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HCA Healthcare · 10 hours ago

Medicaid Eligibility Advocate

Palestine, TX

Full-time

Onsite

Entry Level

1+ years exp

HCA Healthcare is an organization that invests in its team members, and they are seeking a Medicaid Eligibility Advocate. The role involves conducting eligibility screenings, assessing patient financial requirements, and counseling patients on insurance benefits and co-payments.

BiotechnologyHealth CareHospitalMedicalPrimary and Urgent Care

Responsibilities

Screen and evaluate patients for existing insurance coverage, federal and state assistance programs, or hospital charity applications

Re-verifies benefits and obtains authorization and/or referral after treatment plan has been discussed, prior to initiation of treatment. Ensures 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

Participates in ongoing, comprehensive training programs as required

Follows policies and procedures to contribute to the efficiency of the office. Covers and assists with other office functions as requested

Will be required to make field visits as necessary and will need reliable personal transportation readily available

Qualification

Eligibility screeningsPatient financial assessmentInsurance benefits counselingHealthcare experienceCommunication skillsOrganizational skillsTeam collaboration

Required

Conduct eligibility screenings and assessment of patient financial requirements

Counsel patients on insurance benefits and co-payments

Serve as a liaison between the patient, hospital, and governmental agencies

Actively involved in all areas of case management

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 and have reliable personal transportation readily available

Preferred

Associate's degree preferred

Minimum one-year related experience preferred, preferably in healthcare

Relevant education may substitute experience requirement

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.

Company

HCA Healthcare

Glassdoor3.3

HCA Healthcare provides medical education and healthcare services in locally managed facilities. It is a sub-organization of North Florida Endoscopy Center.

Founded in 1968

Nashville, Tennessee, USA

10001+ employees