Medicaid Benefits Navigator

TriCities Hospital; Hopewell (VA); On-site; USD 22,000 - 33,000; Full time

Benefits offered by this job

Comprehensive benefits

Wellbeing support

Time away from work

401(k) match

Education support

Additional benefits

Job summary

TriCities Hospital is seeking a Medicaid Eligibility Advocate to assess patient financial needs, screen for insurance coverage, and counsel patients on benefits and co-pays. This role acts as a liaison between patients, the hospital, and government agencies, contributing to comprehensive case management and timely eligibility processing.

The position requires scheduling Monday–Friday, with field visit responsibilities and a preference for an Associate’s degree and related healthcare experience.

Qualifications

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

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.

Education

Associate’s degree

Job description

TriCities Hospital is seeking a Medicaid Eligibility Advocate to assess patient financial needs, screen for insurance coverage, and counsel patients on benefits and co-pays. This role acts as a liaison between patients, the hospital, and government agencies, contributing to comprehensive case management and timely eligibility processing.

The position requires scheduling Monday–Friday, with field visit responsibilities and a preference for an Associate’s degree and related healthcare experience.