Bilingual Medicaid Eligibility Advocate

HCA Healthcare•Bradenton, FL

About The Position

The Bilingual Medicaid Eligibility Advocate conducts eligibility screenings, assesses patients’ financial requirements, and counsels patients about insurance benefits and co-payments. The role serves as a liaison between patients, hospitals, and governmental agencies and is actively involved in case management. The position may require field visits and reliable personal transportation. The advocate screens and evaluates patients for existing insurance coverage, federal and state assistance programs, and hospital charity applications. The role re-verifies benefits and obtains authorizations or referrals after the treatment plan is discussed and before treatment begins. It also involves obtaining required signatures and medical evidence, completing and filing applications, and following up with patients and agency caseworkers to support timely processing. The advocate ensures insurance, demographic, and eligibility information is accurately entered into the system; 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.

Requirements

Bilingual skills are needed.
Reliable personal transportation must be readily available for required field visits.

Nice To Haves

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

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 referral after the treatment plan has been discussed and before treatment begins.
Ensure appropriate signatures are obtained on necessary forms.
Obtain legally relevant medical evidence, physician statements, and other documentation required for eligibility determination.
Complete and file applications.
Follow up with patients and government agency caseworkers to ensure timely processing and completion of applications and supporting documentation.
Ensure insurance, demographic, and eligibility information is obtained and entered accurately into the system.
Document progress notes in the patient’s file 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 medical, prescription drug, dental, vision, behavioral health, and telemedicine benefits.
Wellbeing support, including free counseling and referral services.
Paid time off, paid family leave, long- and short-term disability coverage, and leaves of absence.
401(k) plan with a 100% match on 3% to 9% of pay, based on years of service.
Employee Stock Purchase Plan.
Flexible spending accounts.
Preferred banking partnerships, retirement readiness tools, rollover support, and financial wellbeing counseling.
Tuition assistance, student loan assistance, certification support, dependent scholarships, and a partnership with Galen College of Nursing.
Fertility and family-building benefits and adoption assistance.
Life insurance and supplemental health protection plans.
Auto and home insurance, legal counseling, identity theft protection, and consumer discounts.