Medicaid Eligibility Advocate

HCA Healthcare, Inc.; Portsmouth (NH); Sur place; USD 25 000 - 36 000; Temps partiel

Résumé du poste

Portsmouth Regional Hospital, part of HCA Healthcare, seeks a Medicaid Eligibility Advocate to join our team. This role screens patients for insurance coverage, guides them through government programs, and coordinates with hospital staff to ensure timely benefits.

Scheduled for weekend hours (Saturday-Sunday, 10:00am–6:30pm). Strong communication, attention to detail, and ability to navigate eligibility processes are required.

Qualifications

• Associate’s degree preferred; minimum one year related healthcare experience preferred.
• Relevant education may substitute for experience.
• Ability to conduct eligibility screenings and counsel patients on insurance benefits.

Responsabilités

• Screen and evaluate patients for existing insurance coverage or government assistance programs.
• Re-verify benefits and obtain authorization/referral after treatment plan is discussed.
• Obtain medical evidence and documentation required for eligibility determination.
• Complete and file applications and follow up with patients and agencies to ensure timely processing.
• Enter all insurance, demographic and eligibility information into the system accurately; document progress notes.
• Participate in ongoing training and follow office policies; cover other functions as needed.
• Make field visits as necessary and maintain reliable transportation.

Connaissances

Healthcare experience

Insurance verification

Communication skills

Documentation

Formation

Associate’s degree

Description du poste

Schedule: Saturday - Sunday; 10:00am - 6:30pm

Do you have the career opportunities as a Medicaid Eligibility Advocate you want with your current employer? We have an exciting opportunity for you to join Portsmouth Regional Hospital which is part of the nations leading provider of healthcare services, HCA Healthcare.

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 benefitsfor medical, prescription drug, dental, vision, behavioral health and telemedicine services
• Wellbeing support,including free counseling and referral services
• Time away from workprograms 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 supportthrough tuition assistance, student loan assistance, certificate support, dependent scholarships and a partnership with Galen College of Nursing
• Additional benefitsfor 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, 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.

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.