Medicaid Eligibility Advocate

HCA Healthcare • Richmond, VA

94d

About The Position

As a Medicaid Eligibility Advocate with Parallon at Chippenham Hospital, you will be part of an organization devoted to giving back to the community. The role involves conducting eligibility screenings, assessing patient financial requirements, and counseling patients on insurance benefits and co-payments. You will act as a liaison between the patient, hospital, and governmental agencies, actively participating in all case management areas.

Requirements

• Associate degree preferred.
• Minimum of one-year related experience preferred, preferably in healthcare.
• Relevant education may substitute 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 treatment plan has been discussed, prior to initiation of treatment.
• Obtain legally relevant medical evidence, physician statements, and all other documentation required for eligibility determination.
• Complete and file applications, initiating and maintaining proper follow-up with the patient and government agency caseworkers to ensure timely processing.
• Ensure all insurance, demographic, and eligibility information is obtained and entered into the system accurately.
• Document progress notes to the patient's file and the hospital computer system.
• Participate in ongoing, comprehensive training programs as required.
• Follow policies and procedures to contribute to the efficiency of the office.
• Cover and assist with other office functions as requested.
• Make field visits as necessary and have reliable personal transportation readily available.

Benefits

• Comprehensive medical coverage with low copay options.
• Dental and vision benefits.
• Life and disability coverage.
• Flexible spending accounts.
• Supplemental health protection plans.
• 401(k) Plan with a 100% match on 3% to 9% of pay.
• Employee Stock Purchase Plan with 10% off HCA Healthcare stock.
• Family support through fertility and family building benefits.
• Referral services for child, elder, and pet care.
• Consumer discounts through Abenity.
• Education assistance including tuition and student loan support.
• Colleague recognition program.
• Paid time off and paid family leave.
• Employee Health Assistance Fund offering free coverage based on income.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Hospitals
• Education Level: Associate degree