Medicaid Eligibility Advocate - PT - Weekends

HCA Healthcare • Wichita, KS

7d

About The Position

The Medicaid Eligibility Advocate conducts eligibility screenings, assesses patients’ financial requirements, and counsels patients about insurance benefits and co-payments. The advocate acts as a liaison among patients, the hospital, and governmental agencies and participates in case management.

The role screens and evaluates patients for existing insurance coverage, federal and state assistance programs, and hospital charity applications. It also re-verifies benefits and obtains authorizations or referrals after the treatment plan is discussed and before treatment begins. The advocate gathers required signatures, medical evidence, physician statements, and other eligibility documentation; completes and files applications; and follows up with patients and government agency caseworkers to help ensure applications and supporting documents are processed on time.

The advocate obtains and accurately enters insurance, demographic, and eligibility information, documents progress notes in patient files and the hospital computer system, participates in ongoing 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

• Reliable personal transportation readily available for necessary field visits.

Nice To Haves

• Associate’s degree preferred.
• At least 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, and hospital charity applications.
• Re-verify benefits and obtain authorizations or referrals after the treatment plan is discussed and before treatment begins.
• Ensure that all necessary forms are signed.
• Obtain legally relevant medical evidence, physician statements, and other documentation needed for eligibility determinations.
• Complete and file applications.
• Follow up with patients and government agency caseworkers to support timely processing and completion of applications and required 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.
• Follow policies and procedures to contribute to office efficiency.
• Cover and assist with other office functions as requested.
• Make field visits as necessary.

Benefits

• Medical, prescription drug, dental, vision, behavioral health, and telemedicine services.
• 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.

What This Job Offers

• Job Type: Part-time
• Education Level: No Education Listed