Medicaid Eligibility Advocate

About the role

The Medicaid Eligibility Advocate coordinates and facilitates the Medicaid application process across multidisciplinary entities to obtain Medicaid eligibility for patients entitled to Medicaid to attain reimbursement for services provided by Jacksonville Children’s & Multispecialty Clinic. The Medicaid Eligibility Advocate also acts as a liaison between the patient, organization, and governmental agencies.

Responsibilities

• Screen and evaluate patients for existing insurance coverage and federal and state assistance programs.
• 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.
• Work in conjunction with the organization’s Revenue Cycle & Billing teams as needed.
• Maintain knowledge and understanding of local community resources.
• 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.
• Assist management in forecasting by providing historical information.

Qualifications

• Associate degree preferred
• Minimum of one-year related experience in healthcare.
• Relevant education may substitute experience requirements.

Skills

• Excellent verbal and written communication skills
• Sound judgment
• Efficient
• Self-starter
• Strong customer service and interpersonal communication skills
• Knowledge of basic accounting and accounts receivable
• Accurate data entry skills with knowledge of basic keyboarding
• Professional and courteous telephone skills
• Ability to file numerically and alphabetically
• Knowledge of confidentiality and release of information
• Ability to work independently and under pressure, handling multiple tasks simultaneously
• Ability to work as a team member and in conjunction with all other team members in a helpful, positive manner
• Ability to project a positive and professional image to the community
• Ability and willingness to collect money from patients
• Must have thorough education or training on NC Medicaid programs and eligibility
• The employee must be able to understand, communicate, and react effectively to the unique needs of pediatric, adolescent, adult, and geriatric patients.
• Self-motivated, analytical, quick learner, organized, detail-oriented, multi‑tasker.

Benefits

• 401(k)
• Health, Dental, and Vision insurance
• Employee assistance program
• AFLAC
• Paid time off