Bilingual Medicaid Eligibility Advocate

HCA Healthcare, Inc.; Austin (TX); Sur place; USD 28 000 - 39 000; Plein temps

Avantages offerts par ce poste

Comprehensive benefits

Wellbeing support

Paid time off

401(k) match

Education support

Family planning assistance

Life insurance

Discount programs

Résumé du poste

HCA Healthcare, Inc. in Austin, TX is seeking a Medicaid Eligibility Advocate to screen patients for insurance coverage, assess financial needs, and counsel on benefits and co-pays.

The role serves as a liaison between patients, the hospital, and government agencies and involves ongoing case management and documentation. The position requires attention to detail, ability to obtain necessary documentation, and willingness to conduct field visits.

Qualifications

• Bilingual candidate preferred; English fluency helpful.
• Associate degree preferred.
• Minimum of one year related experience preferred, preferably in healthcare.

Responsabilités

• 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 necessary signatures are obtained.
• Obtain legally relevant medical evidence, physician statements and all documentation required for eligibility determination.
• Complete and file applications. Initiate and maintain follow-up with patient and government agency caseworkers for timely processing.
• Enter insurance, demographic and eligibility information into the system and document progress notes.
• Participate in ongoing training programs as required.
• Follow policies to improve office efficiency and assist with other functions as needed.
• Make field visits as necessary with reliable personal transportation.

Connaissances

Bilingual

Formation

Associate degree

Description du poste

Schedule: Tuesday-Saturday 10:30am-7:00pm OR Sunday-Thursday 10:30am-7:00pm

Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career with an organization committed to delivering respectful, compassionate care, and where the unique and intrinsic worth of each individual is recognized. Submit your application for the opportunity below: Medicaid Eligibility Advocate

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 is a liaison between the patient, hospital, and governmental agencies and is actively involved in all case management areas.

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:

• Bilingual candidate preferred
• Associate degree preferred
• Minimum of one-year related experience preferred, preferably in healthcare.
• Relevant education may substitute experience requirements.

Benefits

St. David's Medical Center, 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.

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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.