Medicaid Eligibility Advocate - Bilingual

HCA Healthcare • Houston, TX

5d

About The Position

The Medicaid Eligibility Advocate conducts eligibility screenings, assesses patient financial requirements, and counsels patients on insurance benefits and co-payments. The role serves as a liaison between patients, the hospital, and government agencies, and participates in case management. The schedule is 11:00 a.m. to 7:30 p.m., with rotating weekends. 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

• Bilingual Spanish is preferred.
• 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, 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 forms.
• Obtain legally relevant medical evidence, physician statements, and other documentation for eligibility determinations.
• Complete and file applications.
• Follow up with patients and government agency caseworkers to support timely processing and completion of applications and accompanying 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

• 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: No Education Listed