time
- Office
- Administrative experience
- Bachelor's degree
- Loan forgiveness
PROVIDER CREDENTIALING SPECIALIST
C2Q Health Solutions —Bronx, NY
- $75,000 - $85,000 a year
- Full-time
- Ability to walk for extended periods
- Medical office experience
- Mid-level
8d
Home Care Marketing Representative (Per Diem)
Elite Home Health Care —Brooklyn, NY
- $17 - $19 an hour
- 8 hour shift
- Background check
- Spanish
- Physical & Rehabilitation Medicine
- Health insurance
- Paid time off
Quick Apply
Sales
MetroPlusHealth —New York, NY
- $60,000 a year
- Weekends as needed
- Public speaking
- Mid-level
- 3 years
- Health insurance
Quick Apply
Sales Specialist
MetroPlusHealth —New York, NY
- $60,000 a year
- Weekends as needed
- Public speaking
- Mid-level
- 3 years
- Health insurance
Quick Apply
Sales Coordinator
MetroPlusHealth —New York, NY
- $60,000 a year
- Weekends as needed
- Public speaking
- Mid-level
- 3 years
- Health insurance
Quick Apply
Sales Representative II (Bronx/Brooklyn/Manhattan) (Must Possess Demonstrated Sales Experience)
MetroPlusHealth —New York, NY
- $60,000 a year
- Weekends as needed
- Public speaking
- Mid-level
- 3 years
- Health insurance
Quick Apply

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Medicaid Enrollment Representative

MetroPlusHealth -
Brooklyn, NY

Quick Apply

Job Details

$60,000 a year

Benefits

Health insurance

Qualifications

Customer communication
High school diploma or GED

Full Job Description

MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day.
The Sales Representative II is responsible for educating and assisting qualified individuals with purchasing affordable health insurance coverage and/or obtaining an eligibility determination for coverage in Qualified Health Plans (QHPs) and insurance affordability programs such as Medicaid and Child Health Plus (CHP) through the NY State of Health (MarketPlace). The Sales Representative II is responsible for identifying and educating prospective members that do not have health insurance and/or are looking to change coverage as well as assisting existing members with recertification and education of benefits. The Sales Representative II is tasked with performing all duties in accordance with the Affordable Care Act (ACA) as well as all other pertinent rules and regulations.

Educational/Enrollment Process

Educate and provide assistance to qualified individuals with applying for coverage through the NY State of Health Marketplace in a Qualified Health Plan (QHP) and insurance affordability programs such as Medicaid and Child Health Plus.
Assist consumers/applicants with calling the NY State of Health Customer Services Department for assistance with enrolling and/or providing verification documentation.
Conduct public education activities for consumers to raise awareness of available QHPs within the Marketplace.
Explain potential eligibility for public/governmental programs, how the federal health insurance premium tax credit and cost-sharing reductions work, and outline potential risk factor, if any, to consumers.
Describe the features and benefits of health insurance coverage, including cost-sharing mechanisms like deductibles, co-pays, co-insurance and how these work and/or affect the consumer.
Describe the different metal tiers within the Marketplace and how the benefits may change at different tiers based on the consumer's income.
Conduct presentations and participate in ACA forums and workshops upon request.
Assist consumers with submitting documents and information as required by the Marketplace via scan, fax, or mail.
Assist existing members with recertification, when applicable.
Assist consumers with the submission of premium payments when required.

Regulatory/Compliance

Securing and safeguarding confidential information to prevent Protected Health Information (PHI) from being obtained from unauthorized personnel to ensure compliance with privacy and security standards.
Provide information in a manner that is culturally and linguistically appropriate to the needs of the population being served by the Marketplace.

Participate in all trainings, updates and webinars and other forums in which information is necessary to carry out roles and responsibilities.
Mandated to meet the annual Marketplace Facilitated Enroller (MFE) recertification requirements.
Keep abreast of all industry and regulatory updates as it pertains to the ACA and Marketplace.
Maintain discretion regarding business-related files, reports, and conversations within the provisions of applicable State and Federal Statutes and regulations.

Tactical

Maintain a daily tracking tool that entails detailed rep activity.
Monitor all applications in personal dashboard to ensure timely and accurate follow through from applicants.
Conduct a daily review of personal dashboard to address and follow-up on any and/or all potential leads for consumers seeking assistance.
Maintain a consistent supply of various educational and product line collateral.
Keep abreast of all the Marketplace functionalities to effectively manage individual accounts.
Conduct a daily review of the MetroPlusHealth "Marketplus" lead management program to follow-up on all new potential enrollment leads and consumer inquiries. Record all follow-up dispositions in a timely and accurate manner.
Data enter all applicant demographic, enrollment site and PCP selection data in the required "Enrollment Program" within the MetroPlusHealth portal at the time of the initial enrollment encounter.
Must be in compliance with all conflict-of-interest standards and regulations.
All other tasks and responsibilities as may be required to satisfy the expectations of the role.
Required to work evenings and weekends.

Required Education, Training & Professional Experience

Must have a High School Diploma or GED.
Minimum of three (3) years of Sales experience required.
Prior Public Speaking experience.

Licensure and/or Certification Required

Must complete and pass the NY State of Health approved training program and become certified. Must complete all required annual recertification as an MFE

Professional Competencies

Integrity and Trust
Customer Focus
Functional/Technical skills
Written/Oral Communication

Quick Apply

Refine Your Search

medicaid customer service representative jobs in new york, ny

Medicaid Enrollment Representative

PAYMENT PROCESSING SPECIALIST

Provider Services Representative

Financial Representative

Patient Access Service Re

Call Center Representative

Patient Access Service Re

Hospital Care Investigator

Patient Access Service Re - TEMP

ELIGIBILITY AND SUPPORT SERVICES COORDINATOR

Senior Living Social Worker

Hospital Care Investigator (Provisional)

Field Reimbursement Manager - Long Island, NY ( Includes, Brooklyn, Queens and Long Island)

CENTER DIRECTOR

PROVIDER CREDENTIALING SPECIALIST

Home Care Marketing Representative (Per Diem)

Sales

Sales Specialist

Sales Coordinator

Sales Representative II (Bronx/Brooklyn/Manhattan) (Must Possess Demonstrated Sales Experience)

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