Medicaid Eligibility Advocate

St. Mark's Hospital; Salt Lake City (UT); Vor Ort; USD 42.000 - 64.000; Teilzeit

Benefits dieser Stelle

Medical benefits

Dental & vision

401(k) with match

Tuition assistance

Paid time off

Life insurance

Disability coverage

Employee discounts

Zusammenfassung

St. Marks Hospital, part of HCA Healthcare, is seeking a Medicaid Eligibility Advocate to screen patients for insurance coverage and assist with government programs. You will serve as a liaison among patients, the hospital, and governmental agencies, supporting all aspects of case management.

The role involves verifying benefits, obtaining necessary documents, and guiding patients through applications. It requires transportation for potential field visits and a commitment to ongoing training and

Qualifikationen

• Associate’s degree preferred or relevant work experience in healthcare.
• Experience with patient financial counseling or insurance benefits is preferred.
• Knowledge of government assistance programs is a plus.

Aufgaben

• Screen and evaluate patients for existing insurance coverage and assistance programs.
• Re-verify benefits and obtain authorization/referral after treatment plan is discussed.
• Complete and file applications and follow up with agencies to ensure timely processing.
• Enter accurate insurance, demographic and eligibility data in the system and document progress notes.

Kenntnisse

Healthcare experience

Eligibility screening

Insurance benefits

Ausbildung

Associate degree

Tools

EMR/EHR

Medicaid systems

Jobbeschreibung

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 St. Marks 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 benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
• Wellbeing support, including free counseling and referral services
• Time away from work programs 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 support through tuition assistance, student loan assistance, certification support, dependent scholarships and a 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

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

If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Medicaid Eligibility Advocate opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews.

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.