Jobs · Alaska

Medicaid Eligibility Advocate

HCA Healthcare · Anchorage, AK · 1 mo ago
On-site$300/hrFull-time
We need to output HTML fragment with sections for headings where content exists. Use

for section headings: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We must not repeat job title. No Job ID. Remove boilerplate: EEO, equal opportunity, scam warning, navigation, cookie, legal, application instructions. Also remove duplicated lines. We need to preserve all substantive information. Let's parse the posting. Content: - Schedule: Monday - Friday; 8:00am - 5:00pm ONSITE - Intro: "Do you want to join an organization that invests in you as a Medicaid Eligibility Advocate? At Alaska Regional Hospital, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years." - Job Summary And Qualifications: The Medicaid Eligibility Advocate is responsible for conducting eligibility screenings, assessment of patient financial requirements, and counseling patients on insurance benefits and co-payments. The Medicaid Eligibility Advocate serves as a liaison between the patient, hospital, and governmental agencies; and is actively involved in all areas of case management. In this role you will: [list of duties] List of duties (bulleted after "In this role you will:"): - Screen and evaluate 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. - Obtain legally relevant medical evidence, physician statements and all other documentation required for eligibility determination. - 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 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 Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts Learn More About Employee Benefits Note: Eligibility for benefits may vary by location. - Additional paragraphs about Parallon description etc. Might be considered boilerplate? It's describing Parallon services, maybe not essential but it's substantive info about the organization. The instruction: "Preserve ALL substantive information; do NOT invent or summarize away detail." So we should keep that info, but we need to place it somewhere. Could be part of "About the role" or maybe a separate section like "About the organization". However allowed headings are limited to those list. We could put that info under "About the role" or maybe under a generic

without heading. The instruction: "Use

for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule)." It says e.g., implying we can use those headings, but not required to use only those? It says use

for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). Likely they expect us to use those headings when appropriate. We can also have other headings? Probably safer to stick to those. We have content for: About the role (intro paragraph), Responsibilities (list of duties), Qualifications (education/experience), Benefits (detailed list), Schedule (given). Possibly Requirements? Could combine Qualifications and Requirements? The posting has "Qualifications:" line. Could treat as Requirements? But we have Qualifications heading. We'll use Qualifications for the degree/experience. Requirements maybe not present separately. Skills not explicitly listed. Pay not mentioned. So we omit Pay and Skills sections. We must not create sections with filler like "commensurate with experience". Not applicable. We need to output only HTML fragment, no /, no markdown fences. Thus produce something like:

About the role

Do you want to join an organization that invests in you as a Medicaid Eligibility Advocate? At Alaska Regional Hospital, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years.

Responsibilities

  • Screen and evaluate 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.
  • Obtain legally relevant medical evidence, physician statements and all other documentation required for eligibility determination.
  • 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 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
  • Additional benefits for fertility and family building, 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 - 5:00pm ONSITE

We might also include a paragraph about Parallon description (the long paragraph about Parallon services, HCA Healthcare recognition, charitable care, quote, etc.). That is substantive info about the organization. Where to put? Could be part of About the role or maybe a separate

About the organization

but not in allowed list. However we could incorporate into About the role paragraph. The About the role currently only has the intro. We could extend it to include the Parallon description and other info. Let's see: The posting includes after Benefits: "Parallon provides full-service revenue cycle management..." etc. That's about Parallon. Also "HCA Healthcare has been recognized as one of the World’s Most Ethical Companies..." etc. Also quote and "We are a family 270,000 dedicated professionals!" etc. Also "Our Talent Acquisition team is reviewing applications..." etc. That's application instructions (should be removed). Also EEO statement (remove). So we need to keep the substantive info about Parallon and HCA Healthcare recognition, charitable care, quote, family size. That's not covered elsewhere. We could add a section "About the organization" but not in allowed headings. However the instruction says use

for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). It doesn't forbid other headings, but says use

for section headings (e.g. ...). Likely they expect us to use those headings when appropriate, but we could also add other headings if needed. However to be safe, we could incorporate that info into the About the role section as additional paragraphs. Thus About the role will have multiple paragraphs: intro, then description of Parallon, HCA Healthcare recognition, quote, family size. Ensure we don't include application instructions or EEO. Let's extract those paragraphs: After Benefits section, we have: "Parallon provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities. HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. " "Good people beget good people."- Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Medicaid Eligibility Advocate opening. Qualified candidates will be contacted for interviews. Submit your resume today to join our community of caring! 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." We need to remove application instructions: "Our Talent Acquisition team is reviewing applications for our Medicaid Eligibility Advocate opening. Qualified candidates will be contacted for interviews. Submit your resume today to join our community of caring!" Also remove EEO statement. Thus keep: - Parallon description (first paragraph) - HCA Healthcare recognition paragraph -

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