Medicaid Eligibility Advocate

Essential Functions

• 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

• Maintain knowledge and understanding of local community resources.

Follow Policies and Procedures

• Follows policies and procedures to contribute to the efficiency of the office.

Cover and Assist

• Covers and assists with other office functions as requested.

Assist Management

• Aid in forecasting by providing historical information.

Communication Skills

• Excellent verbal and written communication skills.

Customer Service

• Sounds judgment, efficient, self-starter, strong customer service and interpersonal communication skills.

Knowledge and Skills

• Knowledge of basic accounting and accounts receivable.
• Accurate data entry skills with knowledge of basic keyboarding.
• Professional and courteous telephone skills.

Other Skills

• 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 and willingness to collect money from patients.

Qualifications

• Associate degree preferred.
• Minimum of one-year related experience in healthcare.
• Relevant education may substitute experience requirements.
• Thorough education or training on NC Medicaid programs and eligibility.

Physical Demands

• Standing, sitting, walking, stooping, stretching, reaching, kneeling, talking, lifting.

Work Environment

• In an office, climate-controlled setting with direct interactions with patients and staff in person and by phone.

Benefits

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