Medicaid Eligibility Advocate

HCA Healthcare • Salem, VA

1d

About The Position

The Medicaid Eligibility Advocate conducts eligibility screenings, assesses patients’ financial requirements, and counsels patients on insurance benefits and co-payments. The role serves as a liaison among patients, the hospital, and governmental agencies, and participates in all areas of case management. The position may require field visits, for which reliable personal transportation must be readily available.

The advocate screens patients for existing insurance coverage, federal and state assistance programs, and hospital charity applications. The role re-verifies benefits and obtains authorization or referrals after the treatment plan is discussed and before treatment begins. It also gathers required signatures and eligibility documentation, completes and files applications, and follows up with patients and government agency caseworkers to support timely processing.

The advocate ensures insurance, demographic, and eligibility information is accurately entered into the system; 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.

Requirements

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

Nice To Haves

• Associate’s degree preferred.
• At least 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, or 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 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.
• 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 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 services.
• 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: No Education Listed