Medicaid Enroll&Outrch Spc I

Company: University of Rochester
Location: Rochester
Posted on: April 24, 2025

Job Description:

As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive.

**Job Location (Full Address):**

601 Elmwood Ave, Rochester, New York, United States of America, 14642

**Opening:**

Worker Subtype:

Regular

Time Type:

Full time

Scheduled Weekly Hours:

40

Department:

500169 Financial Case Management

Work Shift:

UR - Day (United States of America)

Range:

UR URCA 207 H

Compensation Range:

$23.51 - $30.16

_The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations._

**Responsibilities:**

GENERAL PURPOSE:

Counsels, guides, advises and provides outreach services to patients requiring public benefits including; Medicaid, Child Health Plus, NYS Marketplace Exchange or other public entitlements. Accountable for coordinating all activities and necessary documentation needed to secure appropriate benefits. Resolves complex problems related to this process. Shares expert public benefits knowledge by providing consultation to physicians, social workers and other Health System staff whose patients require benefit assistance for payment and discharge planning. Demonstrates ICARE values. This role may have the option to work a Hybrid-remote schedule and communicates daily through virtual meetings.

**ESSENTIONAL DUTIES**

**SUPERVISION AND DIRECTION EXERCISED:**

Self-directed: must make complex decisions independently. Seeks assistance from MEOS II, MEOS Supervisor, or Department Manager. Responsible to prioritize, monitor and resolve caseload in a timely fashion. Provides information and direction regarding public benefits to other areas of the University of Rochester Health Systems.

**MACHINES AND EQUIPMENT USED:**

Standard office equipment, including but not limited to: telephone, pneumatic tube system, personal computer, printer, photo copier, fax machine, hospital financial system, electronic third-party payer systems, page system, document scanner, automobile and gas pump.

**TYPICAL DUTIES:**

**Benefit Management:** Provides outreach services to patients referred by University of Rochester Health System staff through face to face interaction, telephone contact and home visitation for patients requiring assistance with benefit application. MEOS I applies for benefits via computer systems and/or paper application and may accompany or represent the patient at eligibility interviews, case conferences or fair hearings (25%) essential.

**Referral Coordination:** Responsible for assessing referrals to determine eligibility for potential benefits and develops a plan of action to secure each. Communicates, coordinates and develops professional relationships with internal departments: Health Insurance Counseling, Social Work, Patient Financial Services, Financial Assistance Program, RIM, Office of Counsel and Clinicians. External coordination includes families, community physicians, Department of Social Services, NY State of Health, Social Security, Veterans' Administration, Homeland Security, advocacy groups and other agencies. (25%) essential

**Problem Resolution:** Identifies barriers to securing public benefits which may impact hospital reimbursement and timely discharge. Consults with MEOS II, MEOS Supervisor or Manager to develop, coordinate and implement plans to successfully resolve barriers. (20%) essential

**Monitoring Caseload, Documentation and Reports** : MEOS I monitors caseload and is responsible for accurate and timely documentation in requisite systems: Financial Assistance Module (FAM), EPIC, NY State of Health (NYSOH) on-line Portal and OnBase scanning. MEOS I reviews productivity reports and prepares status updates as required by management. (25%) essential

**Continuing Education:** Attends seminars and reviews Federal and N.Y. State regulations, UR Medicine mandatory training requirements, NYSOH Marketplace Certified Application Counselor Seminars and literature to maintain expert knowledge of public benefit programs. (3%) essential

**Safety Precautions:** Exercises professional judgment to determine whether or not a home visit is a safety risk. Keeps direct supervisor advised of planned visits and takes appropriate safety precautions. Operates a motor vehicle for outreach purposes. Ensures all safety precautions are taken during vehicle operation. Adheres to safety precautions involving mask, gown and glove usage (2%) essential

**QUALIFICATIONS:**

+ Bachelor's degree in Psychology, Sociology, Social Work or Business Administration and 1 - 2 years related experience such as a Medicaid Eligibility Examiner or Medicaid Eligibility Supervisor;

+ or an equivalent combination of education and experience.

+ Knowledge of public benefit rules and regulations preferred. Requires a high degree of professionalism; must be motivated, an excellent communicator and writer, possesses customer service skills and the ability to work independently in an interdisciplinary team environment.

+ Must provide and maintain a valid NYS Class 5 driver's license.

+ NYSOH CAC certification preferred but not required.

**NOTE:** **This document describes typical duties and responsibilities and is not intended to limit management from assigning other work as required.**

The University of Rochester is committed to fostering, cultivating, and preserving an inclusive and welcoming culture to advance the University's Mission to Learn, Discover, Heal, Create - and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion/creed, sex, sexual orientation, citizenship status, or any other characteristic protected by federal, state, or local law (Protected Classes). This commitment extends to non-discrimination in the administration of our policies, admissions, employment, access, and recruitment of candidates for all persons consistent with our values and based on applicable law.

Notice: If you are a **Current** **Employee,** please **log into myURHR** to search for and apply to jobs using the Jobs Hub. Your application, if submitted using this portal, cannot be moved forward.

**Learn. Discover. Heal. Create.**

Located in western New York, Rochester is our namesake and our home. One of the world's leading research universities, Rochester has a long tradition of breaking boundaries-always pushing and questioning, learning and unlearning. We transform ideas into enterprises that create value and make the world ever better.

If you're looking for a career in higher education or health care, the University of Rochester may offer the perfect opportunity for your background and goals

At the University of Rochester, we commit to diversity, equity, and inclusion and united by a strong commitment to be ever better-Meliora. It is an ideal that informs our shared mission to ensure all members of our community feel safe, respected, included, and valued.

Keywords: University of Rochester, Tonawanda , Medicaid Enroll&Outrch Spc I, Other , Rochester, New York