Medicaid Eligibility Advocate

HCA Healthcare; Anchorage (AK); On-site; USD 54,000 - 70,000; Full time

Benefits offered by this job

Comprehensive benefits

Wellbeing support

Paid time off

Retirement plan

Education assistance

Family/partner benefits

Job summary

Alaska Regional Hospital is seeking a Medicaid Eligibility Advocate to screen patients for insurance coverage, assist with eligibility determinations, and counsel on benefits and co-pays. You will liaise between patients, the hospital, and government agencies, and contribute to all areas of case management.

The role requires evaluating coverage, obtaining authorizations, gathering documentation, and maintaining accurate patient records. Some field visits and transportation are required as needed.

Qualifications

• Screen and evaluate patients for insurance coverage and assistance programs.
• Assist with eligibility determination and enrollment processes.
• Document progress notes and keep patient files updated.

Responsibilities

• Screen and evaluate patients for existing insurance coverage or government programs.
• Re-verify benefits and obtain authorizations after treatment planning.
• Obtain medical evidence and documentation for eligibility.
• Complete and file applications; follow-up with patients and agencies.
• Enter insurance and demographic data accurately; maintain progress notes.
• Participate in ongoing training programs as required.
• Cover other office functions to aid efficiency.
• Make field visits as needed and arrange transportation.

Skills

Healthcare screening

Insurance knowledge

Case management liaison

Education

Associate's degree preferred

Healthcare experience

Job description

Schedule: Monday - Friday; 8:00am - 5:00pm ONSITE

Do you want to join an organization that invests in you as a Medicaid Eligibility Advocate? At Alaska Regional Hospital, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years.

Job Summary and Qualifications

The Medicaid Eligibility Advocate is responsible for conducting eligibility screenings, assessment of patient financial requirements, and counseling patients on insurance benefits and co-payments. The Medicaid Eligibility Advocate serves as a liaison between the patient, hospital, and governmental agencies; and is actively involved in all areas of case management.

In this role you will:

• 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. Ensures appropriate signatures are obtained on all necessary forms.
• 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.

Qualifications:

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

Benefits

Parallon, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
• Wellbeing support, including free counseling and referral services
• Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
• Savings and retirement resources , including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
• Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
• Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

Learn more about Employee Benefits (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards)

Note: Eligibility for benefits may vary by location.

Parallon provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities.

HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

"Good people beget good people."- Dr. Thomas Frist, Sr.

HCA Healthcare Co-Founder

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.