Medicaid Eligibility Advocate

HCA Healthcare, Inc.; Texas; On-site; USD 42,000 - 54,000; Full time

Benefits offered by this job

Comprehensive benefits

401(k) plan with match

Education assistance / tuition support

Employee stock purchase plan

Fertility and family building benefits

Job summary

HCA Healthcare's Methodist Hospital Northeast is seeking a Bilingual Medicaid Eligibility Advocate to assist patients with eligibility screenings, insurance benefits, and co-pay guidance. You will act as a liaison between patients, hospital staff, and government agencies, supporting case management activities and ensuring accurate documentation.

The role requires bilingual fluency and a focus on compassionate patient service, with responsibilities including applying for programs, verifying

Qualifications

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

Responsibilities

• Screen and evaluate patients for existing insurance coverage or assistance programs.
• Re-verifies benefits and obtains necessary authorizations prior to treatment.
• Obtain medical evidence and documentation required for eligibility.
• Complete and file applications; follow-up with patients and agencies to ensure processing.
• Enter demographic and eligibility information accurately; document progress notes.
• Participate in ongoing training programs as required.
• Support office functions and cover as needed; travel may be required with reliable transportation.

Skills

Bilingual skills

Education

Associate’s degree preferred

Job description

Schedule

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

Overview

Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as a Bilingual Medicaid Eligibility Advocate today with Methodist Hospital Northeast.

Job Summary and Qualifications

The Bilingual Medicaid Eligibility Advocate is responsible for conducting eligibility screenings, assessment of patient financial requirements, and counseling patients on insurance benefits and co-payments. The Bilingual Medicaid Eligibility Advocate 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-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.
• Bilingual skill are needed

Benefits

• 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.

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.