Medicaid Benefits Navigator

HCA Healthcare; Richmond (VA); On-site; USD 2,130,000 - 3,195,000; Full time

Benefits offered by this job

Comprehensive benefits

401(k) Plan with match

Tuition assistance

Life insurance

Employee discounts

Job summary

Parallon, part of HCA Healthcare, is seeking a Medicaid Eligibility Advocate at Parham Hospital in Virginia. You will conduct eligibility screenings, assess patient financial needs, and counsel patients on insurance benefits and co-payments, acting as a liaison between patients, the hospital, and government agencies.

The role requires visiting patients in the field as needed, maintaining accurate information in the system, and participating in ongoing training.

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.

Education

Associate’s degree preferred

Minimum one-year related experience preferred

Relevant education may substitute experience

Job description

Parallon, part of HCA Healthcare, is seeking a Medicaid Eligibility Advocate at Parham Hospital in Virginia. You will conduct eligibility screenings, assess patient financial needs, and counsel patients on insurance benefits and co-payments, acting as a liaison between patients, the hospital, and government agencies.

The role requires visiting patients in the field as needed, maintaining accurate information in the system, and participating in ongoing training.