Medicaid Eligibility Advocate - PT - Weekends only

HCA Healthcare • San Antonio, TX

6d

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.

The advocate screens and evaluates patients for existing insurance coverage, federal and state assistance programs, and hospital charity applications. They re-verify benefits and obtain authorization or referrals after the treatment plan is discussed and before treatment begins. The role also obtains signatures and documentation needed for eligibility determinations, completes and files applications, and follows up with patients and government agency caseworkers to support timely processing.

The advocate ensures insurance, demographic, and eligibility information is accurately entered into the system; documents progress in patient files and the hospital computer system; participates in ongoing training; follows office policies and procedures; and assists with other office functions as requested. Field visits may be necessary, and reliable personal transportation must be readily available.

This is a part-time weekend position scheduled Saturdays and Sundays from 10:00 a.m. to 7:30 p.m.

Requirements

• Reliable personal transportation readily available for necessary field visits.
• One year of related experience is preferred, preferably in healthcare; relevant education may substitute for the experience requirement.

Nice To Haves

• Associate’s degree preferred.
• Related experience, preferably in healthcare.

Responsibilities

• Screen and evaluate patients for existing insurance coverage, federal and state assistance programs, and 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 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 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 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: Part-time
• Education Level: No Education Listed