Medicaid Eligibility Advocate

Hourly Wage Estimate: $20.25 - $30.38 per hour. The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have, and comparison to other employees already in this role. The typical candidate is hired below the midpoint of the range. 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. 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. 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 Associate’s degree preferred. Minimum one-year related experience preferred, preferably in healthcare. Relevant education may substitute experience requirement. Benefits 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. 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. #J-18808-Ljbffr HCA Healthcare