Medicaid Eligibility Advocate — Patient Access

HCA Healthcare, Inc.; Columbus (GA); On-site; USD 42,000 - 56,000; Full time

Benefits offered by this job

Comprehensive benefits

401(k) plan with match

Education support

Job summary

HCA Healthcare, Inc. at St. Francis is seeking a Medicaid Eligibility Advisor to screen and determine eligibility for insurance coverage and government programs.

The role involves re-verifying benefits, obtaining authorizations, gathering medical evidence, and filing applications. Responsibilities include contacting government agencies, maintaining patient records, attending training, and performing field visits as needed with reliable transportation.

Qualifications

• Minimum one-year related experience preferred, preferably in healthcare.
• Associate’s degree preferred.

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.

Skills

Healthcare experience

Education

Associate’s degree preferred

Job description

HCA Healthcare, Inc. at St. Francis is seeking a Medicaid Eligibility Advisor to screen and determine eligibility for insurance coverage and government programs.

The role involves re-verifying benefits, obtaining authorizations, gathering medical evidence, and filing applications. Responsibilities include contacting government agencies, maintaining patient records, attending training, and performing field visits as needed with reliable transportation.