Medicaid Access Navigator

HCA Healthcare, Inc.; Florida; On-site; USD 25,000 - 37,000; Full time

Benefits offered by this job

Comprehensive benefits

Wellbeing support

Paid time off

401(k) matching

Tuition assistance

Fertility benefits

Life insurance

Disability coverage

Consumer discounts

Job summary

HCA Healthcare, Inc. in Florida 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 among patients, the hospital, and government agencies to support case management.

You will verify benefits, obtain necessary authorizations, complete applications, and maintain accurate documentation. Travel to field sites may be required with reliable transportation; Monday–Friday schedule

Qualifications

• Associate’s degree preferred.
• Minimum one-year related experience preferred, preferably in healthcare.
• Relevant education may substitute experience requirement.
• Bilingual skills preferred.

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.
• 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 skills preferred

Education

Associate’s degree preferred

Job description

HCA Healthcare, Inc. in Florida 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 among patients, the hospital, and government agencies to support case management.

You will verify benefits, obtain necessary authorizations, complete applications, and maintain accurate documentation. Travel to field sites may be required with reliable transportation; Monday–Friday schedule