Medicaid Eligibility Advocate

HCA Healthcare; San Antonio (TX); On-site; USD 40,000 - 56,000; Full time

Benefits offered by this job

Medical benefits

Paid time off

401(k) Plan with match

Job summary

Parallon, a revenue cycle management provider for HCA Healthcare, is seeking a Bilingual Medicaid Eligibility Advocate to conduct eligibility screenings, assess patient financial needs, and counsel patients on insurance benefits and co-payments. The role acts as a liaison between patients, the hospital, and government agencies within case management.

The position emphasizes screening for coverage, managing documentation, and coordinating with government workers to ensure timely processing of

Qualifications

• Bilingual proficiency is required.
• Experience in healthcare or related field preferred.

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.
• Obtain legally relevant medical evidence, physician statements, and all other documentation required for eligibility determination.
• Complete and file applications and follow up with patients and government agency caseworkers to ensure timely processing.
• Enter accurate insurance, demographic, and eligibility information in the system and document notes in the patient file.

Skills

Bilingual

Healthcare experience

Education

Associate’s degree preferred

Job description

Parallon, a revenue cycle management provider for HCA Healthcare, is hiring a Bilingual Medicaid Eligibility Advocate.

Schedule

Sunday - Thursday; 11:00am - 7:30pm

Job Summary

The Bilingual Medicaid Eligibility Advocate is responsible for conducting eligibility screenings, assessing 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 in 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 maintain reliable personal transportation.

Qualifications

• Associate’s degree preferred.
• Minimum one‑year related experience preferred, preferably in healthcare.
• Relevant education may substitute the experience requirement.
• Bilingual skills are required.

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.
• 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, 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.