Medicaid Eligibility Advocate

Job Summary and Qualifications

The Medicaid Eligibility Advocate is responsible for conducting eligibility screenings, assessments, and counseling patients on insurance benefits and co-payments. The role involves serving as a liaison between the patient, hospital, and governmental agencies, and participating in all areas of case management.

• Screens and evaluates 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.
• Obtains legally relevant medical evidence, physician statements, and all other documentation required for eligibility determination.
• Completes and files applications.
• Initiates and maintains proper follow-up with the patient and government agency caseworkers to ensure timely processing and completion of all mandated applications and accompanying documentation.
• Ensures all insurance, demographic, and eligibility information is obtained and entered into the system accurately.
• Documents 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.

Qualifications

• Associate’s degree preferred
• Minimum one-year related experience preferred, preferably in healthcare
• Relevant education may substitute experience requirement

Benefits

Parallon offers a total rewards package that supports the health, life, career, and retirement of our colleagues. The available plans and programs include:

• Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
• Wellbeing support, including free counseling and referral services
• Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
• Savings and retirement resources, including a 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
• Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing

Note

Eligibility for benefits may vary by location.

We are reviewing applications for our Medicaid Eligibility Advocate opening. Qualified candidates will be contacted for interviews. Submit your application and help us raise the bar in patient care!

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.