Medicaid Eligibility Advocate

Job Summary and Qualifications

The Medicaid Eligibility Advocate is responsible for screening and evaluating patients for insurance coverage, obtaining necessary authorizations, and maintaining accurate records.

• 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 discussion, prior to treatment initiation.
• Ensure appropriate signatures are obtained on all necessary forms.
• Obtain medically relevant evidence, physician statements, and other required documentation for eligibility determinations.
• Complete and file applications.
• Maintain proper follow-up with patients and government agency caseworkers to ensure timely processing and completion of applications.
• 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 training programs as required.
• Follow policies and procedures to enhance office efficiency.
• Cover and assist with other office functions as requested.
• Make field visits as necessary and require reliable personal transportation.

Qualifications

• A minimum of one year related experience preferred, preferably in healthcare.
• An associate’s degree is preferred.

Benefits

Parallon offers a comprehensive benefits package that includes:

• Comprehensive medical, prescription drug, dental, vision, behavioral health, and telemedicine services.
• Wellness 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, and flexible spending accounts.
• Preferred banking partnerships, retirement readiness tools, rollover support, and financial wellbeing counseling.

About Parallon

Parallon provides full-service revenue cycle management for HCA Healthcare, including scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll, and physician billing. We also offer targeted solutions like Medicaid Eligibility for external clients across the country.

We have over 17,000 colleagues serving close to 1,000 hospitals and 3,000 physician practices, impacting patients, providers, and communities worldwide.

HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute multiple times. In recent years, HCA Healthcare spent an estimated $3.7 billion on charitable care, uninsured discounts, and other uncompensated expenses.

"There is so much good to do in the world and so many different ways to do it." - Dr. Thomas Frist, Sr., Co-Founder of HCA Healthcare

Application Information

If you find this opportunity compelling, we encourage you to apply for our Medicaid Eligibility Advocate opening. We promptly review all applications. Highly qualified candidates will be directly contacted by a member of our team. We are currently interviewing - apply today!

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.