Medicaid Eligibility Advocate- PT - Weekend Only

HCA Healthcare, Inc.; Houston (TX); On-site; USD 30,000 - 46,000; Part time

Benefits offered by this job

Comprehensive benefits (medical, Rx,  

Wellbeing support

Paid time off & disability

401(k) with match

Education support

Fertility & family benefits

Retirement planning tools

Job summary

The Medicaid Eligibility Advocate at HCA Houston Healthcare Northwest is responsible for screening patients for insurance coverage, evaluating financial needs, and counseling on benefits and co-payments. You will liaise with patients, hospital staff, and government agencies to support case management and ensure accurate documentation.

Qualifications include an Associate’s degree (preferred) and at least one year of related healthcare experience.

Qualifications

• Screen and evaluate patients for existing insurance coverage, federal and state programs, or charity.
• Obtain legally relevant medical evidence and documentation for eligibility.
• Complete and file applications and follow up with agencies and caseworkers.
• Enter accurate patient information into the hospital system and document progress notes.
• Willing to travel for field visits with reliable transportation.
• Follows policies, participates in training, and may cover other office tasks.

Responsibilities

• Screen patients for insurance coverage and assistance programs.
• Re-verifies benefits and obtains authorizations after treatment planning.
• File applications and maintain timely follow-up with agencies.

Education

Associate’s degree preferred

Job description

Schedule: Part Time, Weekends Only 11:00 am - 7:30 pm

The Medicaid Eligibility Advocate is responsible for conducting eligibility screenings, assessing patient financial requirements, and counseling patients on insurance benefits and co-payments. The Medicaid Eligibility Advocate serves as a liaison between patients, hospital, and governmental agencies; and is actively involved in all areas of case management.

Job Summary and Qualifications

In this role you will:

• 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.

Benefits

HCA Houston Healthcare Northwest, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive benefitsfor medical, prescription drug, dental, vision, behavioral health and telemedicine services


• Wellbeing support,including free counseling and referral services


• Time away from workprograms 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 supportthrough tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing


• Additional benefitsfor 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.

Parallon provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities.

HCA Healthcare has been recognized as one of the World’s Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated 3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

Bricks and mortar do not make a hospital. People do. - Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder

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.