Medicaid Eligibility Advocate

HCA•Hopewell, VA

37d

About The Position

The Medicaid Eligibility Advocate is responsible for conducting eligibility screenings, assessment of patient financial requirements, and counseling patients on insurance benefits and co-payments. The Medicaid Eligibility Advocate is a liaison between the patient, hospital, and governmental agencies and is actively involved in all case management areas. In this role you will: Screen and evaluate patients for existing insurance coverage, federal and state assistance programs, or hospital charity applications. Re-verifies benefits and obtains authorization and/or referral after treatment plan has been discussed, prior to initiation of treatment. Ensures appropriate signatures are obtained on all necessary forms. Obtain legally relevant medical evidence, physician statements and all other documentation required for eligibility determination. Complete and file applications. Initiate and maintain proper follow-up with the patient and government agency caseworkers to ensure timely processing and completion of all mandated applications and accompanying documentation. 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. Participates in ongoing, comprehensive training programs as required. Follows policies and procedures to contribute to the efficiency of the office. Covers and assists with other office functions as requested. Will be required to make field visits as necessary and will need reliable personal transportation readily available.

Requirements

Associate degree preferred
Minimum of one-year related experience preferred, preferably in healthcare.
Relevant education may substitute experience requirements.

Responsibilities

Screen and evaluate patients for existing insurance coverage, federal and state assistance programs, or hospital charity applications.
Re-verifies benefits and obtains authorization and/or referral after treatment plan has been discussed, prior to initiation of treatment.
Ensures appropriate signatures are obtained on all necessary forms.
Obtain legally relevant medical evidence, physician statements and all other documentation required for eligibility determination.
Complete and file applications.
Initiate and maintain proper follow-up with the patient and government agency caseworkers to ensure timely processing and completion of all mandated applications and accompanying documentation.
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.
Participates in ongoing, comprehensive training programs as required.
Follows policies and procedures to contribute to the efficiency of the office.
Covers and assists with other office functions as requested.
Will be required to make field visits as necessary and will need reliable personal transportation readily available.

Benefits

Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
Free counseling services and resources for emotional, physical and financial wellbeing
401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
Employee Stock Purchase Plan with 10% off HCA Healthcare stock
Family support through fertility and family building benefits with Progyny and adoption assistance.
Referral services for child, elder and pet care, home and auto repair, event planning and more
Consumer discounts through Abenity and Consumer Discounts
Retirement readiness, rollover assistance services and preferred banking partnerships
Education assistance (tuition, student loan, certification support, dependent scholarships)
Colleague recognition program
Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.