Bilingual Medicaid Eligibility Advocate

HCA Healthcare; Russellville (AR); On-site; USD 40,000 - 55,000; Full time

Benefits offered by this job

Comprehensive medical, dental, and vision benefits

Paid time off and family leave

Retirement resources including 401(k) plan

Education support including tuition assistance

Wellbeing support services

Job summary

HCA Healthcare in Russellville, Arkansas is seeking a Medicaid Eligibility Advocate who will conduct eligibility screenings and assist patients with their insurance benefits. In this role, you will be responsible for evaluating patient financial requirements and liaising between patients and governmental agencies.

Applicants should prefer an Associate’s degree with at least one year of healthcare-related experience. The position also entails maintaining accurate documentation and participating in training programs. Comprehensive benefits are provided to support your wellbeing.

Qualifications

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

Responsibilities

• Screen and evaluate patients for existing insurance coverage.
• Re-verify benefits and obtain necessary authorizations.
• Complete and file applications with government agencies.
• Document progress notes and maintain patient's file.

Skills

Eligibility screenings

Patient financial assessment

Insurance counseling

Education

Associate's degree preferred

Job description

Schedule

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

Job Summary

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 role 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 the 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 available.

Qualifications

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

Benefits

• Comprehensive benefits for 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.
• Retirement resources including a 401(k) Plan with a 100% match on 3% to 9% of pay, Employee Stock Purchase Plan, flexible spending accounts and financial wellbeing counseling.
• Education support through 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.
• Note: Eligibility for benefits may vary by location.

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.