Medicaid Eligibility Advocate

HCA Healthcare • Trinity, FL

89d • Remote

About The Position

The Medicaid Eligibility Advocate is responsible for conducting eligibility screenings, assessment of patient financial requirements, and counseling patients on insurance benefits and co-payments. The Medicaid Eligibility Advocate is a liaison between the patient, hospital, and governmental agencies and is actively involved in all case management areas. In this role, you will screen and evaluate patients for existing insurance coverage, federal and state assistance programs, or hospital charity applications. You will re-verify benefits and obtain authorization and/or referral after the treatment plan has been discussed, prior to the initiation of treatment. You will ensure appropriate signatures are obtained on all necessary forms and obtain legally relevant medical evidence, physician statements, and all other documentation required for eligibility determination. You will complete and file applications, initiate and maintain proper follow-up with the patient and government agency caseworkers to ensure timely processing and completion of all mandated applications and accompanying documentation. You will ensure all insurance, demographic, and eligibility information is obtained and entered into the system accurately, document progress notes to the patient's file and the hospital computer system, participate in ongoing, comprehensive training programs as required, and follow policies and procedures to contribute to the efficiency of the office. You will also be required to make field visits as necessary and will need reliable personal transportation readily available.

Requirements

• Associate degree preferred.
• Minimum of one-year related experience preferred, preferably in healthcare.
• Relevant education may substitute 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 treatment plan has been discussed, prior to initiation of treatment.
• Ensure appropriate signatures are obtained on all necessary forms.
• Obtain legally relevant medical evidence, physician statements, and all other documentation required for eligibility determination.
• Complete and file applications.
• Initiate and maintain proper follow-up with the patient and government agency caseworkers to ensure timely processing and completion of all mandated applications and accompanying documentation.
• Ensure all insurance, demographic, and eligibility information is obtained and entered into the system accurately.
• Document progress notes to the patient's file and the hospital computer system.
• Participate in ongoing, comprehensive training programs as required.
• Follow policies and procedures to contribute to the efficiency of the office.
• Cover and assist with other office functions as requested.
• Make field visits as necessary.

Benefits

• Comprehensive medical coverage that covers many common services at no cost or for a low copay.
• Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
• Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
• Free counseling services and resources for emotional, physical and financial wellbeing.
• 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service).
• Employee Stock Purchase Plan with 10% off HCA Healthcare stock.
• Family support through fertility and family building benefits with Progyny and adoption assistance.
• Referral services for child, elder and pet care, home and auto repair, event planning and more.
• Consumer discounts through Abenity and Consumer Discounts.
• Retirement readiness, rollover assistance services and preferred banking partnerships.
• Education assistance (tuition, student loan, certification support, dependent scholarships).
• Colleague recognition program.
• Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence).
• Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Hospitals
• Education Level: Associate degree