Medicaid Benefits Navigator

HCA Healthcare; Las Vegas (NV); On-site; USD 28,000 - 41,000; Full time

Benefits offered by this job

Medical, dental, vision

401(k) plan with match

Tuition assistance

Paid time off

Job summary

Sunrise Hospital and Medical Center in Las Vegas is seeking a Medicaid Eligibility Advocate to screen patients for insurance coverage, assess financial needs, and counsel on benefits and co-payments. You will liaise between patients, the hospital, and government agencies, supporting case management across related processes.

The role involves verifying benefits, obtaining authorizations, collecting necessary documentation, and ensuring accurate data entry.

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.

Skills

Customer service

Healthcare experience

Documentation

Education

Associate’s degree preferred

Job description

Sunrise Hospital and Medical Center in Las Vegas is seeking a Medicaid Eligibility Advocate to screen patients for insurance coverage, assess financial needs, and counsel on benefits and co-payments. You will liaise between patients, the hospital, and government agencies, supporting case management across related processes.

The role involves verifying benefits, obtaining authorizations, collecting necessary documentation, and ensuring accurate data entry.