Medicaid Eligibility Advocate

HCA Healthcare; Ogden (UT); On-site; USD 40,000 - 60,000; Full time

Benefits offered by this job

Comprehensive medical and dental services

Paid time off and family leave

401(k) plan with matching

Tuition assistance

Fertility and family building assistance

Job summary

HCA Healthcare in Ogden, Utah is looking for a Medicaid Eligibility Advocate to conduct eligibility screenings and assess patient financial requirements. You will advise patients on insurance benefits and act as a liaison with governmental agencies involved in case management.

This role requires excellent organizational skills and the ability to interact with patients and caseworkers effectively. The position offers comprehensive benefits, including medical and dental services, 401(k) matching, and tuition assistance.

Qualifications

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

Responsibilities

• Screen and evaluate patients for existing insurance coverage, federal and state assistance programs, or hospital charity applications.
• Re-verify benefits and obtain necessary authorizations prior to treatment initiation.
• Obtain relevant medical evidence and documentation for eligibility determination.
• Complete and file applications; maintain follow-up with patients and government agencies.
• Ensure accuracy in insurance and eligibility information in systems.
• Participate in comprehensive training programs.
• Follow policies for office efficiency and assist with other functions as needed.
• Make field visits as necessary.

Job description

Schedule: Monday – Friday; 8:00 am – 5:00 pm.

Job Summary: The Medicaid Eligibility Advocate conducts eligibility screenings, assesses patient financial requirements, and counsels patients on insurance benefits and co‑payments. The Advocate serves as a liaison between the patient, hospital, and governmental agencies and is actively 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 and/or referral after treatment plan has been discussed, prior to initiation of treatment. Ensure 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.
• Make field visits as necessary and have 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 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 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.
• Tuition assistance, student loan assistance, certification support, dependent scholarships and partnership with Galen College of Nursing.
• Additional benefits: fertility and family building assistance, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts.

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.