Medicaid Eligibility Advocate

HCA Healthcare; Ocala (FL); On-site; USD 40,000 - 55,000; Full time

Benefits offered by this job

Medical, dental, and vision insurance

Paid time off

401(k) matching

Job summary

HCA Healthcare is seeking a Medicaid Eligibility Advocate in Ocala, Florida, to conduct eligibility screenings, assess patient financial needs, and advise on insurance. You will liaise with patients and agencies and manage case details.

The ideal candidate should have an associate's degree and at least one year of healthcare experience. We offer a comprehensive benefits package including medical, dental, and tuition assistance.

Qualifications

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

Responsibilities

• Screen and evaluate patients for existing insurance coverage.
• Re-verify benefits and obtain authorization/referral.
• Complete and file applications, maintaining follow-up with agencies.

Skills

Eligibility screening

Patient counseling

Documentation and application filing

Education

Associate's degree

Job description

Schedule

Monday - Friday; 8:00am - 4:30pm (some weekends required)

Job Summary

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

Responsibilities

• Screen and evaluate patients for existing insurance coverage, federal and state assistance programs, or hospital charity applications.
• Re‑verify benefits and obtain authorization/referral after the treatment plan has been discussed, prior to initiation of treatment.
• Obtain relevant medical evidence, physician statements and all other documentation needed for eligibility determination.
• Complete and file applications, and maintain 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 accurately entered into the system, documenting progress notes to the patient’s file and the hospital computer system.
• Participate in ongoing training programs as required.
• Follow policies and procedures to contribute to office efficiency.
• Cover and assist with other office functions as requested.
• Make field visits as necessary, requiring reliable personal transportation.

Qualifications

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

Benefits

The employer offers a total rewards package that supports health, life, career and retirement. Available plans and programs include:

• 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.
• 401(k) plan with 100% match on 3% to 9% of pay, Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling.
• Tuition assistance, student loan assistance, certification support, dependent scholarships and 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

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.