Bilingual Medicaid Eligibility Navigator

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

Benefits offered by this job

Comprehensive benefits

Wellbeing support

Paid time off

401(k) with match

Education support

Job summary

HCA HealthONE Swedish is seeking a Bilingual Medicaid Eligibility Advocate to conduct eligibility screenings and counsel patients on insurance benefits and co-payments. You will liaise between patients, the hospital, and government agencies, contributing to all areas of case management.

The role requires coordinating with patients, obtaining necessary documentation, and ensuring timely processing of applications. A paramedical background and field-visit readiness are beneficial for success.

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

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.
• 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.
• Will be required to make field visits as necessary and will need reliable personal transportation readily available.

Skills

Bilingual

Communication

Healthcare experience

Education

Associate’s degree preferred

Job description

HCA HealthONE Swedish is seeking a Bilingual Medicaid Eligibility Advocate to conduct eligibility screenings and counsel patients on insurance benefits and co-payments. You will liaise between patients, the hospital, and government agencies, contributing to all areas of case management.

The role requires coordinating with patients, obtaining necessary documentation, and ensuring timely processing of applications. A paramedical background and field-visit readiness are beneficial for success.