The primary purpose of the Medicaid Eligibility Coordinator is to assist potential PACE CNY participants and families in the application process for Medicaid. This is a supportive role to the Intake Department to ensure that we have all appropriate documentation and forms for the Medicaid application.

Job duties specific to this position:

• Search potential participants in e-PACE, run an eMedNY to determine type of Medicaid examples: chronic, community, mainstream, etc if they have a Medicaid CIN.
• Coordinate the Medicaid application process for participants by working directly with the RN Intake Specialists or Intake Screener, maintaining ongoing communication, and providing status updates to the Director of Intake & Marketing.
• Responsible for maintaining a log of Medicaid Eligibility.
• Work with potential PACE participants over the phone and in person to go over required Medicaid documents.
• Make home visits to acquire required documentation.
• Travel to locations within Onondaga County to obtain documents, if necessary.
• Meet or exceed deadlines of the department by uploading documentation to the Loretto/PACE Admissions Finance Manager. Sometimes delivery of hard copies to the Loretto Finance Braun Building.
• Demonstrates adherence to all compliance policies and procedures.
• Other duties as assigned.
• INDPRO

• Associates degree in Public Health, Human Resources – Benefits, Business or other related field.

• High School Diploma or equivalent required.
• Minimum of 1-2 year’s experience working with special needs or elderly population preferred.
• Must have a reliable vehicle and valid driver’s license.
• Responsible “self-starter” who keeps commitments to deadlines.
• Must be action-oriented, be participant (customer) focused, have flexibility to adapt to ongoing change and good organizational and time management skills.
• Knowledge of the Medicaid system and benefits; have experience in Medicaid operations and understand financial assets such as bank accounts, IRAs, life insurance.
• Clearance of a background check.

An equivalent combination of education and experience which provides proficiency in the areas of responsibility listed above may be substituted for the above education and experience requirements.

Physical Requirements    

Walking                       40.00%

Standing                      25.00% 

Sitting                          20.00%

Lifting                          15.00% up to 50 lbs.

• Excellent medical, dental, prescription and vision insurance
• Disability coverage
• Tuition Reimbursement Program
• 401(k) Retirement/Pension Plans
• Discounted Gym Membership
• Free Loretto Health Clinic Visits
• Generous Paid Time-Off Accrual
• Fun events for employees
• Convenient locations with free parking
• Employee Coaches - to help you achieve life goals
• Diaper Assistance Program
• Opportunity for career growth and movement within 19 sites!