Medicaid Eligibility Advocate
Job Summary and Qualifications
The Medicaid Eligibility Advocate is responsible for screening and evaluating patients for insurance coverage, federal and state assistance programs, or hospital charity applications. They also verify benefits, obtain authorizations/referrals, document progress notes, and assist with various administrative tasks.
- 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 has been discussed, prior to initiation of treatment.
- Absolutely 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.
- 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.
- Participate in ongoing, comprehensive training programs as required.
- Follow policies and procedures to contribute to the efficiency of the office.
- Cover and assist with other office functions as requested.
- Will be required to make field visits as necessary and will need reliable personal transportation readily available.
Qualifications
- A minimum of one-year related experience preferred, preferably in healthcare.
- An associate degree is preferred.
Benefits
LewisGale Medical Center offers a comprehensive benefits package that includes:
- 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.
Parallon
Parallon provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Their services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll, and physician billing. They also provide targeted solutions, such as Medicaid Eligibility, for external clients across the country.
About the Company
HCA Healthcare is committed to caring for patients with purpose and integrity. They are dedicated to providing care with warmth, compassion, and dignity for individuals. 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, they spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
How to Apply
If you are passionate about the patient experience and ready to jump-start your career as a Medicaid Eligibility Advocate, we encourage you to apply for our opening. Highly qualified candidates will be contacted for interviews. To apply, please visit our careers page.