Medicaid Eligibility Advocate

HCA Healthcare; Lebanon (KY); On-site; USD 38,000 - 54,000; Full time

Benefits offered by this job

Comprehensive benefits across health,

Wellbeing support and counseling

Paid time off and family leave

401(k) with company match

Education and certification support

Student loan assistance

Dependent scholarships

Fertility and family building support

Life insurance and additional coverage

Discounts and voluntary benefits

Job summary

Spring View Hospital in Kentucky is seeking a Medicaid Eligibility Advocate to assess patient financial needs, screen for insurance coverage, and counsel on benefits and co-pays. The role acts as a liaison between patients, the hospital, and government programs, supporting all areas of case management.

You will verify benefits, file applications, gather medical evidence, document progress, and participate in training while ensuring accurate data entry and timely processing.

Qualifications

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

Responsibilities

• Screen and evaluate patients for existing insurance coverage and government programs.
• Re-verify benefits and obtain necessary authorizations prior to treatment.
• Obtain medical evidence and documentation for eligibility determinations.
• Complete and file applications and follow up with patients and government agencies.
• Enter insurance and demographic data accurately and document progress notes.
• Participate in training programs and follow office policies and procedures.
• Make field visits as needed and coordinate transportation.

Education

Associate’s degree preferred

Job description

Schedule: Monday - Friday; 8:00am - 4:30pm

Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Medicaid Eligibility Advocate with Spring View Hospital you can be a part of an organization that is devoted to giving back!

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

• 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

Note: Eligibility for benefits may vary by location.

Parallon

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.

"There is so much good to do in the world and so many different ways to do it." - Dr. Thomas Frist, Sr.

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.