Medicaid Screener
Annual Salary: $51,500
Position Summary
The Medicaid Screener is an administrative and client facing position designed to identify potential recipients for Medicaid services. The position will play a vital role in the pilot implementation of Medicaid services for the agency. The position will work closely with already enrolled Peaceprints clients to identify additional Medicaid services available to them.
Essential Functions
- Provide empathetic and culturally competent screening for social determinants of health to community members telephonically, virtually and/or in-person.
- Process screens and referral intake daily including calls with potential program participants, documentation, and insurance/eligibility verification.
- Receive, prioritize, monitor, and triage screenings and referrals that require service connections across community-based and organizations.
- Managing incoming referrals received to ensure successful and timely connections are made between clients (community members) and the appropriate community partner that best meets community members' needs.
- Document progress and action taken with each referral and every interaction in the WNY Integrated Care IT platform, as required.
- Conduct In-Home Assessments with community members
- Maintain effective communication with community members and/or referring organizations to ensure acceptance and resolution of referrals by the receiving organization or to redirect the referral to another provider, if necessary.
- Handle customer questions and concerns with excellent customer service, empathy, and patience.
- Attend WNY Integrated Care Screening/Navigation Workgroup.
- Demonstrates excellent customer service on phone, in-person, via email and in all aspects.
- This position is responsible for working within WNY Integrated Care social care technology and transportation platforms.
- Seek look for opportunities to enhance and simplify the user experience.
- Position will be required to abide by policies and procedures that support federal, state and local HIPAA and Fraud, Waste, Abuse regulations.
- In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States.
- All other duties as assigned.
Qualifications
- Experience providing care coordination, care management, or community-based client services; or Community Health Worker certification
- Successful experience working in community, healthcare, public health, non-profit, or similar operations.
- Capacity to inspire and motivate others
- Extremely detailed-oriented and capable of multitasking
- Proficient computer skills and willingness to learn additional software applications
- Experience with HIPAA regulations is preferred.
- Ability to relate effectively to diverse groups of people from all social and economic segments of the community with a track record of building authentic, constructive relationships with others.
Knowledge, Skills, and Abilities
- Appreciation and understanding of Peaceprints of WNY’s mission and vision
- Professional and friendly demeanor always
- Strong communication and writing skills
- Strong organizational skills
- Financial organizational skills
- Working knowledge of Microsoft Office, Outlook and Internet
Physical Requirements
The physical demands are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Work time may be evenly split between office settings or outside meetings. Local travel is required. Light physical effort in an office environment.
- Frequent computer use.
- Primarily sedentary work with occasional bending and reaching.
- Maintain a high energy level; comfortable performing multi-faceted projects in conjunction with day-to-day activities.
- Regularly required to speak clearly and hear the spoken word as well.
- Regularly required to read and write clearly.
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