Medicaid Eligibility Advocate

HCA Healthcare • Asheville, NC

2d

About The Position

The Medicaid Eligibility Advocate conducts eligibility screenings, assesses patients’ financial requirements, and counsels patients on insurance benefits and co-payments. The advocate serves as a liaison between patients, the hospital, and governmental agencies and is actively involved in case management.

The role includes screening patients for existing insurance coverage, federal and state assistance programs, and hospital charity applications; verifying benefits and obtaining authorizations or referrals before treatment begins; collecting required signatures and documentation; completing and filing applications; and following up with patients and government agency caseworkers to support timely processing. The advocate also obtains and accurately enters insurance, demographic, and eligibility information, documents progress in patient files and the hospital computer system, participates in required training, follows office policies and procedures, and assists with other office functions as requested. Field visits may be required, and reliable personal transportation must be readily available.

Requirements

• Reliable personal transportation must be readily available for field visits as necessary.
• Relevant education may substitute for the experience requirement.

Nice To Haves

• Associate’s degree preferred.
• Minimum one year of related experience preferred, preferably in healthcare.

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 referral after the treatment plan has been discussed and before treatment begins.
• Ensure that required forms have appropriate signatures.
• 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 accompanying documentation.
• Obtain and accurately enter insurance, demographic, and eligibility information into the system.
• Document progress notes in the patient’s file 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, 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: Full-time
• Career Level: Entry Level
• Education Level: Associate degree