Medicaid Eligibility Advocate

HCA Healthcare • Nashville, TN

8d

About The Position

The Medicaid Eligibility Advocate conducts eligibility screenings, assesses patients’ financial requirements, and counsels patients about insurance benefits and co-payments. The advocate serves as a liaison among patients, the hospital, and government agencies, and participates in case management. The role includes screening patients for insurance, federal and state assistance programs, and hospital charity applications; verifying benefits and obtaining authorizations or referrals; collecting signatures and eligibility documentation; completing applications; following up with patients and government caseworkers; and accurately recording information and progress notes. The advocate also participates in required training, follows office policies and procedures, assists with other office functions, and makes field visits when necessary. Reliable personal transportation must be readily available.

This position is with Parallon, which provides revenue cycle management services for HCA Healthcare and external clients. The stated schedule is Saturday and Sunday, 10:00 a.m. to 6:30 p.m.

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 referral after the treatment plan has been discussed and before treatment begins.
• Ensure that appropriate signatures are obtained on necessary forms.
• Obtain medical evidence, physician statements, and other documentation required 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 in the system.
• Document progress notes in patient files and the hospital computer system.
• Participate in required ongoing 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 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.

What This Job Offers

• Job Type: Full-time
• Education Level: Associate degree