Medicaid Eligibility Advocate

HCA Healthcare • Margate, FL

7d

About The Position

The Medicaid Eligibility Advocate conducts eligibility screenings, assesses patient financial requirements, and counsels patients about insurance benefits and co-payments. The role serves as a liaison between patients, the hospital, and governmental agencies, and participates in all areas of case management. Field visits may be required; reliable personal transportation must be readily available.

The position is with Parallon, which provides revenue cycle management services for HCA Healthcare and external clients. The schedule is Monday through Friday, 7:00 a.m. to 3:30 p.m.

Requirements

• Reliable personal transportation must be readily available for field visits as necessary.

Nice To Haves

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

Responsibilities

• Screen and evaluate patients for existing insurance coverage, federal and state assistance programs, and hospital charity applications.
• Re-verify benefits and obtain authorization and/or referrals after the treatment plan has been discussed and before treatment begins.
• Obtain required signatures on 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 required documentation.
• Ensure insurance, demographic, and eligibility information is obtained and accurately entered 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

• Medical, prescription drug, dental, vision, behavioral health, and telemedicine coverage.
• Wellbeing support, including free counseling and referral services.
• Paid time off and 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 and flexible spending accounts.
• Tuition assistance, student loan assistance, certification support, dependent scholarships, and 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: Full-time
• Career Level: Entry Level
• Education Level: Associate degree