Bilingual Medicaid Eligibility Advocate

HCA Healthcare • Aurora, CO

5d

About The Position

The Bilingual Medicaid Eligibility Advocate conducts eligibility screenings, assesses patients’ financial requirements, and counsels patients on insurance benefits and co-payments. The advocate serves as a liaison between patients, the hospital, and governmental agencies and participates in all areas of case management.

The role includes screening and evaluating patients for existing insurance coverage, federal and state assistance programs, and hospital charity applications. The advocate re-verifies benefits and obtains authorization or referrals after the treatment plan is discussed and before treatment begins. The position also involves obtaining required signatures and documentation, completing and filing applications, and following up with patients and government agency caseworkers to help ensure timely processing.

The advocate gathers and accurately enters insurance, demographic, and eligibility information; documents progress in patient files and the hospital computer system; participates in required training; follows office policies and procedures; and assists with other office functions as requested. Field visits may be necessary, and reliable personal transportation must be readily available.

Requirements

• Bilingual skills are highly necessary.
• Reliable personal transportation must be readily available for field visits as necessary.

Nice To Haves

• Associate’s degree preferred.
• Minimum one year of related experience preferred, preferably in healthcare; relevant education may substitute for experience.

Responsibilities

• Screen and evaluate patients for existing insurance coverage, federal and state assistance programs, or hospital charity applications.
• Re-verify benefits and obtain authorization and/or referrals after the treatment plan has been discussed and before treatment begins.
• Obtain signatures on all necessary forms.
• Obtain legally relevant medical evidence, physician statements, and other documentation required for eligibility determinations.
• Complete and file applications.
• Follow up with patients and government agency caseworkers to support timely processing and completion of applications and accompanying documentation.
• Obtain and accurately enter insurance, demographic, and eligibility information into the system.
• Document progress notes in patient files and the hospital computer system.
• Participate in ongoing, comprehensive training programs as required.
• Follow policies and procedures to contribute to office efficiency.
• Cover and assist with other office functions as requested.
• Make field visits as necessary.

Benefits

• Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health, and telemedicine services.
• Wellbeing support, including free counseling and referral services.
• Time-away-from-work programs, including paid time off, paid family leave, long- and short-term disability coverage, and leaves of absence.
• Savings and retirement resources, including a 401(k) plan with a 100% match on 3% to 9% of pay, based on years of service; an Employee Stock Purchase Plan; flexible spending accounts; preferred banking partnerships; retirement readiness tools; rollover support; and financial wellbeing counseling.
• Education support through tuition assistance, student loan assistance, certification support, dependent scholarships, and a partnership with Galen College of Nursing.
• Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection, and consumer discounts.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed