Bilingual Medicaid Eligibility Advocate

HCA Healthcare; Aurora (CO); On-site; USD 28,000 - 42,000; Full time

Benefits offered by this job

Comprehensive benefits

Wellbeing support

Time away from work

401(k) with company match

Education support

Fertility and family building benefits

Job summary

HCA HealthONE Aurora is seeking a Bilingual Medicaid Eligibility Advocate to evaluate patients for eligibility, counsel on benefits, and coordinate with hospital and government agencies. You will verify benefits, obtain required documentation, and file applications, ensuring timely processing and accurate data entry across systems.

The role requires strong communication in English and Spanish, 1+ year healthcare experience preferred, and reliable transportation for field visits.

Qualifications

• Screen and evaluate patients for insurance coverage and assistance programs.
• Counsel patients on insurance benefits and co-payments.
• Liaise between patient, hospital, and government agencies for eligibility.

Responsibilities

• Screen patients for existing insurance coverage and federal/state assistance.
• Re-verify benefits and obtain authorization or referrals after treatment plan discussion.
• Obtain medical evidence, physician statements, and documentation for eligibility.
• Complete and file applications; follow up with patient and caseworkers.
• Enter accurate insurance, demographic and eligibility information into the system.
• Document progress notes in the patient file and hospital system.
• Participate in ongoing training programs as required.
• Cover other office functions as needed and make field visits with reliable transportation.

Skills

Bilingual

Education

Associate’s degree preferred

Relevant education may substitute experience

Minimum one-year related experience preferred

Job description

Hourly Wage Estimate: $20.25 - $30.38 / hour

Learn more about the benefits offered ( https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards ) for this job.

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 midpoint of the range.

Schedule: Monday - Friday; 8:00am - 4:30pm with rotating weekends

Do you have the career opportunities as a Bilingual Medicaid Eligibility Advocate you want with your current employer? We have an exciting opportunity for you to join HCA HealthONE Aurora which is part of the nation's leading provider of healthcare services, HCA Healthcare.

Job Summary and Qualifications

The Bilingual Medicaid Eligibility Advocate is responsible for conducting eligibility screenings, assessment of patient financial requirements, and counseling patients on insurance benefits and co-payments. The Bilingual 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:

• 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.
• Bilingual skills are highly necessary

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 (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards)

Note: Eligibility for benefits may vary by location.

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.

"Bricks and mortar do not make a hospital. People do."- Dr. Thomas Frist, Sr.

HCA Healthcare Co-Founder

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.