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Medicaid Enrollment and Outreach Specialist I

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University of Rochester

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Location:
United States of America , Rochester

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Category:
Public Sector

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Contract Type:
Not provided

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Salary:

23.51 - 30.16 USD / Hour
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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 Responsibility:

  • 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
  • Benefit Management: apply for benefits via computer systems and/or paper application and may accompany or represent the patient at eligibility interviews, case conferences or fair hearings
  • Provides application assistance to patients referred by University of Rochester Health System staff through face-to-face interaction, telephone contact and home visitation for patients requiring assistance
  • 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 and external agencies
  • Monitoring Caseload, Documentation, and Reports: monitor caseload and is responsible for accurate and timely documentation in requisite systems
  • Reviews productivity reports and prepares status updates as required by management
  • Problem Resolution: Identifies barriers to securing public benefits which may impact hospital reimbursement and timely discharge
  • Consults with MEOS II, MEOS Supervisor or Manager/Assistant Director to develop, coordinate and implement plans to successfully resolve barriers
  • Exercises a moderate level of problem solving ability
  • Gathers and interprets data to address eligibility and case related issues
  • Applies independent judgment in routine situations, seeking guidance for more complex problems
  • 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
  • Safety Precautions: Exercises professional judgment to determine whether 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
  • Other duties as assigned

Requirements:

  • Bachelor's degree (preferred)
  • Limited experience with Medicaid programs
  • 1-2 years of experience in case management or related field or equivalent combination of education and experience
  • Foundational knowledge of public benefit rules and regulations (preferred)
  • Demonstrates professionalism, motivation, and strong communication (written and verbal)
  • Possesses customer service skills and the ability to work independently and solve problems in an interdisciplinary team
  • NY State of Health Certified Application Counselor (preferred)
  • Must provide and maintain a valid NYS Class 5 driver’s License

Nice to have:

  • Bachelor's degree
  • Foundational knowledge of public benefit rules and regulations
  • NY State of Health Certified Application Counselor

Additional Information:

Job Posted:
February 21, 2026

Employment Type:
Fulltime
Work Type:
On-site work
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