Medicaid Services Coordinator at Palm Medical Centers

Brownsville, Florida, United States -

Full Time

Start Date

Immediate

Expiry Date

13 Jun, 26

Salary

0.0

Posted On

15 Mar, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Eligibility Determination, Case Coordination, Client Advocacy, Application Assistance, Medicaid Policies, DCF ACCESS System, HIPAA Compliance, Community Outreach, Performance Tracking, Customer Service, Case Management Software, MS Office, Verbal Communication, Written Communication, Culturally Competent Service, Document Management

Industry

Medical Practices

Description

The Medicaid Services Coordinator provides eligibility determination, application assistance, case coordination, outreach, and client advocacy for individuals and families seeking Medicaid and related benefits through Florida’s ACCESS system. Serve as the local DCF ACCESS point of contact, ensure timely processing, maintain compliance with state and federal rules, and coordinate with community partners and providers. Key responsibilities Screen applicants for Medicaid, Medicaid Managed Care, Long-Term Care/Medicaid Waivers, SNAP, TANF, and other benefits; determine initial eligibility and refer complex cases. Assist clients with ACCESS Florida online applications, document uploads, renewals, and re-determinations; provide in-person, phone, and virtual support. Prepare, review, and submit eligibility documentation; verify identity, income, residency, assets, and medical needs as required by Florida rules. Enter and update case information accurately in the ACCESS/DCF case management systems; maintain confidentiality and records per HIPAA and state regulations. Educate clients and families about program rules, benefits, client rights, appeal procedures, and enrollment in Medicaid managed care plans. Conduct outreach and community education (workshops, tabling, presentations) to increase awareness of Medicaid and DCF services. Track performance metrics (timely application processing, caseload, approvals, denials, appeals) and prepare routine reports. Maintain up-to-date knowledge of Florida Medicaid policies, DCF ACCESS procedures, and federal regulatory changes. Provide culturally competent service in English and Spanish (preferred), and accommodate language or disability-related needs. Minimum qualifications 2+ years’ experience in public benefits eligibility, case management, social services, or healthcare coordination (Medicaid experience highly preferred). Familiarity with Florida Medicaid policies, DCF ACCESS Florida portal, and Medicaid Managed Care processes. Strong knowledge of community resources, long-term care services, and the referral network in Miami–Dade County. Proficiency with case management software, MS Office, and electronic document management. Excellent verbal and written communication, interpersonal, and customer-service skills. Valid Florida driver’s license and ability to travel within Miami–Dade County as needed. Preferred qualifications Eligibility Specialist certification, or relevant state certification. Bilingual (Spanish/English) fluency. Experience working with aging adults, people with disabilities, or behavioral health populations. Knowledge of HIPAA and confidentiality best practices. Performance metrics / goals (examples) Application processing and submission accuracy rate. Average time from application to eligibility determination. Client satisfaction and outreach numbers. Successful referrals to community services and managed care enrollment rates. Schedule: 8 hour shift Day shift Monday to Friday No weekends Work Location: In person Palm Medical Centers is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws. This policy applies to all employment practices within our organization, including hiring, recruiting, promotion, termination, layoff, recall, leave of absence, compensation, benefits, training, and apprenticeship. Palm Medical Centers makes hiring decisions based solely on qualifications, merit, and business needs at the time.

Responsibilities

The coordinator determines eligibility and assists clients with applications, renewals, and re-determinations for Medicaid and related benefits through Florida's ACCESS system. Responsibilities also include serving as the local DCF ACCESS point of contact, ensuring compliance, and coordinating with community partners.