Job Description
Job Description
Bilingual Eligibility Coordinator - Medicare & Medicaid (Enrollment Support)
**NEEDS STRONG EXCEL EXPERIENCE**
A healthcare organization is seeking a detail-oriented and highly organized Eligibility Coordinator to support the Eligibility Team in confirming pre-enrollment Medicare and Medicaid eligibility and assisting with enrollment processing for Medicare products. This role plays a critical part in ensuring accurate member enrollment and compliance with regulatory standards.
Position Summary
The Eligibility Coordinator is responsible for verifying Medicare and Medicaid eligibility prior to enrollment and supporting the accurate processing of enrollment and disenrollment transactions. This position requires strong attention to detail, data integrity, and the ability to manage multiple systems and documentation processes efficiently.
Essential Responsibilities
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Accurately input enrollment and disenrollment information into internal databases
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Confirm pre-enrollment Medicare and Medicaid eligibility for applicants
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Maintain the integrity, confidentiality, and security of sensitive member data
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Enter notifications into multiple internal systems as required
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Organize and manage documentation, including enrollment forms and Medicare/Medicaid clearance documentation
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Download and upload documents into various electronic systems
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Assist with reviewing Medicare enrollment and disenrollment letters for accuracy
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Support the Eligibility Unit with special projects and additional tasks as needed
Qualifications & Competencies
Industry Knowledge
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Understanding of healthcare provider services and payment models
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Familiarity with Medicare and Medicaid eligibility processes is strongly preferred
Core Competencies
Planning & Organizing
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Ability to set goals, prioritize tasks, and manage timelines effectively
Problem Analysis
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Strong analytical skills to identify discrepancies, interpret data, and resolve issues
Coordinating & Resource Management
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Efficiently manage documents, systems, and workflow processes
Integrity & Accountability
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Demonstrates reliability, professionalism, and adherence to compliance standards
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Takes ownership of responsibilities and self-corrects when needed
Communication Skills
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Strong written and verbal communication skills
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Ability to interact effectively with senior leadership, providers, and regulatory agencies
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Facilitates clear and professional communication across teams
For California Applicants:
We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO) , and the California Fair Chance Act (CFCA).
This position is subject to a background check based on its job duties, which may include patient care, working with vulnerable populations, access to financial and confidential information, driving, working with heavy machinery, or working in a warehouse or laboratory environment. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.
Company DescriptionHere at Medix, we are dedicated to providing workforce solutions to clients throughout multiple industries. We have been named among the Best and Brightest Companies to Work For in the Nation for two consecutive years. Medix has also been ranked as one of the fastest growing companies by Inc. Magazine.
Our commitment to our core purpose of positively impacting 20,000 lives affects not only the way we interact with our clients and talent, but also with our co-workers! The goal is lofty, but it is made attainable through the hard work and dedication of our teams and their willingness to lock arms together. Are you ready to lock arms with us?
Company Description
Here at Medix, we are dedicated to providing workforce solutions to clients throughout multiple industries. We have been named among the Best and Brightest Companies to Work For in the Nation for two consecutive years. Medix has also been ranked as one of the fastest growing companies by Inc. Magazine.\r\n\r\nOur commitment to our core purpose of positively impacting 20,000 lives affects not only the way we interact with our clients and talent, but also with our co-workers! The goal is lofty, but it is made attainable through the hard work and dedication of our teams and their willingness to lock arms together. Are you ready to lock arms with us?