Medicaid Eligibility Advocate - PT - weekends Only

HCA Healthcare•McAllen, TX

About The Position

The Medicaid Eligibility Advocate screens patients for insurance coverage, federal and state assistance programs, and hospital charity applications. The role assesses patients’ financial requirements and counsels them about insurance benefits and co-payments. It serves as a liaison among patients, the hospital, and government agencies, and participates in case-management activities. The advocate verifies benefits and obtains authorizations or referrals after the treatment plan is discussed and before treatment begins. The role gathers required signatures, medical evidence, physician statements, and other documentation; completes and files applications; and follows up with patients and government caseworkers to support timely processing. It also ensures insurance, demographic, and eligibility information is accurately entered into the system and documents progress in patient files and the hospital computer system. This is a part-time, weekends-only position scheduled from 11:00 a.m. to 7:30 p.m. Field visits may be necessary, and reliable personal transportation must be readily available. The advocate also participates in ongoing training, follows office policies and procedures, and assists with other office functions as requested.

Requirements

Reliable personal transportation must be readily available.
Part-time availability on weekends, from 11:00 a.m. to 7:30 p.m.

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, and hospital charity applications.
Re-verify benefits and obtain authorizations or referrals after the treatment plan has been discussed and before treatment begins.
Obtain required signatures on necessary forms.
Obtain legally relevant medical evidence, physician statements, and other documentation for eligibility determinations.
Complete and file applications.
Follow up with patients and government agency caseworkers to support timely processing and completion of applications and accompanying 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 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.