Medicaid Eligibility Advocate

HCA Healthcare•Largo, FL

2d•Onsite

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 case management activities. The advocate screens patients for existing insurance coverage, federal and state assistance programs, and hospital charity applications; verifies benefits and obtains authorizations or referrals; obtains required signatures and supporting medical documentation; and completes and files applications. The role also follows up with patients and government agency caseworkers to support timely application processing, enters insurance, demographic, and eligibility information into the system, and documents progress in patient files and the hospital computer system. The position is onsite, Monday through Friday, 8:00 a.m. to 4:30 p.m. Field visits may be required, and reliable personal transportation must be readily available. The advocate participates in ongoing training, follows office policies and procedures, and assists with other office functions as requested.

Requirements

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

Nice To Haves

Associate degree preferred.
Minimum of one year of related Medicaid or disability claims experience preferred, preferably in healthcare.
Relevant education may substitute for experience requirements.

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.
Ensure appropriate signatures are obtained on necessary forms.
Obtain legally relevant 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 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 coverage.
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.
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.