Medicaid Eligibility Advocate

About the Role

As a Medicaid Eligibility Advocate, you will serve as a liaison between patients, the hospital, and governmental agencies, actively involved in all case management areas. You will conduct eligibility screenings, assess patient financial requirements, and counsel patients on insurance benefits and co-payments.

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 plans are 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 for assistance programs.
• Initiate and maintain proper follow-up with patients 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 accurately entered into the system.
• Document progress notes in the patient’s file and the hospital computer system.
• Participate in ongoing, comprehensive training programs as required.
• Follow policies and procedures to contribute to office efficiency.
• Cover and assist with other office functions as requested.
• Make field visits as necessary; reliable personal transportation is required.

Requirements

• Associate degree preferred.
• Minimum of one-year related experience with Medicaid or Disability claims, preferably in healthcare (relevant education may substitute experience requirements).

Benefits

Parallon offers a total rewards package that supports the health, life, career, and retirement of our colleagues. 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: paid time off, paid family leave, long- and short-term disability coverage, and leaves of absence.
• Savings and retirement resources: 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: tuition assistance, student loan assistance, certification support, dependent scholarships, and a partnership with Galen College of Nursing.
• Additional benefits: fertility and family building support, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection, and consumer discounts.

Note: Eligibility for benefits may vary by location.

Schedule

Monday - Friday; 8:00am - 4:30pm