Medicaid Eligibility Advocate
Schedule
Monday - Friday; 8:00am - 4:30pm
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 role involves serving as a liaison between the patient, hospital, and governmental agencies; and actively 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
Average: 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.
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