Medicaid Eligibility Advocate | Help Patients Access Care

HCA Healthcare Trident Hospital; North Charleston (SC); On-site; USD 42,000 - 64,000; Full time

Benefits offered by this job

Comprehensive benefits

Wellbeing support

Paid time off

401(k) match

Tuition assistance

Education support

Fertility benefits

Life insurance

Discount programs

Job summary

HCA Healthcare Trident Hospital is seeking a Medicaid Eligibility Advocate to screen patients for insurance coverage and assist with government programs. You will re-verify benefits, obtain necessary authorizations, and gather medical evidence for eligibility determinations.

The role requires filing applications, coordinating with caseworkers, and maintaining accurate records in the hospital system, with field visits and reliable transportation as needed.

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. 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.

Education

Associate’s degree

Job description

HCA Healthcare Trident Hospital is seeking a Medicaid Eligibility Advocate to screen patients for insurance coverage and assist with government programs. You will re-verify benefits, obtain necessary authorizations, and gather medical evidence for eligibility determinations.

The role requires filing applications, coordinating with caseworkers, and maintaining accurate records in the hospital system, with field visits and reliable transportation as needed.