Bilingual Medicaid Eligibility Specialist

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

Job summary

HCA HealthONE Swedish is seeking a Bilingual Medicaid Eligibility Advocate to screen for insurance coverage, assess patient financial needs, and counsel on benefits and co-payments. You will serve as a liaison among patients, the hospital, and government agencies, contributing to case management.

The role involves verifying benefits, collecting required documentation, and submitting applications, with field visits and travel as needed.

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, 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.

Skills

Bilingual

Education

Associate’s degree

Job description

HCA HealthONE Swedish is seeking a Bilingual Medicaid Eligibility Advocate to screen for insurance coverage, assess patient financial needs, and counsel on benefits and co-payments. You will serve as a liaison among patients, the hospital, and government agencies, contributing to case management.

The role involves verifying benefits, collecting required documentation, and submitting applications, with field visits and travel as needed.