Medicaid Benefits Navigator

HCA Healthcare, Inc.; McAllen (TX); On-site; USD 25,000 - 33,000; Full time

Benefits offered by this job

Medical benefits

Wellbeing support

PTO & disability

401(k) matching

Tuition assistance

Fertility & adoption benefits

Job summary

HCA Healthcare is seeking a Medicaid Eligibility Advocate to conduct eligibility screenings, assess patient financial requirements, and counsel patients on insurance benefits and co-payments. This role acts as a liaison between patients, hospital staff, and government agencies, involved in all areas of case management.

The position requires field visits when needed, with reliable transportation, and offers Monday–Friday, 11:00am–7:30pm schedules.

Qualifications

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

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

Associate degree

Healthcare experience

Education

Associate’s degree preferred

Relevant healthcare experience

Job description

HCA Healthcare is seeking a Medicaid Eligibility Advocate to conduct eligibility screenings, assess patient financial requirements, and counsel patients on insurance benefits and co-payments. This role acts as a liaison between patients, hospital staff, and government agencies, involved in all areas of case management.

The position requires field visits when needed, with reliable transportation, and offers Monday–Friday, 11:00am–7:30pm schedules.