About The Position

The Medicaid Eligibility Advocate conducts eligibility screenings, assesses patients’ financial requirements, and counsels patients about insurance benefits and co-payments. The role serves as a liaison between patients, the hospital, and governmental agencies, and participates in case management. It is a part-time position scheduled for Saturdays and Sundays from 11:00 a.m. to 7:30 p.m. Field visits may be necessary, so reliable personal transportation must be readily available.

Requirements

  • Reliable personal transportation 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 experience.

Responsibilities

  • Screen and evaluate patients for existing insurance coverage, federal and state assistance programs, and hospital charity applications.
  • Re-verify benefits and obtain authorization or referrals after the treatment plan has been discussed and before treatment begins.
  • Obtain required signatures on forms.
  • Obtain medically relevant evidence, physician statements, and other documentation needed for eligibility determinations.
  • Complete and file applications.
  • Follow up with patients and government agency caseworkers to ensure timely processing and completion of applications and supporting 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 plans.
  • 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 and flexible spending accounts.
  • 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.
  • Preferred banking partnerships, retirement readiness tools, rollover support, and financial wellbeing counseling.
  • Auto and home insurance, legal counseling, identity theft protection, and consumer discounts.
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