Medicaid Eligibility Advocate

Henrico Doctors' Hospital; Richmond (VA); On-site; USD 21,000 - 32,000; Full time

Benefits offered by this job

Comprehensive benefits

Wellbeing support

Paid time off and disability coverage

401(k) plan with match

Tuition and certification support

Life insurance and other protections

Job summary

Henrico Doctors Hospital is seeking a Medicaid Eligibility Advocate to join the Forest location. The role focuses on eligibility screenings, counseling patients on insurance benefits and co-payments, and coordinating between patient, hospital, and government agencies.

You will verify benefits, obtain authorizations, collect necessary documents, file applications, and maintain accurate data in the hospital system. Field visits may be required with reliable transportation.

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-verifies benefits and obtains authorization and/or referral after treatment plan has been discussed, prior to initiation of treatment. Ensures signatures are obtained on all forms.
• Obtain legally relevant medical evidence, physician statements and documentation required for eligibility.
• Complete and file applications. Initiate and maintain follow-up with patient and government agency caseworkers to ensure timely processing of all mandated applications.
• Ensure all insurance, demographic and eligibility information is entered into the system. Document progress notes in the patient’s file and hospital 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 and have reliable transportation.

Skills

Eligibility screening

Patient counseling

Data entry

Office communication

Education

Associate's degree preferred

Job description

This position is incentive eligible. Hourly Wage Estimate: 15.46 - 23.19 / hour. Learn more about the benefits offered.

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

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 Henrico Doctors Hospital Forest 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, certification 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.

Bricks and mortar do not make a hospital. People do
- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder

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.