Medicaid Eligibility Advocate - Help Patients Access Care

HCA Healthcare; Houston (TX); On-site; USD 36,000 - 60,000; Full time

Benefits offered by this job

Medical benefits

Dental & vision

401(k) match

Tuition assistance

Life insurance

Job summary

HCA Healthcare is seeking a Medicaid Eligibility Advocate in Houston to screen patients for eligibility, assess financial requirements, and counsel on insurance benefits and co-payments. The role acts as a liaison between patients, the hospital, and government agencies within case management.

Responsibilities include verifying coverage, obtaining authorizations, collecting documentation, filing applications, and following up with agencies to ensure timely processing while maintaining accurate

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.
• 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.

Education

Associate’s degree

Minimum one-year related experience

Job description

HCA Healthcare is seeking a Medicaid Eligibility Advocate in Houston to screen patients for eligibility, assess financial requirements, and counsel on insurance benefits and co-payments. The role acts as a liaison between patients, the hospital, and government agencies within case management.

Responsibilities include verifying coverage, obtaining authorizations, collecting documentation, filing applications, and following up with agencies to ensure timely processing while maintaining accurate