Medicaid Eligibility Advocate

HCA Healthcare; Lander (WY); On-site; USD 40,000 - 60,000; Full time

Benefits offered by this job

Comprehensive medical benefits

Paid time off

401(k) Plan with matching

Tuition assistance

Life insurance

Job summary

HCA Healthcare seeks a Medicaid Eligibility Advocate in Lander, WY. This role involves conducting eligibility screenings, assessing patient financial needs, and advising patients on insurance benefits. The advocate serves as a liaison between patients, hospitals, and government agencies, ensuring effective case management. Candidates should have an associate degree and relevant experience in healthcare is preferred. Comprehensive benefits include medical coverage, paid time off, retirement resources, and education support.

Qualifications

• Minimum of one-year related experience preferred, preferably in healthcare.
• Relevant education may substitute experience requirement.

Responsibilities

• Screen and evaluate patients for existing insurance coverage.
• Re-verify benefits and obtain authorization post-discussion of treatment.
• Obtain necessary medical evidence and documentation for eligibility determination.
• File applications and follow up with patients and government agencies.
• Ensure accurate documentation of patient and eligibility information.
• Participate in training programs as required.
• Assist other office functions as needed.
• Make field visits if necessary, with personal transportation.

Skills

Eligibility screening

Insurance counseling

Patient advocacy

Education

Associate degree preferred

Job description

Schedule

Monday - Friday; 8:00am - 5:00pm; ONSITE at Lander Campus

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 is a liaison between the patient, hospital, and governmental agencies and is actively involved in all case management areas.

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. 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.
• Participate in ongoing, comprehensive training programs as required.
• Follow policies and procedures to contribute to the efficiency of the office. Cover and assist with other office functions as requested.
• Be required to make field visits as necessary and have reliable personal transportation available.

Qualifications

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

Benefits

• Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services.
• Wellbeing support, including free counseling and referral services.
• 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.

Equal Opportunity Statement

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.