Medicaid Eligibility Advocate

HCA Healthcare • Nashville, TN

3d • Remote

About The Position

The Medicaid Eligibility Advocate screens and evaluates patients for existing insurance coverage, federal and state assistance programs, and hospital charity applications. The role verifies benefits, obtains authorizations or referrals after the treatment plan is discussed and before treatment begins, and ensures required forms are signed. It gathers medical evidence and other documentation needed to determine eligibility, completes and files applications, and follows 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 and hospital records, participates in 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.

The role is listed as work from home and has a Tuesday–Saturday schedule from 11:00 a.m. to 7:00 p.m. It is part of Parallon, which provides revenue cycle management services for HCA Healthcare and external clients.

Requirements

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

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 authorization and/or referrals after the treatment plan has been discussed and before treatment begins.
• Ensure appropriate signatures are obtained on necessary forms.
• 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.
• Ensure insurance, demographic, and eligibility information is obtained and entered accurately 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

• Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health, and telemedicine services.
• Wellbeing support, including free counseling and referral services.
• Time-away programs, including paid time off, paid family leave, long- and short-term disability coverage, and leaves of absence.
• Savings and retirement resources, including a 401(k) plan with a 100% match on 3% to 9% of pay based on years of service, an Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support, and financial wellbeing counseling.
• Education support through tuition assistance, student loan assistance, certification support, dependent scholarships, and a partnership with Galen College of Nursing.
• Additional benefits for fertility and family building, adoption assistance, life insurance, 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: No Education Listed