Medicaid Eligibility Advocate

Schedule

Monday - Friday; 7:30am - 4:00pm

Job Summary and Qualifications

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

• 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.

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.

About Parallon

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.

We have over 17,000 colleagues, and serve 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.

About HCA Healthcare

HCA Healthcare is committed to investing in its employees and communities. We believe that investing in our people is essential to delivering exceptional care and creating positive change in the lives of those we serve.

Our mission is to improve the health and well-being of every community we serve. We strive to achieve this by providing high-quality, compassionate care, and by supporting our colleagues and partners in achieving their goals.

As a leader in the healthcare industry, we are dedicated to promoting ethical business practices and fostering a culture of diversity, equity, and inclusion. We believe that these values are essential to creating a better future for all.

We are proud to be a part of a network of organizations that are committed to making a difference in the lives of patients, families, and communities around the world.