Medicaid Eligibility Advocate - PT - weekends Only

HCA Healthcare•Pasadena, TX

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 among patients, the hospital, and governmental agencies and participates in case management. The schedule is part-time, weekends only, from 11:00 a.m. to 7:30 p.m. The advocate screens patients for existing insurance coverage, federal and state assistance programs, and hospital charity applications. The role gathers documentation for eligibility determinations, completes and files applications, follows up with patients and government agency caseworkers, and ensures insurance, demographic, and eligibility information is accurately recorded. Field visits may be necessary, and reliable personal transportation must be readily available.

Requirements

Reliable personal transportation readily available for necessary field visits.

Nice To Haves

Associate’s degree preferred.
Minimum 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.
Ensure all necessary 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 required documentation.
Obtain and accurately enter insurance, demographic, and eligibility information into the system.
Document progress notes in the patient file and 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.